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1 Why do we do what we do? How do we know we are making a difference? Anne Menard National Resource Center on Domestic Violence Promising Practices in Domestic Violence Services Conference VA Department of Social Services, Office of Family Violence 9/16/2013

2 WHAT WE WILL BE COVERING Overview of NRCDV s DV Evidence Project What did we do? Why and why now? What did we learn? Where are we going from here? How does this fit with our movement s interest in providing services that are survivor-driven, empowering, trauma-informed, and culturally relevant? How does this inform and support the voluntary services work you are doing in Virginia?

3

4 BUILDS ON OTHER NRCDV RESEARCH Meeting Survivors Needs: A Multi-State Study of Domestic Violence Shelter Experiences (2009) Gathered information from 3,410 survivors who sought and received shelter services from one of 215 domestic violence shelters in 8 states. Meeting Survivors Needs Through Non-Residential Domestic Violence Services & Supports (2011) Captured the experiences of nearly 1,500 domestic violence survivors receiving non-residential services from one of 90 urban, rural and suburban community-based domestic violence programs.

5 CDC Framework for Thinking About Evidence Best Available Research Evidence of Effectiveness Evidence Based Decision Making Experiential Evidence Contextual Evidence CDC website: evidence.vetoviolence.org

6 COLLABORATIVE PROCESS In the design and implementation of the 1 st year of the project, the NRCDV engaged the following partners: The 10 HHS-funded members of the Domestic Violence Resource Network (2011 and 2012 DVRN meetings). A project advisory group of researchers, culturally-specific resource centers, and other collaborative partners. A national workgroup of key informants from state coalitions, FVPSA/STOP state administrators, local domestic violence programs, national partners and others.

7 PROJECT OBJECTIVES To increase the access of domestic violence service providers and allied organizations to information on effective interventions that are evidence based and trauma informed. To increase their capacity to better serve victims of domestic violence and their children.

8 Why, and why now? DV programs are being asked if what we do makes a difference. And what that positive difference looks like. Advocates themselves want to understand what is and is not working for survivors and their children. Programs are also looking for innovative programs from across the United States and U.S. Territories that might help better serve increasingly diverse communities.

9 KEY PROJECT ACTIVITIES A theory of change and conceptual framework - Designed to reflect the values and goals of the network of domestic violence services and advocacy. Online domestic violence (DV) evidence resource center - Houses a comprehensive evidence review of domestic violence core services, as well as promising practices and programs. Technical assistance and training tools - Enhances the DV field s capacity to thoughtfully and responsibly review and/or translate evidence-based practices and practice-based evidence into their work.

10 BUILDING THE DV EVIDENCE PROJECT S ONLINE RESOURCE CENTER Content Structure Why do we do what we do? How do we know we are making a difference? What are we learning?

11 Welcome to the site

12 FOCUS AREA: Key Services to Adult Victims

13 EXPANDING THE DEFINITION OF EVIDENCE Expanding our definition of evidence to include community practices that have demonstrated successes to answer What are we learning?. Program and Practice Profiles Caminar Latino Casa Vida Community Advocacy Project Economic Justice Program Lideres Ujima

14 Tools and Technical Assistance

15 CREATING A CONCEPTUAL MODEL Response to ACYF wanting conceptual models to guide work across programs they fund (child welfare, dv, runaway/homeless youth, adolescent pregnancy prevention) There is pressure on programs from funders to demonstrate their effectiveness, and a conceptual model can help with this Programs want to understand what is and is not working for survivors and their children Conceptual models can be useful in guiding our thinking and our work Why do we do what we do? What do we hope to accomplish by doing it?

16 DEVELOPING THE MODEL To develop a model that would be true to the work, relevant to survivors, and meaningful to funders and the larger community, process needed to be: Grounded in the work and in survivors (and primarily women s) realities Informed by empirical evidence Informed by a Theory of Change Developed the model with incredibly helpful input from survivors, DV program staff, state coalitions, national resource centers, advisory board.

17 WHAT IS OUR THEORY OF CHANGE? 1) Define the desired long-term outcomes/changes one wants to achieve; 2) Identify the factors known to lead to those outcomes/changes; and then 3) Design programs and activities that will lead to the factors that impact the long-term change.

18 DESIRED LONG-TERM CHANGE While the ultimate goal of our collective work is to end domestic violence, the ultimate goal of INTERVENTIONS FOR SURVIVORS is to promote their safety and well-being over time.

