The Help-Seeking Experiences of Domestic Abuse Survivors in England: Insights from the Research Phase of an Experience-Based Co-Design Study

Experience-based co-design emphasizes understanding service-users’ experiences to inform service improvement, yet little research has explored domestic abuse survivors’ perspectives within this framework. This study examined survivors’ accounts of their interactions with the police and organizations that support domestic abuse survivors. We aimed to identify aspects of practice experienced as either helpful or in need of improvement. Semi-structured interviews with six survivors in one area of England were analyzed using reflexive thematic analysis. Survivors described obstructive and supportive responses from formal services. Four interrelated themes were developed: The Importance of Being Understood, Believed, and Cared For; It Is Important That There Is Good Communication Between the Survivor and Formal Services; Survivors Want a Victim-Centered, Rapid, and Meaningful Response; and Specific Circumstances Sometimes Influence Opportunities for Help-Seeking. Survivors described being dismissed and disbelieved, which contributed to negative help-seeking experiences and heightened feelings of vulnerability. In contrast, empathic and timely responses validated survivors’ experiences and supported their sense of safety. The findings highlighted the importance of practice that recognizes the different forms abuse can take, provides timely, victim-centered support, and responds equitably to survivors in diverse circumstances. This study demonstrates the valuable insights gained through applying an experience-based co-design approach in this setting.