>> Welcome and thank
you for standing by.
At this time all participants
are in a listen-only mode.
Today's call is being recorded.
If you have any objections you
may disconnect at this time.
I would now like
to turn the meeting
over to Miss Nichole Green.
You may begin.
>> Hello, and thank you for
joining us today to talk
about preventing intimate
partner violence among youth.
I'm Nichole Green, the acting
director of the U.S. Department
of Health and Human Services
Office on Women's Health.
Our office is pleased to working
with CDC Community Guide Branch
and Division of Violence
Prevention
to bring you today's webinar to
discuss such a critical topic.
I know we can all agree
that intimate partner
violence is a serious public
health problem.
Such violence can begin early
in life effecting young people
as they are trying to grow,
gain independence and learn how
to navigate relationships.
More than 22% of
female victims and 15%
of male victims experience
some form
of intimate partner
violence for the first time
between the ages
of 11 and 17 years.
That's why OWH collaborated
with the community guide branch
to identify best practices
to promote healthy attitudes
and behaviors during adolescence
to help prevent intimate partner
violence now and in the future.
The discussion we're
having today will prepare us
to take necessary steps
toward lowering rates
of violence among youth.
And the experts you'll
be hearing from today
on this topic include,
Dr. Kathleen Basile,
a Senior Scientist with CDC's
Division of Violence Prevention;
Dr. Ramona Finnie,
a Service Fellow
with CDC's Community
Guide Branch;
Cierra Olivia Thomas-Williams
a Prevention Specialist
with the Indiana Coalition
Against Domestic Violence;
Melissa Greenwell, the Director
of the Buffalo Trace Women's
Crisis Center and Christy Burch,
the Executive Director of
the Women's Crisis Center.
They will talk about
strategies designed
to prevent violence among youth,
examples of how communities have
effectively reduced violence
and resources available
to help you get started
in your community.
Our experts are more than happy
to take your questions
during the webinar.
To submit your questions,
please use the "Chat"
feature on the screen.
We will answer as many
questions as time allows.
If you have any issues viewing
the webinar or with Webex,
press "star 0" on you line and
the operator will assist you.
And my last note
before we get started,
is that we'll be
recording this webinar
and we'll share it
will all registrants.
Now, I'd like to
introduce our first speaker,
Dr. Kathleen Basile.
She will briefly discuss the
different technical packages
designed to help communities
and states prioritize prevention
activities based on the area,
based on the available evidence,
plus you will learn how
you can put these packages
into practice in your area.
Oh, I was actually just
notified that we're going
to hold questions and ask you to
ask those questions at the end.
Dr. Basile?
>> Thank you.
Good afternoon everyone.
It's great to be with you here
today to provide an overview
of our technical packages
to prevent intimate partner
violence and sexual violence.
These packages are part of a
suite of technical packages
which I'll talk about in a few
minutes released by the CDC
to help state and
communities to take advantage
of best available evidence.
Next slide please.
I want to start with
some example estimates
to give you a sense of the
size of these problems.
With sexual violence
in particular,
data from our National
Intimate Partner
and Sexual Violence Survey or
NIPSVS indicate that about 1
in 5 women have experienced
rape or attempted rape
in their lifetime
and approximately 1
in 14 men have been made
to penetrate someone
at some point during
their lives.
Next slide.
IPV is also prevalent
effecting millions of people
in the United States each year.
For example, these data are
from the same survey, the NIPSVS
and found that nearly 1 in 5
adult women and approximately 1
in 7 men in the U.S. report
having experienced severe
physical violence that's
being kicked, beaten, choked,
burned on purpose, or have
a weapon used against them
from an intimate partner
in their lifetime.
ON the right side of the
slide, 1 in 4 women and 1
in 10 men have experienced
contact sexual violence,
physical violence or stalking
with an associated negative
impact such as injury, fear,
concern for safety
or needing services.
Next slide.
Violence starts early
in the lifespan.
There are just, these are just
some examples of data points
to illustrate that
both sexual violence
and dating violence start
early in life for many.
On the left side, data
from the NIPSVS show
that estimated 8.5 million women
first experience rape as a child
when they were under
the age of 18.
An estimated 1.5 million men
first experience being made
to penetrate when
they were children.
On the right side of
the slide are data
from the Youth Risk
Behavior Survey, or YRBS.
This is one of the two forms
of dating violence measured
in that survey; physical
dating violence.
You can see here that about 9%
of female high school students
and almost 7% of male high
school students were physically
hurt in purpose by a dating
partner during the 12 months
before the survey.
By hurt, we mean being slammed
into something or injured
with an object or weapon.
Next slide.
So, knowing the huge burden
that these and other forms
of violence have on U.S.
men and women, the Division
of Violence Prevention
and CDC developed a suite
of technical packages
to help states
and communities take advantage
of the best available evidence
to prevent sexual violence,
intimate partner violence
and dating violence, as well
as, child abuse and neglect,
youth violence and suicide.
As you can see here
on this slide,
each technical package
is focused on one
of these violence topics.
Today, I'm going to focus
on the process we went
through to develop
these technical packages
and also give an overview
that draws upon the content
from the sexual violence
and intimate partner
violence packages.
Next slide.
But first, what is
a technical package?
At CDC when we say "technical
package" we are referring
to a select group
of strategies based
on the best available
evidence to help states
and communities prevent
violence.
Technical packages
are considered 1
of the 6 key components
for effective public health
program implementation.
They help sharpen the focus
and focus what otherwise might
be vague commitments to action.
They help communities avoid
a scattershot approach or use
of a large number of
different interventions some
of which may only have a small
impact and they are designed
to achieve substantial
and synergistic improvement
in outcomes.
Next slide.
Technical packages have
3 primary components;
the first component
is the strategy
or the preventive direction,
or action to achieve the goal
of preventing violence
in this case,
the second component includes
the approaches or specific ways
to advance those strategies
and then those include example
programs, policies and practices
for each approach, and the
third component is the research
evidence supporting
each approach.
Next slide.
This slide lists the
evidence criteria we use
in selecting program policy
and practice examples.
Ideally, we look for evidence of
impact on perpetration behaviors
or in the case of
sexual violence
and intimate partner
violence, those outcomes.
When there was not that kind of
evidence we looked for evidence
of the impact on risk
and protective factors.
Consideration is also
given to the likelihood
of the program policy
or practice
to have beneficial impacts
on other forms of violence;
the likelihood of program
benefits when implemented
in different settings,
with different groups
and the feasibility
of implementation
in the U.S. setting
if the example was
evaluated in another country.
Of course we wanted to sure also
that there were no
evidence of harmful effects.
The key to keep in mind
with these packages is
that these are examples rather
than a comprehensive list
of all the evidence-based
programs, practices
and policies for each approach.
Next slide.
This slide gives the
5 strategies included
in the sexual violence
technical package
which we call the
Stop SV Package.
Here you can see around in
the circle the 5 strategies
including promoting social norms
that protect against violence,
teaching skills to
prevent sexual violence,
provide opportunities to
empower, support girls women,
create protective
environments and support victims
and survivors to lessen harm.
Next slide.
This slide includes on the
left side the strategies
that I just mentioned and on the
right side are the approaches
that fall under each strategy.
I'm not going to go through all
of these, but I'll leave this
up for a few seconds so you can
see what these approaches are.
I'll give a few examples
for promoting social norms
that protect against violence.
There you have bystander
approaches
or approaches involving
men and boys as allies.
Some examples may be the
Green Dot Bystander approach
or Coaching Boys into Men which
is mobilizing men and boys.
Teaching skills under that
strategy there are several
approaches; one is social
and emotion learning,
also teaching healthy and safe
intimate partner relationships.
We also have other
strategies like empowering
and supporting girls and women
where you see economic supports,
and leadership,
and opportunities creating
protective environments might
include things like
interventions in schools
to improve safety of
the physical environment
of the schools or
workplace policies
as another example approach,
and then supporting victims
and survivors may include
victim services or treatment
for victims of sexual violence.
Next slide.
This slide similarly
includes the strategies
that are included the intimate
partner violence technical
package and here we
have 6 strategies.
Some of these as you
will see are similar
to the strategies
listed and the approaches
under the sexual violence
technical package.
