BEHIND THE ILLUSION: ADDRESSING ADOLESCENT DATING VIOLENCE IN SCHOOLS A Project Presented to the faculty of the Graduate and Professional Studies in Education California State University, Sacramento Submitted in partial satisfaction of the requirements for the degree of SPECIALIST IN EDUCATION in School Psychology by Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim SPRING 2014 © 2014 Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim ALL RIGHTS RESERVED ii BEHIND THE ILLUSION: ADDRESSING ADOLESCENT DATING VIOLENCE IN SCHOOLS A Project by Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim Approved by: __________________________________, Committee Chair Stephen E. Brock, Ph.D. __________________________________ Date iii Students: Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim I certify that these students have met the requirements for format contained in the University format manual, and that this project is suitable for shelving in the Library and credit is to be awarded for the project. _________________________, Graduate Coordinator Geni Cowan, Ph.D. Graduate & Professional Studies in Education iv ____________________ Date Abstract of BEHIND THE ILLUSION: ADDRESSING ADOLESCENT DATING VIOLENCE IN SCHOOLS by Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim California Education Code section 200-201 (n.d.) states that schools have a duty to protect students from harassment, discrimination, hate crimes, abuse, etc. This encompasses adolescent dating violence. While this education code policy exists, many schools lack the appropriate systematized or cohesive set of materials available to assist staff to address these issues for the school population. Therefore, this project will address this lack of materials at both the school personnel and student level, specifically addressing preventive strategies to be implemented with middle and high school students. The product of this project will be composed of three components: a handbook, a school-wide middle school curriculum, and a small group high school counseling curriculum. The handbook will function as a reference guide for educators on the importance and severity of adolescent dating violence; it will include characteristics of dating violence, community supports, and legal information. The middle school curriculum is designed to offer prevention education for all middle school students for v one week every year. The last component, the high school curriculum, functions as a therapeutic approach to support students who may have been victims or perpetrators of dating violence. It is our hope that these materials will be utilized in the future to bring awareness to the issue of adolescent dating violence, as well as hopefully decrease the incidences of dating violence among adolescents. ________________________, Committee Chair Stephen E. Brock, Ph.D. ________________________ Date vi ACKNOWLEDGEMENTS We would like to acknowledge the support and guidance of our advisor, Dr. Stephen Brock. We would also like to thank our families and friends for their continual support and encouragement throughout this educational journey. It has been a long process and we appreciate everyone’s patience and confidence in our success. vii TABLE OF CONTENTS Page Acknowledgements .......................................................................................................... vii List of Tables ..................................................................................................................... x Chapter 1. INTRODUCTION ....................................................................................................... 1 Background of the Problem ................................................................................... 1 Purpose of the Project ............................................................................................ 3 Description of the Project ...................................................................................... 4 Definition of Terms................................................................................................ 4 Limitations ............................................................................................................. 6 Statement of Collaboration .................................................................................... 7 2. LITERATURE REVIEW ............................................................................................. 8 Definition of Adolescent Dating Violence ............................................................ 8 Prevalence ............................................................................................................ 10 Risk Factors ......................................................................................................... 14 Warning Signs ...................................................................................................... 17 Impact of Social Media ........................................................................................ 19 Consequences of ADV ......................................................................................... 22 Addressing Diversity ........................................................................................... 22 Prevention ............................................................................................................ 26 viii Intervention .......................................................................................................... 31 Postvention........................................................................................................... 32 Best Practices ....................................................................................................... 34 Resources ............................................................................................................. 37 3. METHODS ................................................................................................................ 42 Research ............................................................................................................... 42 Development of the Handbook and Curricula ..................................................... 43 4. RESULTS AND DISCUSSION ................................................................................ 44 Appendix A. Behind the Illusion: Preventing and Intervening in Adolescent Dating Violence Program Supplement .................................................................. 46 Appendix B. Behind the Illusion: Addressing Adolescent Dating Violence A SchoolWide Approach to Preventing Adolescent Dating Violence ...................... 69 Appendix C. Behind the Illusion: Addressing Adolescent Dating Violence A SmallGroup Curriculum for High School Students ........................................... 103 References ...................................................................................................................... 162 ix LIST OF TABLES Tables 1. Page Percentage of high school students who experienced dating violence-selected cities ................................................................................................................. 13 2. Percentage of high school students who experienced dating violence by grade ........................................................................................................... 13 x 1 Chapter 1 INTRODUCTION Adolescent dating violence is an issue that affects teenagers across the nation (CVPC. 2008). Schools have a duty to protect their students from harm, but even though abusive relationships are very prevalent in middle and high schools, there is a significant lack of protocols within schools to address the problem of adolescent dating violence (ADV; California Education Code, n.d.). Approximately 1.5 million high school students report dating violence each year, which is a significant underestimate of the actual number of adolescents who are affected by ADV, beginning in middle school (Centers for Disease Control and Prevention, 2012). These students are in need of education to combat ADV before it starts, and support to address dating violence after students are affected. Background of the Problem Relationships among youth are profound and can, without a doubt, impact an adolescent’s identity development and self-concept (Eccles et al., 1993). While some adolescents have positive and supportive dating experiences that can help a person feel happy and healthy, on the other hand, others have negative and abusive dating experiences that can have injurious effects on an individual’s well-being (Eccles et al., 1993). Adolescent dating violence is becoming a pervasive public health concern in the United States. In fact, research indicates that dating violence affects approximately 30 percent of youth and is linked with many serious mental, emotional and physical 2 outcomes (Martsolf, Draucker, & Brandau, 2013). In order to prevent and intervene with those who experience such dating abuse and violence, it is imperative to be cognizant as to what constitutes dating violence. Additionally, adolescents themselves must also have a clear understanding about dating violence, as well as the psychological and behavioral consequences that are associated (Eccles et al., 1993). The Centers for Disease Control and Prevention (2012) defines dating violence as, “a type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual” (p. 1). Recent technological advances have resulted in social media being a mechanism for perpetuating acts of dating violence amongst adolescents. Such types of cyber harassment or bullying, includes “teasing, telling lies, making fun of, making rude or mean comments, spreading of rumors, or making threatening or aggressive comments, that occurs through e-mail, a chat room, instant messaging, a Web site, or text messaging” (David-Ferdon & Hertz, 2007, p. 2). In order to be attentive to adolescents in unhealthy relationships, one must be knowledgeable of the associated risk factors and warning signs commonly related to violent and abusive behaviors (Booth, Van Hasselt, & Vecchi, 2011). Risk factors for dating violence are defined as “attributes or characteristics that are associated with an increased probability of ADV reception and/or expression” (O’Keefe, 2005, p. 3). Demographic characteristics, prior experiences/exposure to violence, peer influence, and interpersonal variables are some risk factors commonly associated with teens that become victims of violence in romantic relationships. Equally important is an understanding, and the ability to recognize warning signs, of adolescent dating violence. Physical signs of 3 injury, truancy at school, decline in grades, indecision, changes in mood/personality, use of drugs/alcohol, emotional outburst, and isolation are signs of behaviors that adults and peers should look for if they suspect someone they know is in an violent and abusive relationship (Booth, Van Hasselt, & Vecchi, 2011). Understanding the risk factors and early warning signs of a partner that may eventually become abusive is important so that teens can identify and prevent involvement in a relationship that could lead to violence. The importance of teaching our youth to identify such behaviors associated with teen dating violence can help to prevent and intervene upon potential and existing abusive relationships (Booth, Van Hasselt, & Vecchi, 2011). Ideally, if adolescents are knowledgeable of what comprises healthy and unhealthy relationships, they will be more likely to seek those that are healthy. In addition to being less likely to seek or find themselves in unhealthy relationships, awareness of adolescent dating violence amongst adolescents will help them to recognize when their peers are in abusive relationships and help encourage them to get help (Love is Respect, 2012). Purpose of the Project California Education Code section 200-201 (n.d.) states that schools have a duty to protect students from harassment, discrimination, hate crimes, abuse, etc. This encompasses ADV. School psychologists should strive to ensure they are providing effective services to youth, including those impacted by dating violence. However, preventing ADV requires a collaborative effort between federal agencies, state and local health departments, nonprofit organizations, and schools. Many schools lack the 4 appropriate standardized or cohesive set of materials available to assist staff to address these issues for the school population (Khubchandani, Telljohann, Price, Dake, & Hendershot, 2013). This project will address these issues by developing materials for school personnel. Description of the Project Information in this project has been developed into a handbook and two separate curricula (middle school and high school curriculum) for school psychologists, school administrators, staff, and parents. The handbook provides education on definitions, warning signs, risk factors, characteristics of healthy relationships, and resources. A middle school curriculum offers a five one-hour sessions in a school-wide preventative approach to combating ADV before it begins. The high school curriculum provides an opportunity for students affected by ADV to seek support and allow themselves to be heard, while fostering positive and healthy relationships. This intervention curriculum is composed of eight, forty-five-minute sessions in a small group setting. Definition of Terms Abuse via technology: Any type of harassment, including teasing, telling lies, bullying, monitoring or controlling partner, making rude or mean comments, spreading rumors, or making threatening or aggressive comments, that occurs through e-mail, a chat room, instant messaging, a website, or text messaging (David-Ferdon & Hertz, 2007). Adolescence: Generally ages eleven to twenty-one (Healthychildren.org). 5 Bystander Intervention: The concept that a person who witnesses dating violence can intervene and help to stop the abuse from continuing (Branch, Richards, & Dretsch, 2013). Cyber abuse: Abuse that is conducted through the Internet. The abuser uses social media networks to perpetrate abuse. This type of abuse often co-occurs with emotional abuse, sexual coercion, and physical abuse (Zweig et al., 2013). Dating Violence: A type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual (CDC, 2012). Emotional dating violence: A type of abuse in which one partner threatens the other or harms his/her self-worth such as name calling, bullying, embarrassing on purpose, and/or keeping him/her away from family and friends (CDC, 2012). Financial abuse: Consists of one partner using money or accessing monetary accounts to exert power and control over their partner (CDC, 2012). Healthy relationship: Consists of mutual respect, honesty, emotional support, respected boundaries, communication, encouragement, and safety (Love is Respect, 2012). Intervention of Adolescent Dating Violence: The act of targeting adolescent dating violence and stopping its occurrence by teaching adolescents relationship skills and empowering them to make healthy decisions about relationships and sexual behavior (Wolfe, Jaffe, Crooks, & Hughes, 2008). Physical Dating Violence: Includes pinching, shoving, hitting, kicking, and strangling (CDC, 2012). 