Morning (8:30am – 12:00pm)
- Substance Use, Substance Use Coercion, and Gender-Based Violence: Critical Issues, Practical Strategies
Research has consistently documented that abuse by an intimate partner increases a person’s risk for developing a range of health and mental health conditions including depression, PTSD, suicidality, chronic pain and substance use. Research has also documented high rates of DV/SV among people seen in substance use disorder treatment settings, including methadone treatment programs, as well as high rates of substance use among people seeking DSV services, underscoring the need for more integrated approaches to substance use and DSV. Less well recognized, however, are the ways that people who abuse their partners engage in coercive tactics targeted toward their partner’s mental health or substance use as part of a broader pattern of abuse and control – tactics referred to as mental health and substance use coercion. While DV survivors may use alcohol or other drugs to cope with emotional trauma or chronic pain, they may also be coerced into using by an abusive partner who then controls their supply and uses their substance use to further their control. This Institute will provide a forum for examining the complex intersections between substance use, substance use coercion, trauma and DSV from a research, policy and practice perspective and for discussing responses that are applicable across a range of health, behavioral health and DSV systems and settings. It will also highlight critical issues and innovative strategies for addressing these intersecting concerns in rural, urban and American Indian/Alaska Native communities. Participants will leave with a deeper understanding of the issues that arise at these intersections and strategies for responding in culturally responsive and trauma-informed ways.
Faculty: National Center on Domestic Violence, Trauma, and Mental Health
- New Horizons in Medical Education: Developing Competence and Exploring Teaching Models in Trauma-Informed Care
Medical education has begun to embrace the concept of trauma-informed care yet there are no universal standards for competence and curriculum in teaching students about caring for adult patients who have experienced trauma. The Trauma-Informed Healthcare Education and Research (TIHCER) collaborative (an affiliate of the Academy on Violence and Abuse) will describe our preliminary work on development of competencies in trauma-informed care for medical education. Attendees will learn about several current training models and then participate in demonstrations of these models.
- Describe the current status of developing a competency model in TIC medical education, with a focus on caring for adult patients who have experienced trauma.
- Explore different types of TIC training models.
- Identify 2 or 3 advantages and disadvantages of the training models.
- Contrast 2 or 3 approaches or skill sets that can be adapted to your specific settings.
Faculty: Martina Jelley, MD, MSPH, University of Oklahoma School of Community Medicine; Brigid McCaw, MD, MPH, MS, Retired Medical Director, Northern California Family Violence Prevention Program at Kaiser Permanente; Frances Wen, PhD, University of Oklahoma School of Community Medicine; Ellen Goldstein, MFT, PhD, University of Wisconsin-Madison School of Medicine and Public Health; Arabella Perez, LCSW, University of New England; Megan Gerber, MD, MPH, Boston University School of Medicine; Amy Weil, MD, University of North Carolina School of Medicine: Sadie Ellisseou, MD, Harvard School of Medicine; Sheela Raja, PhD, University of Illinois-Chicago; Leigh Kimberg, MD University of California, San Francisco School of Medicine; Audrey Stillerman, MD University of Illinois-Chicago; Pat Rush, MD, Co-Founder, THEN; Beth Pletcher, MD, Rutgers New Jersey Medical School.
- Providing a Trauma-Informed Continuum of Care to Those Impacted by Intimate Partner Violence seeking care in Veterans Health Administration systems
The Veterans Health Administration (VHA), the largest integrated health care system in the United States, offers intimate partner violence assistance and prevention services through the Intimate Partner Violence Assistance Program (IPVAP). The IPVAP has developed a comprehensive and integrated array of person-centered, recovery-oriented assistance program for Veterans, their families and Caregivers and VHA employees who use or experience intimate partner violence. The structure of the proposed workshop is to provide education on key foundational elements of the IPVAP followed by interactive activities that span three initial action phases of program implementation (i.e., raising awareness, building community partnerships, services for Veterans who experience violence). Specific attention will be paid to discussing the screening, assessment, and intervention models including trauma informed safety planning. The Danger Assessment will also be discussed by creator, Jackie Campbell, PhD, RN.
- Identify strategies utilized by the VHA IPV Assistance Program to implement trauma informed care across the organization and be able to apply those strategies in their own settings.