Here we have teaching safe and
healthy relationship skills
as a strategy, engaging
influential built-in peers,
disrupting the developmental
pathways toward partner
violence, creating protective
environments is included here
as well, strengthening
economic supports
and supporting survivors to
increase safety and lessen harm.
Next slide.
Now, I won't list these,
because as you'll see many
of them are overlapped somewhat
with the sexual violence
technical package.
There are some different
approaches that are specific
to intimate partner violence.
One example strategy that is
somewhat unique is the third
one, disrupting the
developmental pathways toward
partner violence and here
we're including things
like early childhood
home visitations,
preschool enrichment, parenting
skills, different approaches
that are intended to
promote healthy development,
enhance parenting skills
and family relationships,
and also therapeutic
treatments to address trauma
and mitigate consequences
of violence exposures.
So, just so you have a
sense, I'll leave that up
for a few more seconds
so get a sensed
of the approaches
included in that package.
Okay, next slide.
Just to finish this
off here, monitoring
and evaluation are important
and we recognize the importance
in the technical packages
of these two areas;
both are necessary components
of the public health
approach to prevention.
Timely and reliable
data are necessary
to inform prevention efforts,
and also to monitor the extent
of the problem and
evaluate the impact
of our prevention efforts.
Data are also a vital
part of program planning,
of implementation, as
well as, the assessments.
Next slide.
And the packages also
include information
around sector engagements.
As you see there are
many sectors involved
in preventing violence.
No single sector or
entity has responsibility
for implementing all the
strategies, but each has a role.
We see the implementation
of the strategies
in the technical
packages as a partnership
that involved many sectors and
there are some here on the slide
such as public health,
education,
all levels of government, social
services, business and labor,
health services, etcetera.
Regardless of the strategy,
cooperation and leadership
from numerous sectors can bring
about the successful
implementation
of these technical practices.
Next slide.
And I just want to
closeout by mentioning
that we have several
resources and tools
on our veto violence web
platform and you can see
that link or that webpage
at the bottom of this slide,
and these may be
helpful to communities
that are implementing
interventions
to prevent violence.
This includes interactive tools
covering the basic of areas
like prevention, adaptation,
evaluations, making sense
of the evidence, social norms.
There is information
on connecting the dots
or understanding the overlap
and risk and protective factors
across multiple forms
of violence.
We're also building
out a section
on the veto violence platforms
with implementation guidance
for our technical packages.
This will be call Violence
Prevention and Practice
and it will include overarching
guidance on planning,
developing partnerships,
implementation,
engaging decision-makers,
the policy process,
program adaptation,
and evaluations.
There will be content-specific
resource guidance tailored
to the strategies and approaches
in each technical package
and also some tools, tips
and success stories
and other resources.
That's it.
Thank you.
>> For those.
Okay, so my name is Ramona and
this was mentioned before I'm
with the Community Guide
Branch within the Division
of Public Health Information
Dissemination of the Center
for Disease Control
and Prevention.
And I'm going to talk about,
briefly about the community
for human services task
force and the review we did
on the effectiveness
of interventions
for the primary prevention
of intimate partner violence
and sexual violence among youth.
Next slide.
This is our disclaimer saying
that findings do not
represent the official position
of the CDC.
Next slide.
Well, I'll start
this presentation
by discussing the
community guide
and community preventative
services task force
and some community
guide methods.
So, on this slide, we have the
community preventive services
task force.
It is an independent
nonfederal and unpaid panel
of public health and
prevention experts.
They oversee the review process
and make evidence-based
recommendations
about what community
preventative services, programs,
and policies work to improve
health at the population level.
The community guide is the
collection of all products
of the community
preventative services task force
and these include all task force
findings and recommendations,
as well as, an annual
report to Congress.
It is a resource to
help decision-makers,
select interventions that make,
that meet the specific
needs of their community.
Next slide.
So, here we have a quick
overview of the community guide
of systematic reviews.
They form the bases for
our CPSCF recommendations.
These reviews analyze and
assess all available evidence
for a particular
community-based intervention.
If the intervention is
not being effective,
we then assess the economic
efficiency of the intervention
and we also highlight
evidence gaps
to help inform decision-making
and suggest future
areas through research.
This slide also contains
a screenshot
from the community guide
homepage along with the URL,
www.theseecommunityguide.org.
Next slide.
So, here we list the total
number of CPSCF recommendations
and findings compiled to-date
and the priority health topics.
As of now we have over 230
recommendations and findings
and a total of 21 priority
health topic areas.
This slide also contains a
screenshot from the webpage
with the priority topic areas
listed in the dropdown box.
Next slide.
This slide lists the steps
for community guide
systematic review.
After a topic is selected, a
coordination team is formed
and the intervention to
review is decided upon.
We then conduct the usual
steps of a systematic review.
The CPSCF will issue
a recommendation based
on strong sufficient or
insufficient evidence
in the event to disseminate
the CPSCF findings.
The next slide.
So, now I'll just give a
summary of the review we did,
the effectiveness
of intervention
so the primary prevention
of intimate partner violence
and sexual violence among youth.
And so, this on this slide
we have our conceptual
intervention definition.
It was informed by the IPV and
the Stop SC Technical Packages
that were described in
the previous presentation.
We included interventions for
the primary prevention of IPV
and SC among youth ages
12 through 24 that aim
to prevent perpetration
of IVP and SC
and promote healthier
relationships
between peers and partners.
Interventions included in the
review provided information
on IPV and SC and could
include one or more
of the following strategies
of teaching healthy relationship
skills promoting social norms
that protect against violence
and create protective
environments.
These interventions maybe
implemented in schools, at home,
and communities or in a
combination of settings
and they target groups
at high-risk for violence
or the general public both
of which may include youth
who have already experienced
or perpetrated intimate
partner or sexual violence.
This review did not
include studies
that evaluated programs
focused exclusively
on reducing the risk
of victimization.
Next slide.
Our main research question
was how effective are these
interventions at reducing
perpetration and victimization
and increasing bystander action
and reducing overall morbidity
and mortal either
related to IPV and SC.
We also wanted to know if
effectiveness varies by the type
and number of strategies used,
the duration of intervention,
or by population
characteristics.
Next slide.
So, most of the studies
were conducted in the U.S.
and were implemented in schools
with nearly half of those
in colleges, and most
had intervention duration
of less than 6 months.
Next slide.
So, this slide lists
the demographics
of study participants.
The average age was
16-and-a-half,
and then they were
slightly more female
and the majority were White.
Next slide.
So, these are out
overall results.
We had 24 study arms report
on perpetration and 18
of those had favorable
and consistent results
for reducing perpetration.
Many that as a whole,
the studies reporting
on perpetrations had
favorable results.
We had 18 studies arms
reporting on victimization
with 11 reporting
favorable results.
We found these to be an
inconsistent as a group,
and we had 10 study arms
reporting on bystander action,
manual reported results 6 months
or less active intervention,
and 5 reported results
greater than 6 months
after the intervention.
We found favorable and
consistent results for increases
in bystander actions
within 6 months
after the intervention covered
the effects stated over time.
Next results.
I'm sorry, next slide.
So, we stratified our results by
the type of strategies utilized.
The 3 strategies are listed
across the top followed
by the number of study
arms that reported
that strategy combination.
We have favorable results
for perpetration and/or
victimization for interventions
that utilize at least
one of these strategies.
Of note, few studies
reported interventions
that included the strategy to
create protective environments.
Next slide.
This slide was some
additional potential benefits
that were identified from
included studies and some
of broader literature.
One included study
found a reduction
in any interpersonal violence
among college students
and another found a reduction
in peer violence among
middle school students.
And in the broader
literature outside
of included studies
reported the potential
for improved self-confidence
especially among high-risk youth
and for improved academic
incomes and, of course,
similar interventions.
Next slide.
The broader literatures
suggested
that intervening bystanders
may suffer psychological trauma
and the task force had added
that a bystander could also
inadvertently be physically
harmed; however, we did not find
any evidence of these harms
in our included studies.
And actually in our included
studies, those that evaluated
by better action
reported favorable effects
for the intervention on
self-efficacy to intervene.
Conducting the interventions
that promoted bystander
approaches can equip potential
bystanders with the
knowledge and skills
to appropriately intervene.
Next slide.