6 Prevention: The act or practice of stopping something from happening (Merriam-Webster Dictionary, 2014). Risk factors for dating violence: “Attributes or characteristics that are associated with an increased probability of ADV reception and/or expression” (O’Keefe, 2005, p. 3). Sexual dating violence: Occurs when one partner forces the other partner to engage in a sexual act without his or her consent (CDC, 2012). Stalking: A type of dating violence that refers to repeated harassing and/or threatening methods used by a perpetrator that is unwanted and causes the victim to fear the perpetrator (CDC, 2012). Warning signs: Various behaviors that adults and peers should look for if they suspect someone they know is in an abusive relationship (Alabama Coalition Against Domestic Violence, 2012). Limitations This project was designed to provide teachers, administrators, school psychologists, and students with the tools necessary to educate themselves on the pervasiveness of ADV, how to prevent ADV in schools, and how to address the problem once students have been affected. While this project focuses on best practices for dealing ADV determined by extensive research, the authors recognize that they did not have the opportunity to implement these curricula to conclude their efficacy. The authors intend to use future school sites to implement the curricula in both settings in conjunction with the handbook. Future data collection will be conducted and additional research is warranted to determine if the components of this project are effective measures. 7 Statement of Collaboration This project was developed collaboratively by Marisa Acosta, Brynn Balcom, and Caitlin Conheim, all graduate students in the School Psychology Ed.S. program at California State University, Sacramento. Each co-author had equal responsibility in the research, development, and production of this project. All sections of this project were divided amongst the three individuals to create a comprehensive project. All duties performed in the development of the project were equally divided. 8 Chapter 2 LITERATURE REVIEW Throughout this review of literature, adolescent dating violence (ADV) will be discussed. The initial topics being addressed with include the definition of ADV (different forms) and the definition of a healthy relationship. The authors will review the risk factors and warning signs for both victims and perpetrators of ADV, and explore the differences in how diverse populations experience ADV. Also addressed will be the consequences of ADV, and the impact social media has had on the prevalence of ADV. The authors will examine the importance of ADV prevention, intervention, and postvention, and best practices relating to all three will be considers. Lastly, resources for more information on ADV, evidence-based interventions for ADV, and immediate help for those currently experiencing ADV will be shared. Definition of Adolescent Dating Violence The CDC (2012) defines dating violence as “A type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual” (p. 1). Physical dating violence is rarely an isolated incident, but rather a part of a pattern within an abusive relationship. The violence or threat of violence happens time and time again (Levy & Giggans, 1995). Physical dating violence includes pinching, shoving, hitting, kicking, and strangling. Emotional dating violence is a type of abuse in which one partner threatens the other or harms his/her selfworth. Examples of this include but are not limited to, name calling, bullying, 9 embarrassing on purpose, and/or keeping him/her away from family and friends (CDC, 2012). Sexual dating violence occurs when one partner forces the other partner to engage in a sexual act without his or her consent (CDC, 2012). Stalking is a type of dating violence that refers to repeated harassing and/or threatening methods used by a perpetrator that is unwanted and causes the victim to fear the perpetrator (CDC, 2012). Financial abuse consists of one partner using money or accessing monetary accounts to exert power and control over their partner. ADV happens often in face to face, but can also occur electronically (Zweig, Dank, Yahner, & Lachman, 2013). There are many forms of technological dating abuse. Controlling partners may keep constant track of their victim by texting, tweeting, Facebook, tracking via cell phone GPS, and using smart phone cameras. Furthermore, the use of cell phone cameras contributes to adolescents’ vulnerability when it comes to tracking, sexual coercion, blackmail, and retaliation. Verbal, emotional, and sexual abuse can all be perpetrated through technology (Levy & Giggans, 2013). A study by Zweig, Dank, Yahner, and Lachman (2013) examined the extent of cyber teen dating abuse via technology, and how it relates to other forms of teen dating abuse. They surveyed 3,745 youth from the North-Eastern U.S. who were either currently in a relationship or had been in one within the last year. Findings indicated that over a quarter of the youth in a current or recent relationship had experienced a form of cyber dating violence in the last year, with females reporting to be the victim of the abuse significantly more than males. One out of ten adolescents reported to be the perpetrator 10 of cyber dating abuse. Females reported higher levels of non-sexual cyber dating abuse perpetration than males and conversely, males reported more perpetration of sexual cyber dating abuse. These findings support the concept that technology is an area of concern when it comes to ADV, and implications for further prevention of technological ADV should be addressed. It is crucial to educate students regarding what constitutes ADV. However, it is equally important to help them learn and understand the elements of a healthy relationship so they can strive to foster healthy relationships for themselves (Sanderson & Cantor, 1995). A healthy relationship consists of commitment, satisfaction, communication, conflict resolution, lack of domestic violence, fidelity, interaction/time spent together, and emotional support (Moore et al., 2004). Ideally, if adolescents are knowledgeable of what comprises healthy and unhealthy relationships, they will be more likely to seek those that are healthy (Santabarbara, Erbe, & Cooper, 2009). Adults can also help adolescents to gain knowledge and awareness of healthy relationships. Adults connected to adolescents should be aware of their social skills and relationships, including romantic relationships. When an adolescent does become involved in a relationship, the adults closest to the child should be attentive and check in with that person. In essence, monitoring adolescents as they navigate through relationships should help to decrease the amount of ADV that occurs. Prevalence Romantic relationships are a fundamental component of a person’s individual development (Clarke-Stewart & Dunn, 2006). While positive and supportive 11 relationships may help a person to feel healthier, happier, and more satisfied with their lives, negative and abusive relationships may have powerful effects on a person’s selfconcept, self-esteem, and coping abilities (Umberson, Williams, Powers, Liu, & Needham, 2006). Unfortunately, the reality is domestic abuse and intimate partner violence are common problems in adult relationships (Foshee et al., 2009). While dating violence in adult relationships is recognized as a serious problem in the United States, people are not as quick to recognize that this problem also affects adolescents. According to the Youth Risk Behavior Surveillance, between 8.9 percent and 24.2 percent of adolescents, depending on the city in which they lived throughout the U.S, reported to have experienced some form of dating violence within the 12 months prior to collecting the survey (Eaton et al, 2011). For data specific of the cities in California that participated in this survey, please refer to Table 1. For data throughout the U.S. that is specific to high school grade levels, please refer to Table 2. The Centers for Disease Control and Prevention (CDC, 2012) has shared that, “Among adult victims of rape, physical violence, and/or stalking by an intimate partner, 22.4 percent of women and 15.0 percent of men first experienced some form of partner violence between 11 and 17 years of age” (p. 1). Current research indicates that adolescent dating violence (ADV) is becoming a pervasive public health problem in the United States as dating violence affects approximately 30 percent of teens and is associated with many damaging physical and mental health consequences (Martsolf, Draucker, & Brandau, 2013). To prevent, intervene, and provide post-treatment to those who experience ADV, it is important to be clear as to what truly constitutes ADV. Not 12 only do adults need to be educated about ADV, but adolescents themselves must also understand the psychological and behavioral aspects that comprise ADV. Dating relationships are important in adolescent development (Furman & Buhrmester, 1992). The romantic relationships that are experienced as a teenager are novel and if they are abusive, can negatively impact a teenager’s identity development, self-concept, growth of secure attachment to others, and facilitation of learning how to select a healthy partner (Collins, 2003). Unfortunately, current research indicates that there are many adolescents experiencing such abuse while involved in romantic relationships. According to Foshee et al. (2009), Between 9 % and 12% of adolescents reported being physically abused and 29% reported being psychologically abused by dates in the previous year. In addition, between 4% and 14% reported using forms of violence against dating partners that are likely to result in serious injury, such as hitting a partner with an object, beating up a partner, and using a knife or gun against a partner. From 1% to 13% of adolescents have been forced by a date to have sex, and from 15% to 77% of girls have been forced into other types of sexual activity by a date. (p. 380) 13 Table 1 Percentage of high school students who experienced dating violence-selected cities - United States, Youth Risk Behavior Survey, 2011 Female Male Total California Cities % Los Angeles 11.0 (8.9-13.7) 10.9 (7.7-15.2) 11.1 (9.0-13.8) San Bernardino 9.3 (7.3-11.9) 9.3 (7.2-11.7) 9.3 (7.8-11.1) San Diego 11.2 (8.8-14.2) 11.9 (9.7-14.6) 11.6 (9.8-13.6) 6.4 (4.8-8.4) 8.1 (6.4-10.3) 7.6 (6.3-9.0) San Francisco 95% CI % 95% CI % 95% CI Note. CI = confidence interval. Table 2 Percentage of high school students who experienced dating violence by grade - United States, Youth Risk Behavior Survey, 2011 Female Male Total Grade % 95% CI % 95% CI % 95% CI 9 7.6 (6.3-9.2) 7.4 (5.8-9.2) 7.5 (6.4-8.8) 10 9.8 (8.0-12.0) 9.5 (8.0-11.1) 9.6 (8.4-11.0) 11 9.3 (7.7-11.1) 11.2 (9.2-13.7) 10.3 (8.7-12.1) 12 10.7 (8.7-13.0) 10.0 (8.2-12.0) 10.3 (8.9-11.9) Note. CI = confidence interval. 14 Risk Factors To be attentive and able to monitor adolescents that are in unhealthy relationships, one must know the factors that increase the risk of adolescents becoming involved in a violent and abusive relationship. Risk factors for dating violence are defined as “attributes or characteristics that are associated with an increased probability of ADV reception and/or expression” (O’Keefe, 2005, p. 3). An important distinction to make is that risk factors are not thought to be causal factors of ADV, but rather correlates of ADV. Therefore, these risk factor variables may have implications for the primary prevention of ADV, as well as treatment (O’Keefe, 2005). Risk factors found to be associated with teens that become victims of dating violence include demographic characteristics, prior experiences/exposure to violence, peer influence, and interpersonal variables. O’Keefe’s (2005) research suggests that victims who live in urban areas are at higher risk than those who live in rural areas, and adolescent females with low self-esteem are at higher risk to experience ADV than peers with a positive self-view. Additionally, O’Keefe’s research suggests that females exposed to parental and/or community violence are at higher risk of becoming victims of ADV and females that have friends who have been victimized by ADV are at high risk to be victims themselves. Results from a study conducted by Arriaga and Foshee (2004), examined which antecedent, friend dating violence or interparental violence, if either, is more strongly predictive of own dating violence perpetration and victimization. In the study, 526 adolescents (eighth and ninth graders) completed self-report questionnaires on two 15 occasions over a six-month period. Researchers found that the effect of friend dating violence was more significant than the effect of interparental violence. Longitudinal data predicted that neither friend dating violence nor interparental violence were related to victimization of boys, but friend-dating violence was related to victimization experiences of girls. Thus, overall, friends seem to be more influential than parents in shaping standards of acceptable dating behaviors during adolescence. Maas, Fleming, Herrenkohl, and Catalano (2010) investigated childhood predictors of ADV victimization. Results indicated that both viewing domestic violence between parents and personal experience of child abuse are correlated with a higher risk of ADV victimization for females, whereas only child abuse was a risk factor for ADV victimization in males. They also found that two more risk factors for ADV victimization in both females and males were lack of social skills and alcohol use. In addition to understanding the risk factors found in victims of ADV, it is equally important for adults and adolescents to understand the risk factors associated with perpetrators of the abuse. Foshee et al. (2009) conducted a study to determine the shape of trajectories and risk factors from ages 13- to 19-years of four types of dating abuse perpetration (moderate physical, severe physical, psychological, and sexual). The study examined whether the demographic characteristics of sex, minority status, socioeconomic status, and family structure methodically explained the differences in the trajectories and levels of risk factors for dating violence perpetrators. Results indicated that at all ages, males reported to be perpetrators of severe physical and sexual dating violence more than females, supporting the fact that males are at higher risk for instigating dating violence 16 than females. Minority populations including African American, Asian, American Indian, and mixed race adolescents reported to be perpetrators of moderate and severe physical dating abuse more often than Caucasians; therefore, results from this study indicate that ethnic minorities are at a greater risk of inflicting abuse upon their partner. This study also found that adolescents brought up in a single parent households reported more perpetration of psychological and severe physical dating abuse than those in a two parent household. Lastly, researchers found that teens who had parents with lower education levels (i.e., did not complete high school) were at higher risk of perpetrating psychological and moderate physical ADV than those who had parents with higher education levels (i.e., completion of high school and/ or college). A risk factor associated with adolescent dating abuse perpetration for females is the past experience of having been a victim of dating abuse. O’Keefe (1997) found that among all the different predictors of dating violence that included attitudes towards dating violence, dating violence conflict, alcohol or drug use, and childhood experiences with violence, the strongest predictor of perpetrating dating violence for adolescent females was having been the victim of past dating violence. Additionally, Capaldi and Crosby (1997) found that among 18 year old females with past experiences of abuse, those who reported struggling with symptoms of depression and low self-esteem were more likely to be perpetrators of dating violence than those who did not experience that symptomology. 