- Articulate specific steps to screening for IPV that are consistent with a trauma-informed approach.
- Look at their own approach to assessment and safety planning for opportunities to be flexible and patient-centered.
Faculty: LeAnn E. Bruce, PhD, Department of Veteran Affairs; Kelly E. Buckholdt, PhD; Jacquelyn Campbell, PhD
- Understanding and addressing the sexual abuse to maternal mortality pipeline
This Preconference examines the Sexual Abuse to Maternal Mortality Pipeline and its markers from: sexual abuse, to unaddressed trauma, to superimposed social/structural stressors like racism and sexism, retraumatization with OBGYN experiences, distrust and avoidance of health care professionals, obstetric violence and maternal mortality. The workshop will lay out recommendations for research; expose the ways we neglect the sexual trauma histories of who receive OB/GYN services and/or are at risk for pregnancy complications and maternal morbidity; as well as offer solutions.
- Understand the pipeline connecting gender violence to maternal mortality,
- Develop strategies to unite the reproductive justice and gender violence fields,
- Identify ways to address sexual assault and maternal health from understanding the pipeline.
Faculty: Sevonna Brown Associate Executive Director, Black Women’s Blueprint; Farah Tanis, Executive Director, Black Women’s Blueprint; Nyasa Hendrix, Training and Community Relations Manager, Black Women’s Blueprint
- Supporting American Indian/Alaska Native Patients and Clients
This pre-conference institute will provide an interactive learning opportunity aimed to improve the understanding of practitioners of the American Indian/Alaska Native experience in accessing health care and other related services. The target audience is practitioners practicing in rural areas near Tribal lands and/or practitioners practicing in urban areas with large populations of American Indian/Alaska Natives.
- Apply analysis of historical context including: Colonization and resulting historical trauma; Distrust of systems (government, medical, etc) and its impact on access to health and supportive services; Impact on health outcomes and inequities
- Understand Domestic Violence, Sexual Violence, trafficking, and the MMIW crisis in Indian Country
- Gain skills for implementing best practices for Trauma Informed Care with AI/AN
- Access specific tools and resources crucial to supporting AI/AN survivors: SOAR Indian Health Service Tool; StrongHearts Native Helpline; Other Native led organization Toolkits
Faculty: National Indigenous Women’s Resource Center and Indian Health Service
- Beyond Punishment: Exploring frameworks for justice and healing outside of the prison system for health workers and DSV advocates
Through a popular education style workshop, participants will learn about restorative justice, transformative justice, and community accountability as frameworks/methods used by communities to address the harm done by interpersonal violence. Though dialogue and an exploration of work done across the country, participants will understand the potential for these frameworks to generate healthier communities. This Pre-Conference Institute is for advocates, community leaders, public health professionals, health care workers, and more. Participants will acquire information about how all practitioners can support frameworks for healing and justice that do not rely on the criminal legal system.
Faculty: rachel caidor, Love + Protect and Deana Lewis, Just Practice Collective
- Community Health Centers: Building partnerships and capacity to support survivors of DV/SA and human trafficking
Community health centers provide essential health services to millions of people across the U.S. reaching 1 out of 12 Americans including half of those living with HIV. Health centers have been partnering with DV/SA organizations to implement health interventions with promising results for patients navigating health challenges resulting from DV/SA/HT. In this pre-conference institute, participants will hear from leaders from state domestic violence coalitions, primary care associations, and departments of public health who have partnered together to build the capacity of community health centers and DV advocacy programs to address IPV and human trafficking. Sharing lessons learned from FUTURES’ Project Catalyst, a multi-year, multi-state project funded by the U.S. DHHS partners, including ACF’s Family and Youth Services Bureau, the HRSA Bureau of Primary Health Care and HRSA’s Office of Women’s Health, this institute will offer strategies for policy change, training, partnership building, peer exchange and more. Participants are encouraged to attend with potential and existing local and statewide partners. Time will be allocated for small group work, breakout topics, planning and strategy.
