EXPECTANTMOTHERSEXPECTANTMOTHERS DOMESTIC VIOLENCE VIOLENCEDOMESTIC SMOKINGSMOKING VULNERABLEVULNERABLE

DOMESTIC VIOLENCE 4X MORE LIKELY IF UNWANTED 4X MORE LIKELY IF UNWANTED PREGNANCY INJURY DEATHS 60% MORE LIKELY TO BE ABUSED

DOMESTIC VIOLENCE 33% OF WOMEN DV VICTIMS 33% OF WOMEN DV VICTIMS 16:1 SHELTER TURNAWAY RATIO

SMOKINGSMOKING >20 % PREGNANCY >20 % PREGNANCY 100% PREVENTABLE 27% < 24 YEARS 27% < 24 YEARS

EXPECTANT MOTHERS KEY TEACHABLE MOMENTS RECEPTIVE TO INTERVENTIONS EMPOWERMENTEMPOWERMENT

PartnersAetna Evergreen Hospital Overlake Hospital Medical Center Franciscan Health System Group Health Cooperative Public Health – Seattle & King Co. Virginia Mason PartnersAetna Evergreen Hospital Overlake Hospital Medical Center Franciscan Health System Group Health Cooperative Public Health – Seattle & King Co. Virginia Mason EARLY WARNING & SUPPORT SYSTEM

ER - INPATENT SHELTER MATERNITY HEALTH PROVIDER COMMUNITY $$$$$$$ $$$$$$ $$$$ $$ $ DOMESTIC VIOLENCE POINTS OF IMPACT & COSTS

COORDINATED COMMUNITY RESPONSE RESPONSE COORDINATED COMMUNITY RESPONSE RESPONSE MATERNITYCTRMATERNITYCTR CLINICS CommunityCommunity

DV TRAINING EARLY WARNING SIGNS COMMUNITY RESOURCES REFERRAL STRATEGIES

HOSPITAL LEVEL MATERNITY STAFF TRAINING 95% RECOGNITION 95% SAFETY PLAN 90% INTERVENE

CLINIC PROVIDERS OBSTETRICIAN & STAFF TRAINING <51% SCREENED FOR DV 93% RECOGNITION 94% SAFETY PLAN 134% HEALTH REFERRALS

COMMUNITY LEVEL Police Departments Hotels PartnersHealthSystems DV PROVIDER VICTIM SAFETY

“FIND OUR WAY” DESIGNED BY DV VICTIMS RADIO SPOTS REACHED> 1 MILLION “CALL TO ACTION” COMMUNITY MESSAGES “CALL TO ACTION” COMMUNITY MESSAGES

Hospital Maternity Ctr Hospital HealthClinicsHealthClinics CONTINUUM OFCARE D.V. Shelters SheltersD.V. CommunityCampaignCommunityCampaign

SMOKINGSMOKING PREMATURITYMISCARRIAGES LOW BIRTH WEIGHT PREMATURITYMISCARRIAGES 100% PREVENTABLE

MULTI-TIERED APPOACH APPOACHMULTI-TIERED HOSPITALHOSPITAL CLINICSCLINICS CommunityCommunity CRITICAL FRONT LINES CRITICAL

HOSPITAL & CLINIC TRAININGS MATERNITY STAFF WORKSHOPS STAFF & NURSES OBSTETRICIAN TRAINING

OUTCOMES 6000 PREGNANT WOMEN COUNSELED 33% SMOKING CEASED 60% SMOKING REDUCED

Next Steps

WEIGH THE RISKS RADIO SPOTS TRANSIT-BUSBOARDS “CALL TO ACTION” COMMUNITY MESSAGES “CALL TO ACTION” COMMUNITY MESSAGES

COMMUNITY WIDE CAMPAIGN REACHED > ONE MILLION EVERY PROVIDER IN STATE >20% TO < 10%

Building Partnership Bridges HEALTH PROVIDERS COMMUNITY AGENCIES HOSPITALS PUBLIC HEALTH DV PROVIDERS CLINICS

VULNERABLE GROUPS SCREEN, EDUCATE & EMPOWER SUPPORTIVE SETTINGS COODINATED COMMUNITY RESPONSE RESPONSE

SEAMLESS CONTINUUM OF CARE SEAMLESS=CONSISTENT & COMPREHENSIVE CONTINUUM=MANAGE ACROSS SETTINGS COORDINATED & INTEGRATED SUPPORT