This slide lists
several considerations
for potential implementers
including attending the specific
needs of youth, the program
duration, comprehensiveness
or intensity of the
intervention, training of staff
and the utilization of
multiple teaching methods
and it's also important
to consider the capacities
to implement the intervention
with available resources
and the environment in
which the intervention will
be implemented.
Nest slide.
So, here is a summary of the
task force finding statement.
The main takeaway is that the
task force recommends primary
prevention interventions that
aim to reduce perpetration
of IPV and SC among
youth and this is based
on sufficient evidence
of effectiveness
that these interventions work
with decreased perpetration
of both PIV and SC.
The full finding statement,
which you can access
on our community guide
website, includes combinations
of the 3 strategies and it
also includes a recommendation
for interventions that
promote social norms to protect
against violence through
bystander education
and empowerment and engaging
men and boys as allies of both.
This finding is based
on a subset of studies
that shows sufficient
evidence of effectiveness
in increasing bystander
action in the short-term.
Next slide.
This slide lists evidence gaps.
These were areas identified
as having limited information
in a body of evidence,
so additional revision
evaluations withheld answers
to remaining questions
or strengthen findings
in these areas.
This includes learning
what combinations
of intervention approaches
are most effective.
The matches for the
outcomes reported
as we needed a consensus
in increasing comparability
across studies and the ability
to synthesize information.
We also asked how effective
are interventions that speak
to create protective
environments as we need;
have few interventions
that include components
at the community and
social societal levels;
the effects of how effective
our interventions among students
in rural settings, lesbian, gay,
bisexual, transgender youth,
youth with intellectual
and development disabilities
and high-risk youth.
Next slide.
So, this slide lists the
URL for the community guide
and for our review specifically.
You can go here for more
information on our body
of evidence and methods
for this review.
And the next slide.
And this is just my email
address if you wanted
to more information
specifically about this review.
Thank you.
>> Thank you so Ramona.
Good afternoon everybody.
I'm Cierra Olivia
Thomas-Williams and I am
so delighted to be here to
talk with you about the ways
that the Indiana Coalition
Against Domestic Violence
is promoting safe, stable,
nurturing relationships
in environments.
So, I really want to invite
you to think about the ways
in which you can work with
you communities to identify
and uplift the protections
that already exist
and to create protective
environments wherever we can.
Next slide please.
Working with communities
to enhance
and create the conditions
that enable safety, stability
and nurturance and using data
to inform our actions allowed us
to be innovative in our
strategies to prevent violence.
Consider the ways that
gender norms shift
when fathers are
invited into caregiving
from the first precious moments.
WIC programs and participating
hospitals have started
to ask dads to take their
shirts off in the delivery room
and encourage skin-to-skin with
fathers at birth, and families
who do skin-to-skin reported
that they would do it again.
And families who did
skin-to-skin said
that the baby goes
to dad more equally
after doing skin-to-skin
reducing maternal stress
which can underpin
abusive behavior.
A local domestic violence
program, Hands of Hope wanted
to increase community
connectedness,
so together with its neighbors,
they renovated Barnes Park.
The park is located in a
low-income area that seems
to be forgotten by the
city, being no longer tended
to landscape or roads
or even the park.
So, the reopening
was so successful,
and so many people were
using the space to gather
and be together that the
city of Marion invested
in fixing the streets
and sidewalks
in an entire neighborhood.
What an amazing unintended
outcome and by doing so,
the city was able to
make the desired behavior
of social support and
connectedness easier
for everyone to engage in.
Hands of Hope also turned the
code of conduct idea on its head
and they focused their
efforts not just on coaches
and athletes, but on
the spectators too.
The sports, the high
school sports
in Grant County bring together
everyone in the community.
So, our local partner
implemented a code of conduct
for youth, coaches,
and spectators
and they saw a decrease in
what the kids were calling
"trash talk" during
the games by spectators
over the project period.
So, their code of conduct
created a shared community
expectation that adults would
model the desired behavior
of care and support and
wouldn't you know it, it worked.
These are just a few examples
of the efforts by local
and state partners to uplift
and increased protective
environments.
Next slide, please.
This is our service area.
The Indiana Coalition
Against Domestic Violence
or ICADV has the honor of
working with member programs
on the state, on intimate
partner, teen dating violence,
intimate partner violence,
teen dating violence
and sexual violence
in our prevention work
and we use the public
health approach.
We're very fortunate to
receive funding from FVPSA,
the Family Violence
Prevention and Services Act.
From 2013 to 2018, we
received Delta Focus
and we are also RPE
sub-grantees.
Next slide, please.
Excuse me.
As Delta Focus grantees,
the funding and training
and technical assistance from
the CDC allowed us the space
and the time to think
differently about prevention.
These two documents preceded
the technical packages,
but they're really foundational
to how we would approach
our work
to end violence in the future.
Connecting the dots helps us
understand and communicate
to our partners that the context
in which people live increases
or decreases one's risk
to perpetrate intimate
partner sexual violence
or even teen dating violence.
The essentials for childhood
framework taught us that safety,
stability and nurturance
promotes resilience
in optimal physical, social
and emotional development
in children and these essentials
also reduce multiple forms
of violence and they can prevent
adolescence substance use later.
So, a safe, stable and nurturing
world that is supportive
of the least of us has all
of the necessary elements
to reduce toxic stress for
adults, and the reduces risks
for perpetration of violence.
If we want all relationships
including intimate ones
to be equitable and nonviolent,
we have to reduce trauma
and stress in entire
communities,
but also in our organizations
and within the relationships
across the lifespan.
And early on in the grant, we
explored ways to communicate
with partners across the state
by translating this emergent
public health science
on violence prevention
into practice
and we created a toy box to
help our community partners
understand the public health
approach to violence prevention
and engage with these ideas.
Next slide, please.
While the essentials
for childhood pointed us
toward universal protections
and environmental
conditions across the lifespan
in the early days of
Delta Focus, the stop SV
and intimate partner violence
technical packages complimented
each other so well with
the science and messaging
that would push us
to identifying
and uplift existing protections
and create protective
environments using policies
and practices.
When people have what
they need like food access
and food security,
housing, health care,
quality affordable childcare,
meaningful employment,
transportation, and
really referring
to the social determinants of
health, when people have access
to these resources and
opportunities to thrive,
then we are reducing motivation
for people to take power
over another person from
a position of disadvantage
and understanding
how the determinants
of health contribute to
motivations and permissions
to use violence helps
us address the way
that power operates
to enable violence.
Primary prevention strategies
that move power is a
path to social change.
So, creating protective
environments,
not only addresses
motivation for violence,
but protective environments
make harmful
or abusive behavior more
difficult to engage in.
So, what I mean by that,
is when safety, stability
and nurturance is the expected
norm, and we are more likely
than to check-in with our
friends and colleagues
and about how they're doing
and we're also more likely
to let them know when
violence is just not tolerated.
We make the desired
behavior the easy behavior,
and that sounds blissful right?
But how do we start?
At ICADV we use data to
inform our prevention efforts.
We're committed to
identifying and changing power
over mechanisms that
might be operating
in our prevention efforts
or our communities.
So, to be intentional, we
developed an E4 framework
which is a decision tree of
sorts, and we ask ourselves,
are our prevention
strategies efficient, ethical,
effective, and equitable?
If they do not meet this E4
framework, we will not do it.
Next slide, please.
So, in 2016, a Delta Focus
local partner called Building a
Thriving Compassionate
Community or BTCC,
developed a world café
style activity that BTCC has
since allowed ICADV to add
to the prevention toy box
which can access for free
on the ICADV website.
This activity provides
participants with an overview
of the science of
essentials for childhood
and using multiple engagement
methods like writing,
art and conversation,
it crowd-sources desired
and localized protective
factors in real-time.
This is necessary for
data action and the data
that you get is based
on the actual voices
from your community.
We asked the question
on this slide;
what makes your neighborhood
school or organization safe,
stable, and nurturing?
BTCC encourages people to
use this activity to listen
to communities and people
who have been marginalized
by systems and equity.
The ICADV calls this game,
What Surrounds Us Shapes Us
and it establishes
in a short amount
of time what the
shared needs, values,
and dreams are in the room.
So, it breaks down silos
and builds relationships
across difference.
Participants create a
shared common ground
through actionable data
about community conditions.