19 THEORY OF CHANGE - DV PROGRAMS 1) The desired long-term change is social and emotional well-being of survivors and their children. 2) Well-being is predicted by factors that have often been negatively impacted by the abuse: Intrapersonal factors: self-efficacy, hope Interpersonal and social factors: social connectedness and positive relationships; safety; emotional, physical and spiritual health; possessing adequate resources; social, political and economic equity

20 ADDITIONAL PREDICTORS OF CHILDREN S WELL-BEING Additional predictors of well-being, specific to children, that are often negatively impacted by IPV: Secure attachment to the non-abusive parent Positive self concept Strong social/relational competencies Strong and positive support networks

21 RETURNING TO OUR THEORY OF CHANGE 1) Define the desired long-term outcomes to achieve (SOCIAL AND EMOTIONAL WELL- BEING) 2) Identify the factors known to lead to those outcomes (LIST FROM LAST SLIDES) 3) Design programs and activities that will lead to the factors that impact the long-term change. Activity Shortterm outcome Longterm change

22 HOW LOCAL DV PROGRAMS PROMOTE SURVIVORS SOCIAL AND EMOTIONAL WELL-BEING

23 Program Activities Outcomes Factors Predicting Well-Being 1. Provide information (about options, IPV, trauma, sociopolitical setting) 2. Safety plan 3. Build skills (e.g., coping, emotion regulation, parenting, resource attainment) 4. Offer empathy, encouragement, respect 5. Supportive counseling 6. Increase access to community resources and opportunities 7. Increase social support, community connections 8. Community and systems change work Intrapersonal Changes: Cognitive /behavioral changes: increased knowledge and skills, critical consciousness Emotional changes: sense of self, less distress Interpersonal and Social Changes: Increased access to community resources Strong mother-child bond Effective interpersonal coping strategies Increased support, community connections Enhanced justice Intrapersonal Predictors of Well-Being Self-efficacy Hopefulness Interpersonal and Social Predictors of Well-Being Social connectedness Positive relationships Adequate economic & social opportunities Economic stability Safety Good physical, emotional and spiritual health Social and Emotional Well-Being

24 IMPORTANCE OF CONTEXT Domestic violence programs work collaboratively with other community members and policy makers to achieve their mission Success is dependent upon the extent to which the community supports victim safety, holds offenders accountable, and provides resources and opportunities

25 ARE DV PROGRAMS ACHIEVING THEIR GOALS? Conducted a systematic review of the empirical evidence for the four most common DV services: 1. Shelters 2. Advocacy 3. Support Groups 4. Counseling

26 WHAT DOES THE EVIDENCE SAY? Evidence exists that DV programs positively impact numerous factors predictive of well-being. Shelter users report feeling safer, more hopeful, and possessing more safety strategies as a result of their shelter stay. Advocacy services lead to women experiencing less violence over time, less difficulty accessing community resources, increased social support, and higher quality of life.

27 WHAT DOES THE EVIDENCE SAY? Support groups have led to survivors feeling a greater sense of belonging and higher self esteem, while experiencing less distress. Counseling has led to decreases in depression, anxiety and PTSD symptoms, while helping women feel better about their lives. Go to for the conceptual model and these reviews

28 What s Next? More bells and whistles Quarterly Research Updates Review of recent empirical studies and other emerging evidence Two new focus areas: Prevention and Reducing Abusive Behaviors Conceptual frameworks, evidence reviews, and program/practice profiles Building our Evidence Base Initial focus on housing innovations and economic empowerment programs TA and support Increase evidence of impact; development of tools to support other sites

29 What is ONE way that your program enhances the self-efficacy and/or hopefulness of the survivors with whom you work? Get into pairs OK if from same program (3 minutes)

30 LET S DISCUSS How does this reinforce our movement s interest in providing services that are survivor-driven, empowering, trauma-informed, and culturally relevant?

31 CULTURALLY RELEVANT TRAUMA-INFORMED What happens? EMPOWERING SURVIVOR DRIVEN Monday, August 26, 13 49

32 Related to HIGH ENGAGEMENT and HIGH SATISFACTION

33 EMPOWERING i s b e h a v i n g in ways w i t h a s u r v i v o r t h a t i n c r e a s e s t h e i r p o w e r i n : p e r s o n a l, i n t e r p e r s o n a l, a n d s o c i a l a r e n a s Related to CRITICAL CONSCIOUSNESS and SELF-EFFICACY

34 Leads to LESS TRAUMATIZED SURVIVORS or, if we are not trauma informed, to MORE TRAUMATIZED SURVIVORS

35 Culturally Relevant services relevant to diverse, culturally specific communities (race and ethnicity, religion, sexual orientation/expression, and others Cultural competence is a process of: Self awareness Appreciation Knowledge Cross-cultural skills WHAT HAPPENS WHEN WE ACT AS IF ONE SIZE FITS ALL?

36 CULTURALLY RELEVANT TRAUMA-INFORMED What happens? EMPOWERING SURVIVOR DRIVEN Monday, August 26, WHAT HAPPENS WHEN WE HAVE SOME BUT NOT ALL OF THESE?

37 How do the Social/Emotional Well-Being Framework and the guiding values of being survivor-driven, empowering, trauma-informed, and culturally-relevant help to frame the voluntary services work you are doing in Virginia? LET S DISCUSS

38 LET S DISCUSS! How do a Social/Emotional Well-Being Framework and the guiding values of being survivor-driven, empowering, trauma-informed, and culturally-relevant help to frame the voluntary services work you are doing in Virginia?

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