UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
©2016 Florida State University Center for Prevention & Early Intervention Policy 1
Using thePartnersforaHealthyBaby homevisitingcurriculumtosupportwomenatriskoforexperiencingIntimatePartnerViolence.
Tuesday,Nov22,20169:00– 10:30AM
Welcome to today’s webinar!
Florida Maternal Infant & Early Childhood Home Visiting Initiative
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Today’s audio will be coming through your computer, so please make sure that your volume is turned up. When you join the webinar you will automatically be muted by the webinar organizer.
Christine Chiricos, PhD Terry Hoover, RN, PhD Brandy Carlson, MSW
The FSU Partners Curriculum The FSU Partners Curriculum
Partners Tool
includes physical violence, sexual violence, threats of physical or sexual violence, psychological/ emotional abuse, financial abuse, and stalking between those who are or have been involved in a marital, sexual, or dating relationship.
Intimate Partner Violence (IPV)
DELTAStateSteeringCommittee,FloridaCoalitionAgainstDomesticViolence.BuildingFlorida'sCapacitytoPreventIntimatePartnerViolence:
Eight-YearPlan. AccessedNovember9,2016.www.fcadv.org/sites/default/files/Prevention EightYearStrategicPlanBrochure.pdf
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Why is this important to home visitors? MIECHV Benchmarks & Core Competencies
Screening
Who Are Victims and Batterers?
VICTIMS:
• Women and men
• Adolescents, teens, young, middle-aged and older adults
• People of all cultures and religions
• Blue collar, middle class, and wealthy
• Straight, gay, lesbian, and transgender
• Married and unmarried
• People with and without high school or college degrees
BATTERERS:
• Women and men
• Adolescents, teens, young, middle-aged and older adults
• People of all cultures and religions
• Blue collar, middle class, and wealthy
• Straight, gay, lesbian, and transgender
• Married and unmarried
• People with and without high school or college degrees
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Violence, Trauma, Mental Health Issues, and Drug Use are Inextricably Related
• Women who are abused are more likely to use alcohol and drugs than non-abused women• Alcohol and drug abuse among women and their
partners increases risk for abuse • Abused women often experience low self-esteem,
depression, and PTSD
Source:Gill,J.,Page,G.,Sharps,P.,&Campbell,J.(2008).ExperiencesoftraumaticeventsandassociationswithPTSDanddepression developmentinurbanhealthcare-seekingwomen.JournalofUrbanHealth:BulletinoftheNewYorkAcademyofMedicine,85(5),693-706.
an approach to engaging people with histories of trauma that recognizes the presence of trauma symptoms and acknowledges the role that trauma has played in their lives
Trauma-informed care
IPV in pregnancyIntimate Partner Abuse is Highest Around
Childbearing Years
Estimates are that from 3-20% of women report being abused the year before, during, or after a pregnancy.
Sources:Sharps,P.,Campbell,J.,Baty,M.,Walker,K.,&Bair-Merritt,M.H.(2008).Currentevidenceonperinatalhomevisitingandintimatepartnerviolence.JournalofObstetrical,GynecologicalandNeonatalNursing,37(4),480-491.Tjaden,P.G.&Thoennes,N.(2000).Fullreportontheprevalence,incidence,and
consequencesofviolenceagainstwomen.Washington,DC:NationalInstituteofJustice.NCJ- 183781,2000.
Intimatepartnerviolenceduringpregnancy
Fataloutcomes NonFataloutcomes
Reproductivehealth PhysicalandmentalhealthNegativehealthbehavior
•Homicide•Suicide
• Alcoholanddrugabuseduringpregnancy• Smokingduringpregnancy• Delayedprenatalcare
• Lowbirthweight• Pre-termlabor/delivery• Insufficientweightgain• Obstetriccomplications• STIs/HIV•Miscarriage• Unsafeabortion
• Injury• Physicalimpairment• Physicalsymptoms• Depression• Difficultiesorlackofattachmenttochild• Effectsonthechild
WorldHealthOrganization,Dept.ofReproductiveHealthandResearch.(2011).Intimatepartnerviolenceduringpregnancy[Informationsheet]. Retrievedfromhttp://www.who.int/reproductivehealth/publications/violence/rhr_11_35/en/
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Purpose Sheet Detailed Information Page
Handout
Partners Categories & Topics
Partners Tool for addressing IPV Purpose Sheet
Topic
CategoryPurpose or task
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Purpose Sheet
Topic
Category
Purpose or task
Purpose Sheet
Topic
Category
Purpose or task
Partners Tool for addressing IPV
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Purpose Sheet
Topic
Category
Purpose or task
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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• Tolerable stress – a physiological state that potentially disrupts brain architecture due to cortisol and is buffered by supportive relationships that facilitate coping.
• Toxic stress – causes prolonged activation of the stress response systems and can disrupt the development of brain architecture and other organs and increase the risk for stress related disease and cognitive impairment.
Stressed vs Stressed Out
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Dads are Important!
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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Co-occurrence of IPV & child abuse
Children Exposed to IPV First Impressions – Brain Development
CaliforniaDepartmentofJustice
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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First Impressions – Exposure to Violence
CaliforniaDepartmentofJustice
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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First Impressions – What Helps!
CaliforniaDepartmentofJustice
Baby’s Months 7 -12 Baby’s Months 7 -12
UsingPartnersforaHealthyBabytoSupportPregnant&PostpartumWomenAtRiskFororExperiencingIntimatePartnerViolence
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• Be a keen observer while in the home and know how to support survivors and families dealing with violence
• Use the Partners for a Healthy Baby Tool to support families.
• Know you program’s policies and procedures related to screening for IPV and supporting family.
• Know your community resource and referral options.
Final Thoughts Thank you!
FloridaStateUniversityCenterforPrevention&EarlyInterventionPolicy
Works Cited, continued on next page Works Cited, continued