1. APPLYING BRIEF SCREENING TO TEEN DATING VIOLENCE Anna Nelson, LISW, OSAH Behavioral Health Manager

2. What is Teen Dating Violence? TDV handouts need to be teen-centered. Resources offered in handouts. Both P&C Wheel and Equality Wheel can be found in English and Spanish at: http://unified- solutions.org/tva/resources.php?se archCatID=21&searchActive=1 http://unified- solutions.org/tva/resources.php?se archCatID=21&searchActive=1 http://unified-solutions.org/uploads/teen_pc_wheel_ncdsv.pdf

3. What is the rate of TDV in NM? Take a guess... In 2007, the percentage of high school students who reported being hit, slapped or purposefully hurt by their dating partner was... 25% 12% 7% Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

4. The Answer is... 12.6% Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

5. Whos at Risk for TDV? Who do you think is at greatest risk for TDV? Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

6. Who is at Greatest Risk for Teen Dating Violence? #1 Risk: Teens whose peers say dating violence is normal Teens with protective service involvement Teens who use alcohol Teens who become sexually active at 13 or younger Teens who witnessed domestic violence Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

7. TDV Can Lead to... Early sexual activity with multiple partners (Silverman, et al, 2001) Increased contraction of sexually transmitted infections (Cocker, et al., 2000) Teen pregnancy at a 4 to 6 times greater rate (Silverman, et al., 2001) Rapid repeat pregnancy (Jacoby, et al, 1999) Truancy and drop-out (National Youth Prevention Resource Center, 2000) Tobacco Use (Silverman, et al., 2001) Substance and alcohol use (Molidor, Tolman, & Kober, 2000) Psychological trauma resulting in behavioral health disorders (Silverman, et al., 2001), leading to poor health outcomes in adulthood (ACEs Study, Jennings) Eating disorders, overweight and obesity (Molidor, Tolman, & Kober, 2000 & Silverman, et al., 2001) Barriers to Educational Attainment and Sustainable Employment (Center for Impact Research, 2000) Barriers to Accessing Health Care (March of Dimes, 1999) Suicide at an 8 to 9 times greater rate (Silverman, et al, 2001) Homicide (Bureau of Justice Statistics, 2001) Nelson, A. (2010, Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

8. RiskVictims of TDVOther Students Mental Health Persistent Feelings of Sadness or Hopelessness 43.4%29% Suicidal Ideation34.5%16.9% Vomiting or Using Laxatives to Lose Weight 18.6%6.0% Substance Abuse Methamphetamine Use15.6%2.4% Ecstasy Use13.7%3.3% Cocaine Use15.9%3.7% Pain Killer Use to Get High25.0%9.1% Binge Drinking45%24.7% Cigarette Smoking36.9%22.3% Student Victims of TDV & Other Students 2007 NM YRRS

9. USING RED FLAGS TO IDENTIFY TEEN DATING VIOLENCE EARLY

10. Warning Signs A young person may demonstrate: Isolation from their friends or friends expressing concern for them Unexplained or recurring marks and bruises Difficulty making decisions Poor concentration Depression, anxiety Sudden problems in school or at work Increased truancy or non-compliance with treatment Changes in dress, weight or behavior Loss of interest in things they really love doing

11. RED FLAGS Universal Screening Tool Developed in response to professionals request for youth- specific tool Youth-friendly prompters Identifies teen dating violence early Provides safety resources Promotes healthy relationships Universal application to all adolescents 12-19 Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

12. RED FLAGS Universal Screening Tool Adult tool designed for parents, coaches, teachers, counselors, advocates and medical professionals. Teen tool can be used with peers, in classroom settings, or downloaded for individual use See www.youthhealthlink.org/tdv for both toolswww.youthhealthlink.org/tdv Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

13. RED FLAGS Universal Screening Tool RRelationship Status Respect, Resiliency, and Rights in Relationships EEmotional and Tech Abuse, Stalking and Educational Sabotage DDrugs and Alcohol Use FFriends and Family LLethality or Dangerousness Quick Screen AAnger, Arguments, Aggression, Abuse or Stalking History, Access to Weapons, Animal Cruelty, Attempts or Threats to Harm GGive Youth-Centered Resources SSafety Plan Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

14. Practicing RED FLAGS Form groups of five people. Choose a person to play the role of interviewer and a Teen. Others act as observers. Conduct a RED FLAGS Interview. Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

15. Report out! Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health What questions worked well? What didnt work so well? Did anyone complete a safety plan? Anything missing?