17 Warning Signs Awareness of what makes a student at higher risk for ADV is one factor that is needed to target teens for prevention and intervention. Also important is the understanding of, and ability to recognize, warning signs of adolescent dating abuse (Hazelden, 2012). Warning signs adults and peers should look for if they suspect someone they know is in an abusive relationship include physical signs of injury, truancy at school, a decline in grades, indecision, changes in mood and/or personality, disordered eating, use of drugs/alcohol, emotional outburst, and isolation. When a teen is noticed to be exhibiting one or more of these indicators, they should be monitored and possibly further evaluated for their involvement in an abusive relationship (Eaton at el, 2007; Paludi, 2011). Additionally, when looking for warning signs of victim abuse, it is important to acknowledge that the male and female genders are likely to experience different types of abuse. For example, when examining specific abusive behaviors, Schwartz, Magee, Griffin, and Dupuis (2004) found that females were more often engaged in abusive behaviors such as pushing, biting, or slapping, whereas males were more likely to behave in ways that were more seriously harmful such as punching or using a weapon. Moreover, females were more likely to sustain physical injuries (e.g., bruises, black eyes etc.), which may necessitate medical attention. This information suggests that when trying to identify an abuse victim, it may be more difficult to recognize when a male is victimized due to the lack of physical evidence. For this reason, it is essential that educators, parents, community members, and peers are equality aware of the more internal, covert warning signs a dating violence victim may exhibit. 18 When educating teenagers about ADV, it is also important to teach the early warning signs of an abuser. Early warning signs that a partner may ultimately become violent include alcohol and drug use, explosive anger, tendency to isolate partner and themselves from their family and friends, emotionally distress abusive behavior to past partners, and the proclivity to become sexually active during or prior to 8th grade (Vagi et al., 2013). Understanding the early warning signs of a partner that may eventually become abusive is important so that teens can identify and prevent involvement in a relationship that could lead to violence. Branch, Richards, and Dretsch (2013) investigated the significance of “bystander intervention” of ADV. Bystander intervention asserts that by providing education for all students regarding the prevalence and warning signs of dating violence, these individuals will “say something” when they see problem behavior. In this study, 275 undergraduate students were asked 3 questions: 1. “If a friend tells me they are being abused by a partner…” 2. “If I witnessed a friend being abused by a partner I would…” 3. “If I witnessed a friend being abusive toward a partner I would…” (p. 3392) For question one, results indicated that an overwhelming 98 percent of students responded that they would encourage their friend to get help and 92 percent of these respondents would encourage their friend to leave the relationship. Only 4 percent of students said that they would tell their friend all they can do as a friend is listen. In answering questions two and three, respondents overwhelmingly reported that they would attempt to intervene in the dating violence victimization (87 percent) and perpetration (84 19 percent). This data indicates that bystanders, if provided with the knowledge of the abuse and the opportunity to support/intervene, will do so. Therefore, the importance of teaching our youth to identify and understand warning signs associated with ADV can help to prevent and intervene upon potential and existing abusive relationships. Impact of Social Media As discussed earlier, dating violence can take many forms: physical, verbal, sexual, psychological, and emotional. In many cases, interpersonal violence occurs faceto-face; however, technology can be used as a vehicle to perpetrate verbal, sexual, and emotional abuse. With the rapid technological advances and tools available, teens have widespread accessibility and methods for initiating and maintaining communication. Electronic technologies include cell phones, voicemail, text messaging, instant messaging, social networking sites, blogs, e-mail, webcams, and websites. This progressive new form of abuse, often referred to as electronic aggression, is a rising public health concern. Electronic aggression is defined as “any type of harassment, including teasing, telling lies, bullying, monitoring or controlling partner, making rude or mean comments, spreading rumors, or making threatening or aggressive comments, that occurs through e-mail, a chat room, instant messaging, a website, or text messaging” (David-Ferdon & Hertz, 2007, p. 3). In some instances, youth may feel that constant meddling and consistent contact is a sign that the dating partner truly cares and loves, while on the other hand, intrusive contact can cause a partner to feel harassed or threatened. Thus, it is imperative to understand the impact social media has on romantic 20 relationships and to continue to educate our youth on the elements that comprise a healthy relationship. A study by Zweig, Dank, Yahner, and Lachman (2013) examined abuse via technology in youth relationships and how it relates to other forms of ADV. They surveyed a total of 5,647 youth from 10 schools in 3 northeastern states. Out of the 5,647 participants, 3,745 reported currently being in a dating relationship or having been in one within the past year. Findings indicated that over a quarter reported experiencing some form of dating victimization via technology. Additionally, 1 out of 10 youth reported that they had perpetrated cyber-dating abuse. Zweig et al. also investigated the extent of electronic aggression amongst teens in romantic relationships. Results indicated that the most frequently reported form of cyber abuse was one partner’s use of the other partner’s social networking account without permission. The next most frequently reported forms of abuse were harassment through texts/emails, and pressuring their partners to send sexual photos of themselves. The study also confirmed that cyber abuse often co-occurs with other forms of abuse (emotional, sexual coercion, and physical abuse). They encouraged schools to raise awareness about the harmfulness of perpetuating such acts and educate victims about the importance of reporting incidents. Due to the vast impact of social media, utilizing technology may be an opportunity for positive gains, specifically in regards to prevention and intervention efforts. A study by Alvarez (2012) examined electronic aggression, focusing on the frequency, types, and effects of cyber bullying between intimate partners. In teen dating relationships, as mentioned before, cell phones were found to be the major tool used to 21 initiate a relationship with a dating partner. Blogging, tweeting, posting on social network sites, and “IM”-ing (instant messaging) were also found to be used to form new relationships. These electronic forms of communication can be used as devices to gain power and control for both the target and the perpetrator. Additionally, through technology, individuals are able to harass, stalk, and threaten their partner. Alvarez identified four specific methods of electronic victimization: (a) direct hostility, (b) intrusiveness, (c) public humiliation, and (d) exclusion. This further stresses the need to support and encourage open communication and awareness in teen dating relationships. Due to technological advances and the impact of social media, perpetration of psychological ADV is prevalent and is an extension of face-to-face violence. Korchmaros, Ybarra, Langhinrichsen-Rohling, Boyd, and Lenhart (2013) examined how perpetration of psychological teen dating violence via technology relates to face-to-face violence. Data from this study was collected from adolescents aged 14 to 19 over the course of four months. Results indicated that 46 percent of teen daters had perpetrated ADV in the past 12 months. Of those who perpetrated, 58 percent only partook in faceto-face abuse, while 17 percent used electronic aggression, and 24 percent used both. The communication mode and type of psychological ADV behavior were separately related to the frequency of perpetration. Additionally, results also revealed that the frequency of cyber violence was often higher than face-to-face abuse. This study concluded that prevention should focus on putting a stop to the perpetuation of face-toface ADV, as doing so would also prevent cyber violence as well. Evidenced through research, the rise of social media has an impact on dating relationships, especially for 22 adolescents. Abuse via technology and media is a relatively new and advanced way that adolescents can victimize dating partners; however, if used properly, technology and social networking sites can aid the facilitation of ADV education, prevention, and intervention (David-Ferdon & Hertz, 2007, p. 13). Consequences of ADV There are a number of negative outcomes and consequences associated with ADV which can impact a victim’s overall health and ability to live a functionally (Branch, Richards, & Dretsch, 2013). A study conducted by Jouriles, Garrido, Rosenfield, and McDonald (2009) found that psychological and physical relationship aggression were correlated with symptoms of psychological distress. Findings also suggested that such experiences of psychological and physical distress might be positively linked with mental health challenges. Carlson (2003) identified that victims of abuse commonly suffer through insults, humiliation, and intimidation, which can lead to relatively lower selfesteem and feelings of self-worth. Branch, Richards, and Dretsch (2013) assert experiencing ADV can lead to Posttraumatic Stress Syndrome, sleep disorders, depression, self-harming behaviors, and suicidal ideation. They also report that in addition to psychological distress, consequences of ADV can also include physical health effects such as chronic illness, headaches, and disordered eating. Addressing Diversity Diverse student populations appear to be at a higher risk for ADV. Lesbian, gay, bi-sexual, transgender, and/or queer (LGBTQ) individuals/couples experience dating violence at higher rates than heterosexual couples, according to Dank, Lachman, Zweig, 23 and Yahner (2013). In their study of 3,745 adolescents in relationships, LGBTQ youth (n = 229) reported 42.8 percent have been victimized by physical dating violence, 59.2 percent by psychological abuse, 37.2 percent by cyber dating abuse, and 23.2 percent by sexual coercion. These percentages were compared to the heterosexual youths in relationships (n = 3,475) who experienced 29.0 percent by physical abuse, 46.4 percent by psychological abuse, 25.7 percent by cyber abuse, and 12.3 percent by sexual coercion. Adolescents who identify with the LGBTQ community are at an increased risk of being in an abusive relationship. In a study by Elza (2002), 44 percent of the bisexual female participants more often reported abuse than lesbian participants (25 percent); however, of the female participants who only dated women, 28 percent reported abuse in their dating relationships, as well. This suggests that dating violence can occur in relationships of all forms. It has been suggested that the fear and anger from oppression and discrimination can be redirected towards a partner and manifest into abuse (LiveStrong, 2012); nevertheless, despite the odds and barriers that bisexual and lesbians may face in relationships, they still actively date (Elze 2002). LGBTQ adolescents may be less likely to seek help due to their fear of further discrimination or being exposed as a LGBTQ adolescent. Additionally, other minority groups also experience intimate partner violence. The CDC (2012) found African-American and Hispanic students reported a high rate of physical violence in their relationships. Foshee et al. (2008) found that ADV was more prevalent among African-American youth than among other races/ethnicities, although it is unclear whether the greater prevalence correlates with lower socioeconomic status, 24 residence in a disadvantaged neighborhood, or other factors (Foshee et al., 2009). Further, disadvantaged communities that lack collective monitoring of adolescents, wherein teens are left unattended, tend to see a greater likelihood of aggression and socially impaired youth behaviors (Browning, Leventhal, & Brooks-Gunn, 2005). However, a study by Love and Richards (2013) found contradictory data suggesting that because of the way dating violence is perceived for African-American youths, the reported rates of abuse may be lower. The researchers discovered that many AfricanAmerican teenagers did not consider emotional and sexual abuse to be forms of dating violence, and only viewed physical abuse to constitute dating violence. Furthermore, much of the violence was perceived as signs of love or “playin,” rather than being problematic, actual abuse. Only in cases of serious physical violence was the line crossed from “playin” to ADV. Love and Richards also found that when these adolescents experienced dating violence in their relationships, females, as opposed to males, might disclose such violence to other close females in their lives. This evidence suggests it is possible more dating violence occurs among African-American youth than previously suspected. In 2009, 13.5 percent of Latino youth between the ages of 11 and 13 in the Washington, DC area identified themselves as being victims of dating violence (Yan, Howard, Beck, Shattuck, & Hallmark-Kerr, 2010). A study conducted by O’Keefe (1997), found that Latinos were significantly more likely to be violent in relationships than Whites. According to Children’s Safety Network article, “Percentage of High School Students Who Reported Being Hit, Slapped, or Physically Hurt on Purpose by 25 Their Boyfriend or Girlfriend During the 12 Months Before the Survey by Race, 20012009,” African-American, American Indian/Native Alaskan, and mixed race teens had the highest percentage of reported abuse from a partner in 2009. Additionally, in a rural North Carolina county, Foshee et al. (2008) found that adolescents from minority groups, single-parent households, and homes in which parents had lower levels of education reported more physical ADV that was either moderate or severe. Not only does abuse occur among high school students. It has been found to occur among middle school youth found as well. Middle school students experience ADV at similar rates as high school students (Lormand et al., 2013). There also appears to be risky dating situations in conjunction with substance abuse. Moreover, some middle school youth who have experienced ADV may be at a higher risk for other adverse health behaviors. In a longitudinal study, Howard, Debnam, and Wang (2013) found that 1 in 10 girls reported to have experienced physical dating violence (PDV) annually, over the course of 10 years. Additionally, they found that girls of Hispanic and white ethnicities were less likely to report than girls of other ethnicities. This suggests that awareness of how students perceive dating violence and education for adolescents regarding healthy relationships may give girls more confidence to report violent acts against them. Since it appears that diverse populations are at a higher risk of being in abusive relationships, it is imperative that schools tailor prevention and intervention methods to meet the needs of diverse student subgroups (Noonan & Charles, 2009). 