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Primary Prevention of Violence Against Women and Intimate Partner Violence: A Comprehensive Approach. Facilitated by: Elizabeth Waiters, PhD. www.preventioninstitute.org. North Dakota Conference on Injury Prevention & Control Mandan, ND October 28, 2008. What’s wrong with this picture?. - PowerPoint PPT Presentation
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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
What’s wrong with this picture?
Source: Media Education FoundationSource: Media Education Foundation
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?
No epidemic has ever been resolved by
paying attention to the treatment of the
affected individual.
George W. AlbeeGeorge W. Albee
““
””
The Social Ecological ModelThe Social Ecological Model
Individual Relationship Community Societal
HEALTHHEALTH
BEHAVIORBEHAVIORBEHAVIORBEHAVIOR
ENVIRONMENTENVIRONMENT
ROOT ROOT FACTORSFACTORS
Violence Violence Against Against WomenWomen
BEHAVIORALBEHAVIORALFACTORSFACTORS
Trajectory of Violence Against WomenTrajectory of Violence Against Women
ENVIRONMENTAENVIRONMENTAL L
CONTRIBUTORSCONTRIBUTORS
Trajectory of Violence Against WomenTrajectory of Violence Against Women
NormsNorms
ROOT ROOT FACTORSFACTORS
Violence Violence Against Against WomenWomen
BEHAVIORALBEHAVIORALFACTORSFACTORS
ENVIRONMENTAENVIRONMENTAL L
CONTRIBUTORSCONTRIBUTORS
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
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
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
Violence Violence
MasculinityMasculinity
WomenWomen
PowerPower
PrivacyPrivacy
Key NormsKey Norms55
Source: Media Education FoundationSource: Media Education Foundation
The Synergy of The Synergy of NormsNorms
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.
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
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.
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
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
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
““
””
33FrameworkFramework
TheThe
KeysKeys
PreventionPreventionViolenceViolence
Violence is complexViolence is complex
and requires aand requires a
comprehensivecomprehensive
approach.approach.
Risk and resilienceRisk and resilience
factors must befactors must be
addressed.addressed.
Violence preventionViolence prevention
requires anrequires an
integrated strategyintegrated strategy
for action.for action.
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
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
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
Source: www.nylatinasagainstdv.orgSource: www.nylatinasagainstdv.org
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
ThinkingThinkingon theon theEdgeEdgeof the of the BoxBox
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
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
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
Changing Organizational Practices:Changing Organizational Practices:Sports RadioSports Radio
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
Policy and LegislationPolicy and LegislationVAWA reauthorizationVAWA reauthorization
Policy and LegislationPolicy and Legislation
Useful policyUseful policy
is oftenis often
developeddeveloped
locally.locally.
one key factone key fact
The Synergy of The Synergy of the Spectrum of Preventionthe Spectrum of Prevention
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
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
““
””
The ideas of
one generation
become the
instincts
of the next.
- D.H. - D.H. LawrenceLawrence
““
””
www.preventioninstitute.org
TOOLSTOOLS
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
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
The The TensionTension
of of TurfTurf
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
Web ConferencesWeb Conferences
Prevention Prevention Connection Connection
preventconnect.orgpreventconnect.org
http://preventioninstitute.org/thrive/index.php
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@preventioninstitute.orgprevent@preventioninstitute.org
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