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

What’s wrong with this picture?

Source: Media Education Foundation

What can be done to prevent the problem from occurring in the first place?

No epidemic has ever been resolved by paying attention to the treatment of the affected individual. George W. Albee “ ”

The Social Ecological Model IndividualRelationshipCommunitySocietal

HEALTH BEHAVIOR BEHAVIOR ENVIRONMENT

ROOT FACTORS Violence Against Women BEHAVIORALFACTORS Trajectory of Violence Against Women ENVIRONMENTAL CONTRIBUTORS

Trajectory of Violence Against Women Norms ROOT FACTORS Violence Against Women BEHAVIORALFACTORS ENVIRONMENTAL CONTRIBUTORS

sanction behavior based in culture & tradition taken for granted more than a habit behavior shapers NORMS

Norms Are Behavior Shapers focus on norms can help prevent violence against women A

It is unreasonable to expect that people will change their behavior easily when so many forces in the social, cultural, and physical environment conspire against such change. “ ” Institute of Medicine

 Violence  Masculinity  Women  Power  Privacy Key Norms 5

Source: Media Education Foundation

The Synergy of Norms

a systematic process that promotes healthy environments and behaviors and reduces the likelihood or frequency of an injury or traumatization. taking action before violence occurs to prevent initial perpetration or victimization.

 Child Restraint and Safety Belt Use  Smoking Prevention  Minimum Drinking Age Laws  Childhood Vaccinations  Motorcycle and Bicycle Helmet Laws  Reduced Lead Levels in Children

a systematic process that promotes healthy environments and behaviors and reduces the likelihood or frequency of an injury or traumatization. taking action before violence occurs to prevent initial perpetration or victimization.

The Prevention Continuum Primary Secondary Tertiary Immediate responses AFTER violence has occurred to deal with the consequences in the short-term Long-term responses AFTER violence to deal with the lasting consequences and treatment interventions Approaches that take place BEFORE violence has occurred to prevent initial perpetration or victimization

Primary Prevention banning lead in gasoline, paint, drinking- water pipes, and other products Secondary Prevention lead screening programs, treatment of children with high levels, and removal of lead paint from households Tertiary Prevention treatment, support, and rehabilitation of children with lead poisoning disease Prevention and Lead

Prevention is… …a process of changing attitudes, behaviors, beliefs, and institutional norms of ‘acceptable’ violence and discrimination, through an evolutionary and revolutionary process. Transforming Communities National Advisory Committee February 1999 Source: “ ”

3 Framework The Keys Prevention Violence

Violence is complex and requires a comprehensiveapproach.

Risk and resilience factors must be addressed.

Violence prevention requires an integrated strategy for action.

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Influencing Policy and Legislation Changing Organizational Practices Fostering Coalitions and Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Source:

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Thinking on the Edge of the Box

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Public safety Family Support Services Academics Victimservices Consultants Child abuse prevention Health clinics Foundations Family Services Rural community organizers Researchers Women of Color Advocates Adolescent health Corrections State Public Health Local Public health Educators Advocates Coalition Minnesota Sexual Violence Prevention Action Council

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Changing Organizational Practices: Sports Radio

Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills The Spectrum of Prevention

Policy and Legislation VAWA reauthorization

Policy and Legislation Useful policy is often developedlocally. one key fact

The Synergy of the Spectrum of Prevention

Data & Evaluation Inform the Spectrum Influencing Policy & Legislation Changing Organizational Practices Fostering Coalitions & Networks Educating Providers Promoting Community Education Strengthening Individual Knowledge & Skills

This…process…supports the creation of a safe, just, equitable, and healthy environment so that women and girls and men and boys may live violence-free lives. Transforming Communities National Advisory Committee February 1999 Source: “ ”

The ideas of one generation become the instincts of the next. - D.H. Lawrence “ ”

TOOLS

Collaboration Math DataConceptsFundingTrainingPartnersKey IssuesOutcomes Sum Remainder: Average:Sum:Product:Sum: Health Education Justice Mental Health Social Services Alcohol/Drugs Business Media TOTALS

Developing Effective Coalitions: The 8-Step Process 2. Recruit the right people 3. Devise preliminary objectives and activities 4. Convene the coalition 5. Anticipate necessary resources 6. Develop a successful structure 7. Maintain coalition vitality 8. Improve through evaluation 1. Analyze program objectives, determine whether to form a coalition

The Tension of Turf

Influir en la política y en la legislación Cambiar las prácticas institucionales Hacer progresar a las coaliciones y las redes Educar a los proveedores Promover la educación comunitaria Fortalecer las aptitudes y conocimientos individuales 6 Niveles en el Espectro de la Prevención

Web Conferences Prevention Connection preventconnect.org

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