26 Prevention Paul Schewe (2004), in his book Preventing Violence in Relationships: Intervention Across the Life Span, provided sage advice when speaking about violence prevention. He wrote, “Until educators, policymakers, and researchers come to realize that strong, healthy relationships between individuals are the key to preventing violence, little progress will be made in the effort to promote peaceful coexistence” (p. 3). According to Schewe, prevention truly is the key in reducing all types of violence, including ADV. Prevention efforts previously had focused on high school students and left out middle school youth and abuse via technology. However, as researchers began to understand the seriousness of ADV in this day and age, the research began to grow and evolve. Currently, the most effective prevention research is that which is universal and school-based (World Health Organization, 2010). Due to the recent knowledge that middle school students experience ADV at roughly the same rates as high school students, the school-based prevention efforts also need be focused in the formative years as to intervene when students are aware of the issues related to ADV, but are not yet involved in sexual relationships. Education should be geared not only towards teens in relationships, but all youths to maintain the significance of peers supporting and encouraging nonviolent relationships (Wilson, 2006). Many teens might not recognize the negative outcomes in risky dating situations, but instead may view a risk as problematic and adaptive simultaneously. In a study by Helms, Sullivan, Corona, and Taylor (2013), six themes of negative and positive outcomes related to problematic dating situations were identified. The positive themes included were potential for 27 relationships and connection; fun, tangible benefits, and things to do; warning signs and ending unhealthy dating relationships; mastering interpersonal skills; love, intimacy, and strengthening relationships; and getting attention or improving image. Negative themes included were violence, victimization, and risk for harm; feeling controlled, pressured or hurt; rule-breaking and consequences; conflicts and breakups; cheating, jealousy, and trust; and damaging image or getting a bad reputation. The authors found that both previously held beliefs and peers played significant roles in the perceptions of possible dating situations. In this sample of teens, peers tended to promote aggression and although research stresses the importance of boundaries in relationships, a blurred line still lies between “play” and “real” aggression. The study emphasizes how preventative education would highlight and address some of the vague beliefs held by adolescents. Additionally, there appears to be merit in developing focus groups to understand what views adolescents have about relationships, violence, relationship norms, relationship roles, and who to trust. The focus groups should ask questions regarding other risky behaviors, which stem from abuse. Noonan and Charles (2009) gathered data from focus groups, finding specific themes concerning beliefs and perceptions of middle school youth. What they found was promising. The majority of the focus group participants did not promote violence in relationships. The participants did express beliefs regarding specific gender roles in relationships and that adhering to the roles would assist in maintaining a healthy relationship. Conversely, participants also expressed their beliefs about intervening as a bystander; they were not willing to intervene, especially if the violent couple was not friends of the bystander. 28 A longitudinal study examined youths’ beliefs and whether those beliefs predicted perpetration (Mueller, Jouriles, McDonald, & Rosenfield, 2013). The researchers enlisted adolescents from truancy courts, juvenile probation, and victim services and found that at baseline, ADV perpetration predicted acceptance of violence. However, baseline beliefs were not predictors of ADV at follow up. This suggests that there may not be more dating violence within the population that is accepting of ADV, but those who perpetrate tend to see violence as more acceptable. This research supports the importance of understanding adolescent’s beliefs and perceptions of ADV. Prevention programs should bring these beliefs and perceptions to light to help adolescents form an accurate understanding of what constitutes a healthy relationship in addition to how they can respond if they experience or witness perpetration. O’Keefe (2005), in an attempt to find the best program, examined the effectiveness of the prevention programs that were available. At the time, she found that the majority of the programs were school-based and provided in a group format. She found that many of the programs were promising, especially when they incorporated knowledge about ADV, how to improve communication skills, and the idea of changing norms. Many of the programs focused on the idea of what ADV can look like, what healthy relationships should look like, and they encouraged students to report violence, abuse, bullying, and harassment. O’Keefe also noted that these prevention programs served teens best when they were incorporated into systems like school, juvenile justice programs, and recreational programs etc. The potential benefits for everyone were vast 29 when adolescent environments incorporated and promoted healthy, safe, and violencefree ideals. As part of the journal on Violence Against Women, Mulford and BlachmanDemner (2013) analyzed the National Institute of Justice’s (NIJ) recent collection of ADV research. The NIJ has currently funded the only middle school youth dating violence prevention program, known as the Shifting Boundaries Program. The program included classroom-based, as well as school-based curricula, targeting topics of state laws, healthy relationships, raising awareness, and consequences for perpetrators. The effectiveness of these curricula were such that students who received either school-wide or school and classroom-wide interventions had reduced levels of dating violence and sexual harassment compared to the control group. They also found that the classroombased intervention was not effective by itself, but that the school-based curriculum assisted students in intending to intervene between peers if they witnessed abusive behavior. These research findings, along with previous NIJ studies, create a stable foundation for future intervention projects. One such project that is popular and effective is called, “Safe Dates.” Safe Dates is an evidence-based curriculum that has demonstrated effectiveness in helping teens understand healthy versus unhealthy relationships and preventing ADV, which can also lead to problems with substance use (Hazelden, 2012). To further evidence effectiveness of Safe Dates, Foshee et al. (1998) evaluated the program. Foshee et al. examined the program using 14 different schools, of which participants were 80 percent eighth and ninth graders in a rural county. All groups were compared at baseline. Follow-up 30 indicated that treatment groups reported less psychological and sexual abuse, and violence perpetration. Overall, the program was effective in altering gender stereotyping, awareness of services, and dating violence norms. Though some full curricula and programs may be difficult to find for educators, there are several easily accessible and informative websites that offer information/facts about ADV, answer frequently asked questions, and provide some training (Utah Department of Health, 2007; Veto Violence, 2012). These accessible sites supply various professional educators with curricula to provide education and prevention knowledge to students in their schools. Additionally, Veto Violence offers continuing education credits and a reliable training course for educators through Continuing Education and the CDC’s training site. The CDC also has training booklets with various screeners and ADV assessment instruments. The screening tools provide various questionnaires for health professionals, and offer some screeners in Spanish, as well (CDC, 2007). Additionally, the CDC has developed the Youth Risk Behavior Surveillance System (YRBSS), which monitors “health-risk behaviors that contribute to the leading cause of death and disability among youth and adults” (CDC, 2012, p. 1). Among these risk behaviors are substance use and sexual behaviors that lead to sexually transmitted diseases and unintended pregnancies. These screeners can also assist educators in looking for warning signs and behaviors that may suggest ADV. Though there is more that needs to be developed, there are currently preventative programs that incorporate the important issues facing middle school and high school students. 31 Intervention Dating violence is not only a North American phenomenon. Leen et al. (2013) suggest that the rates of ADV are equivalent across North America and Europe. However, these researchers did identify nine different U.S. based intervention programs. In these programs, researchers identified perpetration risk factors, which they found to be comparable across findings and to be the basis for each of the prevention programs. These risk factors included substance use, peer influences, attitudes towards violence, and psychological adjustment. Though the efficacy of the intervention programs is mixed, the researchers suggested that programs would likely obtain viable effects when focused on changing the behavior of students. Findings suggest that groups and focus groups would also assist students experiencing ADV, such as the Expect Respect groups in middle and high school (Safe Place, 2012). This small group intervention can be led by psychologists or counselors for 24-weeks and incorporates activities for students who are victims of violence, pregnant, using substances, those who bully, and/or hold beliefs that bullying and threats are acceptable. Groups such as these lend some hope to students in risky dating situations. Furthermore, there are sites in which students can do their own research on the subject. The School Health Centers (2012) website contains ADV resources, which include a “Student Health Services Dating Abuse Screening and Response Protocol” currently used by the Austin, Texas School District. The website includes education and resources on wallet-sized cards for teens, and resources for students and educators. The Fourth R: Relationship Based Violence Prevention is another online source for curricula, school-based projects, strategies for youth, resources 32 for parents, and community partners (Wolfe, Jaffe, Crooks, & Hughes, 2008). The goal of Fourth R is to help reduce the instances of risk behaviors and violence by educating teachers, parents, community members, and youths on the concept of a healthy relationship, how they can build those relationships, and reduce the risk behaviors. Wolfe et at. (2009) used the intervention “Fourth R: Skills for Youth Relationships” in an experiment to determine if the 21-lesson curriculum reduces physical dating violence (PDV) in target schools versus control schools that taught the same information without training or materials. They introduced the curriculum in ninth grade health classes and followed up after two and a half years. Wolfe et al. found two main outcomes of the curriculum integration, which suggested that control schools experienced more incidences of PDV than intervention schools, as well as increased condom use after the two and a half years for the intervention group. Postvention When school professionals become aware that dating violence occurs in their schools, they can incorporate policies and intervention programs that can be implemented to support students that are in tumultuous relationships. The California Women’s Law Center (2007) has developed a policy for professionals to implement in their schools as a response to ADV, called “Just Date Now.” This program’s purpose is to educate school professionals on their duties to protect their students, which includes protecting them against ADV. California law states that schools must provide safe schools, fight sexual harassment, respond to hate violence, foster discrimination-free campuses, protect students, report suspected child abuse, and discipline perpetrators. By abiding these laws 33 and being cognizant of dating violence at their schools, professionals will be better equipped to intervene when perpetration occurs. Additionally, the Crime and Violence Prevention Center (CVPC, 2008) developed “A Guide to Addressing Teen Dating and Sexual Violence in a School Setting.” As the California law requires schools to respond to sexual harassment and ADV, the CVPC provides a guide to the policies and protocols for schools to respond in meaningful ways. They recommend including the community members for support and ensuring that the school professionals are aware of and implement the protocols in place. Furthermore, the CVPC guide includes a sample policy for schools to adopt that includes tools for training said educators. These policies will ensure that student victims of sexual assault and abuse will be protected and supported by their schools. Unfortunately, according to Khubchandani et al. (2013), school nurses, who could be among the most important support systems in schools regarding dating violence, do not have protocols to respond to ADV. Since adolescents spend a significant amount of time at school (approximately one-third of their day) where socialization and budding relationships occur, school nurses could identify and intervene in ADV. However, many schools do not have screeners or student surveys to assess teen dating behaviors. It was found that the nurses who have done surveys felt they had a greater ability to connect with the students in order to assist them (Khubchandani et al., 2013). If nurses can be trained in ADV prevention, intervention, and postvention, then they can assist students without barriers and provide in-school education to prevent, assess, and intervene with ADV. 34 Best Practices School psychologists should strive to ensure they are providing effective services to youth, especially those impacted by dating violence. As stated earlier, school districts and school personnel have a duty to protect students from harm and districts may be held liable for failure to address the problem (Carlson, 2003). Thus, there is a strong need for universal awareness and appropriate prevention and intervention materials for dating violence aimed at both middle school and high school youth. A growing body of research has provided promising and effective best practices in addressing ADV in the schools. A positive school