- Create the building blocks for promoting crucial state/territory-level policy and systems changes to address DV/SA and human trafficking in health settings,
- Acquire resources for training community health centers on addressing DV/SA and human trafficking,
- Develop strategies for starting and sustaining partnerships between community health centers and survivor support organizations,
- Foster opportunities for working with HRSA Ryan White Programs to support survivors who are living with HIV and people who are living with HIV and are at risk of experiencing violence and discrimination.
Co-Sponsors: Health Care Resources and Services Administration (HRSA) and Family Violence Prevention and Services Agency, US Department of Health and Human Services.
- Radical Shifts Required: Rethinking Health Care Systems In Order to Prevent Burnout, Create Healing, Equity, and Wholeness for Staff
Health systems are among the largest employers in the US and have a responsibility to implement trauma-informed practices, not only with their patients but also with their employees – and to promote community-level prevention and response to violence. Health care decision makers are learning that there are strategies that work not just to improve health and safety for patients but those that also center equity as part of a culture that promotes healing, and builds community resilience for staff. How do we create workplaces free from domestic violence, sexual harassment, violence, stalking, and racism, and address the specific vulnerability of low wage workers? What are the best practices for preventing workforce burnout and promoting healing? How do we ensure the radical and necessary focus on equity-centered systems of care? We look forward to an interactive session where voice, choice, equity, safety, healing, and opportunities for growth and accountability are considered–with an eye toward radical system change.
- Identify how employers can create workplaces that support employees through vicarious trauma and burnout issues, to promote wholeness and a healing environment
- Describe peer support approaches that promote employee self-care
- Describe why the health sector should take on economic justice issues, racism and the connection between low-wages and poor health to promote violence prevention.
Faculty: Sheerine Alemzadeh – Co-Founder and Co-Director, Healing to Action; Leslie Hott – Human Resources Director, University of Maryland St. Joseph Medical Center; Rebecca Levenson, Consultant to Futures Without Violence
- *Quality Improvement Center Grantee Meeting – CLOSED TO GRANTEES*
Afternoon (1:00pm – 4:30pm)
- Preventing Elder Abuse and Supporting Older Victims: What’s New with Universal Education and Screening Tools
One in ten community-residing older adults self-identify as victims of elder abuse. Health care providers, advocates, and other professionals can pay a key role in preventing and identifying elder abuse by engaging older adults in conversations and offering resources. Join this lively discussion with national leaders in the elder justice field as we discuss new and existing tools that are available to begin these crucial conversations. Together we’ll explore the benefits and challenges of universal education and screening tools when talking with older adults, with particular focus on how these tools can be utilized to ensure equitable outcomes for older victims from underserved communities.
- Define key issues to consider when working with older victims of abuse
- Describe existing and newly created tools to identify signs of elder abuse, neglect and exploitation.
- Identify the benefits and limitations of universal education and screening tools when talking to older adults from diverse backgrounds.
- Describe cultural and other considerations when assessing and responding to elder abuse, as well as the need to balance autonomy with safety.
Faculty: Bonnie Brandl, Director – National Clearinghouse on Abuse in Later Life; Chic Dabby, Executive Director – Asian Pacific Institute on Gender Based Violence; Debbie Lee, Senior Vice President – Futures Without Violence
- Promoting Wellness and Prevention: Health Advocacy in Domestic and Sexual Violence Programs
Domestic and Sexual Violence Programs and State Coalitions are increasingly engaging in innovative health advocacy strategies to promote healing and wellness for clients as well as safety. Learn from these advocates about strategies ranging from addressing traumatic brain injury, HIV, substance use and unplanned pregnancy to working with home visitors and doulas, partnering with primary care to connect clients and their children to medical homes for preventive health services. Innovative strategies to address IPV as a leading social determinant of health will be shared including creative financing and partnerships with Medicaid and major health systems to ensure continuity of care for survivors as well as other critical health policy considerations for those DSV programs engaging in health advocacy.
- Describe the health consequences of abuse and the crucial role advocates are increasingly playing to improve health, wellness and recovery.
- Name financing strategies to support sustainable health advocacy programs
- Apply at least three types of health advocacy and partnership building strategies at home (i.e. adolescent or reproductive health advocacy, perinatal and parenting strategies, primary care responses).