This engagement approach
allows us
to have meaningful
conversations with youth
who are typically left out
of both defining the problems
and developing solutions.
So, brainstorming what it takes
to make neighborhood's
organizations
and communities safe, stable
and nurturing allows us to think
about and to determine
what it actually takes
to achieve those conditions in
our community, and I'm going
to tell you about the impact
this activity can have locally
after I share what we did
with it at the state level.
Next slide, please.
As part of my work
in Delta Focus
to prevent teen dating violence
in 2017, I invited youth mentors
across Indiana to gather
regularly either in-person
or online to discuss
upper-level primary prevention
in a community of practice.
That grew to include youth
mentors in other states
to become national in scope
and we were really interested
in developing a shared strategy
to prevent teen dating violence.
And a member of that
community of practice suggested
that we use the BTCC
world café activity
to have an iterative
statewide conversation.
So, we bought 3 king size sheets
and we wrote each of the terms
in the middle of the
sheets and the ideas
for the protective
factor quilts was born.
We invited all of the
participants in the community
of practice which
was 11 communities
and any other interested
youth groups in Indiana
to use the quilts
to engage youth
in creatively gathering
protective factor data specific
to these local communities.
The youth groups started the
activity by having conversations
about what other youth
wrote and then added
to the vision themselves.
And when the youth group
was finished visioning
about community protections, the
quilts were sent back to ICADV
where I entered the data into
a spreadsheet and then I passed
that spreadsheet with all
of the data back to all
of the communities that
were hosting the quilts
and I sent the quilts to the
next community on the list.
Next slide, please.
I provide here for
you a snapshot
of what the raw data can look
like and the total number
of suggestions from the youth
over the course of the project.
Ten community partners
committed to participating,
but because this was a long
process and we were only able
to include, we were only able
to include 5 community
partners before we needed
to start the coding and
translation process prior
to the end of Delta
in March of 2018.
So, in participating
in this activity,
young people identify what they
need in partnership with adults
who have the power to make
the changes that youth seek.
This is ethical.
Youth are at the forefront of
promoting and increasing safe,
stable nurturing
relationships in environments.
These are elements, again, that
build protections and resilience
in people who are made
vulnerable by power
and equities; by power in
equities so this is equitable.
Participants were invited
to collect, interpret,
and code the data and then build
primary prevention approaches
that focus on enhancing
or creating the protections
identified
by youth participants.
Next slide, please.
This is just one more look at
the raw data before translating
and coding with collaborative
partners
and you can see a picture
of the stable quilt
at one point in time.
So, you can see some of the
challenges that are inherent
in understanding what you
want like how do we translate
that art from the previous page
with two different hands
reaching towards each other?
There's something
quite striking too
about viewing young people's
dreams for a better community
and then using that
vision to shape decisions
that impact those very
youth such as where
and how we invest
the small resources
that we have to prevent
violence.
Gathering data is the
first step in this process
that I have described for you,
but there's more opportunity
to create connectedness
among youth and adults
by inviting youth participants
back into the process
when you're ready to code
and interpret the data
and this is what ICADV did.
We invited all participants
back to the table.
By engaging with youth
through the process
from conceptualization
of prevention approaches
through implementation and
evaluation, we share power
in the practice of creating
and uplifting already existing
protective environments.
We invite youth leaders into
key decision-making processes
and are not misinterpreting
what the young people wanted us
to understand about what they
need to have safe, stable,
nurturing relationships
and environments.
Next slide, please.
This is a brief story about some
of the ways local partners
can use or have used the data
to address root causes of
social problems and the impact
that this one activity can have.
The local partners
who innovated the data
to action activity
used their local data
to inform their prevention
work over a 2-year time span.
BTCC used the activity to
define childhood conditions
in Monroe County
for the first Annual
and Subsequent Childhood
Condition Summits.
It's in its third-year
this year.
Not only did youth provide
data, but they organized
and hosted the summit
with adult mentors.
Every track in the summit
offered sessions led by youth
about things like the school
the prison pipelines
for young people of color.
Data was used to
inform a data walk
where summit participants could
explore inequitable conditions
across the local
determinants of health
and examine suggested
solutions
from youth gleaning
from the activities.
The data is being used to engage
state level policy advocacy.
You can see in the image there
a young person teaching adult
participants how to engage in
state level policy advocacy.
Advocacy sessions in
particular actually inspire
to some participant to
partner with Indiana University
and they created a free bill
tracking app called Paying
the People.
Prior to Paying the
People there was no way
for an average citizen in
Indiana to track bills unless
by doing it by hand looking
at the website consistently
and only one company who did it
for a hefty fee, but now anyone
in Indiana can watch state
legislation in real-time
and that's a real transfer
of power back to the people.
And now I want to talk
about how the data was used
to inform the work of one
of the cross sector team
agencies working with BTCC
to increase safe stable
nurturing environments
and relationships
in Monroe County.
The Bloomington Township
Trustee, a local seat
of government, used this Safe,
Stable, Nurturing Relationships
and Environments Data to
inform physical organizational
and policy change.
They converted the lobby into
a fun zone in partnership
with the Monroe County
Public Library
so that young children
can play while parents
complete paperwork.
This reduces parental stress.
These are motivations
that can underpin abuse.
The Township Trustee also
significantly reduced the amount
of paperwork for people in need
eliminating repetitive questions
and reducing the time
stress people spent applying
to get help.
They also made a policy decision
that would strengthen
economic support.
They now allow financial support
for noncustodial parents.
And by providing this support
to noncustodial parents,
the Township Trustee is reducing
toxic stress for both parents
of that child and toxic
stress motivates violence.
I could go on and on
and on with the impacts
that creating protective
environments have,
but for the sake of
time, I'm going to move
on to the state level.
Slide please.
Oh, it's there.
The ICADV in partnership
with the statewide youth
council created an infographic
to share our evaluation
results and recommendations
for what we needed to do next.
This infographic highlights
what policymakers, employers
and organizations can
do including promoting
and building social family and
organizational connectedness.
So, some of the examples are;
diversion versus incarceration
and universal paid family leave;
support for personal growth
for young people which was
something that we didn't find
in the data when we do
this activity with adults.
The youth highlighted the
need for internal development
and creativity which
we thought was great.
Promoting and creating
safe, nonviolent communities
through equitable zoning and
investing in infrastructure
and mass transit, and we make
acceptance and inclusion easy
to do when they're
supported by public
and organizational
policies and practices
that address implicit bias
and eliminate discrimination
and the stable basics really
allow for equitable distribution
of resources creating
opportunities to thrive.
So, the next steps for ICADV
include engaging influential
adults and peers with the data
about what, who your youth need
to have, safe, stable, nurturing
relationships and environments.
This partnership addresses
the way power operates
on multiple levels.
Adults are not asking young
people to navigate adversity
or to change their behavior
as a means to culture change.
Rather, we're listening to
what young people say they need
and we're actively asking
the people with the power
to make those changes.
So, the people who are
most impacted by violence
in the State of Indiana, are at
the forefront of collaborating
with adults on universal
solutions
to end violence in Indiana.
Next slide.
That brings us to the end
of my time with you today
and this is my contact
information at ICADV.
This is also BTCC's
contact information
and very much look forward
to talking with anybody
who wishes to reach out to us.
Thank you so much.
>> Thank you Cierra.
This is Christy from
Women's Crisis Center.
I'm the Executive Director
at Women's Crisis Center.
>>And Melissa Greenwell
Buffalo Church Director
for Women's Crisis Center.
We are so honored to
represent our amazing community
of Maysville and Women's
Crisis Center and we want
to give you a sense
of who we are.
Helping people who have been
hurt by violence is truly
at the heart of what we do
at Women's Crisis Center
and transforming our community
and creating lasting change
through violence
prevention is our passion.
For over 40 years, Women's
Crisis Center has provided a
healing and safe space.
Our center began in response
to a series of sexual assaults
in our community and
services then expanded in 1979
to include services for
survivors of domestic violence
and their families by adding
two emergency shelters.
>> In 1983, Women's Crisis
Center created the first
prevention program for youth
in the State of Kentucky.
It served as a model program
across this commonwealth.
In 2010, Women's
Crisis Center was a part
of a groundbreaking prevention
strategy called Green Dot.
