Domestic Violence and Health: Understanding Root Causes and Policy Options
October 18, 2023
1:00 pm-
2:30 pm
Virtual Event
Event Description
Domestic violence, also known as intimate partner violence (IPV), is a prevalent public health issue. 1 in 4 women and 1 in 10 men have experienced severe domestic violence, and research shows that domestic violence rates rose during the COVID-19 pandemic. Experiencing domestic violence can have a profound and lifelong impact on a person’s health and wellbeing. Evidence-based prevention programs, trauma-informed support services, and holistic approaches that address the intersection of domestic violence and the social drivers of health (SDOH) are critical to interrupting cycles of abuse and improving individual and community health.
This webinar, hosted during Domestic Violence Awareness Month, equipped policymakers with a foundational understanding of the root causes and contributing factors of domestic violence to better evaluate potential policy levers for systemic change. Panelists provided actionable information about the latest research, practices, and policies for preventing and addressing domestic violence at the federal level.
This virtual event was sponsored by Blue Shield of California Foundation.
Speakers
Juan Carlos Areán, PhD
Program Director, Futures Without Violence
Juan Carlos Areán, Ph.D. is an internationally recognized activist, public speaker, trainer and facilitator, and published author. Since 1991, he has worked to engage men across different cultures to become better fathers, intimate partners and allies to end domestic violence and achieve gender equity. He presently works as a Program Director at Futures Without Violence. Previously, he served as Director of the National Latin@ Network at Casa de Esperanza and as a Sexual Assault Prevention Specialist at Harvard University.
Dr. Areán was the lead developer of Futures Without Violence’s Fathering After Violence Initiative and Casa de Esperanza’s Campaign Te Invito. He is co-author of various articles, curricula and educational tools for men, including Working With Fathers in Batterer Intervention Programs (Oxford University Press) and Healing and Supporting Fathers: Principles, Practices, and Resources for Fatherhood Programs to Help Address and Prevent Domestic Violence (OPRE). He is a founding member of the United Nations Network of Men Leaders to combat violence against women created by former Secretary General Ban Ki-moon.
Dr. Areán has served as an expert in many media outlets, including the New York Times, The New Yorker, Time Magazine, CNN, MSNBC, NPR, the Huffington Post, Medium, CNN en Español, Univisión and Telemundo. He is an active trainer and facilitator, who has led hundreds of workshops and presentations throughout the United States, the Americas and the Caribbean, as well as in Europe, Asia, the US Congress, the White House, and the United Nations in New York and Geneva.
L.Y. Marlow, MBA
CEO and Founder, Saving Promise
L.Y. Marlow is the founder of Saving Promise—a national domestic violence prevention organization inspired by five generations of mothers and daughters in her family that suffered and survived more than seventy-five years of domestic violence, including her granddaughter, a little girl named Promise. She is also the Principal of the Harvard Learning Lab—an innovative domestic violence research and development initiative at the Harvard T.H. Chan School of Public Health; an award-winning author, and a sought-after advocate, lecturer and influencer for domestic violence prevention.
Brigid McCaw, MD, MPH, MS, FACP
Clinical Health Policy Consultant, UCLA-UCSF ACE's Aware Initiative
Brigid McCaw is a national healthcare leader in family violence prevention- providing clinician training, conducting research, and contributing to policy development with a focus on the healthcare response to family violence. She was Medical Director of the nationally recognized Kaiser Permanente Family Violence Prevention Program from 2001-2019. She led the implementation of a comprehensive approach for improving screening, identification, and services for intimate partner violence (IPV).
She has lectured extensively and published on the health effects of IPV. Her research and publications also include health effects of sexual assault, improving the health systems response to family violence, screening for adverse childhood experiences (ACES), and trauma and resiliency informed care.
She completed her MD, MS at UC Berkeley-San Francisco Joint Medical Program, MPH at UC Berkeley, and internal medicine residency at UC Davis. She is a Fellow of the American College of Physicians, past Chair of the National Health Collaborative on Violence and Abuse, and past member of the National Academy of Medicine’s Forum on Global Violence Prevention. Currently she is a member of the Defense Health Board and co-chair of the Subcommittee on Healthcare Delivery. She is a clinical advisor to the California ACES Aware Initiative.
Arlene Vassell
Founding Director, TooREL Institute for Social Change
Arlene Vassell (she/her/hers) is the Founding Director of TooReL Institute for Social Change. She is a sought-after speaker, trainer, facilitator and thought leader. She has dedicated her entire career to ending and preventing gender-based violence (GBV), disrupting systems and structures of inequalities and oppression, promoting leadership advancement of people of color, and developing equity centered, trauma-informed, culturally relevant programming.
For over 25 years, Arlene has worked alongside and on behalf of individuals whose lives have been impacted by domestic violence, sexual assault, stalking, homelessness, human trafficking, substance use, poverty, and other life altering situations. Most recently, she served as Vice President of Programs, Prevention and Social Change at the National Resource Center on Domestic Violence. She has provided thousands of hours of trainings and comprehensive capacity building support to individuals, government agencies, non-profit organizations, state level coalitions, and community-based organizations on topics related to implementing trauma informed, evidence-based, equity-centered policies and practices. Additionally, she developed and implemented dozens of programs and initiatives intended to accelerate organizational changes on all levels.
Arlene’s work and commitment to dismantling inequitable systems and supporting survivors of GBV have been highlighted in numerous publications and articles. She has served on numerous state-level national committees and workgroups and received many recognitions and awards for her unwavering advocacy work.
Arlene is a mother, a proud immigrant born in Jamaica, an entrepreneur, a self-published author, a joy seeker, and a hope dealer.
Lynn Rosenthal
Director of Sexual and Gender-Based Violence U.S. Department of Health and Human Services
Lynn Rosenthal is the HHS Director of Sexual and Gender-based Violence at the U.S. Department of Health and Human Services where she leads the Department’s work to implement the National Plan to End Gender-based Violence and related initiatives. In 2021, Lynn was appointed by Secretary Austin to chair then Independent Review Commission on Sexual Harassment and Assault in the U.S. Military. Lynn served for three years as President of the Center for Family Safety and Healing at Nationwide Children’s Hospital in Columbus Ohio, a multi-service organization providing child advocacy, maternal health care, and domestic violence services. From 2009 to 2015, Lynn was the first-ever White House Advisor on Violence Against Women and a senior advisor to then-Vice President Biden.
Presentation: Speaker Slides
Event Resources
Key Resources
Additional Resources
Experts
Expert List:
Juan Carlos Arean, Ph.D.
Program Director, Futures Without Violence
Jacquelyn Campbell, Ph.D., MSN, R.N.
Professor, Johns Hopkins School of Nursing
Arnold Chandler, M.S.
Founder and CEO, Forward Change Consulting
Debbie Chang
President and CEO, Blue Shield of California Foundation
Cailin Crockett, MPH
Director, Defense Personnel/Senior Advisor, Gender Policy Council, National Security Council
Shawndell Dawson
Director of the Office of Family Violence Prevention and Services (OFVPS), U.S. Department of Health and Human Services (HHS)
Linda DeGutis, DrPH, MSN
Lecturer, Yale School of Public Health
Micaela Deming, J.D.
Policy Director, DC Coalition Against Domestic Violence
Virginia Duplessis, MSW
Health Associate Director, Futures Without Violence
Rus Ervin Funk, MSW
Founder, Rus Funk Consulting
Betsy McAlister Groves, MSW
Founder/Advisor, Child Witness to Violence Project, Boston Medical Center
Rosie Hidalgo, J.D.
Director of Office on Violence Against Women, US Department of Justice
Lisa James
Vice President of Health, Futures Without Violence
L.Y. Marlow, MBA
Founder, Saving Promise
Brigid McCaw, M.D., M.S., MPH, FACP
Clinical and Health Policy Consultant, UCLA-UCSF’s ACE’s Aware Initiative
Lynn Rosenthal
Director of Sexual and Gender-Based Violence, U.S. Department of Health and Human Services (HHS)
Lan Pham, MSW, MPH
Executive Director, LA County Domestic Violence Council
Keshia Pollock-Porter, Ph.D.
Bloomberg Centennial Chair of Department of Health Policy and Management, Johns Hopkins School of Public Health
Megan Simmons, MPA, J.D.
Legal Compliance Expert and Corporate Consultant
Kiersten Stewart, M.A.
