Non-Fatal Strangulation (NFS) is a significant standalone predictor of serious harm or homicide in domestic violence. The prevalence of NFS is difficult to capture due to inconsistent identification, under-reporting and lack of NFS knowledge. The lack of visible injury signs in many NFS cases also precludes clear identification of mechanisms of injury and associated reporting. Despite NFS becoming a specific criminal offence in 2022 in Tasmania, NFS remains poorly understood and its prevalence underestimated. This leaves women who have sustained NFS without a pathway for consistent, well-integrated care across systems, including screening, psychoeducation, and clinical / forensic documentation. There is no standardised statewide protocol to detect or manage NFS, which has created fragmented and siloed care pathways between systems and sustained high lethality risk for women. The current presentation reflects the results of a working group initiated and supported by Engender Equality to develop a proposed statewide integrated care pathway for NFS in Tasmania. The pathway seeks to bring together service responses across police, ambulance, accident and emergency, and General Practitioners to try to improve recognition of NFS and standardise screening and clinical care approaches. The suite of resources developed includes clinical care checklists, clinical guidelines, and proposals for future service funding. The suite draws from existing protocols and adapts these for the Tasmanian context. This presentation will reflect on the process of developing the pathway and consider next steps for implementation in Tasmania.