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START STRONG Healthy Relationship Programming
and Trauma-Informed Practice
National Coalition for Sexual Health
September 7, 2017
Start Strong: Building Healthy Teen Relationships
•Four years: Nov 2008 – Nov 2012
• $18 million investment in 11 communities
•Funded by Robert Wood Johnson
Foundation and Blue Shield of California
Foundation
•Focus on 11-14 year old youth
Boston, MA
Providence, RIBronx, NY
Bridgeport, CT
Indianapolis, IN
Atlanta, GA
Wichita, KS
Boise, ID
Los Angeles, CA
Oakland, CA
Austin, TX
Indiana University Health
Boston Public Health Commission
RYASAP
Jane Fonda Center, Emory University
Catholic Charities
SafePlace
Peace Over Violence
Sojourner House
Family Violence Law Center
Bronx-Lebanon Hospital
Idaho Coalition Against Sexual & Domestic Violence
The Communities of Start Strong
Engaging Men: Invite Not Indict
In 2000, we asked men what they were willing (and not willing) to do about domestic violence:
• National poll showed a willingness to do something:– Talk to children about healthy relationships (#1)– Contribute money– Call your legislator
The Wrong Way Around
https://www.youtube.com/watch?v=aMrkmoGVqbY
Teach Early
https://youtu.be/Rp20J8lPy-o
RTI International
RTI International is a trade name of Research Triangle Institute. www.rti.org
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PRACTICE CHANGES SUSTAINED
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Universal TDV Targeted TDV School staff training Parent education on TDV
Nu
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of
Sit
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Practice Change Area
TDV Prevention Practice Before, During and After Start Strong
Pre-Start Strong
At Start Strong finish
Post-Start Strong
• Sustained impact on
attitudes
Lower acceptance of teen
dating violence
More positive attitudes
toward gender equality
LONG-TERM RESULTS
• High-risk Start Strong students with prior TDV
experiences showed more positive results on some
outcomes than students who did not report TDV
victimization or perpetration.
• For at least one follow-up wave, high-risk
students reported:
Less perpetration of bullying
More positive school climate
More positive attitudes towards gender equality
More parent-child communication
HIGH-RISK STUDENTS
• Prevention in middle school matters
• Parent-child communication about relationships is important.
• Need to understand middle schoolers, especially those who experience TDV at a young age
• Greater emphasis needed on teacher engagement
CONCLUSIONS
TRAUMA
58% of youth 17 years and
under exposed to violence
in the home, school, and
community.(NatCEV 20015)