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www.preventioninstitute.org www.preventioninstitute.org Primary Prevention of Primary Prevention of Violence Against Women and Violence Against Women and Intimate Partner Violence: Intimate Partner Violence: A Comprehensive Approach A Comprehensive Approach North Dakota Conference on Injury Prevention & Control North Dakota Conference on Injury Prevention & Control Mandan, ND Mandan, ND October 28, 2008 October 28, 2008 Facilitated by: Facilitated by: Elizabeth Waiters, PhD Elizabeth Waiters, PhD

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Page 1: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

www.preventioninstitute.orgwww.preventioninstitute.org

Primary Prevention of Violence Against Primary Prevention of Violence Against Women and Intimate Partner Violence: Women and Intimate Partner Violence:

A Comprehensive ApproachA Comprehensive Approach

North Dakota Conference on Injury Prevention & ControlNorth Dakota Conference on Injury Prevention & ControlMandan, ND Mandan, ND October 28, 2008October 28, 2008

Facilitated by:Facilitated by:

Elizabeth Waiters, PhDElizabeth Waiters, PhD

Page 2: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

What’s wrong with this picture?

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Page 4: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Source: Media Education FoundationSource: Media Education Foundation

Page 5: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
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What can be done What can be done to prevent the to prevent the problem from problem from

occurring occurring

in the first place?in the first place?

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No epidemic has ever been resolved by

paying attention to the treatment of the

affected individual.

George W. AlbeeGeorge W. Albee

““

””

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The Social Ecological ModelThe Social Ecological Model

Individual Relationship Community Societal

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HEALTHHEALTH

BEHAVIORBEHAVIORBEHAVIORBEHAVIOR

ENVIRONMENTENVIRONMENT

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ROOT ROOT FACTORSFACTORS

Violence Violence Against Against WomenWomen

BEHAVIORALBEHAVIORALFACTORSFACTORS

Trajectory of Violence Against WomenTrajectory of Violence Against Women

ENVIRONMENTAENVIRONMENTAL L

CONTRIBUTORSCONTRIBUTORS

Page 11: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Trajectory of Violence Against WomenTrajectory of Violence Against Women

NormsNorms

ROOT ROOT FACTORSFACTORS

Violence Violence Against Against WomenWomen

BEHAVIORALBEHAVIORALFACTORSFACTORS

ENVIRONMENTAENVIRONMENTAL L

CONTRIBUTORSCONTRIBUTORS

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sanction behaviorsanction behavior

based in culture based in culture & tradition

& tradition

taken for grantedtaken for granted

more than a habitmore than a habit

behavior shapersbehavior shapers

NORMSNORMS

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Norms Are Behavior ShapersNorms Are Behavior Shapers

focus on norms focus on norms

can help prevent can help prevent

violence against violence against

womenwomen

AA

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It is unreasonable to expect that It is unreasonable to expect that

people will change their behavior people will change their behavior

easily when so many forces in the easily when so many forces in the

social, cultural, and physical social, cultural, and physical

environment conspire against environment conspire against

such change.such change.

““

””Institute of MedicineInstitute of Medicine

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Violence Violence

MasculinityMasculinity

WomenWomen

PowerPower

PrivacyPrivacy

Key NormsKey Norms55

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Page 22: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Source: Media Education FoundationSource: Media Education Foundation

Page 23: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
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The Synergy of The Synergy of NormsNorms

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a a systematicsystematic process that promotes healthy environments process that promotes healthy environments and behaviors and reduces the likelihood or frequency of and behaviors and reduces the likelihood or frequency of an injury or traumatization.an injury or traumatization.

taking action before violence occurs to prevent initial perpetration or victimization.

Page 28: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Child Restraint and Safety Belt UseChild Restraint and Safety Belt Use

Smoking PreventionSmoking Prevention

Minimum Drinking Age LawsMinimum Drinking Age Laws

Childhood VaccinationsChildhood Vaccinations

Motorcycle and Bicycle Helmet LawsMotorcycle and Bicycle Helmet Laws

Reduced Lead Levels in ChildrenReduced Lead Levels in Children

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a a systematicsystematic process that promotes healthy environments process that promotes healthy environments and behaviors and reduces the likelihood or frequency of and behaviors and reduces the likelihood or frequency of an injury or traumatization.an injury or traumatization.

taking action before violence occurs to prevent initial perpetration or victimization.

Page 34: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

The Prevention ContinuumThe Prevention Continuum

PrimaryPrimary Secondary Tertiary Secondary Tertiary

ImmediateImmediate responses responses

AFTERAFTER violence has violence has

occurred to deal occurred to deal with the with the

consequences in consequences in the short-termthe short-term

Long-termLong-term responses responses

AFTER AFTER violence to deal violence to deal with the lasting with the lasting consequences consequences and treatment and treatment interventionsinterventions

Approaches that Approaches that take place take place

BEFORE BEFORE violence has violence has occurred to occurred to

prevent initial prevent initial perpetration or perpetration or victimizationvictimization

Page 35: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

PrimaryPrevention

banning lead in gasoline, paint, drinking-water pipes, and other products

SecondaryPrevention

lead screening programs, treatment of children with high levels, and removal of lead paint from households

TertiaryPrevention

treatment, support, and rehabilitation of children with lead poisoning disease

Prevention and LeadPrevention and Lead

Page 36: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Prevention is…Prevention is…

……a process of changing attitudes, a process of changing attitudes, behaviors, beliefs, and institutional norms behaviors, beliefs, and institutional norms

of ‘acceptable’ violence and of ‘acceptable’ violence and discrimination, through an evolutionary discrimination, through an evolutionary

and revolutionary process.and revolutionary process.