climate of healthy relationships requires active promotion and modeling of the healthy, expected behaviors, as well as education and early intervention for unhealthy behaviors. Thus, the reinforcement of positive messages while establishing expectations that foster a culture of healthy relationships can help prevent ADV. According to Furlong, Felix, Sharkey, and Larson (2005), creating a safe environment for students at school is essential to their academic and social success. Best practices for safe and encouraging schools require the implementation of prevention strategies to reduce violence in all forms. Research indicates that positive supports, skill building, parent and community involvements, and improved school climate are the foundations that will reduce school violence and improve academic and social outcomes. Furlong et al. (2005) further indicated that addressing bullying and employing bullying intervention programs are integral to overall violence prevention efforts. Bullying intervention programs help schools to eliminate existing bullying problems, prevent future bullying issues, increase healthy behaviors towards peers, and create a positive 35 school climate. Utilizing preventative approaches and educating students on campus of appropriate, healthy attitudes and behaviors is best practice. In essence, efforts to reduce school violence will ultimately encourage and model the development of a safe school climate. Foshee et al. (2004) examined the use of Safe Dates, a school-based intervention for the prevention and reduction of dating violence among adolescents. They looked at the program’s long-term effects on dating violence four years post-intervention. Participants eligible for this study were adolescents enrolled in the eighth grade from ten different public schools located in a rural area of North Carolina. Findings indicated that adolescents that received the Safe Dates intervention program reported significantly less psychological, physical, and sexual dating violence perpetration and victimization than those who did not receive the intervention. Best practices indicate that prevention and intervention programs that foster education are effective and likely lead to better longterm effects and outcomes for adolescents. The Minnesota Department of Health (2002) began collecting and analyzing intimate partner violence data as a means to offer best practice and preventative strategies to aid in this rising public health concern. From 1998 to 2001, 30 percent of women in the United States reported some form of intimate partner violence. Reported violence included physical, emotional, and psychological. In all its forms violence was most often perpetrated by someone known to the victim, including peers, family members, and intimate partners. Findings suggest that the best practices for addressing intimate partner violence include providing healthy models of intimacy and, more generally, the overall increase of services available to victims. Additionally, 36 community connectedness, education for the victims and the perpetrators, and help to individuals, families, and communities will help to address and intervene in intimate partner violence. In conjunction with prevention and intervention programs, therapeutic counseling sessions may also be a best practice approach in addressing intimate partner violence. Joint couple treatment and counseling for interpersonal partner violence remains controversial, yet a growing body of research indicates it can be effective and safe. McCollum and Stith (2008) stated the “one size fits all” approach to intimate partner violence is not appropriate, and best practices indicate that inclusion couple therapy can be an alternative approach. Within this framework, best practices suggest careful screening of couples, modification of typical conjoint approaches, promotion of education, safety, and ongoing assessment plans. In conjunction with the aforementioned best practice suggestions, it is also important for professionals to remain cognizant of not only the individual’s chronological age, but also their social-emotional development. Thus, careful consideration must be employed with regard to middle and high school couples when facilitating counseling in this modality. To identify best practice procedures, Iliffe and Steed (2000) aimed to explore the impact on counselors who work with domestically violent clients. Clinicians and psychologists who work with victims of interpersonal violence are at an increased risk of developing vicarious traumatization and distress, emotional fatigue, and impaired professional competence. Data obtained from their study suggested best practices for clinicians and psychologists working with domestic violence clients include monitoring 37 client caseload, debriefing, peer support, and self-care. The role of monitoring one’s mental and emotional well-being is crucial component of self-care and psychological wellness for those who work directly with individuals experiencing trauma and violence (World Health Organization, 2010). Best practices are drawn from published research that identifies effective services and programs. In regards to ADV, best practice programs encompass several key elements. For one, a comprehensive program that educates teens on healthy dating, while listing and promoting examples of positive female and male behavior in a relationship is ideal. Secondly, a program should foster and encourage peer discussion and parent involvement, in addition to building strong, positive connections and relationships between youth and adults, and youth to other youth. Lastly, programs addressing ADV should be theory-driven, utilizing prevention approaches that are evidence-based. Best practices aim to expose participants to an extensive and complete prevention or intervention program. Research has shown that seven to nine trainings is deemed adequate and can result in changes in attitudes and behaviors. The most effective and best practice model for eliminating ADV in the schools is to have a collaboration of services available that address primary, secondary, and tertiary prevention. Resources The authors of this project assert that school psychologists and other educators can work together to help prevent dating violence in the schools. As described above, there are various types of abuse and teens are at high risk for interpersonal violence, which can adversely affect an adolescent’s health and safety. Statistics indicate that one 38 in three teens experiences some kind of abuse in his or her romantic relationship including verbal and emotional abuse (Tucker Halpern et al., 2001). Furthermore, nearly 80 percent of girls who have been physically abused in their intimate relationships continue to date their abuser (Claiborne, 2007). Thus, it is imperative that faculty and staff at school sites are not only cognizant of the risk factors and warning signs that are linked to intimate partner violence, but are also knowledgeable of the services, supports, and resources available. The Centers for Disease Control and Prevention (2012) gives an educational overview on intimate partner violence. This website offers definitions, data sources, risk and protective factors, consequences, and prevention strategies. The Centers for Disease Control and Prevention also provides additional resources designed to help educators and others working with teens about developing healthy, respectful relationships. The Centers for Disease Control and Prevention (2012) is leading initiatives to prevent dating violence and promote respectful, non-violent dating relationships among adolescents. This approach will build upon the growing body of evidence-based practices and help reduce ADV in the schools. Dating Matters (CDC, n.d.) is a free, online course available to educators, school personnel, youth leaders, and parents to help improve the health of teens. This 60minute, interactive training helps an individual understand ADV and its consequences, identify factors that can place teens at risk for dating violence, communicate with teens about the importance of healthy relationships, and learn about resources to prevent dating violence. Also available is an extension of Dating Matters (CDC, n.d.), which aims to 39 reduce dating violence and increase healthy relationships in high-risk urban communities through a comprehensive and culturally competent preventative approach. Preventing Intimate Partner and Sexual Violence: Program Activities Guide (CDC, n.d.) is a resource that outlines four categories of activities which are essential to the Centers for Disease Control and Prevention work: tracking the problem, developing and evaluating prevention strategies, supporting and enhancing prevention programs, and providing prevention resources. The activities included in this preventative resource emphasize primary prevention of violence perpetration, reduction of violence before it occurs in adolescent relationships, and increasing the factors that protect teens from becoming perpetrators of abuse. FindYouthInfo.gov (n.d.) is an electronic database filled with resources from various fields. ADV is a featured topic within this online resource that provides information on characteristics of healthy/unhealthy relationships, prevalence, electronic aggression, prevention, consequences, legal responses, resources for victims, and public awareness for youth, families, schools, and community organizations. There are many national hotlines available that allow individuals to seek help and guidance for domestic violence, teen dating abuse, sexual assault, and sexual violence. These online and telephone hotlines for the aforementioned public health issues are effective ways to provide individuals with accurate information, counseling, and referrals to communitybased services or resources. A study conducted by Champion, Foley, Sigmon-Smith, Sutfin, and DuRant (2008) investigated community resources and individual risk factors in protecting youth from intimate partner violence. Findings indicated that neighborhood 40 organizations and community supports available are ways to protect and combat adolescent dating abuse. While these national strategies to reduce and prevent adolescent violence provide a large volume of information in regards to dating risk factors and causal pathways for such abusive behavior, there is relatively little evidence-based research about the effectiveness of hotline interventions at the national level. One of the positive points associated with hotlines is the anonymity. As previously discussed, adolescents who experience abuse and violence are reluctant to speak out for help, therefore, the lack of face-to-face contact associated with national hotlines may aid in individuals feeling more safe and comfortable reaching out for guidance and advice. Additionally, hotlines can help determine the need and impact of public education and media campaigns. Hotlines can also help provide information to guide new preventative and intervention approaches. Specifically, the National Teen Dating Abuse Helpline (loveisrespect.org, n.d.) is a resource that is dedicated to ending dating abuse and engaging all individuals in promoting healthy relationships. This resource offers data and studies that document rates, types, and views of dating violence. In addition, multiple resources and curriculums are available to educate students (middle school, high school, university students) about healthy relationships and avoidance of abuse (loveisirespect.org, n.d.). In closing, some teens will not tell anyone they are experiencing interpersonal abuse and violence. If they do choose to tell someone, odds are the first person will be a trusted peer, rather than a parent or teacher. Adolescents in abusive relationships face a variety of obstacles when asking for help that may range from fear of social consequences and embarrassment, to loss of independence and distrust 41 of adults (Carlson, 2003). Teens are relatively unlikely to approach their parents or adults for help. Therefore, adults must be willing to take the first step of reaching out to teens they suspect are experiencing abuse, and be able to provide resources for them when they ask for help. Preventing ADV requires a collaborative effort between federal agencies, state and local health departments, nonprofit organizations, and schools. This project will address these issues by developing an educational handbook and two separate curriculums. The educational handbook will provide students, teachers, administrators, and community members on the definition, warning signs, risk factors of dating violence, what constitutes a healthy relationship, and resources. A middle school curriculum will be developed as a school-wide approach as a prevention method to stop dating violence before it starts. Additionally, a high school curriculum will be designed to better serve high school youth who have likely had dating experiences that are more serious and intimate in nature, which will provide these adolescents with the skills and tools they need to foster healthier relationships. 42 Chapter 3 METHODS Research The authors utilized several techniques in the researching for this project. Google Scholar, EBSCO, PsycInfo, the Education Resources Information Center (ERIC), and the California State University, Sacramento, library host databases were searched for peerreviewed journal articles, both qualitative and quantitative, using a variety of search terms. The key words “Adolescent Dating Violence” were searched in conjunction with other terms, such as risk factors, warning signs, best practices, and resources. Additional searches were performed using words and phrases such as prevention, intervention, postvention, social media, and diversity. The Centers for Disease Control and Prevention (CDC) website was used as a search engine for preventive and intervention approaches, definition of terms, and resources, such as Break the Cycle, Dating Matters, and LoveIsRespect.org. Further, as part of the research process, the co-authors assembled poster presentations detailing prevalence, risk factors, warning signs, intervention techniques, and resources for adolescent dating violence for the California Association of School Psychologists convention in October of 2012 and the National Association of School Psychologists convention in February of 2013. The co-authors were assigned to write specific sections of the outline for the literature review. 43 Development of the Handbook and Curricula The handbook was developed as an educational manual for school administrators, staff, and parents to serve as a quick reference of warning signs, risk factors, and prevalence. Additionally, the handbook will provide resources and best practices for addressing, preventing, and intervening in adolescent dating violence (ADV) in the schools. In conjunction with the educational handbook, two separate curricula were developed. The middle school curriculum serves as a preventative universal approach to educate youth on how to identify dating violence, how to avoid engaging in abusive relationships, what to do if one finds themselves in or witnesses the occurrence of a violent relationship, and ultimately, how to make decisions that will lead to partaking in positive, healthy relationships. The high school curriculum is designed as a small group intervention for high school youth who have experienced dating violence. This curriculum discusses topics such as substance abuse, peer influences, beliefs and attitudes toward violence, elements of healthy and unhealthy relationships, and additional supports and resources. Due to this project not being implemented to the target audiences prior to submission, suggestions were sought from the school psychology faculty at California State University, Sacramento. The handbook, middle school curriculum, and high school curriculum are located in the appendices of this project. 