Welcome to the Webinar We will begin at 11:00am (PT) / 2:00pm (ET). - - PowerPoint PPT Presentation

• ur featured speakers.

Welcome to the Webinar

• Heather Baeckel, MSW, Supervisor, Insights Teen Parent Services
• Rebecca Levenson, MA, Consultant, Futures Without Violence
• Erin Fairchild, MSW, Defending Childhood Initiative Coordinator, Multnomah County

Expanding Healthy Moms/Happy Babies: Spotlight on Our New Young Mothers Safety Card

Feder ederal al Coordina rdination tion

• US Department of

Justice

– Office of the Attorney General – Office of Justice Programs

• Office of Juvenile

Justice and Delinquency Prevention

• Office for Victims of

Crime

• National Institute of

Justice

– Office on Violence Against Women – Office of Community Oriented Policing – Executive Office of US Attorneys

• US Department of Health

and Human Services

• US Department of

Education

Go Goal als of th the Defendin ending g Childh ildhoo

• od

d Init itia iativ tive

• Prevent children’s exposure to violence.
• Mitigate the negative effects experienced by

children exposed to violence.

• Develop knowledge about and spread

awareness of this issue.

Over ver $30 30 M Invest ested ed From rom FY2 Y2010 0 – FY2 Y2012 2

• Research and Evaluation
• Direct Action in Communities

– Comprehensive Demonstration Project – Safe Start Program (www.safestartcenter.org) – OVW Children Exposed to Violence grants

• Training and Technical Assistance
• Attorney General’s Task Force on Children

Exposed to Violence

(www.justice.gov/defendingchildhood/cev-rpt-full.pdf)

• Action Partnerships with Professional

Organizations

How to use this technology

• You can choose to connect via computer OR via telephone.
• Should you choose computer, please mute your computer microphone

• Should you choose to dial in, please follow the audio instructions on

the screen or in the audio pop up:

• Dial: 1-888-850-4523
• Enter the Participant Code: 755365#

• Dial: 1-719-234-7800
• Enter the Participant Code: 755365#
• There will be time for Q & A at the end of the presentation.
• Please enter any questions you have in the Public Text Chat box.
• A recording and PDF slides will be available after the webinar.

Expanding Healthy Moms/Happy Babies: Spotlight on our New Young Mothers Safety Card

• Partnership with Insights through Defending

Childhood

• Need identified through HMHB training—no

tools nationally that addressed the needs of young moms

• New module and safety card created
• Insights helped with the fine tuning of the card

with their participants-- Multnomah Defending Childhood Site

Insights Teen Parent Services

Who we are:

• Located in Portland, Oregon
• All services are specifically for young parents ages 22 and

younger Interviewing Moms for feedback on the card

• 2 staff members
• 10 Moms
• Partnership with Defending Childhood in Portland for the

qualitative data

Participating Programs: 1. Echo: provides intensive case management, and life skills, child development, and

• 2. Homesafe: provides housing assistance and intensive case management for young

• Ten women interviewed age range: 19-22 years old
• Race/ethnicity: Volunteers represented a diverse mix of Latinas, African-

Americans, Caucasians, Native Americans, and multi-racial moms

• Number of children: 1 to 2 each
• Education level: More than half have a high school diploma or GED
• Employment status: Nearly all were working at the time of the interview
• Some of the Moms identified experiencing IPV and some Moms did not

Vetting the Strong Moms Card through Insights

 The moms frequently said, “I can relate to that!”  They said it was a good way to help them think about all their relationships.  Most said they would share the card with others.  Two moms said, “I wish I had this card when I was in an unhealthy relationship.”  Moms appreciated that the information contained in the card is getting out – and felt there is just enough information in each panel to get the idea out.

What young moms said about the card

Healthy Moms, Happy Babies:

A Train-the-Trainers Curriculum on Trauma Informed Domestic Violence Programming and Practice

Second Edition

Learning Objectives

After this training, participants will be better able to:

• 1. Identify two barriers to providers, including

home visitors and others doing domestic violence assessment with clients.