Vice President of Public Policy and Advocacy, Futures Without Violence
Tien Ung, Ph.D., MSW
Impact and Learning Program Director, Futures Without Violence
Roberta (“Rob”) Valente, Ph.D.
Interim Director of National Center on Gun Violence in Relationships, Battered Women’s Justice Project
Arlene Vassell
Founding Director, TooREL Institute for Social Change
Marianna J. Yang, J.D.
Lecturer on Law, Harvard Law School
Transcript
0:07
Hello, good afternoon, good morning, and good evening, as the case may be welcome. My name is Sarah Dash, and I am the president and CEO of the Alliance for Health Policy.
0:20
We are a non partisan, non-profit organization dedicated to helping policymakers and the public better understand health policy, the root of the nation’s healthcare issues, and the tradeoffs by various proposals for change. And we’re thrilled today to be presenting today’s webinar, Domestic Violence and Help: Understanding Root Causes and Policy Options.
0:40
We’re hosting this webinar and recognition of Domestic Violence Awareness Month during Domestic Violence Awareness. Awareness Month.
0:47
Victim advocates, allied professionals, survivors, their loved ones, and the surrounding community, come together to more than the lives lost to domestic violence, acknowledge the progress that has been made, to end this epidemic, and connect with others, working to create change.
1:04
This work is critically important, because, no matter what we call it domestic violence, intimate partner violence, gender based violence, as long lasting, far reaching and often devastating consequences for individuals, their families, and entire communities.
1:21
For those of us, fortunate enough to never have experienced this kind of violence to live in peace and freedom from it, these challenges can be hard to imagine, but it is so important for us to understand the root causes, the connection to health and health policy, and what we can do.
1:36
Now, for anyone listening or watching today, or watching the recording who has experienced or is anyway, feeling unsafe, or know, somebody who is help is available. And I want to point out the National Domestic Violence Hotline as one important source of support that is WWW dot the hotline dot org.
1:57
And you can also call 18799 safe. That’s 187997233. So, if we’re going to be dropping that in the chat, if anyone has any immediate needs or concerns, status, your support source now, this webinar is going to be primarily focused on prevention of domestic violence from a public health perspective. I’m so grateful to Debbie Chang, who’s here with me. And I’ll be introducing in a moment for leadership in this space. Let me do before that. Just a few quick logistical notes. You can follow the Alliance for Health Policy on LinkedIn.
2:33
Just stay informed about upcoming events like this one, as well as on Facebook and YouTube.
2:38
Today’s panel is going to have a Q&A section at the end, and we would encourage you all to be active participants.
2:45
So please feel free to drop a question in the chat. At any time.
2:50
There’s little speech bubble icon with a question mark on the right side of your web browser.
2:55
You should be able to drop a chat in there anytime, and through the webinar, you can chat about any technical issues you may be experiencing. And someone will do our best to help.
3:05
So with that, I want to just thank Debbie Chang, who is President and CEO of the Blue Shield of California Foundation for her leadership in this space, and for the generous support of the Blue Shield of California Foundation. Debbie has a remarkable biography in health and health policy. And you can read all about her online, but just tremendous years of experience in national, national, and state of global health policy and prevention. But I think, one of my favorite parts of WIOA we discovered we rediscovered recently is that we both started off sort of, as would be engineers that MIT. And except she was a real engineer and the chemical engineering department and found a passion for public health and health policy and have taken it from there. So Debbie, let me now thank you again. And turn it over to you for some opening remarks.
4:03
Well, thank you, Sarah. And thank you to your entire team at the Alliance for Health Policy. I also want to spend a moment just recognizing your tremendous leadership in the field of health policy.
4:14
So thank you.
4:15
So, hello, everyone, and thank you for being here today.
4:19
Today, you’re taking an important step to be aware of domestic violence, which touches so many lives.
4:25
Clearly, you’re concerned.
4:27
That said, you might be wondering, how does domestic violence directly relate to your work?
4:32
I’ll try to answer that.
4:34
In California alone, 58% of adults are affected by domestic violence either directly or through a close friend or relative.
4:42
That’s more than half of us on this call.
4:45
Survivors are parents, children, students, employees.
4:50
They’re tenants, homeowners’, homeless.
4:53
They’re immigrants. They’re in the military. And disproportionately There are people of color with low incomes.
5:00
Like, all of us, survivors use multiple systems throughout their lives: housing, health care, banking, the courts’ employment, social services.
5:11
Many of you work with survivors and their families in these sectors, whether you realize it or not.
5:19
Domestic violence is everywhere, but it’s also hubel and preventable. And we all have a role to play in ending it.
5:27
That domestic violence is more pervasive than we realize means that we, all of us here today, have more opportunity for impact as well.
5:36
At Blue Shield of California Foundation, we believe the way to prevent domestic violence is true address its root causes, racism, gender inequity, economic inequity.
5:47
I’m sure you care about these as well.
5:50
Are we going to overcome those today?
5:52
Maybe not, but our terrific panelists today are going to help us see across the many inter-connected systems where domestic violence comes into play, and where we can have an impact.
6:04
Take housing.
6:05
For example, when you talk to women experiencing homelessness, many of them will tell you that domestic drug violence drove him to it.
6:12
So, when we want to end domestic violence, we have to take into account domestic violence is a major cause of homelessness.
6:21
And if we want to prevent domestic violence, survivors need safe, long term places to live.
6:27
The good news is, we can develop policies that address these types of inter-connected issues.
6:34
A California, what some of our grantees helped to craft a new law that intends to break down the silos between housing and domestic violence sectors, for the first time, the local agencies that prevent homelessness must include the unique needs of domestic violence survivors in their plans.
6:53
And that’s just one example.
6:55
If you’re working on social determinants of health, such as income, housing, and education, you are addressing the social drivers of domestic violence.
7:03
If you’re focused on child health, and adverse childhood experiences, you’re addressing childhood trauma and helping families heal, preventing domestic violence for future generations.
7:15
The question I want to ask you each to think about throughout this webinar is this, how can my organization and the work that we do, how does it already addressed domestic violence?
7:27
And what more can I do? What more can my organization do?
7:32
If we all leave with one concrete idea to put into action, would be one step further in building a future without violence.
7:41
Thank you so much. Let me turn it back to you, Sarah.
7:46
Thank you so much, Debbie. That was amazing. And just thank you for pointing out from a systemic perspective. And really, I think from your perspective, as a system for said, how we can prevent it and for the words of hope that this is … preventable and for your early call to action. So with that, it is my absolute pleasure today to introduce today’s moderator, Arlene …. Hello Arlene. So, excited to have you here Arlene at the founding director of two … Institute for Social Change. She is a sought after speaker trainer, facilitator, and thought leader. And she has direct dedicated her entire career to ending and preventing gender based violence disrupting systems and structures of inequalities and oppression. Promoting leadership advanced people of color and developing equity centered trauma informed, culturally relevant.
8:39
Programming or work and commitment to dismantle an inequitable systems and supporting survivors of gender based violence have been highlighted in numerous publications and articles She served on boards and panels and committees, and received many recognitions and worth Her unwavering advocacy work, So Arlene, it’s just a pleasure to have you here moderate today’s conversation and I will turn it over to you.
9:04
Thank you, Sarah. Thank you so much. And thank you and Debbie for your opening remarks. And I want to X everyone, right? As you listen to these amazing presenters today, think about your one thing. What is the one thing that you can take away from this webinar? This is going to be amazing. You’re in for a treat. I am delighted, delighted to be here, and I am going to introduce today’s theme, Amazing Panelists. First, I’d like to introduce L, Y Marlow.
9:39
He’s the founder of Save and Promise and National Domestic Violence Prevention organization. Inspired by five generations of mothers and daughters in her family that Stafford and survive survive more than 20 more than 75 years of domestic violence, including her granddaughter, a little girl named Promise.
10:01
She is also the principal of the Harvard Learning Lab and Innovative Domestic Violence Research and Development Initiative at the Harvard TH Chan School of Public Health, an award winning author, and a thought as the advocate, lecturer, and influencer for domestic violence prevention.
10:23
Next, you will hear from Bridget Mccaw.
10:26
Bridget is a National Health Care Leader in the Family Violence and Family Violence Prevention, providing clinical training, conducting research, and contributing to policy development with a focus on the health care response, the family violence.
10:43
She was medical director of the nationally recognized Kaiser Permanente Family Violence Prevention Program from 2001 to 2019.