16. Activity You Can Use: The 4 Rs Workbook Divide students into pairs and complete the first page of the Four Rs workbook. Bring the class back together to discuss answers to the questions on page one, listing the qualities of Respect, Resiliency, Rights and Responsibilities on one side of a whiteboard. Encourage each student individually to complete the self-assessment on pages 2- 3 privately. Open up a discussion about any area that students were surprised by or had questions about. Talk about the importance of peer attitudes toward healthy relationships and the role of students in promoting health and safety with peers. Discuss safety options available to students. Nelson, A. (2010), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health

17. For questions or technical assistance, contact: Anna Nelson, LISW Email: anna.nelson@state.nm.usanna.nelson@state.nm.us Text: 505.319.8822 Office: 505.841.5877 Thank you!

18. TEEN-CENTERED RESOURCES

19. Activity You Can Use: 2009 NM Love and Respect Toolkit Nelson, A. (2009), Innovations in Teen Dating Violence Prevention. New Mexico DOH Office of School and Adolescent Health Youth-developed workbook for use in classrooms Recommended for small, gender-specific groups Download free at www.youthhealthlink.org/tdvwww.youthhealthlink.org/tdv

20. Know the TDV Resources Love is Respect Teen Dating Abuse Hotline: 866.331.9474 or #HOPE from Verizon Cells Dating Violence Legal Helpline: 1-800-374-HOPE The Trevor Helpline (GLBTQ Youth Hotline) 866.488.7386 or www.TheTrevorHelpline.orgwww.TheTrevorHelpline.org New Mexico Provider TDV Toolkit (2008) http://www.ped.state.nm.us/SchoolFamilySupport/dl08/New%20Mexico%20Teen%20Dating%2 0Violence%20Toolkit%20Final.pdf http://www.ped.state.nm.us/SchoolFamilySupport/dl08/New%20Mexico%20Teen%20Dating%2 0Violence%20Toolkit%20Final.pdf New Mexico Teen-Developed Love and Respect Toolkit (2009) http://youthhealthlink.org under the Youth Violence Tab http://youthhealthlink.org TDV Prevention Recommendations, (ABA Publication) http://www.abanet.org/unmet/teenabuseguide.pdf http://www.abanet.org/unmet/teenabuseguide.pdf

21. Break the Cycle Technical Assistance on TDV Ending Violence DVD Free Resources with youth- friendly information on healthy relationships, safety information, and more State by State Report Cards Promising Prevention Program (Efficacy with Latino Teens) http://www.breakthecycle.org

22. Dating and Violence Should Never Be a Couple DVD Developed in collaboration with a Youth Advisory Board Diverse array of teens talk about their personal experiences with TDV The DVD is $4.50 with poster included To order, visit the ABA web store or call 800-285- 2221 (Product Code 3070001) http://www.abanet.org/publiced/teendating.shtml

23. Expect Respect Developed by SafePlace in Austin. School based prevention program Includes sections on: TDV Sexual harassment and bullying Importance of school-based programs Expect Respect program history and overview Program components Curriculum overview can be downloaded from: http://new.vawnet.org/Assoc_Files_VAWnet/NRC_Expectfull.pdf http://new.vawnet.org/Assoc_Files_VAWnet/NRC_Expectfull.pdf

24. Love is Not Abuse Website Designed for Teens and Adults Love is Not Abuse School Prevention Curriculum implemented in 39 States TDV and Tween Surveys Parent and Teen Handbooks http://loveisnotabuse.com

25. Love Is Respect Hotline & Website In 2007, the Helpline engaged in more than 6,118 telephone and chat contacts Linked to social networking sites MySpace, Facebook, & Twitter Live Chats with Peer Advocates Toolkit with 10 TDV Facts, 10 Things You Can Do to Promote TDV Awareness, and More http://www.LoveisRespect.org

26. Safe Dates Curriculum Research based, promising program with strong, long-term outcomes. 9 session dating abuse curriculum and parent materials. Can be intervention tool at schools, domestic violence organizations, juvenile diversion programs, and with survivor support groups. Effective in both preventing perpetration and reducing perpetration among teens already using violence against their dates. http://www.hazelden.org/safedates

27. See It and Stop It Website Written in Youth Language Online Toolkit Youth-Led Projects Awareness and Information Events Persuasion and Action Projects Policy Projects Fact Sheets Brochures and Posters http://seeitandstopit.org

28. Thats Not Cool Campaign Thatsnotcool.com is sponsored by the Family Violence Prevention Fund and gives teens text or email resources (shout outs) to help support setting boundaries against Tech Abuse.

29. Think.MTV.com Teen and organization-developed PSAs addressing TDV, including: Video Handbook for spotting warning signs Testimonies from survivors of TDV Love Is Respect PSA DoSomething.org reenactment of Chris Browns assault on Rihanna (view first before showing to teens) http://think.mtv.com/044FDFFFF01AA10A1001700996CA2/