• 2. Describe why universal education using the

Young Mom Strong Kids (YMSK)safety card is important for helping clients experiencing domestic violence.

• 3. Understand why the YMSK safety card is an

empowerment tool for youth

Self Reflection: On a Scale of 1 to 5

How comfortable are you with a positive disclosure of domestic violence?

Providers identified the following barriers during the implementation phase of a perinatal home visitation program to reduce domestic violence (DV):

• Comfort levels with initiating

conversations with clients about DV

• Feelings of frustration and stress

when working with clients experiencing DV.

• Concerns about personal safety

when working in homes where DV may escalate.

Barriers to Identifying and Addressing Domestic Violence

• Starting and ending

conversations about difficult

• r stigmatizing issues like

domestic violence can be challenging during home visits.

• We take care of ourselves

by presenting questions and educational messages in a way that feels most comfortable to us.

Poll Questions (True False)

True Domestic Violence Screening Stories

• “No one is hurting you at home,

right?” (Partner seated next to client as this is asked)—How do you think that felt to the client?

• “Within the last year has he ever hurt

you or hit you?” (Nurse with back to you at her computer screen)—Tell me about that interaction…

• “I’m really sorry I have to ask you

these questions, it’s a requirement of the program.” (Screening tool in hand)—What was the staff communicating to the client?

MICVE Story

• Under Obama care all home visited moms

screened routinely for DV

• Prevalence of DV 14-52% among HV moms
• State average positive disclosure rate? 4-5%
• Why were Mom’s not telling us what was

happening to them?

Poll Question: What Is a Mother’s Greatest Fear?

Please type answers into the chat box.

“If mandatory reporting was not an issue, she would tell the nurse everything about the abuse…”

• “I say no [when my home visitor asks about

abuse] because that’s how you play the game... People are afraid of social services. That’s my biggest fear….”

• “Like I was saying about my friend, the reason she

don’t [disclose] is because she thinks the nurse is going to call children’s services…she avoids the nurse a lot”

No matter what your state law actually says about whether

• r not childhood

exposure (no direct physical abuse or neglect to child) to domestic violence is reportable, clearly it is an issue either way for moms and maybe even for you.

Universal Education and Screening for DV

• To overcome barriers created

by mandatory reporting we need to combine universal education with screening for DV

• Starting with universal

education followed by face-to- face screening can facilitate conversation

Drum Roll Please

Pol

• ll

l ques uesti tion:

• n:

Which ch rel relati tionshi

• nships

ps is th this ca card d panel el addr ddressi essing g ?

Please ase typ ype e int nto

• the

he cha chat box. x.

PO POLL LL QUE UESTION ION Why di y did d we d e devel elop

• p

th this panel el? ?

Please ase typ ype e answ nswers s int nto

• the

he cha chat box. x.

• “If this panel can read my mind, then other

moms must feel like that.” “Sometimes we forget to think about ourselves.” “It helps to know that other moms go through this too; it’s validating.”

Quotes from Insights

“Most social support studies have emphasized one-way support, getting love, getting help. . . . The power of social support is more about mutuality than about getting for self. . . . That is, there is a need to give, to matter, to make a difference; we find meaning in contributing to the well-being of others”

Helping mothers connect to family and friends should include providing opportunities for mothers to give help as well as receive help, “which lessens feelings of indebtedness” (Gay, 2005)

Why Does This Matter?

Client interview

“[Getting the card] makes me actually feel like I have a lot of power to help somebody…”

• “I would definitely say these things.” They

especially liked the line, “Hey, I’ve been there, too.”

• “You can often feel judged when you ask for

help, so I like being able to tell another mom she can ask for help.”

Insights Interviews

• Turn to the person next

to you or behind you and give them your card and, in turn, they should give you theirs.

• What happens when

you give the card to someone?

Quick Activity

• What did you notice about

the first panel of the card?

• What about the size of the

card?

• Do you think it matters that it

unfolds?

