A woman was reporting controlling and coercive behaviour from her husband … The mental health practitioner had assessed him … about his capacity … because … he had significant mental health problems … similar to Alzheimer's, in terms of he doesn't really know what's going on.' (PC7) 'A lot of older victims … come when their partner has died, and they say "he has abused me for 50 years"… But their attitude is very much "I made my bed, I have to lie in it."' (DA4) '… older people as well, women in their 70s, who are just finding out that there is support. They have been married for 50 plus years, and they're reaching out for the first time.' (DA9) The particular difficulties faced by this hard-to-reach group underscore the need for areas to develop a bespoke, multi-agency response for older victims of IPA.Rural victims: Throughout the interviews, the problems caused by living in rural areas were a recurring theme. Practitioners noted the safety implications of experiencing IPA whilst living in remote areas, and how difficulties with (for example) the transport infrastructure and internet connection could impede service access. One response might be to provide outreach services in rural areas. As one interviewee noted, however, the nature of small-town life means that some women prefer to receive support away from home:'A lot of older victims … come when their partner has died, and they say "he has abused me for 50 years"… But their attitude is very much "I made my bed, I have to lie in it."' (DA4) '… older people as well, women in their 70s, who are just finding out that there is support. They have been married for 50 plus years, and they're reaching out for the first time.' (DA9)Research suggests that living in rural areas presents challenges for older victims (Roberto and McCann 2018) and those experiencing IPA generally. It is to this issue that we now turn.
Rural victimsThroughout the interviews, the impact of rurality was a recurring theme. Practitioners noted the safety implications for victims living in rural isolation: 'There's no one else to keep an eye out for you… GPS and phone signals in rural areas are not great, in Cumbria anyway. It makes it twice as difficult to arrange support phone calls or reach out to support services.' (DA5) Rural isolation may afford perpetrators additional logics and levers of control, as the following remarks illustrate: 'I have a client and her ex-partner used to say, "there's no-one around, why are you doing your make up? Who are you trying to impress? Is there a certain someone you're trying to impress? Because no-one lives around here.' (DA3) 'Perpetrators are able to isolate their victims over a period of time and make sure family ties are severed … and it is even worse if they are living in the middle of nowhere.' (DA7)