Presentation on theme: "MAKING A DIFFERENCE BY MAKING CONNECTIONS A CURRICULUM TO ADDRESS CO-OCCURRING DOMESTIC VIOLENCE, MENTAL HEALTH AND SUBSTANCE USE PROBLEMS Robin Mason."— Presentation transcript:
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 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)
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”)
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
PRE & POST (n=253) PREPOST KNOWLEDGE df P Value Which of the following is generally not considered a determinant of health?147631974810.00* ** Legal substances, specifically alcohol and tobacco, cause more harm to women than do illegal substances201492302210.00* ** What % of Canadian women over age 16 have experienced at least one incident of physical or sexual violence?1311211688110.00* ** According to Ontario's DVDRC, which of the following is not a common risk factor for lethal violence?911351677510.00* ** The most social criticism and stigma is directed at:150821974410.00* ** * sig < 0.05; ** sig < 0.001
PRE & POST (n=253) PREPOST KNOWLEDGE df P Value Pregnant women who are heavy substance users should be encouraged to immediately stop using211342371510.00* ** Which of the following is not a good strategy to use when helping a women manage signs of dissociation?206342331510.00* ** Working with women who have experienced DV, mental health and/or substance use problems can result in:601909715610.00* ** Which of the following is not part of the Stage of Change Model?223182401110.02* How many Canadians will personally experience a mental health problem at some point during their life?216332312210.01* * sig < 0.05; ** sig < 0.001
PRE & POST (n=253) PREPOST KNOWLEDGE df P Value Domestic violence always precedes mental health or substance use problems237152322010.24 Mental health or substance use problems may increase the risk of domestic violence2449245510.07 In the context of mental health, a 'trigger' refers to:9914910714510.40 Which of the following is not a factor in considering the immediate safety of a woman experiencing DV?203312193010.27 * sig < 0.05; ** sig < 0.001
PRE & POST (n=253) PREPOST COMPETENCE df P Value I understand the ways in which DV, mental health & substance use problems are interconnected 17671246610.00* ** I can initiate a conversation, ask questions about, and appropriately refer a woman who has experienced DV, mental health and/or substance use problems 20147247410.00* ** I can respond to crises related to DV, mental health and/or substance use 19750242910.00* ** * sig < 0.05; ** sig < 0.001
PRE & POST (n=253) PREPOST COMPETENCE df P Value I can help a woman manage her distress even if she begins to dissociate while talking to me 151962292110.00* ** I can outline the steps to building useful organizational partnerships 1341122242710.00* ** I can recognize the signs of burnout or compassion fatigue and have strategies for self- care 21236248410.00* ** * sig < 0.05; ** sig < 0.001
PRE & POST (n=253) AS A RESULT OF THIS TRAINING: 93% of participants are "better equipped to identify DV, mental health and/or substance us problems“ 94% of participants are "better equipped to provide appropriate supports to women who experience DV, mental health and/or substance use problems" 95% of participants have "increased knowledge about DV, mental health and/or substance use problems"
PRE & POST (n=253) AS A RESULT OF THIS TRAINING: 94% of participants have "increased knowledge about the ways in which DV, mental health and/or substance use problems co-occur" 91% of participants have "greater familiarity with local referral networks, resources and services for women who experience co-occurring DV, mental health and/or substance use problems“ 88% of participants have "made linkages among individuals across different sectors/professions"
ACKNOWLEDGEMENTS We gratefully acknowledge the contributions of : Advisory Committee member Facilitators and co-facilitators of the workshops Workshop participants Meaghan Morris for data support