10:55
She led the implementation of a comprehensive approach for improving screening, identification, and services from intimate partner violence.
11:06
Then next we’ll hear from doctor Juan Carlos Ariane.
11:10
Juan Carlos is an internationally recognized activist, public speaker, trainer, and facilitator, and publish author.
11:19
Since 19 91, he has worked to engage men across various various cultures, to become better fathers, intimate partners, and allies to end domestic violence and achieve gender equity.
11:34
He presently works as Program Director at Futures Without Violence.
11:39
Previously, he served as Director of the National Athena Network at Casa de Esperanza, and as a Sexual Assault Prevention Specialist at Harvard University.
11:51
And then finally, we’ll hear from Lynn Rosenthal.
11:54
Lynn Rosenthal is the HHS Director of Sexual and Gender based Violence at the United States Department of Health and Human Services.
12:03
Where she leads the department’s work to implement the national plan to end gender based violence. We’re really excited about the plan and relative related initiatives.
12:14
In 20 21, Lynn was appointed by Secretary Austin to share than independent review commission on sexual harassment and assault in the United States Military.
12:26
Wow. Wow, Wow, Wow.
12:27
Like I mentioned before, you are in for an amazing treat with these esteemed presenters that we’ll share.
12:37
Basically, like we had mentioned before, root causes, policy options, how you can respond individually in your community as part of society, and and create thriving communities for all.
12:52
We’ll now move into a poll question before turning it over to our first speaker LY. And our poll question is domestic violence preventable. Let’s start the conversation there.
13:05
What do you believe is domestic balance, preventible, what are your thoughts?
13:14
Please select one of the following, Yes or No?
13:34
Vanya, I’m not the responses. Are you seeing the responses?
13:41
They’re coming in, and I’m …
13:45
great.
13:52
Yeah.
14:03
Yeah.
14:07
All right. If you can share the responses, that would be great. I actually can’t see them.
14:19
So, we have 92% who said yes, and 8%, who said no.
14:25
So, for the 8%, I am hoping, at the end of your time with us today, we will convince you that domestic violence is preventable And we all have a part to play.
14:37
I will now pass it over.
14:40
So our first speaker.
14:46
Thank you, Arlene, and thank you to everyone who’s in attendance today for being here.
14:54
I want to start by Sherry that I come from a family.
15:00
A five generations of mothers and daughters that suffered a survived. Lord is 75 years of domestic violence.
15:11
I’m not.
15:13
Or, am I am not be unable to move the slides, so if you can, makes sure that I have control.
15:28
Technology is always ahead of us.
15:33
Let’s see.
15:38
OK, there we go. Let me see. Yes, I have control now. Thank you.
15:44
My grandmother, my mother, myself, and my daughter, but it would be the story of my daughter’s little girl named PROMIS.
15:54
Well, she lay on the bed next to my daughter at six months old, as my daughter was strangle and nearly killed for the second time.
16:02
By Promises, father.
16:05
The story that would inspire me to walk away, from a 20 plus year corporate career, to launch saving promise, national Domestic Violence Prevention organization.
16:19
I remember years ago, when Jim Mercy at the CTC presented this slide at a conference.
16:30
And for the first time ever, and, I mean, for the first time ever after generations of abuse in my family, I understood that domestic violence was a serious public health crisis, a mass proportion.
16:50
The burden and the trauma that domestic violence has caused my family, it’s tragic.
16:58
My grandmother experience alongside her eight children, physical, mental, emotional, acute trauma at the hands of my grandfather.
17:12
He even wants to force their three year old son to eat a dead rat and all of his sons, three of them, out of the eight children, grew up to be abusive to their wives.
17:26
My mother also experience acute trauma at the hands of my father.
17:33
Once he even be hurt so badly, that he burse both her lungs.
17:40
I experience severe physical, emotional trauma and maternal health at the hands of my boyfriend. He even once kicked me in my eight month pregnant belly.
17:53
And I would not come to know if my daughter was alive until I heard her scream in a delivery girl.
18:02
My daughter, Xperia string relation, head injuries, severe trauma, and maternal health issues, and Promise was born into this generational curse.
18:18
She experienced pre and post mental, emotional, and physical trauma.
18:26
Years later, at the large saving promise, I would be diagnosed in the last seven years, with long-term health issues, terminal health issues that impacted every part of my body that was now due to the stress of trying to say PROMIS and my mother would eventually 40 years later.
18:58
After my father beat her and bow burst, both her lungs would die some terminal cancer, because her lungs were still very fragile, and never heal.
19:13
Let’s not forget about the men in my family.
19:18
My grandfather suffer from mental illness, substance abuse, an emotional and acute trauma.
19:25
It was actually his mother that abused him as a young child and my father suffer from mental illness, substance abuse and narcissistic.
19:39
My daughters fathers suffer from mental illness, substance abuse, trauma, violence, and poverty.
19:45
And my daughter’s boyfriend to this day still suffers from mental illness, substance abuse, and violence.
19:55
No.
19:57
We can not look at this.
20:00
We cannot look at this and say that is L Y story That is elsewise, fatally.
20:07
That is her issue.
20:10
This is not a community issue. This is not my family issue.
20:15
This is a public health crisis.
20:18
I wanted to share this story about my family so you can see the death That domestic violence has all the help, you know during the pandemic.
20:32
Do United Nations Office on drug and alcohol?
20:39
Released the report.
20:41
That said, on average, every 11 minutes a victim is abuse.
20:49
Every 11 bit as a victim is abused.
20:53
So what are some of these risk factors, when we think about that report that the United Nations released, what are some of the risk factors that we have to consider about what’s happening in my family and what that report tell us?
21:08
What it tells us is that in a community level, there’s increased levels of severe violence across the lifespan.
21:15
There’s anticipated increases, intersections for mental health, suicide, homelessness, poverty in drug and alcohol homelessness.
21:25
Like Debbie talked about, there is increases injuries, mental health non communicable and communicable diseases.
21:34
There’s astronomical increases of health care costs.
21:39
And there’s also anticipated increases, annual cost around domestic violence and related costs like the cost of law enforcement and the cost of homelessness and the cost of treating mental illness.
21:52
Debt is estimated to be trillions, trillions, globally.
21:58
There’s an increase in all the other intersections that it touches from social services, law enforcement and other intersections and trauma related factors and guess who was paying for it?
22:10
Guess who has paid for it?
22:12
Every one of us is whether or not we have experienced it personally.
22:20
Intimate partner violence is a public health crisis redden to erupt.
22:27
Let me say that again.
22:29
Intimate partner violence is a public health crisis, reading to erupt.
22:36
I share that the United Nations Office on drugs and Crime released a report that said, Every 11 minutes, a woman or girl is killed by intimate partner, or family member.
22:51
Imagine that every 11 minutes.
22:55
that means somewhere in our world today, In this very moment, a woman or girl is being tragically killed.
23:06
And that doesn’t discount that this is not a woman’s or girl issue, This is not a timidity issue.
23:14
Again, this is a public health crisis and what if, in the same 11 minutes, We can all do something about it?
23:25
What if there’s a way to educate every individual? every family, every community, every sector, survivors and abusers.
23:35
We can’t continue to fix just one side of the coin We also have to address the abusers because they are hurting too.
23:44
And what if we can educate them?
23:47
Not only about intimate partner violence, but what healthy looks like?
23:53
We have to change the dye law.
23:56
We gotta talk about teaching people what is healthy and what does healthy look like.
24:02
That is why saving PROMIS.
24:04
Recently launch the only 11 minutes campaign.
24:10
A campaign that is poised to educate 11 essential sectors, and I’m talking to public and private industries, workplaces, healthcare providers, schools, law enforcement, youth and young adults, and the grassroots community about intimate partner violence and what healthy looks like And get this in only 11 minutes.
24:34
Imagine if everyone attending this webinar today would commit only 11 minutes of your time to get educate.
24:43
I invite you to consider that.
24:46
I’m going to X my colleagues here today to drop a link in the check to learn about only 11 minutes.
24:56
And I invite you all to take that call to action and to click that link and to consider not only taking action but passing it on because this issue has to be won where we all take action.
25:13
In closing.
25:15
Recently, I started experiencing sleepless nights. Because after 16 years, I’ve been at this for 60 years. Promise is now 16 years old.
25:25
And I’ve been trying to say promise for 16 years and I’m talking a holistic promise not just my brow, sweet baby.
