Joan* moved into refuge after fleeing a high-risk domestic abuse situation that included financial, emotional and sexual abuse as well as coercive control. After she was admitted to hospital with high blood pressure and kidney failure, she fled directly from the hospital to escape the stress the relationship was placing on her. Following her kidney failure, Joan attended dialysis three times a week meaning demand on her physical health became increasingly overwhelming, having a further consequence on her mental health.

While in refuge, Joan received support and advocacy from her adult intervention and domestic abuse workers, who assisted her with appointments and communication with other professionals. She engaged positively with the Moving On Toolkit and took part in a range of one-to-one wellbeing sessions, including painting and sewing. Over time, Joan’s emotional health and overall wellbeing showed clear improvement during her stay in refuge.

Due to her health needs, the re-housing process was complex. She was initially eligible for a one-bedroom property, but her condition required a change. She now needed extra space for home dialysis equipment and a ground-floor flat to accommodate the fatigue caused by kidney failure.

Thanks to the advocacy from Manchester Women’s Aid staff, which included gathering a significant amount of medical evidence, Joan was able to secure a two-bed bungalow to safely move on from refuge.