44 Chapter 4 RESULTS AND DISCUSSION The CDC reports that 22.4 percent of women and 15.0 percent of men will first experience some form of adolescent dating violence (ADV) between 11 and 17 years of age (2012). To help educators address the problem of ADV in an effective, evidencebased, and organized manner, the authors of this project created Behind the Illusion: Addressing Adolescent Dating Violence in Schools. This included the development of two separate yet related curricula and a curriculum supplement. All three sets of materials are intended for use by school staff to promote the prevention and intervention of ADV amongst students. One of the two curricula is to be implemented using a school-wide approach for middle school students. In order for this to be accomplished, a school staff will agree upon and commit to systematically conducting the lessons in their classrooms. For example, at a school in which every student has a homeroom class, the staff may decide that every homeroom teacher will implement the lessons with their homeroom students, thus, every student in the school will participate in the lessons at the same time every day. This curriculum has five sessions that are to be conducted for five days in a row over a one-week period. The sessions consist of approximately 45 minute long activities that will raise awareness of ADV and serve as a preventative intervention tool for 7th and 8th grade students. The second curriculum is to be implemented at the high school level. This curriculum serves as an intervention approach to be used in small counseling group 45 settings with students who currently are or have experienced ADV firsthand. The school psychologist will run small counseling groups that consist of 6-8 students. School staff and parents who have knowledge of students who are in or have been in abusive relationships will make referrals for the group. The school psychologist will briefly meet with each referred student to ensure he or she will benefit from the group and has a desire to participate in the group. This curriculum consists of nine 45-minute sessions that promote self-esteem, acceptance of engagement in a violent relationship, awareness of different types of ADV, knowledge of how to build healthy relationships, and resources for help. The ADV supplement serves as an easily accessible informational tool for teachers, administrators, parents, and community members. The ADV supplement provides an overview of both curricula, information about characteristics of both abusive and healthy relationships, definitions of the different types of AVD, warning signs of AVD, risk factors for ADV, and resources. 46 APPENDIX A Behind the Illusion: Preventing and Intervening in Adolescent Dating Violence Program Supplement 47 Behind the Illusion: Preventing and Intervening in Adolescent Dating Violence Program Supplement Marisa Acosta, Brynn Balcom, and Caitlin Conheim California State University, Sacramento 48 Table of Contents Program Overview ...........................................................................................................49 Violent Adolescent Relationship Characteristics, Healthy Adolescent Relationship Characteristics, and Forms of Adolescent Dating Violence Abuse .............................52 Definition of Adolescent Dating Violence ...........................................................53 Definition of a Healthy Relationship ....................................................................53 Types of Adolescent Dating Violence Abuse .......................................................53 Risk Factors Associated with Adolescent Dating Violence ..........................................55 Definition of Risk Factors for Adolescent Dating Violence .................................56 Risk Factors for Adolescent Dating Violence Victims ..........................................56 Risk Factors for Adolescent Dating Violence Perpetrators ...................................56 Addressing LGBTQ Students ................................................................................57 Warning Signs of Adolescent Dating Violence ..............................................................58 Definition of Warning Signs for Adolescent Dating Violence ..............................59 Warning Signs for Victims of Adolescent Dating Violence ..................................59 Warning Signs for Perpetrators of Adolescent Dating Violence ...........................59 Resources for Students, Educational Staff, Parents, and Community Members ......61 Resources for Students ...........................................................................................62 Resources for Educational Staff, Parents, and Community Members ...................63 Final Thoughts… ...................................................................................................64 References ..............................................................................................................65 49 Program Overview 50 Behind the Illusion: Preventing and Intervening in Adolescent Dating Violence California Education Code section 200-201 (n.d.) states that schools have a duty to protect students from harassment, discrimination, hate crimes, abuse, etc. This encompasses adolescent dating violence. While this education code exists, many schools lack the appropriate systematized or cohesive set of materials available to assist staff to address these issues. Behind the Illusion is a middle and high school curriculum designed to address the problem of adolescent dating violence (ADV). The materials are intended for use by school staff to promote the prevention and intervention of ADV amongst students. The Centers for Disease Control and Prevention reports that 22.4 percent of women and 15.0 percent of men will first experience some form of ADV between 11 and 17 years of age (2012). Without the knowledge how common ADV is, people may view many adolescent relationships as typical and normal. However, educators have the opportunity to decrease the prevalence and intervene upon present occurrences of ADV by educating themselves and their students about what is behind that illusion. The materials will serve as a guide for doing so in an effective, evidence-based, and organized manner. The current program encompasses three components: 1. An educational supplement that provides the definition, warning signs, and risk factors of dating violence; specifies what constitutes a healthy relationship; and offers resources for students, teachers, administrators, and community members to help those who have been victims of dating violence. 2. A middle school curriculum implemented in a school-wide approach as a prevention method to stop dating violence before it starts. Topics include healthy versus unhealthy relationships; warning signs of, and risk factors for dating violence; student beliefs and views about dating; and resources for students experiencing ADV to seek help. 3. A high school group curriculum designed to provide interventions and support for students involved in unhealthy relationships. Topics include peer influences, substance abuse, attitudes towards violence, healthy versus unhealthy relationships, and resources for students experiencing ADV to seek help. The Behind the Illusion program is broken down into these three pieces to better facilitate education and prevention of adolescent dating violence. From the research, we found that adolescent dating violence (ADV) occurs at roughly the same rates in middle school as in high school (Mulford & Blachman-Demner, 2013). Multiple findings indicate that the nature of middle school relationships is generally not as developed, nor as intimate as seen within high school relationships. Therefore, we have established that a preventative 51 school-wide approach would better serve middle school youth who are beginning to form romantic relationships. To better serve high school youth, who likely have dating experiences that are more serious and intimate; a targeted intervention curriculum is designed to provide adolescents with the skills and tools they need to foster healthier relationships. The online resource, LoveisRespect.org (2014), has proclaimed the month of February to be National Teen Dating Violence Awareness month. Given this designation, our hope is that this program will be implemented during February to honor this national campaign. 52 Violent Adolescent Relationship Characteristics, Healthy Adolescent Relationship Characteristics, and Forms of Adolescent Dating Violence Abuse 53 Definition of Adolescent Dating Violence The CDC (2012) defines dating violence as “A type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual” (p. 1). While adult relationship and dating violence is recognized as a serious problem in the United States, people are not as quick to realize that this serious problem also affects adolescents in relationships. According to the Centers for Disease Control and Prevention (CDC, 2012), “Among adult victims of rape, physical violence, and/or stalking by an intimate partner, 22.4 percent of women and 15.0 percent of men first experienced some form of partner violence between 11- and 17-years of age” (p. 1). Current research indicates that adolescent dating violence (ADV) is becoming a pervasive public health problem in the United States as dating violence affects approximately 30 percent of teens and is associated with many damaging physical and mental health consequences (Martsolf, Draucker, & Brandau, 2013). In order to prevent, intervene, and provide post-treatment to those who experience ADV, it is important to be clear as to what truly constitutes adolescent dating violence. Not only do adults need to be educated about adolescent dating violence, but adolescents themselves must also understand the psychological and behavioral aspects that comprise adolescent dating violence. Definition of a Healthy Relationship While it is crucial to educate students regarding what constitutes adolescent dating violence. However, it is equally important to help them learn and understand the elements of a healthy relationship so they can strive to foster healthy relationships for themselves (Sanderson & Cantor, 1995). A healthy relationship consists of commitment, satisfaction, communication, conflict resolution, lack of domestic violence, fidelity, interaction/time spent together, and emotional support (Moore et al., 2004). Ideally, if adolescents are knowledgeable of what comprises healthy and unhealthy relationships, they will be more likely to seek those that are healthy (Santabarbara, Erbe, & Cooper, 2009). Adults can also help adolescents to gain knowledge and awareness of healthy relationships. Adults connected to adolescents should be aware of their social skills and relationships, including romantic relationships. When an adolescent does become involved in a relationship, the adults closest to the child should be attentive and check in with that person. In essence, monitoring adolescents as they navigate through relationships should help to decrease the amount of ADV that occurs. Types of Adolescent Dating Violence Abuse Adolescent dating violence can take several different forms. It is important that educational professionals and students alike are able to identify these different types. Specifically, dating violence includes the following: 54 Physical Dating Violence. Physical dating violence includes pinching, shoving, hitting, kicking, and strangling (CDC, 2012). Emotional Dating Violence. Emotional dating violence is a type of abuse in which one partner threatens the other or harms his/her self-worth. Examples of this include but are not limited to, name calling, bullying, embarrassing on purpose, and/or keeping him/her away from family and friends (CDC, 2012). Sexual Dating Violence. Sexual dating violence occurs when one partner forces the other partner to engage in a sexual act without his or her consent (CDC, 2012). Stalking. Stalking is a type of dating violence that refers to repeated harassing and/or threatening methods used by a perpetrator that is unwanted and causes the victim to fear the perpetrator (CDC, 2012). Financial Abuse. Financial abuse consists of one partner using money or accessing monetary accounts to exert power and control over their partner (CDC, 2012). Technological/Cyber Abuse. There are many forms of technological dating abuse. Controlling partners may keep constant track of their victim by texting, tweeting, Facebook, tracking via cell phone GPS, and using smart phone cameras. Furthermore, the use of cell phone cameras contributes to adolescents’ vulnerability when it comes to tracking, sexual coercion, blackmail, and retaliation. Verbal, emotional, and sexual abuse can all be perpetrated through technology (Levy & Gillians, 2013). 55 Risk Factors Associated with Adolescent Dating Violence 56 In order to be attentive and be able to monitor adolescents that are in unhealthy relationships, teachers, administrators, and parents must know the factors that increase the risk of adolescents becoming involved in a violent and abusive relationship. Definition of Risk Factors for Adolescent Dating Violence Risk factors for dating violence are defined as “attributes or characteristics that are associated with an increased probability of adolescent dating violence reception and/or expression” (O’Keefe, 2005, p. 3). Risk Factors for Adolescent Dating Violence Victims Researchers have found the following risk factors to be associated with adolescents that become victims of dating violence include: Demographic characteristics. Higher rates of ADV victims come from low socioeconomic backgrounds and/or live in urban areas (O’Keefe, 2005). Prior experiences/exposure to violence. Both viewing domestic violence between parents, and personal experience of child abuse are correlated with a higher risk for ADV victimization for females. In addition, child abuse is a risk factor for ADV victimization in males; however, exposure to inter-parental domestic abuse is not (Maas, Fleming, Herrenkohl, & Catalano, 2010). Peer influence. Adolescent females that have friends who have been victimized by ADV are at high risk to be victims themselves (Arriaga & Foshee, 2004). Interpersonal variables. Adolescent females with low self-esteem are at higher risk to experience ADV than peers with a positive self-view. Additionally, lack of social skills is found to be a risk factor for ADV victimization in both females and males (O’Keefe, 2005). Substance Abuse. Adolescents who consume alcohol and use drugs are at a higher risk of becoming ADV victims than peers who abstain from substance use (Maas, Fleming, Herrenkohl, and Catalano, 2010). Risk Factors for Adolescent Dating Violence Perpetrators In addition to understanding the risk factors found in victims of adolescent dating violence, it is equally important for adults and adolescents to understand the risk factors associated with perpetrators of the abuse. Researchers have found the following risk factors to be associated with adolescents that become perpetrators of dating violence include: 57 Gender At all ages, males reported to be perpetrators of severe physical and sexual dating violence more than females (Foshee et al., 2009). Ethnic Background When surveyed, minority populations including African American, Asian, American Indian, and mixed race adolescents are reported to be perpetrators of moderate and severe physical dating abuse more often than Caucasians, therefore, results from this study indicate that ethnic minorities are at a greater risk of inflicting abuse upon their partner (Foshee et al., 2009). Familial Factors Adolescents brought up in a single parent households reported more perpetration of psychological and severe physical dating abuse than those from a two-parent household. Additionally, teens that had parents with lower education levels (i.e., did not complete high school) were at higher risk of perpetrating psychological and moderate physical ADV than those who had parents with higher education levels (i.e., completion of high school and/ or college; Foshee et al., 2009). Addressing LGBTQ Students Diverse student populations appear to be at a higher risk for adolescent dating violence. Lesbian, gay, bi-sexual, transgender, and/or queer (LGBTQ) individuals/couples experience dating violence at roughly the same, or even higher rates than heterosexual couples (Love is Respect, 2012). Adolescents who identify with the LGBTQ community are at an increased risk of being in an abusive relationship. It has been suggested that the fear and anger from oppression and discrimination can be redirected towards a partner and manifest into abuse (LiveStrong, 2012). LGBTQ adolescents may be less likely to seek help due to their fear of further discrimination or being exposed as a LGBTQ adolescent. 