25:35
the promise for us all, And I started to question what is this doesn’t work.
25:43
Who am I to mobilize a call to action?
25:47
Then I did something I always do.
25:50
Whenever I’m experiencing a sleepless night, I turned on one of my devices to watch a boring movie.
25:58
And I kid you not, I kid you not in my Duress and Distress.
26:05
This book popped up on my screen out of nowhere.
26:10
The book is not only a number one bestseller and has been made into a movie.
26:16
But the subtle art turned out to be a bold challenge and an urgent call to action for people to stop giving a **** about the things that don’t matter, and instead focused on the calamities that are taking place in our world today.
26:35
Bulk domestic violence is a calamity.
26:42
Let me say that again.
26:43
Domestic violence is a calamity, A serious public health crisis that is killing people.
26:52
And we gotta stop giving a **** about what’s not working and get to the root of this thing, because if we do not do something about it right now, and I’m talking about five generations.
27:08
So I mean, right now, we’re all going to continue to perpetuate the conditions that Mark … describes at his next book.
27:22
A book about Poke.
27:28
I want to now turn it over to my colleague, doctor Brigit. Nicole.
27:38
Hi.
27:39
Well, thank you, Hawaii. I am.
27:43
I think you couldn’t have made a more compelling case, or why we need to be here today, and why we need to act, and act now.
27:54
Next slide.
27:56
I am truly honored to be part of this panel. Next slide, and bring a focus on the crucial role of health care.
28:06
And there are three aspects that I’d like to highlight.
28:09
And, first of all, in contrast to many other institutions, Most everyone accesses medical care, starting at birth, and at multiple times across their life.
28:20
And, there are so many opportunities in medical settings to identify intimate partner violence, to offer a caring intervention, to connect patients to resources that can lead to safety and healing.
28:35
And, most importantly, provide education and prevention.
28:41
Secondly, because IPV has such significant medical and mental health impact, you saw the slide from Jim … and Allies family.
28:53
It is in our lane as healthcare providers, and for policymakers thinking about health care opportunities.
29:01
And then, third, healthcare interventions for IPV make a difference.
29:07
Women who are asked about intimate partner violence and talk with their provider are four times more likely to take steps to increase their safety.
29:16
And this can break cycle of violence that alkali described.
29:23
Next slide.
29:27
This illustrates the broad medical impact of intimate partner violence. It’s not just the injuries and mental health … that we typically think of. And since this is a policy crowd, I want to highlight two things pregnancy.
29:43
IPV is a significant contributor to a critically important national issue: Maternal Mortality and morbidity. It is associated with increased obstetric complications Perry, partum depression and anxiety substance, misuse, and death due to homicide and suicide.
30:03
And IPV increases the risk for many chronic conditions listed here, which are a major contributor to the soaring healthcare cost and impact individuals’ well-being.
30:14
Once again, IPV interventions that are initiated in the health care setting can positively impact both of these.
30:22
Next slide.
30:24
Here are some key points that are supported by the past two decades of research.
30:30
We now know that psychological abuse, even in the absence of physical harm, has devastating and long lasting health effects, Taking a moment to just reflect again on what L Y told us.
30:47
We now also understand more about how IPV exposure leads to short and long term health consequences, and that mechanism is acute and chronic activation of the stress response.
31:01
And, we know that IPD frequently co occurs with other social needs, behavioral health conditions, and other forms of trauma, and this must inform our policies and our interventions.
31:13
Next slide, please.
31:18
I want to pause and recognize the additional impact of other kinds of trauma that are root causes of IPV and health disparities.
31:27
If these are not addressed, we will not make significant progress on IPV, which is why it requires all of us working together in the sectors we represent to really come together and and make change.
31:43
Next slide.
31:45
So, policy really matters.
31:48
In my world, the US Preventative Services Taskforce recommendation, and the inclusion of IPV screening and counseling as part of the women’s preventive services under the Affordable Care Act, were and remain important drivers for health care organizations improving their response to intimate partner violence.
32:09
And, policies related to Medicaid coverage and services like home visitation have a huge impact on patients.
32:17
Often, those are at high risk for IPD.
32:20
We are seeing the benefits of policies that have been put in place.
32:26
Next slide.
32:29
But meaningful healthcare response is about more than simply training clinicians or developing screening tools.
32:39
It requires systems thinking, and the power of this approach comes from making use of the entire health care system, and having all of the pieces connected.
32:51
Which is one of the main messages I want to present here. That if we really want to make a change and prevent intimate partner violence, it requires systems thinking.
33:01
The power of the approach comes from making use of our entire institutions, and our world, and having all of those pieces connected.
33:11
Next slide.
33:14
This shows what it means in a health care system.
33:18
And notice the orange section on the right, Community advocacy linkages is a part of the health care system response. That is absolutely vital.
33:31
Next slide.
33:34
The good news is that there are now examples of US healthcare organizations using System Model approaches that have implemented spread, and are sustaining IAPT services, for instance, the Veterans Health Administration.
33:50
The Catalyst project is a multi-state, multi site initiative funded by a collaboration of federal partners, including DHHS and HRSA, that emphasize active partnerships between health centers and local DV programs, and Kaiser Permanente where I had the privilege to champion this work.
34:10
Next slide.
34:13
However, a meaningful and effective health care approach asked to be based in a framework of trauma and resilience informed care.
34:24
And that means shifting from the old approach, the old traditional medical pathology reprint approach, which is what’s wrong with you.
34:32
We need to shift to what happened to you.
34:36
Next slide.
34:38
And that needs to be paired with a whole person approach that includes strike’s protective factors and builds on the human capacity for neuro, resilience and neuroplasticity and holds as the North Star. Healing is always possible.
34:57
So our policies need to take into account and address the root causes that fuel and contribute to intimate partner violence.
35:05
Our policies need to engage the health sector in meaningful progress, to ensure that it is actually a place of intervention, connection, resources, and IPV prevention.
35:17
Our policies need to include attention specifically to maternal mortality, mental health, and chronic conditions that are associated with IPD.
35:29
We need to look to successful health care organizations which are exemplars.
35:34
And finally, our policies need to use the principles of trauma and resilience informed care as a foundation.
35:42
So I’ll stop here and pass it to my colleague Juan. Carlos Ariana. Thank you very much.
35:51
Well, thank you so much. Wow, It’s been already such an incredible presentation. I like to start by bringing everyone. And my thanks to the Alliance for Health Policy and Blue Shield of California Foundation for the opportunity, to come to you and talk a little bit about the work that we have been doing at Futures Without Violence, which is a national and international non-profit base here in the US. Next slide, please.
36:22
So, my colleagues address in powerful ways the Roots, the root causes of domestic violence, which is part of the theme of this, of this webinar. And the truth is that this is a very complex issue.
36:38
There’s not a single cause for domestic violence, if there was one, maybe we will solve the problem already. But I do want to lift what the great thinker bell hooks. And I keep on going back to her writings as I get older. She calls patriarchal masculinity.
37:01
And other people use terms like unhealthy masculinity or toxic masculinity which I don’t particularly like.
37:08
I know a lot of people, especially men, are turned off by this. But this idea of patriarchal masculinity, masculinity based on domination and power over others is what is at the center of domestic violence. In my opinion, I’m, by the way, Bell hooks that says that patriarchy has no gender. So, there might be a little bit of a contradiction there right to lift up masculinity. But the truth is that it’s about power and abuse of power.
37:39
When we’re talking about a traditional definition of domestic violence, which is not only about Slaps and pushes, but it’s about a pattern, of course, controlled than one person has over other.
37:52
That’s when this is, this is lifted, and the truth is that I have seen in my career cases where people of all genders, certainly women. And people who identify in any, any way, in the spectrum, where they have used power all over others, when, when they can’t.
38:12
So, it’s very important to mention that it is not exclusively for people that identify as men, however, because of socialization, what, what I was, what I would refer us, how, how boys learn to be men, it happens much more with people who identify, as men, boys.
38:36
So, this is this learned behavior, by and large, and in some way, this is the good news, that, because this is learned behavior, it could be on learned or changed, and I’m so grateful that L Y, as part of your story. You, you also lifted up the struggles of, of men and boys in your family. Certainly, something I have seen in my family, too.
39:02
And the complications that things like mental illness, substance abuse, and trauma can bring into this problem I think it’s important to emphasize, and I’m sure you agree with this, that these are not the causes. These are not cost of symptomatic violence. But I often talk I’d like to talk about that.