Providing care for
those impacted
by violence is honoring our
history at Women's Crisis Center
and preventing violence
allows us
to create a very
different feature.
>> So, Women's Crisis Center has
been has been implementing the
comprehensive Green Dot
bystander intervention strategy
for 9 years now.
In that time period, we've
grown from 1 high school
to 9 high schools,
to scholar houses
which are apartment complexes
for single parents who are going
to college to communities
and more.
And since 2014, WCC, Women's
Crisis Center has taught 23,162
people how to put
Green Dot on the map.
So, we want to give you a
sense of how we got here.
Next slide, please.
>> Maysville is a
beautiful town located
on the Ohio River that's very
rich in culture and a population
of approximately 9000
people and just when I think
that Maysville has
given all that it can,
they find a way to give more.
They give time, money, resources
to proactively make
the community safer.
They have embraced this
concept of Green Dot in a way
that has far exceeded
our expectations.
>> So, March 2018 just
this year, we're at a table
at the local health department,
we've got a judge, mayor,
chief of police, clerks,
students, fire department,
health department, faith
communities and more,
gathered to learn how we
together can create a safe
community through Green Dot.
We felt this incredible
moment, and as can imagine
if you're sitting around and
you're looking around this table
and you see all of these
key partners with us,
they showed up, they
want to create change,
they wanted to know what they
could do and how to do it.
Another piece that really just,
I think, filled us with hope
that change is happening and
possible in our communities,
is with Police
Chaplain Reverend Tony Lee
stood up and shared
about why he cared
about making communities
safer, what his connection was
to what we call power-based
personal violence
which means domestic violence,
sexual violence, bullying,
stalking, child abuse,
those types of pieces.
He stood and talked
about why it mattered
and that everybody
needs to play their part
in making Maysville
a safe community.
So, that's March of 2018.
If you actually go 3 years
prior, we started talking
about how we wanted
to transform our work
at Women's Crisis
Center and that we wanted
to move prevention beyond
our high school walls
and actually engage our
entire community in this work.
And we started talking
about Maysville
and faith-based communities
felt like the natural fit
for out Green Dot strategy.
Next slide, please,
because in Mason County,
there are a 120 churches
alone just in that one county,
and so a natural partner.
So, we started to
have a conversation.
We talked to the Limestone
Ministerial Association
and Pastor Jim Dugan
was, said "Let's do this.
Let's get a bystander
training on the books.
Let's make this happen."
That led us to 25 sermons,
1000 of people trained
in congregations to be
active Green Dot bystanders,
but they didn't want
to stop there.
They said, "Let's take
another step further."
So, Limestone Ministerial
Association said,
"You know what we
want to see next?
We want to see Maysville become
the first Green Dot city."
>> Next slide please.
As you can see by the
numbers on this slide,
so many people are impacted.
That often times reading numbers
on a slide it doesn't
connect us.
So, it's been very important
for us to get people connected.
It's been really
important to get people
in touch with why they care.
They were seeing things in
our community that they wanted
to change, incidents
involving children
in the local Kroger
that they would speak about,
personal connections
to the issue
of power-based personal
violence, the number of people
that are using our local
shelter and hotline services.
Because they were able
see personal connections
to this issue, they were able to
embrace the idea of being able
to do something to make
this community safer.
At the beginning of
every bystander training,
we ask people to write down
what it is, what connects them
to this issue and so I wanted
to share just a couple of those
from our recent bystander
training that was held.
"I want everyone to feel
safe in their daily lives
and to feel comfortable
expressing themselves."
"I just want to make this
world a better place.
I was bullied in school and
I never want my children
or grandchildren to
have to deal with that.
I also know of abuse
of my mother
and aunt suffered growing up.
I want to make a
difference for them.
I have witnessed personal
violence against someone else
and wondered why no one helps.
I want a safe environment
around me and I'm willing
to do whatever it takes
to make that happen."
Next slide, please.
>> And we've witnessed that.
We've watched Maysville step
into that and work together
to make their community a
better place, but why Green Dot?
Women's Crisis Center has
led the way in addressing
that a community needs by
adopting the Green Dot strategy.
It is based on the belief
that the greatest power is
in each one of us,
the bystanders.
Green Dot works to reach
folks on all levels
of socioecological model.
And Kentucky selected Green
Dot based on its commitment
and foundation and research.
Green Dot evaluations
consistently show levels
of violence drop
when participants
step into Green Dot.
And you know what, we
know that we can't afford
to wing it with people's lives.
We had 371 folks walk
through our shelter doors
in this year alone.
We couldn't afford to wing it.
We needed to do something
that was evidence-based
and research proven.
We also know that for our folks
to engage in prevention efforts,
they've got to believe
that there is an issue.
They've got to connect to it,
they have to know what to do,
how to do it, and it
has to be manageable
and Green Dot checks
all of those boxes.
>> Green Dot is also Kentucky
proud, born at the University
of Kentucky under the leadership
of Dr. Dorothy Edwards
and it moved from the college
to the high school level
through a partnership with
the Kentucky Association
for Sexual Assault Programs
which is our sexual
assault state coalitions.
Women's Crisis Center wanted
to move beyond those
high school walls
and we wanted to make it bigger.
We wanted to engage our entire
community and teach them how
to become active bystanders.
>> Next slide, please.
So, we're talking
to our community
about Red Dots and Green Dots.
If you see on this
image in front of you,
it's a map of the United States.
On that map there are red dots.
Red Dots to us are
a moment in time
where somebody makes a choice
to harm another person.
Maybe a red dot is the time
that it takes for a parent
to drag their child
through Kroger.
Maybe a red dot is a time that
it takes for that person to send
that 700th text message
to that colleague even
when they said stop.
Maybe that red dot is a time
that it takes for somebody
to slap a partner or that
high school student who goes
into the school every single day
and tells those same two girls
to go kill yourself and die.
We're not exactly sure how
many red dots are on our map
in Maysville, but we know
that there are enough
to sustain thousands of folks
seeking our services every
single year, and also to
add up to those statistics
that Melissa showed us earlier.
So, if we want to have a shot
at actually reducing the number
of folks being hurt, we've
actually got to craft a solution
and implement a solution
that is actually a reflection
of the problem and that's
where Green Dot comes in.
Next slide, please.
So on our map, you will
see green dots on this map
and a green dot is
a moment in time
where someone makes a choice
to try to keep a red dot
from happening in
the first place.
So, maybe a green dot is calling
9-1-1, or causing a distraction
to that very stressed
out parent.
Maybe a green dot is taking
a dollar out of your purse
and pretending to drop it and
saying "Hey, did you drop this?"
A green dot is a moment in time
where someone makes a choice
to try to keep it
from happening,
a red dot from happening
in the first place.
Next slide.
>> So, as you'll see by this
slide the simple of Green Dot is
to make sure that there
are more green dots
than there are red
dots on those maps
where we actually outnumber
the red dots that are happening
and we start seeing
those numbers come down.
We know that this is working.
There's an article
published in the Journal
of Preventative Medicine
that shows
that within a Green
Dot high school,
rates of perpetration
were reduced by 17 to 21%.
That's how we know it's working.
What we also have experienced in
Maysville is that when people go
to a bystander training they
step into Green Dot very quickly
and we're starting to really
start to see that and feel
that change in our community.
>> Next slide, please.
There are two ways in
which we engage folks
in putting Green
Dots on the map.
The first is reactive.
So, you see a potential
high-risk situation
or something happening and
you do something about it,
you check-in with that
person, you call 9-1-1,
you write down that license
plate, you talk to a colleague,
you do something when
you see something.
The other thing that we work
to do with your community is
to set new norms and
those two new norms
in proactive Green
Dots that we're working
to set is violence is not
okay and everybody is expected
to do something about it.
Next slide, please.
Next slide.
So, you've got this image of
the United States and on that,
on that map you've got your
red dots and your green dots,
but you've got this
glowing green piece
and so what we're trying to do
with proactive Green
Dot is actually fill any
of that white space with those
proactive Green Dots sending a
clear message so violence can't
happen in the first place.
>> Some proactive Green
Dots that we're starting
to see firsthand
in our community,
people are writing articles
in the local paper
explaining what it is.
There are conversations that
are occurring all over town
with individuals educating
others on what Green Dot is.
