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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.

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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:

1 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

2 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)

3 THE CONNECTIONS

4 Substance use is associated with increased risk of IPV (Timko et al 2008; Martino et al 2005; El-Bassel et al 2005) % 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)

5 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.

6 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”)

7 EVIDENCE INTO COMPETENCIES

8 CURRICULUM LAUNCH SPRING 2012

9 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

10 DATA COLLECTION Demographic Pre-Test Workshop Evaluation Post-Test (~ 3 months)

11 WORKSHOP/PARTICIPANT INFO (SEPT 2012 – APR 2014) 34 Workshops 781Participants ~ 23 participants/workshop Data from the first 24 workshops

12 PARTICIPANT DEMOGRAPHICS (n=492)

13

14

15 Treat; Refer; Combination

16 PRE & POST (n=253) PREPOST KNOWLEDGE   df P Value Which of the following is generally not considered a determinant of health? * ** Legal substances, specifically alcohol and tobacco, cause more harm to women than do illegal substances * ** What % of Canadian women over age 16 have experienced at least one incident of physical or sexual violence? * ** According to Ontario's DVDRC, which of the following is not a common risk factor for lethal violence? * ** The most social criticism and stigma is directed at: * ** * sig < 0.05; ** sig < 0.001

17 PRE & POST (n=253) PREPOST KNOWLEDGE   df P Value Pregnant women who are heavy substance users should be encouraged to immediately stop using * ** Which of the following is not a good strategy to use when helping a women manage signs of dissociation? * ** Working with women who have experienced DV, mental health and/or substance use problems can result in: * ** Which of the following is not part of the Stage of Change Model? * How many Canadians will personally experience a mental health problem at some point during their life? * * sig < 0.05; ** sig < 0.001

18 PRE & POST (n=253) PREPOST KNOWLEDGE   df P Value Domestic violence always precedes mental health or substance use problems Mental health or substance use problems may increase the risk of domestic violence In the context of mental health, a 'trigger' refers to: Which of the following is not a factor in considering the immediate safety of a woman experiencing DV? * sig < 0.05; ** sig < 0.001

19 PRE & POST (n=253) PREPOST COMPETENCE   df P Value I understand the ways in which DV, mental health & substance use problems are interconnected * ** I can initiate a conversation, ask questions about, and appropriately refer a woman who has experienced DV, mental health and/or substance use problems * ** I can respond to crises related to DV, mental health and/or substance use * ** * sig < 0.05; ** sig < 0.001

20 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 * ** I can outline the steps to building useful organizational partnerships * ** I can recognize the signs of burnout or compassion fatigue and have strategies for self- care * ** * sig < 0.05; ** sig < 0.001

21 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"

22 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"

23 ACKNOWLEDGEMENTS We gratefully acknowledge the contributions of : Advisory Committee member Facilitators and co-facilitators of the workshops Workshop participants Meaghan Morris for data support


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