39:25
This is gasoline that is added to this fire of patriarchal masculinity. Because not everybody who has trauma or mental illness, or … substance abuse, has also a co occurrence of domestic violence. And particularly if we divide this by gen.
39:44
Right, so it’s, it’s the combination of this ideology of domination and supremacy, that overlapping with some of these other elements, we know that a lot of people who cause harm had have been survivors of trauma themselves. So, when those things combined, is when we get to that crisis that … was talking about.
40:11
And going back to the second bullet here, I want to emphasize that it’s so important that we connect old types of violence, as as doctor McCaul. I’m glad you lift their intersectionality, because these things don’t happen in isolation, right?
40:33
And some of the same causes to domestic violence or sexual assault, teen dating violence, violence, stalking, and so on. Also expand to other kinds of violence. And I saw in your slide, doctor, Michael, do you even mentioned climate change and war? And I agree with you. All of those things are connected. Certainly, community violence, right?
40:58
So when we expand our definition of what the patriarchal mode of masculinity, how it manifests, we can see that, that everybody is affected by it. Right? So, my my last bullet is that this kind of violence oppress women, and people of all genders, but also hurt men. Not only because we are victims of violence, certainly at children’s. Certainly of community violence, and certainly of war, and climate change, and so on. But also to to be in in that what some people called the men box of …
41:37
to be restrained by this patriarchal traditional masculinity has an effect on meant to, and, in fact, hugely overlaps with, with the health and mental health systems.
41:51
We know that men live live shorter lives than women. We cannot make a direct connection to this, but this might be a factor, …, 10 times, right, among men and women, and has becoming an enormous, enormous crisis in this country, and substance abuse use, and reckless behavior, driving, and so on, all the all of those are, things are pertinent.
42:17
So, I like to bring this holistic view of this, of this problem, because I think that will help us when we are trying to engage people who identify as men in this problem.
42:29
So the next slide actually talks a little bit about some of the strategies that, that, that I, and some of my colleagues, have used for preventing and also interpret for intervention. Because I don’t think there’s a solid line between primary prevention and secondary prevention in these issues. So I think it’s important to, again, be be holistic in that way. But going back to what other speakers, speakers have say, everyone can play a role here.
43:01
And everyone can not only teach, but demonstrate healthy behaviors as L Y, I love. I love the title of Your project. The Healthy Behaviors and Healthy Masculinity.
43:16
To have a counter story of that patriarchal traditional mescaline needed at that still are are passed on to many, many voice in our society.
43:26
We can be, in addition to positive role models what some people call up standers, active, active bystanders that can intervene when we see this kind of patriarchal masculinity in play, especially violence. This is very important, creating safe spaces for men and boys to talk. I always like to emphasize this because I think if you were socialized us as a boy as I was.
43:57
It’s hard to understand that there are very few spaces in our society where men, unvoiced can talk about real issues.
44:05
Usually, man got to get get together. And we talk about sports, we’re talking about cars, we took her back.
44:11
Whatever else, right? But there’s Search, use spaces where we can be real, with each other. And so, so, important to create that safety.
44:21
Actually, it’s interesting because, uh, doctor Michaels, just send me an article that I just I think it came out yesterday, about a new study in the VA system where mental health counselors were screening for IPV victimization and perpetration. And almost half of the subjects, 80%, were men.
44:43
And almost half of them actually admitted to both the perpetration and victimization of IPV. So for me, it’s like we have to create spaces where people can talk about that.
44:56
And if we do let believe me, you know, I have four, I’ve done this for more than 30 years and when you get a group of men talking about this issue are young men.
45:07
They just won’t stop talking about it. It’s such a such an important part. We had to include this idea of healthy masculinity, to address not only violence but the mental and physical health of men. And what I had was saying before that this patriarchal masculinity is detrimental to our mental and physical health as well as to everybody around, right.
45:31
And we have to include a cultural lens to do this and recognize that every culture hasn’t values that support this healthy masculinity. And values that actually support unhealthy or patriarchal mascot. they might look different in different cultures, but every culture has that from within It doesn’t have to come from without.
45:54
And Parenthood can be a powerful motivator, powerful motivator for, for change, too.
46:01
So the last, my last last slide has to do with, uh, some policy recommendations that my organization has been working for the last few years. We, we believe, strongly that we have to expand programs that teach boys and young men about Healthy mescaline. It is one example.
46:21
These are flagship program coaching boys into men, which has been, it’s an evidenced program which has been implemented in high schools, middle schools, and colleges, and in professional sports. There are other programs. This is not the only one. But we need to put efforts and money into this kind of approach, where we have to address men, unvoiced mental health, from a gender and racial justice perspective, because particularly young men of color I really struggling right now.
46:51
There was a recent study that came out now about men and boys in the US.
46:57
And it was flabbergasting, 44% of 2000 plus subjects in study said that they had contemplated suicide in the last two weeks, 44% and again, all of these disconnect that because that there was a strong connection with that traditional masculinity and and believing in gender inequality.
47:22
We have to invest in interventions for men and young men who already cause harm.
47:27
And let me tell you, this is one of the most on the resource field, that there is abusive partners intervention, restorative justice, helplines, for people who cause harm. Particularly young, man, there’s, there’s a dearth of programs and interventions and money going into this, so that’s a very, very important point. And, finally, we have to include domestic violence prevention and support initiatives, directed at men, like community violence, making that connection right right now. There’s a lot of federal money going into community violence.
47:59
There’s a lot of federal money going into Responsible Fatherhood, we have to make those connections with, with domestic violence, and, as I said before, everybody, every institution can play a role in this. And now I’m going to pass it on to my colleague, Lynn Russet. Thank you very much.
48:26
Hi, everybody. I’m very happy to be here with you all today. And you couldn’t have asked for a better group of people and these three speakers.
48:35
And my topic here is the U S National Action Plan to End gender based Violence.
48:42
And I think you will see all of these important topics reflected as a part of this plan. So, I’m looking forward to, to the conversation. So, why a national plan to end gender based violence?
48:57
We are unique among some of our peers, and not having developed these plans among some of our peer countries, And that’s, these plans are considered a UN women best practice, and how countries can move forward in addressing gender based violence.
49:13
We in the US. Have had an important framing for our work through the Violence Against Women Act and the Family Violence Prevention Services Act.
49:22
So we have had a roadmap to move forward.
49:25
But what the National Action Plan has created or the National plan has created for us is a whole of government approach.
49:34
The plan was brought about by an executive order that was signed by President Biden in March of 2021.
49:43
This Executive order created the job, the Gender Policy Council within the White House. And it also charge that policy council with developing a national plan to end gender based violence.
49:57
So that’s what brings us here today.
50:01
Let’s look at the next slide.
50:04
This is our important vision for the plan. And I just love this, and the basis, some of the data we heard. And, what we heard from our wise story and sort of very difficult picture that she presented that happens in an untold number of families.
50:22
But it’s our hope through Federal policy, local and state efforts that we can achieve this aspirational vision. Which is that the United States will be a place for all people live free, from gender based violence.
50:38
And if you note in the smaller print here, that this vision applies to everybody, and it was very important for us here at HHS, to ensure that gender, gender, identity, ***, characteristics, *** care, sexual orientation, race, ethnicity, religion, age, disability.
50:56
And all of the potential ways that people have been marginalized, that all of that is included in a vision that applies to everyone. We can take a look at the next slide.
51:12
So, and I should say, that the nash’s, just stepping back for a minute, the national plan was developed through consultation with more than 2000 stakeholders and 25 listening sessions. And there were key themes that emerged from those listening sessions, and you now see those key themes reflected in the guiding principles for the plan.
51:36
So, this work that you see in the guiding principles for the US National Plan to end gender based violence, really came from all of the stakeholders that participated. one.
51:48
That we center the voices of survivors, that survivors are the experts at their own experience, That if there’s any place that we need people with lived experience in the lead, it’s here. And I think you heard that from L Y story. Her contribution has been her family story, and it’s also been beyond that to her policy recommendations and her call to action, centering the voices of survivors.
52:14
The plan also represents an expansion of our work to address gender based violence beyond a criminal legal focus to focus on public health, public safety, and a life course lens. So this is about a population health approach that includes safety and well-being, and that addresses people’s experiences with violence throughout the lifetime.
52:37
We also recognize that gender based violence is a form of gender discrimination.