We see people wearing
their Green Dot T-shirts
and buttons prompting
questions about the program,
people are sharing
our events on Facebook
and other social
media platforms.
There was a story that
I was told that I spoke
at the First Christian Church
back, I believe it in July
and there was a deacon there
that had told me that on his way
to church just a couple
weeks prior to that,
he stopped at the local
McDonalds, picked up a cup
of coffee before going to church
and he overheard a conversation
of table of gentlemen who
were having a conversation
about Green Dot.
And one of the statements
he heard was
"I'm sure what this Green Dot
thing is all about and not
so sure that it's going to
be good for this community."
So, he took the time to
sit down at that table
and have a conversation with
those people and educate them
on what Green Dot was and why
it is good for our community.
Those are the types
of conversations
that we're starting to hear
about from people outside
of our agency who are picking up
and are attending the bystander
trainings and educating others.
We know that people are not
going to pick up on our beliefs
if we think them real hard.
A big part of Green Dot
is expanding the role
of the bystanders to proactively
endorse those two new norms
that Christy just spoke about.
Violence is not okay
and everyone is expected
to do their part.
>> Next slide, please.
>> Here's the other thing that
Women's Crisis Center believes,
is you can some fun while
you support survivors
and create safe communities, and
on these slides you'll see some
of the fun that we've
been able to have
as we've implemented
Greed Dot this year.
One of the best events that
we had was a 0.5K and, yes,
you heard that correctly, 0.5K.
We actually called this the
Race for the Rest of Us.
There was even a rest station in
the block, I think the race was
about a block or two
blocks, a rest station,
even our local hospital came
out to support Green Dot,
setup a booth and was offering
some blood pressure screen,
right?
>> That's right.
>> A blood pressure screen,
so we gave a grand prize
to the person who crossed
the finish line last.
We hosted a Farm to Fork
Pickers and Grinners
and a New Year's
Eve bash and more.
Part of our success is engaging
our community at all levels.
As you can see in these
pictures, at our 0.5K,
the mayor was involved.
He was driving a convertible.
You could pay to ride to
the end of finish line,
or we have our City Councilman,
Victor McKay who's
holding our Stop sign,
Pastor Dugan is kicking us off.
So many people came out and
you see [inaudible] wearing an
actual Green Dot suit.
We really believe that we can
make change fun and engaging.
Next slide, please.
>> Green Dot is becoming a part
of the everyday culture
in Maysville.
We host monthly bystander
trainings,
participate at all the
festivals educating people
in what the program is and how
they can put those Green Dots
on the map.
We walk in parades.
There's even a monthly Town
Hall session that is hosted
by local community members
where they invite musicians
from across the state to
come in and we were invited
to be the halftime entertainment
of that, and those of you
who worked in the field
for many years know
that you're not often invited
to be halftime entertainment
so that was, that was the
highlight of our summer.
>> They were like, "We finally
got the Green Dot people!
We'd like to welcome them."
And also giving a nice
shout out to the folks
that are Café Cream right now,
we actually have
a viewing party.
Our Maysville folks have
gotten together, so again,
we're shifting and changing
the culture in our community.
>> Next slide, please.
So, how do we do this?
Our goal to becoming a Green
Dot city is to train 10 to 15%
of the identified
influencers in the community.
Ten to 15% is based on the
Social Diffusion Theory
where the identified influencers
take the concept of Green Dot
and spread it among their peers.
One Green Dot can
literally become a movement.
So, we have a committee that
is setup among local community
members and our committee
has taken our;
the city of Maysville population
divided that into subgroups,
so we're looking at those
subgroups to determine
which parts of our population
we want to target to train.
The subgroups that
we have labeled are;
City and County Government
and Criminal Justice;
community agencies including
health agencies and nonprofits;
schools including students staff
and faculty for high school
and the local community college;
large and small businesses;
media; and faith communities.
Next slide, please.
>> Who are partners?
We know we couldn't
do this without all
of our incredible partners.
Next slide, please.
As you can see by this list,
these are just some of the folks
who are actively participating
and this is our active
community,
community group that's
working with us;
Limestone Ministerial
Association;
City and County Government;
we've already reached our 10 to,
our 15% goal of training them
in the bystander training.
We're partnering with our
Chamber of Commerce, tourism,
local police, the community
college, local nonprofits,
health departments, they've also
had every single staff person
bystander training.
Our Maysville young
professionals sponsored
a training.
The Fire Department, cops,
District Courts, students,
concerned citizens,
main street initiatives,
Pets Helping People, our local
media, Mason County High School,
Leadership Horizons
and local businesses.
>> Next slide, please.
Christy mentioned earlier that
this began with a conversation.
That first conversation
happened with our mayor
and our judge executive who
have gave us full support
of this program.
We each spoke at a city
commissioner's meeting,
as well as, a fiscal court
meeting which ended with both
of those entities
signing resolutions
for full governmental
support of this initiative.
>> This really was key
to gaining credibility
in our community and for other
entities to become involved.
The mayor and the
judge executive sent
out the invitations to our first
committee meeting resulting
in 27 folks sitting
around that table,
and also their active
participation.
These leaders, they not only
support with the effort,
but they participated
in the comprehensive all-day
bystander training to engage
in Green Dot fully and
we're also very excited
that our Limestone
Ministerial Association and both
of these folks are city
and county government
and will be receiving an award
at our, at our State Conference
in December based on their
really hard work and support
of this important initiative.
Next slide, please.
So, the plan; how
did we get here?
How are we doing this?
We have a comprehensive plan.
This is just a couple
snippets of it, but if you go
to the next slide please,
you'll see that our
strategy is in 4 phases.
Our first strategy is to make
sure we have an active Green Dot
committee team which we talked
about this those 27 folks
and then some who
are actively working
to implement this
throughout our community.
The second phase is the
actual implementation
where we're working to get
those 10 to 15% of each
of those subgroups trained in
the all-day bystander training
to be able to diffuse
that in our community,
so those folks can model
and endorse the 2 new norms
and reactive Green Dots that we
spread throughout our community.
Then we've got our phase
3, which is showing support
for Green Dot through awareness
events, displays, social media,
those types of things.
If you drive down Second Street
in Maysville you will see
these amazing banners that say
"Welcome to Maysville" and they
have a big Green Dot Maysville
on them, and so really letting
folks know what Green Dot is
and how they are a part
of it in our community.
But, again, it's critical to us
that we sustain this program.
So, we're working with key
agencies and departments
to make sure that we've got
folks Green Dot trained,
that we're sending them
[inaudible] for certification,
community certifications, so
we leave a strong foundation
and have new people
come on board that,
to agencies that
we've already trained
that we make sure we
have a systematic way
to get new folks engaged.
If you come into Maysville,
we want you to know
that you are expected to do
something and that we care
about keeping folks safe here
and they can instantly
get engaged in Green Dot,
so that's an important piece
of the work that we're doing.
>> Next slide, please.
So, as we work toward a future
without violence in Maysville,
we have to realize a
transformation in our,
in the approach to our work.
If we can inspire
people to believe
that things can be different
and that their contributions
really do matter,
we can mobilize our
community to reduce the number
of people being hurt
by violence.
This program helps provide
the community education
to realize this very vision
for our city of Maysville.
Thank you.
>> Well, good afternoon
everyone.
Thank you again to
all of our panelists
for sharing information
about their programs
and particularly the tremendous
successes that they've had and,
again, welcome to the
hundreds of participants
that we have on the line.
We will open this time up
for questions and answers
that you can submit to the Chat
feature as part of the webinar
and I'd just like to do a brief
recap again of the panelists
that we've heard from.
First we heard from CDC's
Division of Violence Prevention
where they talked about
the Technical Packages
that really highlighted the
best available evidence in terms
of interventions
for sexual violence
and intimate partner violence.
Then we heard from
the Community Guide
where they summarized
the review that they did
of finding prevention strategies
to prevent sexual violence
and intimate partner violence
particularly among youth.
And then we heard from
the Indiana Coalition
Against Domestic Violence.
They particularly highlighted
the Delta Focus Program
and a particular very
interesting initiate
with youth mentors, Youth
Mentor Community of Practice
where the youth actually
develops some Protective
[inaudible] Quilts and then they
shared how local communities
actually transfers that
information and use the data
in the local vicinities.