58 Warning Signs of Adolescent Dating Violence 59 Understanding of, and ability to recognize warning signs of adolescent dating abuse is needed to target teens for prevention and intervention. Definition of Warning Signs for Adolescent Dating Violence Warning signs for dating violence are defined as behaviors or indicators that a person may be involved in an abusive relationship (Eaton at el, 2007; Paludi, 2011). Warning Signs for Victims of Adolescent Dating Violence Warning signs adults and peers should look for if they suspect someone they know is in an abusive relationship includes: Physical signs of injury Truancy at school A decline in grades Indecision Changes in mood and/or personality Use of drugs/alcohol Emotional outburst Isolation Warning Signs for Perpetrators of Adolescent Dating Violence Early warning signs that a partner may ultimately become violent include: Alcohol and drug use Explosive anger Tendency to isolate partner and themselves from their family and friends Emotionally distressed Abusive behavior to past partners The proclivity to become sexually active during or prior to 8th grade 60 Understanding the early warning signs of a partner that may eventually become abusive is important so that adolescents can identify and prevent involvement in a relationship that could lead to violence (Vagi et al., 2013). 61 Resources for Students, Educational Staff, Parents, and Community Members 62 Educational staff, parents, and community members can work together to help prevent dating violence in the schools. As described above, there are various types of abuse and adolescents are at high risk for interpersonal violence, which can adversely affect an adolescent’s health and safety. Statistics indicate that one in three teens experiences some kind of abuse in his or her romantic relationship including verbal and emotional abuse (Tucker Halpern, Oslak, Young, Martin, & Kupper, 2001). Furthermore, nearly 80 percent of girls who have been physically abused in their intimate relationships continue to date their abuser (Claiborne, 2005). Thus, it is imperative that educational staff, parents, and community members are not only cognizant of the risk factors and warning signs that are linked to intimate partner violence, but are also knowledgeable of the services, supports, and resources available. Resources for Students Online and Phone Hotlines There are many national hotlines available that allow individuals to seek help and guidance for domestic violence, teen dating abuse, sexual assault, and sexual violence. These online and telephone hotlines for the aforementioned public health issues provide individuals with accurate information, counseling, and referrals to community-based services or resources. One of the positive points associated with hotlines is the anonymity. Adolescents who experience abuse and violence may be reluctant to speak out for help, therefore, the lack of face-to-face contact associated with hotlines may aid in individuals feeling more safe and comfortable reaching out for guidance and advice. The National Teen Dating Abuse Helpline. This hotline is the direct service provider behind loveisrespect.org, operating the 24/7 phone, text and chat services (Love is Respect, n.d.). Phone number: 1-866-331-9474 Website: http://www.loveisrespect.org The National Domestic Abuse Hotline. This hotline provides one-on-one counseling for anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship (The National Domestic Abuse Hotline, n.d.). Phone Number: 1-800-799-7233 Website: http://www.thehotline.org The National Sexual Assault Hotline. This hotline offers counseling, information about community resources, emergency protocols, and legal advice (RAINN: Rape, Abuse & Incest National Network, 2009) Phone Number: 1-800-656-HOPE Website: http://www.rainn.org/ 63 The National Sexual Assault Hotline. This hotline used a secure and anonymous instant-messaging type format and allows victims of sexual violence to communicate directly with trained crisis support volunteers (RAINN: Rape, Abuse & Incest National Network, 2009). Website: http://www.rainn.org/get-help/national-sexual-assault-online-hotline. Resources for Educational Staff, Parents, and Community Members The Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (2012) gives an educational overview on intimate partner violence. This website offers definitions, data sources, risk and protective factors, consequences, and prevention strategies. The CDC also provides additional resources designed to help educators and others working with teens about developing healthy, respectful relationships. Dating Matters Dating Matters (CDC, n.d.) is a free, online course available to educators, school personnel, youth leaders, and parents to help improve the health of teens. This 60-minute, interactive training helps an individual understand adolescent dating violence and its consequences, identify factors that can place teens at risk for dating violence, communicate with teens about the importance of healthy relationships, and learn about resources to prevent dating violence. Also available is an extension of Dating Matters, which aims to reduce dating violence and increase healthy relationships in high-risk urban communities through a comprehensive and culturally competent preventative approach. Preventing Intimate Partner and Sexual Violence: Program Activities Guide Preventing Intimate Partner and Sexual Violence: Program Activities Guide (CDC, n.d.) is a resource that outlines four categories of activities which are essential to the Centers for Disease Control and Prevention work: tracking the problem, developing and evaluating prevention strategies, supporting and enhancing prevention programs, and providing prevention resources. The activities included in this preventative resource emphasize primary prevention of violence perpetration, reduction of violence before it occurs in adolescent relationships, and increasing the factors that protect teens from becoming perpetrators of abuse. FindYouthInfo.gov FindYouthInfo.gov (n.d.) is an electronic database filled with resources from various fields. Adolescent dating violence is a featured topic within this online resource that provides information on characteristics of healthy/unhealthy relationships, prevalence, electronic aggression, prevention, consequences, legal responses, resources for victims, and public awareness for youth, families, schools, and community organizations. 64 Final Thoughts In closing, some teens will not tell anyone they are experiencing interpersonal abuse and violence. If they do choose to tell someone, odds are the first person will be a trusted peer, rather than a parent or teacher. Adolescents in abusive relationships face a variety of obstacles when asking for help that may range from fear of social consequences and embarrassment, to loss of independence and distrust of adults. Therefore, adults must be willing to take the first step of reaching out to teens they suspect are experiencing abuse, and be able to provide resources for them when they ask for help. Preventing adolescent dating violence requires a collaborative effort between federal agencies, state and local health departments, nonprofit organizations, and schools. 65 References Arriaga, X. & Foshee, V.A. (2004). Adolescent dating violence. Journal of Interpersonal Violence, 19, 162-184. doi: 10.1177/0886260503260247 California Education Code, Section 200-201. (n.d.). Retrieved from http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=0000101000&file=200-201. Centers for Disease Control and Prevention. (n.d.) Preventing intimate partner and sexual violence: Program activities guide. Retrieved from http://www.cdc.gov/violenceprevention/pdf/ipv-sv_program_activities_guidea.pdf Centers for Disease Control and Prevention. (2012). Teen dating violence. Retrieved from www.cdc.gov/violenceprevention/intimatepartnerviolence Claiborne, L. (2007). Abuse in teen relationships study. Retrieved from http://www.loveisrespect.org/wp-content/uploads/2009/03/liz-claiborne-2007tech-relationship-abuse.pdf Eaton, D.K., Davis KS., Barrios, L., Brener, N. D., & Noonan, R.K. (2007). Associations of Dating Violence Victimization With Lifetime Among U.S. High School Students Participation, Co-Occurrence, and Early Initiation of Risk Behaviors. Journal of Interpersonal Violence, 22, 585-602. doi: 10.1177/0886260506298831 Find Youth Info. (n.d.). Teen dating violence. Retrieved from http://findyouthinfo.gov/youth-topics/teen-dating-violence. 66 Foshee, V. A., Benefield, T., Suchindran, C., Ennett, S. T., Bauman, K. E., KarrikerJaffe, K. J., & Mathias, J. (2009). The development of four types of adolescent dating abuse and selected demographic correlates. Journal Of Research On Adolescence, 19, 380-400. doi: 10.1111/j.1532-7795.2009.00593.x Levy, B. & Giggans, P. (2013). When Dating Becomes Dangerous: A Parent’s Guide to Preventing Relationship Abuse. Center City, Minnesota: Hazelden Foundation. LiveStrong. (2012). LGBTQ teens and dating violence. Retrieved from http://www.livestrong.com/article/14988-lgbtq-teens-and-dating- violence/ Love is Respect. (2007). Retrieved from www.loveisrespect.org/ Love Is Respect. (2012). Dating basics: Is my relationship healthy? Retrieved from http://www.loveisrespect.org/dating-basics/dating-basics Martsolf, D. S., Draucker, C., & Brandau, M. (2013). Breaking up is hard to do: How teens end violent dating relationships. Journal of the American Psychiatric Nurses Association, 19, 71-77. doi: 10.1177/1078390313484801 Maas, C. D., Fleming, C. B., Herrenkohl, T. I., & Catalano, R. F. (2010). Childhood predictors of teen dating violence victimization. Violence and Victims, 25, 131149. doi:10.1891/ 0886-6708.25.2.131. Moore, K. A., Jekielek, S. M., Bronte-Tinkew, J., Guzman, L., Ryan, S., & Redd, Z. (2004). What is “Healthy Marriage”? Defining the Concept. Child Trends Research Brief, 16. Retrieved from http://twogetherintexas.com/Pdf/WhatIsHealthyMarriage.pdf 67 Mulford, C. F., & Blachman-Demner, D. R. (2013). Teen dating violence: Building a research program through collaborative insights. Violence Against Women, 19, 756-770. doi:10.1177/1077801213494705 O’Keefe, M. (2005). Teen dating violence: A review of risk factors and prevention efforts. Violence Against Women, 1-14. Retrieved from http://www.vawnet.org/applied-research papers/print-document.php?doc_id=409 Paludi, M. (Ed.). (2011). The psychology of teen violence and victimization. Santa Barbara, CA: ABC-CLIO. RAINN: Rape, Abuse & Incest National Network. (2009). Retrieved from http://www.rainn.org/. Sanderson, C.A., & Cantor, N. (1995) Social dating goals in late adolescence: Implications for safer sexual activity. Journal of Personality and Social Psychology, 68, 1121– 1134. doi: 10.1037/0022-3514.68.6.1121 Santabarbara, T., Erbe, R., & Cooper, S. (2009). Relationship Building Blocks. Journal of School Health, 79, 505-509. doi: 10.1111/j.1746-1561.2009.00440.x The National Domestic Abuse Hotline. (n.d.) retrieved from http://www.thehotline.org/. Tucker Halpern, C., Oslak, S. G., Young, M. L., Martin, S. L., & Kupper, L. L. (2001). Partner violence among adolescents in opposite-sex romantic relationships: Findings from the national longitudinal study of adolescent health. American Journal of Public Health, 91, 1679-1685. Retrieved from http://ajph.aphapublications.org/ 68 Vagi, K. J., Rothman, E. F., Latzman, N. E., Tharp, A., Hall, D. M., & Breiding, M. J. (2013). Beyond correlates: A review of risk and protective factors for adolescent dating violence perpetration. Journal Of Youth And Adolescence, 42, 633-649. doi: 10.1007/s10964-013-9907-7. 