52:43
We heard a great discussion about that with L Y and with one carlos’, about how this comes to be and who has made most affected. That that patriarchal model sort of sets the stage for the kind of violence that disproportionately affects women and girls. But also has an effect on men and boys and has an effect on non binary individuals. And also, we see an LGBTQ plus relationships.
53:13
So patriarchy sets the model.
53:16
Other forms of relationships are affected.
53:20
But, certainly, women and girls are disproportionately affected, And that’s what makes us recognize gender based violence as a form of gender discrimination. This is a conversation that happens around the world, almost more than it happens here in the US. context.
53:35
And the and this national plan brings sat here to our attention, that it promotes federal leadership and co-ordination across sectors.
53:44
So all a whole of government approach means everyone from the Department of Commerce, the Department of Education, Department of Justice, HHS, and many other federal agencies, Department of Treasury, others, that somehow their work, affects the way that families may be experiencing violence and the way that others may be experiencing violence since its promotes Federal leadership and setting this town.
54:11
However, the plan is really meant to be a blueprint for everyone to use.
54:17
So, if you’re a local official, if you’re a mayor, city commissioner, there’s something in the plan for you to think about and apply it in your own context.
54:28
If you’re a state public health official, the plan lays out a blueprint for you to think about how do you pull together state agencies using the model of the federal inter-agency co-ordination.
54:41
So, there’s something for each sector in this plan that it takes an intersectional approach, that people experiencing violence have multiple identities. Right?
54:52
The ethnicity, sexual orientation, gender identity, geography that all of those factors influence how somebody experiences violence and most importantly, how they can get help for violence. And so, it’s intersectional. We don’t look at violence out of context of a person, their family, their community.
55:13
They’re their place in society, and that we’re rounding this plan and evidence based practice and research. So, but we also make space within that for innovation, and I’ll talk about that in just a minute. So, but we know something. Now, you know, we have two decades of research, it’s not, we don’t invest as much as we should as a country, but we do have evidence based practice. We do have evidence informed, practice, and increasingly, research that involves people with lived experience.
55:47
So we should be grounding our work, and what we already know. Even as we innovate for the future, we can no longer say that we don’t know what works to prevent violence. We do now, it’s a matter of political will, investment in strategies that work with space for innovation to always be learning more.
56:10
And finally, that we mbaye embrace a human rights based approach to ending gender based violence.
56:16
So these are the guiding principles, and we’ll take a look at the next slide, which shows us the pillars that the plan rests upon.
56:24
So, these are the seven areas of work that, again, we’ve convened the federal government around, but that really belonged to everybody, primary prevention of gender based violence, including social norms change. This is an area where CDC has really led efforts to identify risk and protective factors. We heard about that from our speakers, so that focus is a part of the national plan to end gender based violence.
56:55
Second, support, healing, safety, and well-being, this is really about trauma informed practices infused throughout everything that we do. But also ensuring that trauma informed practices are equitable, and as accessible, so we, here you see our guiding principle of intersectionality. Are we really understanding trauma informed principles from a culturally relevant and responsive place? So that’s very much a part of this bucket, which focuses on survivor support, well big, and trauma informed practices.
57:32
Garg, economic security, and housing stability.
57:36
We all know that domestic violence is one of the leading causes of homelessness for families, For women and for children.
57:44
We know that housing instability is affecting everybody in communities today, and that survivors of violence carry a double burden when they’re, when they’re unstable rehoused.
57:56
And we also know that domestic violence, gender based violence has an effect on survivors, ability to work to earn income to move forward in their lives, too. And we know that workplaces can do a great deal to provide help and support for survivors who are experiencing violence to create those healthy and trauma informed environments that we’ve been talking about. So that’s a pillar in the plan. And we’re already seeing some great movement in this area from the Department of Labor.
58:30
Online Safety is the fourth pillar in the plan. And this includes the non consensual distribution of intimate images. We know that online, The online world is the real world.
58:41
We increasingly know that, and so all of our efforts to think about gender based violence, domestic violence, sexual assault, other forms of gender based violence, that we can online always has to be central to responses that we create. And so that’s here as a pillar.
58:59
We’re already seeing strong work from the NTIA and others who are connecting up sort of digital equity, broadband, access, and online safety.
59:11
So that’s very exciting work that the White House has been engaged in through the White House Task Force to end online harassment and abuse.
59:20
Lethal injustice are still a part of this response.
59:24
They’re just not the only response.
59:26
And in this pillar, we see recommendations for restorative approaches to the Legal and Justice systems. And the Justice Department is really leading in this effort.
59:37
Emergency preparedness and crisis response.
59:40
We couldn’t have had a harder lesson about this than the pandemic which showed us how vulnerable families and individuals are affected by a crisis of that nature.
59:51
A meta analysis informs us that domestic violence creased probably about 10% around the US. More some places than others during the pandemic.
1:00:01
We know, there’s been some great writing in this area about the kind of isolation that domestic violence survivors experienced. Also, though, I have to say, is sort of a side note that we also saw strength based approaches. And I was working at a center in Columbus, Ohio that had a domestic violence program as a part of a larger Family Advocacy center.
1:00:22
And we thought in that time of the pandemic that the survivors we were working with would have difficulty accessing our services. And what we found is they were ahead of us and figuring out how to use technology to get the help and support that they need it. So, the pandemic taught us a lot about how survivors are affected. It also showed us some strength based approaches. Also, within this pillar, we see climate change related disasters and how families and gender based violence survivors will be affected in this way.
1:00:57
And we, here, at HHS, have an office on climate change that has helped inform some of this work in the national plan. Then, finally, we know from the presentations, we’ve heard today, how critical research and data are to helping to move for this work.
1:01:14
And so, what we haven’t had in the US, really, although we’ve had strong efforts at NIH and NIJ and the Office of Violence Against Women. and certainly at CDC with the National Intimate Partner Sexual Violence Survey. But what we haven’t has a co-ordinated research agenda that we can see, could move these pillars forward. So, look for that in the national plan, and then let’s just take a look at the next slide.
1:01:43
On the next slide, what we see here, and I just really wanted to include this, and Pillar two in Pillar one, rather in prevention, the national plan charges us with developing health strategies that can be part of preventing gender based violence. And so, I really wanted to highlight these, for all of you, as health workers, or health policy advocates, tend to think about, and these are objectives right from the plan. And I have to say this, this work you see here is, in some ways, in its very beginning stage, it’s part of our implementation of the national plan.
1:02:18
So, to apply health based, strategies to prevent gender based violence, Comprehensive, and behavioral health support, for people who are using violence.
1:02:27
And Juan Carlos spoke about the effects on perpetrator people, people who are using violence on people who may be perpetrating violence, what their experiences have been of trauma, what their own behavioral health and health outcomes might be, as a result of that. And we haven’t had this focus, really, within the federal government.
1:02:48
I would say, maybe our small effort at the Justice Department on *** offender treatment. But we really have not focused on, as a federal government, the needs of people who are using violence against family members. So the plan calls us to do that.
1:03:04
We also, and this is a very comprehensive objective to promote workplace gender based violence and equity policies for health care systems.
1:03:12
Measures to create safe, trauma informed healthcare facilities.
1:03:16
So here, we’re speaking to, we’re speaking to patients who are receiving care and health facilities, but also to providers who work in those systems. So creating, though, I think doctor Mccloud talked about. So what could a health care system look like in this way?
1:03:32
And we’re called to that here.
1:03:34
And here, we do see the preventative health care service that is a reimbursable service in the Affordable Care Act, to promote routine screening and brief counseling or intimate partner violence by health care providers.
1:03:48
But, and also, to really focus on what’s working, what do we know, what should we be doing More of, What should we be doing less of, and taking doctor Mccall’s point, that, really, screening is one small part of this overall approach to what the healthcare response could be. So we’re really called to that in this strategy.
1:04:09
And then, so, and, and expanding our thinking around gender based violence.
1:04:13
The on intimate partner violence, which is what that strategy, What, what those provisions in the ACA refer to to a broader thinking about. How our power healthcare systems working on sexual assault, sexual violence, stalking, and trafficking and related forms of gender based violence.
1:04:32
And then to ensure that health care systems are working to address the social determinants of health that we talked about.
1:04:39
So what I was excited about on this panel is I, I was glad to be call it being last, because I felt that our national plan touched on every key aspect that we heard from our speakers. And I’ll just end by, again, urging you all to think about.