And then lastly, of course,
we heard from Maysville,
Kentucky the Women's
Crisis Center
and they really shared successes
in the Green Dot Programs on how
that was implemented and
some of the successes there.
So, we'd really like
to open up the line.
If you have a question for any
of our panelists or in general,
please submit to the Chat Box.
We're not going to have
an audio feature coming
from our participants, but
we really encourage you
to submit your questions
and we'll try to get
to as many of them as possible.
We have about 20 minutes.
The webinar ends at 3 O'clock
and if you could indicate
in the Chat Box when you
actually ask your question,
just the speaker that
you're particularly interest
in responding, that
would help a lot.
And because we do have quite
a few people on the line,
it's inevitable that there will
be similar questions I imagine
coming in, so as a
pose the question
to our panelists I'll try to
ask the representative questions
that will probably
represent, you know,
many similar ones
that are coming in.
And, again, we have about,
you know, 15-20 minutes left.
We will try to get to as
many questions as possible,
but in the event that we
don't get to all of them,
our panelists have
graciously said that they will,
we will forward your questions.
The ones that are submitted
only during this webinar
and if we can't get to
them during the question
and answer period, we will
definitely follow-up with you.
So, questions are
coming in and, yes,
I will say that webinar is
being recorded and for those
who did register we
have your information
and we will make the
webinar available.
So, you will actually be able to
see and review the slides later
if you did register with us,
we will be follow-up shortly.
Also, on the Community
Guide's website which is the,
www.thecommunityguide.org.
They will also have a copy
of the webinar available
for you in the near future.
Alright, so with one of
our first questions; yeah,
so there's been a
lot of interest
in the Greed Dot initiative
and people basically want
to know they said that you can
actually mentor other interested
parties nationwide.
So, Maysville what
would you say to that?
>> This is Christy.
I think that our community
committee would be very excited
to have a conversation
with other communities.
I know that we recently
spoke at a panel
and Melissa got probably
12 phone calls after that,
so I absolutely think that would
be something; we meet monthly
as a committee and it
could even be something
where we could gather
at our committee meeting
and do some Skyping
and a [inaudible],
so absolutely that's possible.
>> Okay, thank you.
So, there's a question basically
for any of our panelists
and the participant worked
for the Minor Youth Shelter
for homeless and at-risk youth
and they'd like to know any kind
of trainings or strategies that
they can offer to the staff,
let's see, that would
allow the whole program
to be better equipped to
respond to IPV and SV,
specifically they're interested
in trainings for people
who actually work in service
providers and direct service.
Anyone want to comment on that?
>> This is Cierra from Indiana.
Yeah, I absolutely
want to address that.
I think that actually the
activity that I presented
on is one that intervention
and prevention places can use
to address the conditions
in their environment.
So, the innovators of the
game, the backbone; I'm sorry,
the innovators of the activity,
the backbone organization
is the Monroe County Youth
Services Bureau.
So, it is an intervention-based
programs,
and what they did was they,
they can use this conversation
starter about safe, stable,
and nurturing relationships and
environments with the people
who are at the shelter
with the young people
who identify the gaps
essentially, like what,
through the process it lists up
what kids need and then you take
from primary data sources local
data about what is really going
on and you can compare what
the youth say that they need
to what is available
in the community
or in the organization.
And so, it really does
help create the conditions
for healthy and respectful
relationships for everybody.
And so, we actually, I would
suggest maybe that they go
to the ICABVINC.org website.
That's the ICABV website.
If you click-on "resources",
you can download our
prevention toy box
and in the toy box it has
all kinds of activities
that you can engage young
people in or anybody
in to prevent violence.
>> Thank you for that Indiana.
I just want to remind
all of the participants
that this webinar
will be recorded
and it will be made available
on the Community Guide website,
and also to those who
registered, we will follow-up
with the webinar so that you
can use that as a resource.
So, speaking of the Community
Guide, there's some questions
that want some clarficiation
about what you presented.
Dr. Finnie they wanted to know
where you can find
more information
about the specific programs that
were evaluated in the main part
of the review, and then
related to that, well;
can you respond to that?
>> Sure. So, if you
go to our website
and then specifically the link
for our review, we'll have a,
there's a tab where you can
look at our evidence tables
which list the specific studies
that were included
in the review.
This review we started in 2016
and so the end date was 2016
and we only included
evidence from interventions
that had been published.
So, but all of those studies
are in, there's a list of them,
a list of references and
also our evidence tables
so you can look at
those specific studies
and the information
in those studies.
>> Dr. Finnie there's a,
there's something related;
there's a follow-up to that.
The participant wants to know
if in your systematic review
you considered evaluations
that were not done in the
United States, and specifically,
they were interested if you
had done any evaluations in low
and middle income countries.
>> So, for the Community
Guide our focus is
on population level
interventions
that are relevant
to the U.S. context.
So, we only looked at
studies or interventions
that were conducted in the U.S.
or another similar high-income
countries, so we didn't look
at low or middle income
countries specifically.
I know that there are
other systematic reviews
that we have referenced that
look at those, that include all
of countries and, but
no this review did not.
>> Okay. Thank you Dr. Finnie.
So, for the participants
on the line,
we with the panelists today,
they really featured programs
and resources that really
provided the best evidence
around prevention
and intervention
for intimate partner
violence and sexual violence.
And a participant wanted
to know, for Green Dot
in particular, I just
wanted to clarify
that is a nationally recognized
violence preventive program
that is evidence-based.
I think you shared that
in your presentation,
but you just may want to
comment on that more Green Dot.
>> Yeah, absolutely.
It is a, if folks want to find
more information about how
to get Green Dot
certified, because you have
to be a certified instructor to
actually train around Green Dot,
you can go to alteristic.org,
so it's a-l-t-e-r-i-s-t-i-c.org
to learn more about how
to get Green Dot certified
and the other two big,
one in the Journal
of Preventative Medicine
that were a part
of the 5-year CDC research
study and several others
that have been research-based
and published.
So, but you could go
to alteristic.org
to check that out.
>> Christy and Melissa, have
you planned any activities
for program sustainability;
there are quite a few questions
coming in that wanted to know
about how you're going to really
sustain that effort over time.
>> One of the, one
of the biggest things
that we're getting
ready to do is work
to bring a community
institute to get folks
in our community more folks.
We've got, we've got additional
people, but more folks certified
to be Green Dot instructors,
as well as, one of the things
that we do is offer an all-day
bystander training once a month
and open training, and again, we
have all the resources and tools
that capture all the
folks that we're training
and who we're missing.
We're also working with
our local businesses
to get it incorporated in
the HR pieces, as well as,
getting Green Dot certified
instructors in our high schools.
So, it's quite comprehensive,
but there's lots going
into the sustainability so we
can make sure, so we can move
on to another community and
have a really good solid
infrastructure and the
don't lose this momentum
or lose this program.
>> How long does it take to,
you may have said this before
and we may have missed it,
but how long does it take
for someone to become
certified or trained?
>> Yeah.
>> What's the length of time?
>> I believe that Alteristic's
trainings are 4 days
certifications, but then you've
got quite a bit of curriculum
to learn and make
sure that you master.
So, that can of depends
with the;
that actual certification
is, I believe is 4 days long.
But again, they should be
able to find that information
out on Alteristic's website.
>> Thank you for that.
We have actually international
participants on the line,
so we actually have
an international,
a call from an international
participant who wanted to know
if there can actually be
mentoring that outside
of the United States
with specific countries.
This actually came from Africa.
>> Mentoring, yes.
I think with certification
we wouldn't be able to,
that's through Alteristic.
We don't, but mentoring
on how we particularly
did it, absolutely.
>> Okay, thank you.
So, this is a question I'll
open it up the Division
of Violence Prevention at CDC
and a participant wanted them
to clarify what would be
constituted as evidence.
>> So, in our technical
packages you can find this
in the introduction
or our technical packages what
we considered evidence-based
or evidence meeting at
least one of these criteria.
One is either meta-analysis or
systematic review showing impact
on either sexual violence,
victimization, or perpetration
and the same would
apply for teen dating
or intimate partner violence,
victimization or perpetration.
Two, evidence from at least
one rigorous evaluation study
that found significant
preventive effects
on perpetration or
victimization.
