We will begin at 11:00am (PT) / 2:00pm (ET).

A recording will be available after the webinar.

Your line will be muted to cut down on background interference so please use the chat

box to share your name, your organization, your location and any questions you have for

our featured speakers.

Welcome to the Webinar

Presenters:

• Heather Baeckel, MSW, Supervisor, Insights Teen Parent Services

• Rebecca Levenson, MA, Consultant, Futures Without Violence

• Erin Fairchild, MSW, Defending Childhood Initiative Coordinator, Multnomah County

Facilitator:

Jennifer Rose, Consultant, Futures Without Violence

Expanding Healthy Moms/Happy Babies: Spotlight on Our New

Young Mothers Safety Card

April 8th, 2016

2

Federal Coordination

• 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

3

4

Goals of the Defending Childhood Initiative

• 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 $30 M Invested From FY2010 – FY2012

• 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

5

How to use this technology

• You can choose to connect via computer OR via telephone.

• Should you choose computer, please mute your computer microphone

to avoid feedback.

• 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#

OR

• 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 parenting education for young moms who are in foster care themselves or whose children are in foster care, or both.

2. Homesafe: provides housing assistance and intensive case management for young moms experiencing homelessness.

Who participated:

• 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 ViolenceProgramming and PracticeSecond Edition

Linda Chamberlain, MPH, PhD and Rebecca Levenson, MA

Learning Objectives

13

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

14

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

(Eddy et al., 2008)

15

• Starting and ending conversations about difficult or 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)

16

True Domestic Violence Screening Stories

17

• “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?

19

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

Please type answers into the chat box.

(Davidov et al, 2012)

20

“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 or not childhood exposure (no directphysical abuse or neglect to child) to domestic violence is reportable, clearly it is an issue either way for moms and maybe even for you.

21

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

22

Drum Roll Please

23

25

Poll question:

Which relationships

is this card panel

addressing ?

Please type into the chat

box.

27

POLL QUESTION

Why did we develop

this panel?

Please type answers into the

chat box.

• “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” (Jordan, 2006).

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

38

• 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

39

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

“ “

40

(Health e-bulletin summer, 2014)

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

41

• (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)

42

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

44

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”!

45

• 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

46

“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

out of. I carry it with me actually, I carry it

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

ClientInterview

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

48

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 FreeTraining and Technical Assistance

www.promisingfutureswithoutviolence.org

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.

www.defendingchildhood.org

Thank you

51

Please complete the Post-Training Survey

52

Please take a moment to take a short survey regarding today’s webinar and future webinars.

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

Expanding Healthy Moms/Happy Babies: Spotlight on

Our New Young Mothers Safety Card

April 8th, 2016

This project was supported by Grant No. 2011-MU-MU-K011 awarded by the

Office of Juvenile Justice and Delinquency Prevention, Office of Justice

Programs, U.S. Department of Justice. Points of view in this document are

those of the authors and do not necessarily reflect the official positions or

policies of the U.S. Department of Justice.