• Why might this card be useful

to a survivor of domestic violence?

Review Card and Debrief

The Home Visitors at our site have always done a great job at talking to families about violence in the home. However, they now feel they have a tool (the cards) that actually enhances these conversations and elicits more information than the standard questions being asked about hitting, punching, choking... We have found that many women say “no” to this, however when they read some of the questions on the HMHB (Healthy Moms, Happy Babies) cards, it has brought out some pretty significant disclosures of powerlessness, emotional abuse, and control by their partner. Maine Families Home Visitors’ Experiences using the safety card

“ “

• 1. Universal Education - Normalize activity: "I've started

giving this card to all of my clients”

• 2. Educate about DV - Open the card and do a quick

review: "It talks about healthy and safe relationships…and how relationships affect your health"

• 3. Make the Connection - Create a sense of

empowerment: "We give this to everyone so they know how to get help for themselves if they were to need it and so they can help a friend or family member…”

• 4. Safety Planning
• 5. Hotline Referral

Steps to Safety Card Intervention

• (Open/unfold the card) “We have started giving two cards

to all our moms for two reasons—in case it might ever be useful for you and so you know how to help a friend or family member if it is an issue for them.”

• “It’s kind of like a Buzz Feed quiz—it talks about safe and

healthy relationships and what to do for ones that aren’t. It looks at how lonely young moms can feel and helps you think about more supports. It has hotlines on the back and gives simple steps to take to be safer. And this panel walks you through how to help another mom who is needing support—because we all know someone who has been hurt in relationships.” (Go over panels generally)

Sample Script: Safety Card Segue into Screening Tool

Client Interview

“They would bring out a card, basically walk in with it and she would open it and ask me had I ever seen it

• before. ... It was awesome. She would touch on

having, no matter what the situation you’re in, there’s some thing or some place that can help you. I don’t have to be alone in it. That was really huge for me because I was alone most of the time for the worst part.”

Framing the Card for Friends and Family

What we have learned about our intervention:

• Always give two cards
• Use a framework about helping others—this allows

clients to learn about risk and support without disclosure

• Having the information on

the card is empowering for them—and for the women they connect with

• Think about today’s

training

• What stands out for

you?

• What do you need

more of?

• What changed in

your thinking?

Please type answers into the chat box.

Poll Questions: Care, Share and “Ah Ha”!

• Wrap your arms around

yourself—left hand over right arm and rub your arm

• Switch arms
• Stretch arms in the air,

wiggle fingers, shake hands

• Come back to center

Mindful Movement

“So there’ll be times where I’ll just read the card and remind myself not to go back. I’ll use it so I don’t step back. I’ll pick up on subtle stuff, cause they’ll trigger me. I remember what it was like. I remember feeling like this, I remember going through

• this. I’m not going to do it again. For me, it

just helped me stay away from what I got

• ut of. I carry it with me actually, I carry it

in my wallet. It’s with me every day.”

Client Interview

Provides free technical assistance and tools including:

• Clinical guidelines
• Documentation tools
• Posters
• Pregnancy wheels
• Safety cards
• State reporting laws
• Training curricula

National Health Resource Center on Domestic Violence

Promising Futures: Best Practices for Serving Children and Youth Experiencing Domestic Violence

Website includes information on:

• Resources for DV programs/Advocates

to enhance children’s programming

• Capacity building resources
• Bridging research with practice
• Interventions for children and youth
• Trauma-informed strategies
• Practical tools and resources

FUTURES Provides Free Training and Technical Assistance

Highlights the following:

• Eight grantee communities
• Innovators in the fields of:

Health, Education, Justice, and Community

• Webinar series
• Public education campaign
• Robust resources library

Defending Childhood

Address and respond to issues of childhood exposure to violence and trauma.

Thank you

Please complete the Post-Training Survey

https://www.surveymonkey.com/r/9YZ6FXY

Expanding Healthy Moms/Happy Babies: Spotlight on Our New Young Mothers Safety Card

April 8th, 2016