What we mean there by rigorous
is either a
randomized controlled
trial in RTC
or a quasi-experimental design.
Three, a meta-analyses or
systematic review showing impact
on risk factors for sexual
violence, victimization,
or perpetration, and four,
evidence from at least
one rigorous either an RTC
or quasi-experimental
design evaluation study
that found significant
impacts on risk factors
for sexual violence,
perpetration
or intimate partner
perpetration, or victimization.
>> Thank you.
There a few participants
had some similar questions
or concerns with respect
to the opioid epidemic
which we know is a national
issue and whether or not,
you know, you're finding with
your programs, interventions
or the evidence that
there's some difficulties
in violence prevention
and perpetrator intervention
particularly in light
of the opioid epidemic.
Anyone want to respond to that?
>> This is Kathleen from CDC.
It's not specifically in our
technical package summaries,
but we have been with some
preliminary findings showing an
association between
victimization,
and even perpetration,
and prescription drug use,
and inappropriate use
of prescription drugs.
So far that's, there's not
a whole lot of datasets
that allow us to look
at those associations,
but in a couple using
YRBS and another dataset
from Illinois we were
able to show associations
between prescription drug use.
So, there's more that we need
to learn about how opioid use
or other prescription drug use
and other drug use is associated
with intimate partner
and sexual violence,
but we do have some
preliminary evidence
that it may be associated.
>> Okay, thank you.
There was a question
particularly directed
to the Maysville panel and
with the Green Dot initiative,
of any strategies for
preventing sexual violence
that were particularly useful
with the transgender community
and your experience with that
community and particularly,
in addition to sexual
violence, some other hate crimes
that may effect that community
in addition to sexual violence
and how that is addressed
or handled.
>> I think that Green
Dot is really applicable
to other social change
movements.
Maybe not, again,
calling it Green Dot,
but certainly we've been
given, giving lots of examples
of different things and
students will come up with
that on their own when
they are like, okay,
what's a high-risk situation
that they're likely
to deal with.
Folks will bring up that
example and we'll talk
about Green Dot folks can do
when they're dealing with that.
We've not necessarily had
a lot of issues coming
up Maysville around that.
Can you think of anything more?
>> No, I can't.
>> But I do think that
the way that we're able
to shape the conversation
and ask
about what's real and what's
real and what's happening,
we're really able, you know,
to deal with those kind of,
to deal with really tough
things when they come up.
Hello.
Okay, and so this is.
>> This Ramona from
[multiple speakers].
>> So, this is a response to.
Dr. Finnie wants to
add something to that
about the transgender
population in particular.
>> I was just going to
add that for our review,
we did not see any;
we didn't have studies
that included transgender.
There was one study that
had specifically omitted,
so that's an evidence gap for
more research in the field
to understand with --
like how perpetration
and victimization,
[inaudible] in that community.
>> Thank you.
I think what came out with
the description of many
of the programs is the
importance of partnerships.
So, a few of the
participants wanted to know more
and I guess this could be
directed to Indiana first,
you know, just some tips
and strategies about working
with partners and,
in particular,
politicians like local
[inaudible] and the type
and just strategies in terms
of working with that community
to get them more engaged around
intervening and sexual violence
and intimate partner violence.
>> Whoops.
I had myself on mute.
>> That's alright.
>> Can you hear me now?
Okay. Right, okay so advice
on how to engage people.
What I've noted in taking this
data to influential adults is
that it's very persuasive.
When we tell them how we got
the suggestions that we got
from youth who needed to
feel safe, stale and nurtured
and so it ends up being very
persuasive to policymakers
and people who can make change
and I would say in terms
of advice on how to help
communities build partnerships
is to look at the ways
that we are building our
prevention strategies.
I think that I would suggest
that people try to take a look
at our E4 framework, because
we are really asking about,
with the effectiveness, when
we ask "Is it effective?"
We're asking what evidence
makes us believe this strategy
will work.
Is it ethical?
Does this strategy place
the burden of responsibility
on the shoulders of
those with the power
and responsibility
to make change?
Is it efficient?
Does the strategy have potential
to impact broad populations
on multiple social problems
and is it equitable?
Does the strategy center the
voices and needs and interests
and strengths of traditionally
marginalized populations
and if we start there
with that decision tree,
we can take the ideas that
come from crowdsourcing data
about what the needs
are in your community
and really pick something
that's going
to have the greatest
impact on the most people.
>> Okay, thank you so
much for that Indiana.
Quite a few people
definitely want to follow-up
after this webinar and
they're really interested
in diving into the evidence.
So, I mean just to reiterate,
that many of the resources
that were presented,
the technical packages
for to stop sexual violence
and intimate partner violence,
they are available on the web.
You can just Google, they're on
the CDC website so you can get
to that pretty easily,
and in terms
of the Community Guide
Systematic Review, again,
going to the communityguide.org
you can find all of the details
about the systematic review.
A paper is going to be
coming out at some point.
>> A paper will be coming
out and also if you go
on our website, we have a link
to what we call our
Task Force Finding
and Recommendation Statement
and they'll have more
information about, again,
about our body of evidence
and our, and our methodology
for this specific review.
>> Thank you.
One participant already started
to search for some resources
and they wanted to make
us aware, I don't know
if this a universal issues,
but the Indiana's Tool Box,
the ICAVD resources, is that
page up and currently available?
A participant said they
had difficulty accessing
that on the web.
>> I keep muting myself.
I just went, to
the front page and you click
on "resources" and scroll down
until you see a little box
that says "Prevention Toy Box."
I saw that note in the
Chat and I just clicked
on the prevention toy box and
it did download the whole thing.
So, I'm wondering if I,
they are reaching a page
that I am not, I
don't know about.
So, just go to the
Homepage, click-on "resources"
and then scroll down and
you will see a little box
that says "Prevention Toy Box."
Hopefully that works for people.
If not, email me.
I will totally send you one.
>> Okay, well I'm so
pleased to see that all
of you are interested in getting
into the resources
more in-depth.
We heard about many different
strategies and approaches
from the actual local
examples, as well as,
the technical packages and we
heard about some strategies
that would deemed
to be effective
from the Community Guide Review.
But this is a good
question for Dr. Basile.
In the different packages what
is the, is there any similarity
between the sexual
violence packages
or intimate partner
violence in terms of studies
and the approaches were
there; was there similarity?
>> Absolutely.
There similarity.
If you look and I tried to
point that out a little bit
on the slides when
I went through them.
If you look there is
plenty of places of overlap,
because we know that
sexual violence
and teen dating violence
or intimate partner
violence often co-occur
and they share many risk
factors, unprotected factors,
so as you would expect,
strategies
and approaches are similar.
They are some differences
but I'll point
out some of the similarities.
Teaching faith and healthy
relationship skills;
you'll find that in both
strategies and the SC
in both technical packages,
in the SC technical
package you'll find it under
"teach skills to
prevent sexual violence."
And in the IPV since it's really
central relationships are really
essential to IPV, you'll find it
as its own strategy in the IPV,
including approaches
that re similar
across the two technical
packages, for example,
socioemotional learning.
You also see creating
protective environments
in both technical packages
and that's really going
to the outer level not focusing
on individuals or relationships,
but really focusing on
the physical environment
where sexual violence and
intimate partner violence occur.
So, that's another similarity.
You'll see similarities around
economic supports for families,
for women and children.
You'll see both technical
packages have a few approaches
around that.
You also see even though
they're named differently,
engaging influential
adults and peers is similar
through the social
norm strategy.
So, yes they're very,
many similarities
and a few differences,
so be it will be good
for you take a look at them.
>> Okay, well thank you.
Well, we have come to the
closing of our webinar.
Thank you so much
for the hundreds
of participants who
have joined us.
Thanks again for the panelists.
I think we've had a very
engaging session and I just want
to reiterate again, that the
webinar will be available
on the Community Guide
website soon, and for those
who did register
for the webinar,
we will make the
resource available to you
and if you can follow-up
you can definitely get
to the detailed resources
that you heard about today.
So, again, thank you.
We thank the Office of
Women's Health with the Health
and Human Services for
hosting this webinar.
We hope that you've learned
a lot and thank you so much.
Bye-bye.
>> This concludes
today's conference,
participants may now disconnect.