1:04:56
you can find, I’m sorry, I didn’t include a link here, but you can find it. So it’s the White House National Plan to End gender based Violence, And it was released by the White House in May of this year. It’s very comprehensive. It also has an at a glance document that travels with it.
1:05:14
That tells you the goals and the objectives. In a short form, you as a local, state official or advocate, could pick up the plan and read the section, the pillars that are most relevant to the work you’re doing.
1:05:29
I also want to encourage state and local officials, government officials to connect with health policy advocates and also state domestic violence and sexual assault coalitions to help inform your work. But we really urge you to think about this plan, not just as a whole of government approach but a whole society approach. And I’ll end with that.
1:05:55
Alright, thank you so much land, and thank you to all of the amazing speakers, Lynn, I must say, the plan is a gift to the field, is rarely reflects our voices, were really, super excited about it. Thank you for your leadership in, and getting the word out and getting the plan completed. So, before we move on to our Q and A I just want to ask everyone to just hold. Just take a moment to hold LY story. L, I thank you so much for sharing your story and I just wanted to give everyone a moment to just hold it, right, to just hold that story.
1:06:35
Yeah.
1:06:36
Generations Generations.
1:06:39
Thank you so much for sharing.
1:06:44
This does hold that.
1:06:54
There’s 143 people on, I think I can see the numbers. Yeah. If you want to know why We’re here: why this was put together to L Y story, basically says it all, right. And some of the things that came from the speakers that I want to quickly reflect on. This is a public health crisis ready to erupt.
1:07:20
Thank you for that. Serve and perpetrators of violence individuals who cause harm is important. We heard healing, we heard whole person approach. We heard root causes right domination in power, We heard this shift right, as advocates, as service providers shifting from what is wrong with you, right, to what happened to you. And that’s just plain language for what is meant by trauma informed advocacy, right? Is shifting, right? It’s not what’s wrong with you, it’s what happened to you, Antonio Kane, is an advocate that I’ve heard talk about that. a lot.
1:07:59
Holistic approaches, intersectional approach, prevention on a continuum.
1:08:04
We all can play a role, right? So, oftentimes, it feels massive, right? It feels massive. It feels like, what can I do? You can look at Prevention on a continuum, and the presenters will give you, I’ll give them an opportunity shortly to see I just one thing. If you don’t take anything else away. What is the one thing that each presenter would like you to take away? We’d like you to do, again, because we all have a role to play.
1:08:34
Another key thing as we talk about intersectionality that Juan Carlos talked about is using culture as a motivator for change And I’ll just stop there, give the presenters an opportunity.
1:08:47
What is the one thing I know we probably want more, because we’re advocates, right? But if you had one thing that you would want to ask our participants, one thing they can implement, one thing, one key takeaway, what would that be? An L Y, I’ll start with you.
1:09:07
Thank you, Arlene. Thank you. So Michael, thank you for acknowledging my family.
1:09:12
The one thing that I would say is we can all get educated, you know, I talked about the only 11 minutes campaign, and I’m not trying to just promote a campaign.
1:09:24
I’m just trying to Create and break the song list and create a way for people to take a little bit at a time.
1:09:35
11 minutes, and learn about, not only what is intimate partner violence, but what does healthy look like, imaginaire?
1:09:45
Imagine if we took that time, to learn about what does healthy look like? And that person pass it on.
1:09:52
two.
1:09:52
We actually have a campaign called Pass It Along, because this takes a village.
1:09:57
So be part of that village.
1:09:59
And learn about, and I’ll ask my colleagues at the alliance to drop the link in the chat for people to take 11 minutes to get educated.
1:10:12
Thank you, 11 minutes, brigit, what is your key takeaway, your one thing?
1:10:19
Well, I think I have more than one, but the one that I really want to say right now is, asking all of the attendees to read the National Action Plan and find three action items that are relevant to your work.
1:10:36
Share it with your colleagues, and make a plan to start acting on them this month. And, I’m going to pick up the phone and call my NIH colleagues. I was so struck by what Lynn said about the importance of the research agenda and how that is lifted up in the national plan.
1:10:55
I’m going to call them and find out what’s happening at the Office of Women’s Health Research agenda and how to get the focus on incorporating IPV. So that’s my action item, and I encourage everyone who’s listening to pick three out of the national health.
1:11:11
I totally support that. My action plan is like color coded, I have all kinds of markers and and stickies, but all over. Juan, Carlos, what is your one thing?
1:11:22
Yes, again, hard to choose one thing. But I think a very strong theme in this webinar has been that we all can make a difference, and that every system has a role to play here, and I like to share something, We often talk about the statistics and the research that the majority of men And I will use this word on purpose of men who use violence, grew up in the abusive House.
1:11:46
And this, as I said before, with learned behavior. one thing that we don’t talk about so much is that there’s research that shows that the majority of boys who grew up in abusive households do not go on to be abuse.
1:11:59
Right. And, that is such an important and hopeful statistic. And going back to … Research Agenda or the plants, It’s like, for me, it’s like a key question. Why, Right?
1:12:12
And I do think we have answers to that, and the CDC has put it forward.
1:12:16
But that the presence of a loving, adult, even one in, in, in that voice life, that, that, that learned violence otherwise can make all the difference so we can be that purse, right and we can be that institution. So that is my my one piece.
1:12:35
Food. Thank you for dismantling that myth in less than NaN. We appreciate you land. What is your one thing or one key takeaway that you want everyone to focus on?
1:12:48
Well, even though I presented on this grand plan, I want my one thing to be a little closer to home. And that is that we know that friends and family are really key to people, to breaking the isolation, that domestic violence survivors feel.
1:13:02
And so I want everybody to know what the resources are in their community to know the national hotline number, and to know the number of their local domestic violence provider, and their perhaps culturally specific domestic violence provider.
1:13:16
So, now that people who sat on this webinar, that may not work in this field, I will assure you that now somebody in your life will disclose to you. It’s just how it works.
1:13:26
So you have this program, you will see this around you, or someone will confide in you, and so you want to be prepared to respond in a very helpful and non-judgemental and supportive way. And what you don’t want to do is the tendency that all of us in health and social services tend to do, which is step in and try to fix it.
1:13:44
What you want to be able to do is listen and be supportive, and be there for someone who may be struggling, and be able to provide information that could be helpful. So that’s my one thing. Friends and family, equip yourself.
1:13:58
Awesome! Thank you, Lynn. I’m so glad that you brought that in, because oftentimes we think about prevention, and we, we, we, we think about intervention, and we think about prevention, and it’s like, all right, so I’m glad you go ahead, and we need to do both, right? We need to really enhance our responses, learn, you know, just be good citizens, and focus on our family, and friends and bystander intervention. And also, prevention. That is the only way we is not, or, if the end.
1:14:28
Alright, so questions coming up. There was a resource question, so length, and she talks about resources. Let’s go to that question. Are there any resources? And this is for anyone who wants to jump in. Are there any resource resource did use resources?
1:14:45
You would recommend books, articles, audio that define healthy masculinity, Juan Carlos. Maybe you want to start an antibiotic in timing.
1:14:57
Any resources?
1:15:02
Well, there’s probably, if you do a Google search, will find some things there, there’s great organizations that do good work around this call to men is one example. The work of doctor Jackson Katz is another example. I think he wrote a book called The Magic Paradox. I don’t love the title but it’s a good book.
1:15:24
And and if you go actually to the Futures Without Violence, we have sections on that. And our program, again, coaching boys into men, goes, goes deep into not only what it is, but how we can pass it on to two boys and young men. And there’s, there’s like, Tony Porter from a call to men has a great ted. Talk about this. So, those are the ones that come to mind right now.
1:15:55
All right. Anybody else want to chime in?
1:15:59
I would say that, from a federal perspective, to the Administration for Children and Families, Family Violence Prevention Services Office has a great website with a lot of resource, as does the Office on Violence Against Women at the Department of Justice. So there’s no shortage of great information from the advocacy level to the government level Information is really out there for you.
1:16:23
OK, and feel free to reach out to the host of this event. I’m sure they can connect with all the panelists to get some additional information as needed.
1:16:33
All right, so, and anybody again can take this one.
1:16:38
What can college student leaders in vain, IPV on campus and advocate for change?
1:16:53
You know, I’d like to add to this question, one thing that I want to acknowledge is that one of the highest demographics that experienced intimate partner violence, dating, violence, sexual violence, is young people.
