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Making a Difference by Making Connections. A Curriculum to Address Co-Occurring Domestic Violence, Mental Health and Substance Use Problems . Robin Mason PhD and Susan O’Rinn. The Connections.
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Making a Difference by Making Connections A Curriculum to Address Co-Occurring Domestic Violence, Mental Health and Substance Use Problems RobinMason PhD and Susan O’Rinn
The Connections • Worldwide, nearly one third (30%) of all women who have been in a relationship have experienced intimate partner violence (Garcia-Moreno & Pallitto, 2013) • >50% women who experienced IPV developed a mental health problem (Junior & Janson, 2008) • 2/3 of those who experienced ‘severe’ IPV had 1 or more diagnosed mental health disorder (Roberts et al 1998)
The Connections • Substance use is associated with increased risk of IPV (Timko et al 2008; Martino et al 2005; El-Bassel et al 2005) • 25-57% of women in substance treatment programs experienced DV • IPV associated with increased risk of substance use (Ackerman et al, 2007; Greaves et al, 2011; Wingood et al, 2000) • 67% of women with substance use problems have a co-occurring mental health problem(e.g. PTSD, depression, anxiety)(Sullivan & Holt 2008)
Curriculum objective • To improve the knowledge, skills and influence the behaviour of frontline providers who care for women who experience co-occurring domestic violence, mental health and/or substance use problems.
Steps in Curriculum development • 14 Regional Round Tables (taped, transcribed, analyzed for common themes) • Literature Review (Academic & grey literature reviewed for training/education, existing curricula, best practices, treatment modalities) • Advisory Committee (experts from each sector including women with “lived experience”)
Evidence Into Competencies Communicating Learning DOING Referring Managing Knowing Collaborating Understanding Practicing
Curricular Elements • Text Manual (six chapters) • Six Interactive Online Modules (& videos) • Online Discussion Forum • Full Day, Cross-Sectoral Workshop • Newly Added: Module on Organizational Change Management
Data Collection • Demographic • Pre-Test • Workshop Evaluation • Post-Test (~ 3 months)
Workshop/participant Info (Sept 2012 – Apr 2014) • 34 Workshops • 781 Participants • ~ 23 participants/workshop • Data from the first 24 workshops
participant Demographics (n=492) Treat; Refer; Combination
Acknowledgements • We gratefully acknowledge the contributions of : • Advisory Committee member • Facilitators and co-facilitators of the workshops • Workshop participants • Meaghan Morris for data support