This webinar will address the importance of domestic violence/IPV prevention specific to Healthy Start grantees, evidence based approaches to screening and assessment, and where Healthy Start grantees can go for more information.
Webinar Materials:
Benchmark: Intimate Partner Violence
Increase proportion of Healthy Start women participants who receive intimate partner violence (IPV) screening to 100%.
Intimate Partner Violence, a pattern of abuse by one partner against another in a relationship such as marriage, cohabitation, or dating, is a substantial yet preventable public health problem. Every year women experience 4.8 million incidents of physical or sexual assault by an intimate partner. This violence tends to persist or even increase during pregnancy. The U.S. Department of Health and Human Services recommends that IPV screening and counseling be a core component of both prenatal and well-women healthcare visits.
A Performance Measure Resource Sheet is available summarizing recommended strategies and a selection of resources and evidence-based practices related to this benchmark to aid Healthy Start grantee organizations, partners and their staff in supporting the women and families they serve.
Featured Resource: Evidence-Based Practice
Final Recommendation Statement Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening
The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services. This recommendation statement provides information on several screening instruments that can be used to screen women for IPV. Those with the highest levels of sensitivity and specificity are Hurt, Insult, Threaten, Scream (HITS); Ongoing Abuse Screen/Ongoing Violence Assessment Tool (OAS/OVAT); Slapped, Threatened, and Thrown (STaT); Humiliation, Afraid, Rape, Kick (HARK); Modified Childhood Trauma Questionnaire–Short Form (CTQ-SF); and Woman Abuse Screen Tool (WAST).
Ask the Expert: The Value of Integrating Trauma Informed Care for the Healthy Start Community
Exposure to traumatic events is an extremely common occurrence in the U.S. In fact, most individuals, particularly women and girls, will experience multiple traumatic events as children and throughout their lives. These experiences have the potential to dramatically impact behavioral health which subsequently often translates into challenges with physical, mental and social well-being. In this brief introduction to these issues, we will present an overview of the prevalence of traumatic exposure and the relationship of trauma to health. In addition, we will provide basic introductory information and principles on the concept and implementation of Trauma-Informed Care (TIC). Understanding trauma and incorporating TIC principles into Healthy Start programs has the potential to prevent retraumatization and better engage participants in care and services. Please join the EPIC Center and Michelle Hoersch, Region V Coordinator for the Office on Women’s Health for a 60 minute Ask the Expert webinar which will cover the importance of integrating trauma-informed care specific to the Healthy Start community. Ms. Hoersch will also share valuable resources for learning more about the approach. During the webinar, you will have ample opportunity to ask Ms. Hoersch questions.
Following this webinar, participants will be able to:
- Understand the terms “trauma exposure” and “adverse childhood experiences”
- Be knowledgeable about the prevalence of various common traumatic events in the U.S.
- Increase awareness of the relationship among exposure to traumatic events and behavioral, physical and mental health, and well-being
- Be aware of the concept of Trauma-Informed Care (TIC) and basic principles of TIC and how to make simple adjustments to programming and service delivery to dramatically reduce risk of retraumatization and increase likelihood of improved engagement in care
- Access trauma-informed care resources and training opportunities
Webinar Materials:
Case Management/Care Coordination Cultural Competence Depression EBP Implementation Participant Recruitment and Retention
Period of PURPLE Crying Program
The Period of PURPLE Crying program consists of a video and booklet that help new parents understand and safely cope with infant crying, the most common trigger for shaken baby syndrome. The materials describe normal infant crying, explain the easy-to-remember acronym PURPLE (with each letter standing for various features of infant crying), suggest strategies for comforting a baby, acknowledge caregiver frustration when a baby cannot be soothed, explain the dangers of shaking the infant, and outline a positive approach for handling an inconsolable infant. Labor and delivery or discharge nurses distribute these materials to new parents prior to hospital discharge. Pediatricians, public health workers, adoption agencies, and other organizations may also distribute these materials or reinforce their messages, which may be complemented by a public education campaign. There is also a website for parents.