- Working Against White Supremacy in Anti-Violence Movements
This workshop will examine the ways in which white supremacy shows up in anti-violence movements. We will look at the way in which white supremacy was constructed, it’s foundations, and how it persists today even in the work of anti-violence. Participants will get hands on time to engage with each other and learn from the collective knowledge of the room. Activities will be participatory, and will have individual and group reflection and dialogue components. The workshop will introduce strategies to have anti-oppression frameworks, and tools with which to intervene and break patterns of white supremacy interpersonally and structurally, as it shows up in participants’ work as well as larger systems. This workshop will deal with themes of racial violence, as well as violence towards other identities. Faculty will make a point of announcing before moving forward if any content could potentially be triggering. People with White privilege are encouraged to attend, all are welcome.
- Develop an understanding of how white supremacy shows up in the work around anti-violence movements, including domestic and sexual violence
- Develop strategies on ways white folks can show up in movement spaces, understand their positionality/privilege and ways to demonstrate allyship
- Recognize patterns of harm that result from racism within anti-violence spaces and tools to intervene and interrupt those patterns of harm
- Co-create a common understanding of building towards justice and harm repair through solidarity frameworks
Faculty: Shruti Bakre, Chicago Freedom School
- People of Color in the Movement: Appreciating our power and advancing our leadership
Description: In this Pre-Conference Institute, participants will have the opportunity to have essential discussions addressing their lived realities at the intersections of identities as well as the structural factors that hold them back from advancement in the movement. This gathering will serve as a movement building space, to both strengthen participants’ analysis and offer healing through the camaraderie, as well as a strategy building space. Participants will leave embraced by the community that was built, to be able to carry that with them through the rest of the conference and beyond, and also to have devised plans for advancing their own leadership and lifting up other leaders of color in their communities. **This workshop is organized by and for people of color across gender identities and expressions**
Note: If this is the only Pre-Conference Institute that you wish to attend and registering presents a financial hardship, please email Graciela Olguin, email@example.com before completing your registration.
- Discuss how institutionalized racism affects them personally and professionally;
- Consider the influence and power they DO have to affect change; and
- Develop action plans for advancing POC leadership in their organizations and communities.
Faculty: Farah Tanis, Black Women’s Blueprint; Nadiah Mohajir, HEART Women and Girls
- Mirror Memoirs Institute: Survivors of Child Sexual Abuse Ending Rape Culture
Mirror Memoirs is a national project transforming the stories of LGBTQI+ Black and Indigenous people and other people of color (BIPOC) who survived child sexual abuse into tools for political education and cultural change, in service of ending rape culture. Our programs center the healing and leadership of queer, trans, non-binary and/or intersex BIPOC child sexual abuse survivors, while building bridges with white, heterosexual and/or cisgender survivors, and with our allies at large. We know the work to end child sexual abuse is intergenerational and intersectional, and that it begins with our own healing and wellness. This day-long institute is open to people of ANY race, ethnicity, gender identity or sexual orientation who survived sexual violence before the age of 18, and will include caucuses for white survivors and BIPOC survivors to convene separately and together to: become more embodied and connected, grapple with the enormity of rape culture and its connection to other forms of oppression, and strategize about ways we can end this violence. If you are not attending the full day of Pre-Conference Institutes and wish to participate in this session, but the registration fee is a financial hardship, please contact Kate Vander Tuig at firstname.lastname@example.org
Faculty: Amita Swadhin, Mirror Memoirs; Jaden Fields, Mirror Memoirs; Alisa Zipursky, Healing Honestly
- Promoting IPV Prevention and Early intervention: Lessons from the Federal Home Visitation Improvement and Innovation Collaborative
Significant progress is being made in the first ever Home Visiting Collaborative Improvement and Innovation Network (HV CoIIN) to support Maternal, Infant, and Early Childhood Home Visiting awardees promote multi generation strategies to address and prevent intimate partner violence (IPV). Through a combination of didactic presentation, the careful curation of examples and the use of adult learning principles, the audience will learn about federal strategies and investments to end IPV. Case studies will be presented from the HV CoIIN including the ongoing efforts across the country to apply improvement science to dramatically transform the systems supporting families experiencing IPV. Topics addressed will include federal strategies and investments to end violence, universal education on healthy relationships and safer planning with survivors as well as strategies to improve community partnership and linkage to services to support survivors’ self-identified needs. Through video and storytelling, participants will learn first-hand from participating home visitors and their partnering domestic violence agencies about their experiences in transforming systems to support survivors and their families.
