2. EXPECTANTMOTHERSEXPECTANTMOTHERS DOMESTIC VIOLENCE VIOLENCEDOMESTIC SMOKINGSMOKING VULNERABLEVULNERABLE

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

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

5. SMOKINGSMOKING >20 % SMOKED@ PREGNANCY >20 % SMOKED@ PREGNANCY 100% PREVENTABLE 27% < 24 YEARS 27% < 24 YEARS

6. EXPECTANT MOTHERS KEY TEACHABLE MOMENTS RECEPTIVE TO INTERVENTIONS EMPOWERMENTEMPOWERMENT

7. 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

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

9. COORDINATED COMMUNITY RESPONSE RESPONSE COORDINATED COMMUNITY RESPONSE RESPONSE MATERNITYCTRMATERNITYCTR CLINICS CommunityCommunity

10. DV TRAINING EARLY WARNING SIGNS COMMUNITY RESOURCES REFERRAL STRATEGIES

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

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

13. COMMUNITY LEVEL Police Departments Hotels PartnersHealthSystems DV PROVIDER VICTIM SAFETY

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

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

16. SMOKINGSMOKING PREMATURITYMISCARRIAGES LOW BIRTH WEIGHT PREMATURITYMISCARRIAGES 100% PREVENTABLE

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

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

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

20. Next Steps

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

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

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

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

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