Strengthening Families
Strengthening Families is a research-informed approach to increase family strengths, enhance child development and reduce the likelihood of child abuse and neglect. It is a systems development approach based on engaging families, programs and communities in building five protective factors: parental resilience, social connections, knowledge of parenting and child development, concrete support in times of need, social and emotional competence of children. Supported by helpful material that can be adopted and adapted for any program or service sector, including a program self-assessment to improve practice, an online data system, an online training curriculum, and the Strengthening Families national network.
Other Parenting Education Socio-emotional Development for Children
The Nurturing Parent Programs
The Nurturing Parenting Programs are a family-centered trauma-informed initiative designed to build nurturing parenting skills as an alternative to abusive and neglecting parenting and child-rearing practices. The long term goals are to prevent recidivism in families receiving social services, lower the rate of teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.
Lessons can be delivered in home setting, group setting, or combination. Nurturing Parents offer targeted programs for prenatal families, parents of babies and toddlers, parents of older children, Spanish speaking parents, parents of children with health challenges, teen parents, military parents, parents in substance abuse treatment and recovery, and more.
Parenting Education Socio-emotional Development for Children
SafeCare Augmented
SafeCare aims to prevent and address factors associated with child abuse and neglect. Eligible clients include families with a history of child maltreatment or families at risk for child maltreatment. SafeCare provides 18 to 22 weeks of training to parents with children from birth to age 5. During weekly or biweekly home visits, trained home visitors conduct baseline and follow-up assessments, observations, and trainings with parents. Trainings focus on three modules: 1) infant and child health, 2) home safety, and 3) parent-child interactions. SafeCare Augmented adds motivational interviewing and additional training of home visitors on identification and response to imminent child maltreatment and risk factors, such as substance abuse and depression. SafeCare Augmented was adapted for high-risk, rural communities. Only SafeCare Augmented is considered an evidence-based practice by HomVEE.
Home Visiting Intimate Partner Violence Parenting Education Socio-emotional Development for Children
Child FIRST
Child FIRST aims to decrease the incidence of abuse and neglect, developmental and learning problems, and emotional and behavioral disturbance among high-risk children and families. Provides home visiting services to pregnant women and families with children up to 6 years old. Includes a comprehensive assessment of child and family needs, parent-child mental health intervention, observation and consultation in early care and education, development of a child and family plan of care, and care coordination and case management.
Home Visiting Intimate Partner Violence Parenting Education Socio-emotional Development for Children
Text4Baby
Text4baby is a free mobile information service designed to promote maternal and child health through text messaging. Lasts through pregnancy until baby’s first birthday. The messages address topics such as prenatal care, labor signs and symptoms, urgent alerts, breastfeeding, nutrition, exercise, oral health, immunizations, birth defect prevention, developmental milestones, safe sleep, family violence, injury prevention, mental health, substance abuse, car seat safety, and more.
Alcohol/Drug Services Breastfeeding Depression Intimate Partner Violence Nutrition Parenting Education Safe Sleep
Health Cares About IPV
This toolkit for providers offered by Futures without Violence® includes assessment tools for screening women for IPV in a clinical setting, and information on supported referral and counseling. Accompanying materials available for purchase include promotional materials for healthcare settings, and the publication Addressing Intimate Partner Violence, Reproductive and Sexual Coercion: A Guide for Obstetric, Gynecologic and Reproductive Health Care Settings.
CDC’s Information for Men on Preconception Health and Health Care
Men’s portion of the CDC’s information on preconception health and health care. Includes information on making a reproductive life plan for men, preventing and treating sexually transmitted diseases, tobacco and drug cessation, infertility, maintaining a healthy weight, learning about family history, getting help for violence, getting mentally healthy, and supporting one’s partner.
Alcohol/Drug Services Chronic Disease Depression Healthy Weight Intimate Partner Violence Partner Involvement Reproductive Life Planning/Family Planning STDs including HIV Tobacco Cessation