- Demonstrate increase knowledge of HRSA’s commitment to end violence.
- Identify practices to strengthen partnerships between domestic violence advocates and home visitors to support survivors self-identified needs.
- Understand the opportunity to address Intimate Partner Violence (IPV) within home visiting.
- Identify key interventions tested through continuous quality improvement (CQI) methods to advance universal education on healthy relationships.
Faculty: Sabrina A. Matoff-Stepp, PhD, Director, Office of Women’s Health, Health Resources and Services Administration, U.S. Department of Health and Human Services; Zhandra Levesque, Co-Director, Education Development Center, Inc.; Elisa Waidelich, Manager of Quality Improvement, Thrive Washington; Monique Fountain-Hanna, MD, Senior Regional Medical Consultant, US Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau
Co- Sponsors: Health Resources & Services Administration & Education Development Center’s HV CoIIN 2.0
- Innovations in the Adult & Child Survivor-Centered Approach to Addressing Domestic Violence in Child Welfare Involved Families
The Quality Improvement Center on Domestic Violence in Child Welfare is testing a collaborative Adult & Child Survivor-Centered Approach (Approach) to improve outcomes for families. Child welfare agencies, domestic violence programs for survivors and for those using violence, dependency courts, early childhood programs and other community partners are working together at project sites in Massachusetts, Illinois and Pennsylvania to align practice, policy and programming around six principles and two practice frameworks.
Built upon best practices developed over the past 30 years, the Approach introduces two specific innovations that can be used in diverse fields: the use of research-based Protective Factors for Survivors (Safer and More Stable Conditions; Social, Cultural and Spiritual Connections; Resilience and a Growth Mindset; Nurturing Parent-Child Interactions; and Social and Emotional Abilities), and a Relational and Systemic Accountability framework for working with the person using violence. Developers of this model will host a salon-style conversation engaging participants in interactive discussions about the application of the Approach, and discuss some of the implementation challenges along with preliminary lessons learned. Salons are designed to allow people to come together to increase their knowledge through the exchange of information and ideas. The purpose of this salon styled talk is to promote authentic dialogue, stimulate critical questions, and inspire actionable ideas.
A successful salon means participants will hear something they have never heard before, learn a new skill, and leave compelled to find out more. Participants in this salon will be able to:
- Envision expanded options for helping families who are experiencing domestic violence, particularly those involved in the child welfare system.
- Gain ideas about how to work with collaborators to strengthen protective factors in work with adult and child survivors that lessen the impact of DV, build individual strengths, promote healthy development, and establish conditions that support safety, healing and well-being.
- Describe and begin to use a collaborative framework for engaging with the person using violence and coercive control.
Faculty: Juan Carlos Areán, MM Program Director, Futures Without Violence; Tien Ung, PhD, Futures Without Violence
8. Intersecting Violences: Opportunities for promoting protective factors and reducing risk in hospital based violence intervention programs
Every year, U.S. hospitals treat more than 1.5 million victims of interpersonal violence for nonfatal gunshot wounds, stabbings, and other physical injuries. Hospitals have a tremendous opportunity to go beyond treating injuries from violence by supporting survivors and communities in accessing healing and connection. Across the country, hospitals are working with communities to develop programs and policy to support survivors and their families. This Pre-Conference Institute will share innovations in hospital based victim services and explore how efforts to reduce domestic and sexual violence can work with and learn from the work that has been done to reduce community level violence. This pre-conference institute is for hospital staff, anti-violence advocacy programs, violence interruption programs, VOCA administrators, and more!
- Understand opportunities and innovations in hospital based victim service and violence intervention programs to better support healing and connection for survivors, families, and communities.
- Explore shared risk and protective factors between intimate forms of violence (domestic/sexual violence), human trafficking, community violence, and system/state violence and shared solutions.
- Understand what it means to deconstruct victim/perpetrator binaries in health-based service provision.
- Identify partnership opportunities to begin, enhance, and sustain this work, including state VOCA administrators.
Faculty + Co-Sponsor: The HAVI (Health Alliance for Violence Intervention)