CAPVA Service Referral Form

What is CAPVA?

CAPVA stands for “Child and Adolescent to Parent Violence and Abuse.” It refers to any harmful behaviour displayed by a child towards a parent or caregiver. Abusive behaviour can include physical violence; emotional, economic, or sexual abuse; and coercive control.

The CAPVA Intervention is when support is offered to the whole family when the child aged 8-18 engages in abusive behaviours towards their parent or caregiver.

CAPVA IDVAs provide holistic whole family support encouraging everyone to take a role in stopping the abuse and learning respectful ways of managing conflict, difficulty, and intimacy. 

How does the CAPVA service work?

NIDAS only accept professional referrals from Norfolk Police.

We work collaboratively with both child and their parent or caregiver, in face-to-face settings over 11 weeks to tailor support and provide conflict resolutions approaches that achieve long-lasting and sustainable change for families.

Through the Respect Young Persons Programme (RYPP) families are supported to find solutions and to rebuild relationships.

Consent

To refer a young person to our service to access the RYPP , you must obtain consent from anyone who has parental responsibility for them. It is mandatory to have gained this consent before submitting a referral form to us. The consent must identify that the family agree to be contacted by NIDAS.

Consent must also be obtained from the young person themselves. This ensures that everyone involved is aware of the support being provided and gives us permission to work with the family.

NIDAS only accept professional referrals from Norfolk Police. Parent/carer consent must be obtained and involved child must be 8-18 years old.

Name of referrer:(Required)
We can only accept referrals from Norfolk Police.
DD slash MM slash YYYY
Name of Parent / Carer:(Required)
Child/Children Details(Required)
Name
 
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Child/Children Details(Required)
Date of Birth
 
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Child/Children Details(Required)
Gender
 
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Consent from the parent/carer to receive the Respect Young Persons Programme (RYPP) from the CAPVA IDVA:(Required)
Consent from parent/carer is mandatory for a referral to be made. If you're unable to select 'yes' here, you will be unable to submit this form.
Consent from the child to receive the Respect Young Persons Programme (RYPP) from the CAPVA IDVA:(Required)
If yes, please give details:
If so, please state: (please provide details separately about each CYP)