Understanding the Toxic Trio

The term ‘Toxic Trio’ has been used to describe how the issues of domestic abuse, mental ill-health and substance misuse can negatively impact upon optimal developmental outcomes for children/ young people and effect the decision making
for adult survivors.


This course is relevant to all practitioners who have completed Level 1 and 2 Safeguarding training across both the children’s and adults workforce. The course will provide participants with an understanding of “The Toxic Trio” and the implications for children, young people, parents and practitioners living and working with the challenges “The Toxic Trio” may cause.


Learning Outcomes:


  • To understand the definition and increased risk factors of the ‘Toxic Trio’ and the implications for safeguarding children, where these factors are all
    evident within family life.
  • To understand the connection with the “Toxic Trio” and other forms of abuse and neglect for children, young people and adult survivors.
  • Analyse the cumulative effect of domestic violence, parental mental ill-health and substance misuse,
  • To understand Learning from Serious Case Review/ Child learning practice review findings and current research which will help inform practitioners analyse and understand risk.
  • What works well in responding to the ‘Toxic Trio’ and the appropriate approaches practitioners should take with regards to assessment tools and interventions.
  • Identify risk and protective factors for children living with parents/adult carer where capacity is compromised.
  • To understand the necessity of a multi-agency shared approach when assessing and managing risk, and creating realistic plans.
  • To understand the “Change process” and its importance in any analysis of risk in challenging safeguarding scenarios.
  • To understand how to use a range of multi-disciplinary assessment tools and interventions


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