Transforming Communities National Advisory CommitteeFebruary 1999

Source: www.transformcommunities.org

““

””

Page 37: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

33FrameworkFramework

TheThe

KeysKeys

PreventionPreventionViolenceViolence

Page 38: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Violence is complexViolence is complex

and requires aand requires a

comprehensivecomprehensive

approach.approach.

Page 39: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Risk and resilienceRisk and resilience

factors must befactors must be

addressed.addressed.

Page 40: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Violence preventionViolence prevention

requires anrequires an

integrated strategyintegrated strategy

for action.for action.

Page 41: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community EducationStrengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 42: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy and LegislationInfluencing Policy and Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions and NetworksFostering Coalitions and Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community Education

Strengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 43: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
Page 44: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community EducationStrengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 45: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Source: www.nylatinasagainstdv.orgSource: www.nylatinasagainstdv.org

Page 46: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community EducationStrengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 47: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
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ThinkingThinkingon theon theEdgeEdgeof the of the BoxBox

Page 50: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
Page 51: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community EducationStrengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 52: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Public Public

safetysafety

Family Family Support Support ServicesServices

Academics

Academics VictimVictimservicesservicesConsultantsConsultants

Child abuse Child abuse preventionprevention

Health Health clinicsclinics

FoundationsFoundations

Family Family ServicesServices

Rural Rural

community community

organizersorganizers Researchers

Researchers

Women of Women of

Color Color

AdvocatesAdvocatesAdolescent Adolescent

healthhealth

CorrectionsCorrections

State State

Public Public Health

Health

Local Local

Public health Public health

Educators

Educators

Advocates Advocates CoalitionCoalition

Minnesota Sexual Violence Prevention Minnesota Sexual Violence Prevention Action CouncilAction Council

Page 53: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community Education

Strengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 54: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Changing Organizational Practices:Changing Organizational Practices:Sports RadioSports Radio

Page 55: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community Education

Strengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

The Spectrum of PreventionThe Spectrum of Prevention

Page 56: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Policy and LegislationPolicy and LegislationVAWA reauthorizationVAWA reauthorization

Page 57: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Policy and LegislationPolicy and Legislation

Useful policyUseful policy

is oftenis often

developeddeveloped

locally.locally.

one key factone key fact

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The Synergy of The Synergy of the Spectrum of Preventionthe Spectrum of Prevention

Page 59: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Data & Evaluation Inform the Data & Evaluation Inform the SpectrumSpectrum

Influencing Policy & LegislationInfluencing Policy & Legislation

Changing Organizational PracticesChanging Organizational Practices

Fostering Coalitions & NetworksFostering Coalitions & Networks

Educating ProvidersEducating Providers

Promoting Community EducationPromoting Community Education

Strengthening Individual Knowledge & SkillsStrengthening Individual Knowledge & Skills

Page 60: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

This…process…supports This…process…supports the creation of a the creation of a

safe, just, equitable, and healthy safe, just, equitable, and healthy environment so that environment so that women and girls and women and girls and

men and boys men and boys may live violence-free lives.may live violence-free lives.

Transforming Communities National Advisory CommitteeFebruary 1999

Source: www.transformcommunities.org

““

””

Page 61: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

The ideas of

one generation

become the

instincts

of the next.

- D.H. - D.H. LawrenceLawrence

““

””

Page 62: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference
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www.preventioninstitute.org

TOOLSTOOLS

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Collaboration MathCollaboration Math

Data Concepts

Funding Training

Partners

Key IssuesOutcomes

Sum Remainder:

Average: Sum: Product: Sum: Sum:

Health

Education

Justice

Mental Health

Social

Services

Alcohol/Drugs

Business

Media

TOTALS

Page 66: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Developing Effective Coalitions:Developing Effective Coalitions:The 8-Step ProcessThe 8-Step Process

2. Recruit the right people2. Recruit the right people

3. Devise preliminary objectives and activities3. Devise preliminary objectives and activities

4. Convene the coalition

5. Anticipate necessary resources5. Anticipate necessary resources

6. Develop a successful structure6. Develop a successful structure

7. Maintain coalition vitality7. Maintain coalition vitality

8. Improve through evaluation8. Improve through evaluation

1. Analyze program objectives, determine whether to form a coalition1. Analyze program objectives, determine whether to form a coalition

Page 67: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

The The TensionTension

of of TurfTurf

Page 68: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Influir en la política y en la legislaciónInfluir en la política y en la legislación

Cambiar las prácticas institucionalesCambiar las prácticas institucionales

Hacer progresar a las coaliciones y las redesHacer progresar a las coaliciones y las redes

Educar a los proveedoresEducar a los proveedores

Promover la educación comunitariaPromover la educación comunitaria

Fortalecer las aptitudes y conocimientos individualesFortalecer las aptitudes y conocimientos individuales

6 Niveles 6 Niveles en el Espectro de la Prevenciónen el Espectro de la Prevención

Page 69: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

Web ConferencesWeb Conferences

Prevention Prevention Connection Connection

preventconnect.orgpreventconnect.org

Page 70: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

http://preventioninstitute.org/thrive/index.php

Page 71: Www.preventioninstitute.org Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach North Dakota Conference

221 Oak Street221 Oak StreetOakland, California 94607Oakland, California 94607

phone: (510) 444-7738phone: (510) 444-7738fax: (510) 663-1280fax: (510) 663-1280

www.preventioninstitute.orgwww.preventioninstitute.orgprevent@[email protected]