1:17:08
And we know that young people are not only great motivators, but movement makers and shakers.
1:17:16
It’s not a question of what can, is a question of, what must we do to make sure that they are engaged?
1:17:27
You know, I had a conversation with Promise, not long ago, and I was blown away by how forward thinking.
1:17:36
She is, I believe, Lynn talked about online safety.
1:17:42
We got to meet them where they are.
1:17:44
They are more like, They’re not doing this all fast. They sit, right? They are not like reading, you know, They will read a national plan. You put it out there on, on, on, on, on Instagram, right?
1:17:57
We gotta create a framework, and a platform and a space for them.
1:18:04
They have to lead with this.
1:18:07
So, we need to, we need to not only challenge ourselves to engage that demographic, well, how can they lead the charge, and not only at the university level and post education level, but I’m talking at the middle school level.
1:18:28
To start with, we got to get them when they’re younger, so that they could continue to carry generations forward.
1:18:36
Yes.
1:18:37
Yeah, I would say on campus, or spend quite a lot of well developed work on college campuses, sort of story with a focus on sexual assault, but really expanding to dating violence.
1:18:46
So, It’s On Us, is a campus program that is, it’s a, it’s a national program, but the individual chapters are very locally driven, so somebody could see if there isn’t, it’s on us chapter on their campus or start one, and then you can focus it in the area that you want to focus on.
1:19:05
We also, at HHS, have two initiatives that are not yet have not yet come to fruition, but are in progress, and that is, uh, mandated congressionally mandated task force with the Department of Education And the Department of Justice. That looks at sexual violence in secondary and post-secondary education. And the second is a workgroup mandated workgroup on teen dating violence.
1:19:29
So we’re in progress on those initiatives and we’ll be reaching out to people too, provide input into them. But a lot there’s been so much work on college campuses that, I think, if you start with it’s on us and go from there and Rape on Campus is another great organization. That’s doing work for survivors specific to the campus environment. So there’s lots out there. It’s a great question. And as I said, it’s an important place to start.
1:19:58
To add, sorry, Arlene that the Office on Violence Against Women has a campus program, too. And that includes working with, with young men. And I put in the Chat or asked to share a website on that particular work. Sorry to Interrupt.
1:20:17
I know that’s fine resources, more resources Far Toolboxes.
1:20:21
And I also want to offer, the Red Flag Campaign is another campaign that was developed by a State coalition for college campuses.
1:20:32
All right. Anything else?
1:20:35
OK, we have a couple more questions.
1:20:40
Are there any new pieces of legislation that were recently introduced in Congress that are working to address these root causes that you all are discussing?
1:20:53
Oh, great question.
1:20:58
Well, the Violence Against Women Act was re-authorized last year in 20 22, and it included some of this expanded focus that we’ve been talking about.
1:21:07
I will tell you from my part now I’m not tracking the hill so much, but I take the question and I’m certainly willing to do that and connect with the person who’s asked. And I don’t know, Juan, Carlos, you have a very active policy shop. So that would be another place to connect with futures without violence, policy shops.
1:21:28
Well, if I can mention a couple that are in the pipeline, of course, There’s, there’s the Violence Against Women Act and the Family Violence Prevention Act, but the Race from Trauma Act, and the Community Mental Wellness, and Resilience Act. We are advocating for those, Again, this is about making the connections between all kinds of violence. And, not only on, not not only domestic violence.
1:21:55
Alright.
1:21:58
OK, another one for college Students. What can I do as a college student? And thank you for engaging with us. Thank you for being here. What can I do as a college student to address these issues on campus? Besides what I can do as an individual like you like you all mentioned, I like to help organize a safe space for men at school to open up in ways that the Ariana was describing.
1:22:27
Juan Carlos asked that with you.
1:22:32
Great question. Thank you.
1:22:35
Great question.
1:22:37
So it was shared actually in the now in the chat. A website that we created on engaging men that has tons of resources or ideas, and I’m not sure what the what the gender of the asker is, but but everybody can can play a role. Certainly, engaging men is not only about unmanned engaging men, right? And I think, I think, to, to open this, those spaces of conversation are so important, in campuses, right? And to, to be holistic, in that way. I work to the major university, I think it was, mentioned, Harvard, in sexual assault prevention.
1:23:15
And it was fascinating, as I said before, when when that space was, was created, and this is not all this, like, men, only space, but that space, where you, you lead young men and young women and people from all genders, like, OK. You can ask any question of others. And let’s talk about it, and let’s, let’s really dissect it and tried to figure it out. It’s such a powerful thing to do.
1:23:39
So, I would encourage the person who asked the question, that to work with the administration of the university, many universities have initiatives now. Or part of the, maybe the women’s center, or the other other places where, where these spaces can be created. And the more people start having these conversations, the more change will happen in the long run.
1:24:03
So, that’s my, my short answer.
1:24:07
I’d like to add to that, which is that often there’s an opportunity in the campus health center to suggest that, as a space for these kinds of conversations.
1:24:17
And part of the benefit of doing that is that these conversations often move into other areas, such as mental health or behavioral health issues, has to do with substance use, as to do with well-being, sometimes connected to health, in various ways. So, having a place where there’s an investment and creating an opportunity for people to talk with each other and resources nearby, can be a way of implementing something during the time that you’re in school. that can be sustained past your time by other students that come up and can be embraced by the the campus health center.
1:25:02
Millimeter, gradients are Bridget.
1:25:05
Anybody else want to chime in?
1:25:09
Hmm.
1:25:11
I do want to add, like, when we talk about safe spaces, to also talk about brief spaces, right? So, safe and brave spaces. Big difference.
1:25:20
So, I want to add that.
1:25:24
I think we have one more question question for Juan Carlos, L Y, Orlean.
1:25:33
Since speakers mentioned cultural norms, do you know about effective practices or a movement work to influence cultural and societal norms to support the efforts being presented today?
1:25:48
The cultural norms change may not look like DV prevention, but rather may look like gender, equity, me-too, or maybe racial and economic justice.
1:25:59
Wonderful, question. Would you like me to repeat it?
1:26:04
That’s not the Juan Carlos, is that that says, his answer? Right there.
1:26:10
That’s OK.
1:26:13
All right. Yeah.
1:26:16
I think that the key is to to understand that. That that those norms look different in different cultures. Right? And lifting that.
1:26:25
Because if you are trying to influence a culture from a different culture, especially if the dominant culture, that is not going to work.
1:26:33
Right. Cool.
1:26:37
CDC is very focused on this in the Delta program, the Primary Prevention Program, which also includes a focus on health, equity, and culturally responsive approaches to primary prevention.
1:26:50
But I think starting with futures without violence is the, is really a great place for somebody to go for, for this.
1:26:58
I agree.
1:27:01
All right.
1:27:02
Well, amazing questions. Thank you all so much for your questions and your engagement, presenters. Thank you for your very thorough responses. I would encourage anyone that has additional questions, or need additional resources to reach out.
1:27:19
So the organizers, and I’m pretty sure they’ll connect with the presenters to get the information out to everyone. Now, turn it over to Allison.
1:27:29
You so much Arlene, L Y, Bridget, Juan, Carlos, and land for joining us today. And for all the critical work that you do to help prevent and end domestic violence. My name is Allison Jones. I’m the Director of Program Strategy and Management here at the Alliance, and I just want to thank all of you who took the time to be with us here today. We hope you found this discussion informative and will be able to take what you learn and use it in your work moving forward.
1:27:53
We want to hear from you. At the end of all of our events, we do ask you to take a few minutes to complete a brief evaluation survey. You’re going to receive this an e-mail later today, and I’d be remiss if I didn’t mention a few other upcoming events that we have here at the Alliance. We host educational webinars, and in person events a year, you can follow our LinkedIn, or visit our website to sign up and receive updates about our upcoming events. one of these is our 2023 Signature Series Congressional Briefing, just a few weeks, on November first, which will explore the role of the US. Healthcare workforce and achieving a person centered health system. This event is free and open to the public. And you can register on Eventbrite to receive your ticket to attend, We’re also excited to be hosting our upcoming annual dinner on November 15th, and encourage you to reach out if you’re interested in learning more about our sponsorship opportunities.
1:28:47
As a reminder, a recording of this webinar, and the additional materials, will be available on the Alliance website. This concludes today’s webinar, Domestic Violence, and Help: Understanding Root Causes and Policy Options. Thank you all for joining us