69 APPENDIX B Behind the Illusion: Addressing Adolescent Dating Violence A School-Wide Approach to Preventing Adolescent Dating Violence 70 Behind the Illusion: Addressing Adolescent Dating Violence A School-Wide Approach to Preventing Adolescent Dating Violence Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim 71 TABLE OF CONTENTS Program Overview .............................................................................................................72 Session 1: Defining Adolescent Dating Violence ..............................................................73 Session 2: Risk Factors and Warning Signs ......................................................................76 Session 3: Vignettes ...........................................................................................................78 Session 4: What Would You Do? ......................................................................................81 Session 5: Resources and Questions ..................................................................................84 Appendices to a School-Wide Approach to Preventing Adolescent Dating Violence Appendix A: Passive Permission Letter for Parents and Guardians ..................................87 Appendix B: FACT or FICTION Pre- & Post-Test ...........................................................89 Appendix C: Definition of Terms ......................................................................................93 Appendix D: Characteristics of Unhealthy versus Healthy Relationships ........................94 Appendix E: Risk Factors and Warning Signs ..................................................................95 Appendix F: Case Vignettes ..............................................................................................96 Appendix G: What Would You Do? ..................................................................................98 Appendix H: You Have the Power to Help .......................................................................99 Appendix I: List of Resources .........................................................................................100 References for A School-Wide Approach to Preventing Adolescent Dating Violence...101 72 Program Overview This program is designed for middle school administrators and teachers as an introduction to the prevalence and implications of adolescent dating violence on school campuses. It is intended to foster healthy relationships among middle school teens through a school-wide intervention curriculum. It is crucial to educate students regarding what constitutes adolescent dating violence. However, it is equally important to help them learn and understand the elements of a healthy relationship so they can strive to foster healthy relationships for themselves. A healthy relationship consists of mutual respect, honesty, emotional support, respected boundaries, communication, encouragement, and safety (Love is Respect, 2012). Ideally, if adolescents are knowledgeable of what comprises healthy and unhealthy relationships, they will be more likely to seek those that are healthy. In addition to being less likely to seek or find themselves in unhealthy relationships, awareness of ADV amongst adolescents will help them to recognize when their peers are in abusive relationships and help encourage them to get help (Love is Respect, 2012). Universal Approach In order to prevent, intervene, and provide post-treatment to those who experience ADV, it is important to be clear as to what truly constitutes adolescent dating violence. Not only do adults need to be educated about adolescent dating violence, but adolescents themselves must also understand the psychological and behavioral aspects that comprise adolescent dating violence. The Curriculum The Behind the Illusion curriculum will be implemented in teacher’s home rooms during the week of Valentine’s Day in February. Two online resources, Break the Cycle (2012) and Love is Respect (2012), have pronounced the month of February as National Teen Dating Violence Awareness month. In light of this, our hope is that this program will be implemented during February to honor this national campaign. The program consists of 5 60-minute sessions, which include 3 vignettes and activities for teachers to implement in the classroom. The lectures and activities all have a focus on student involvement and whole-group discussion to combat adolescent dating violence. 73 Session 1: Defining Adolescent Dating Violence Goal Help the students understand the different forms of ADV. Identify different types of abuse. Forming a solid foundation of what constitutes a healthy versus unhealthy relationship. Rationale Adolescents themselves need to be cognizant of what constitutes dating abuse, as well as the different forms associated with dating violence so they can identify and prevent involvement in a relationship that could lead to violence. Ideally, if adolescents understand dating abuse and what comprises unhealthy versus unhealthy relationships, they will be more likely to seek those that are healthy. Further, awareness of adolescent dating violence amongst adolescents will help them to recognize when their peers are in abusive relationships and help encourage them to get help. Materials Copies of pre-test (Appendix B) Copies of definitions page (Appendix C) Copies of characteristics of unhealthy versus healthy relationships (Appendix D) Old shoebox (for comments/question) 100-Pack of 3x4 inch index cards for opening/closing ritual. Opening Ritual Pass out index cards to one student and have him/her distribute two to four cards per student in the class, depending on class size. Say, These index cards are for you to anonymously write down any comments or questions that you have regarding each lesson. You do not have to write a question or comment, but if you are curious about something or need clarification and do not feel comfortable speaking in front of the class, then these cards give you the opportunity to ask those questions. 10-15 minutes before the end of the session I will pass around a shoe box for you to put your cards and with the remaining time, I will read the questions and try to answer them as best as I can for you. Any questions? Activity 1. For the first activity, we’ll be doing a short quiz. Give your best and most honest answers. Give out the Fact or Fiction pre-test. Allow 10 minutes to complete quiz. Once students have completed the quiz, pass out the answer sheet so 74 students can learn from their responses. Collect quiz when class is done. Allow students to keep the answer sheet. 2. Share with the class the types of ADV, with subsequent examples of each type. There are five main types of dating violence. The most recognizable is the physical violence, because it leaves visible marks on a person’s body. But there are other, more covert types that are equally as destructive. The five are: a. Physical: The intent of physical force to cause injury, such as hitting, kicking, slapping, pinching, shoving, strangling, or using a weapon. b. Verbal/Emotional: The intent of harming one’s self-worth to cause nonphysical emotional injury. This includes threats, insults, name-calling, bullying, humiliation, intimidation, or isolation. c. Sexual: The intent of harming a partner in a sexual manner, such as forcing sexual acts without consent, controlling sexual activity, or the circumstances in which sexual activity occurs. d. Stalking: This refers to unsolicited, persistent actions by a perpetrator, including being harassed, followed, or watched. e. Technological/Social: The intent of bullying, stalking, harassing, or intimidating a partner through the use of technology, such as texting, social media, and social networking. [Listen for and validate students experiences with ADV or domestic violence in their family; a lack of understanding surrounding the definitions.] 3. Discussion with class about their views, thoughts about these different types of ADV. 4. Initiate discussion of the idea of a healthy relationship by asking students to participate in sharing traits and qualities they believe constitute a healthy dating relationship. This will be facilitated via popcorn-style discussion to better understand the students’ views of what a healthy relationship means. “Popcornstyle” refers to a form of discussion in which students have the opportunity to offer ideas and when one student is done sharing, the next person volunteers. The idea is that the next person can “pop up” and offer their idea, which will hopefully set off many thoughts “popping” one after the other. 5. Initiate discussion of the idea of a unhealthy relationship by asking students to participate in sharing traits and qualities they believe constitute a unhealthy dating relationship. This will be facilitated via popcorn-style discussion to better understand the students’ views of what a unhealthy relationship looks like. 75 6. Dispel stereotypes about relationships, gender roles, etc. You may believe or have heard of some relationship or gender role stereotypes. This is an opportunity to discuss some of those stereotypes and decide if they are fact or fiction. How are they fact? How are they fiction? Here are some examples: a. Having sex with someone proves you love him/her. Fact or fiction? b. Boys aren’t victims of dating violence. Fact or fiction? c. Most sexual assaults are committed by strangers. Fact or fiction? d. If a girl says “no” she really means “yes.” Fact or fiction? e. A partner can be controlling of his/her partner if he/she is just being protective. Fact or fiction? What other stereotypes have you heard? Do you think they are fact or fiction? Closing Ritual 10-15 minutes before the end of the session, pass around the shoebox for students to place their index cards. Collect shoebox. Read the questions and/or comments aloud. Answer as many of the questions as possible. Refer to the supplemental guide for further explanations, if needed. If students have serious questions or comments that need immediate attention, refer students to the school psychologist or counselor or accompany them to the office for further debriefing. 76 Session 2: Risk Factors and Warning Signs Goal Help students identify common risk factors and warning signs associated with ADV. Rationale Awareness of the factors that increase the risk of adolescents becoming involved in a violent relationship and the ability to recognize the early warning signs of dating violence is critical to preventing and intervening upon potential and existing abusive relationships. Materials Copies of “Risk Factors and Warning Signs” handout (Appendix E). Index cards Comment/question box Opening Ritual Pass out index cards to one student and have him/her distribute two to four cards per student in the class, depending on class size. Say, These index cards are for you to anonymously write down any comments or questions that you have regarding each lesson. You do not have to write a question or comment, but if you are curious about something or need clarification and do not feel comfortable speaking in front of the class, then these cards give you the opportunity to ask those questions. 10-15 minutes before the end of the session I will pass around a shoe box for you to put your cards and with the remaining time, I will read the questions and try to answer them as best as I can for you. Activity 1. Prompt the class: What do you think are possible risk factors for ADV? What might they look like? Lead a discussion regarding their thoughts and ideas of risk factors. 2. Inform students of risk factors. (Pass out handout) Victims Prior Experiences Exposure to Violence Peer Influence Interpersonal Variables (selfesteem, social skills) Substance Abuse Perpetrators Gender Familial factors 77 3. Prompt class: What do you think might be warning signs for ADV? What might they look like? Lead discussion regarding their thoughts and ideas of warning signs. [Listen for and validate responses such as the following: Students coming to school with bruises on their body or face; Acting scared around their partner; Being absent from school often; Acting jealous around their partner; Being very controlling of their partner.] 4. Inform students of warning signs (Pass out handout) Victims Physical signs (bruising, broken bones, etc.) Truancy Decline in grades Indecision Change in mood and/or personality Use of drugs and alcohol Emotional outburst Isolation Perpetrators Extreme jealousy Controlling behavior Unpredictable behavior Alcohol and drug use Explosive anger Tendency to isolate partner from friends and family Blaming others for their problems Abusive behavior to past partners Threats of violence Closing Ritual 10-15 minutes before the end of the session, pass around the shoebox for students to place their index cards. Collect shoebox. Read the questions and/or comments aloud. Answer as many of the questions as possible. Refer to the supplemental guide for further explanations, if needed. If students have serious questions or comments that need immediate attention, refer students to the school psychologist or counselor or accompany them to the office for further debriefing. 78 Session 3: Vignettes Goal Decide if vignettes constitute as ADV/unhealthy relationships or healthy relationships. Rationale Dating violence vignettes can be utilized as a learning structure that allows the students to immediately apply and generalize previously learned content. This provides students to see the content in a relevant, real-world context, as well as receive immediate feedback from the instructor. Materials Needed Print out copies of vignettes (Appendix F). Index cards Comment/question box Opening Ritual Pass out index cards to one student and have him/her distribute two to four cards per student in the class, depending on class size. Say, These index cards are for you to anonymously write down any comments or questions that you have regarding each lesson. You do not have to write a question or comment, but if you are curious about something or need clarification and do not feel comfortable speaking in front of the class, then these cards give you the opportunity to ask those questions. 10-15 minutes before the end of the session I will pass around a shoe box for you to put your cards and with the remaining time, I will read the questions and try to answer them as best as I can for you. Activity 1. Choose one student to read aloud the first vignette. Case of Maggie: Maggie thought her relationship with her boyfriend Lucas was no different from most relationships. The occasional “put-downs” and “slaps” were a normal part of being in a relationship, especially as a teenager. Maggie, a 12-year-old 7th grader, had been dating Lucas, a 13-year-old 8th grader, for five months. Although Lucas had a “bad” temper, Maggie looked forward to spending time with him. She had strong feelings for him and believed he felt the same for her. From time to time, Lucas would call Maggie names such as “idiot,” “fat head,” and “dumb blond.” He also told her that she would “never amount to anything” and that “no one liked” her. At times, he would push her and slap her on the back. Maggie believed this was a natural part of being in a relationship. She felt that this was “okay” and Lucas only did those things when he was angry. Maggie’s friend, Jessica, agreed with Maggie. She told her “it was no big deal” and Lucas did 79 those things because he “loved her and did not know how to express it.” Maggie thought, “If my friend thinks it is okay and I’m not physically hurt then my relationship isn’t violent.” 2. Discussion Questions: a. What warning signs are evident in this case? b. As a friend or over-seeing peer, how could you address the physical and emotional violence occurring in Maggie and Lucas’ relationship? c. What factors might prevent Maggie from disclosing the violence to an adult or friend? [Listen for and validate responses such as: Lucas’s bad temper; Name calling; Threats/acts of violence. Listen for and validate responses such as: Name calling, putdowns, pushing, and slapping are all serious forms of abuse and should not be tolerated; Acknowledgement that Maggie’s friend or peers should encourage her to seek help. Listen for and validate responses such as: Maggie’s feelings for Lucas are preventing her from losing him as her boyfriend; Embarrassment in seeking help; Maggie doesn’t realize she is in an abusive relationship, especially since her friend is telling her that Lucas’s behaviors are acceptable.] 3. Choose one student to read aloud the second vignette. Case of Stephanie Stephanie is a 14-year-old girl just finishing her freshman year in high school. She has always felt awkward around the other students, never really fitting in with any particular group. She is constantly concerned about being accepted and liked by others, and so she decided to try out for the cheerleading squad at the start of her school year and made the team. She noticed all of the other girls on the team had boyfriends, so she felt it was important to have one as well. Soon, Stephanie met Matt, a 16-year-old sophomore. He seemed to be very interested in her, always complimented her, and they began dating. However, about three weeks into their relationship, Matt began to dictate which friends Stephanie could spend time with and he insisted on going out with her to any social events she was invited to. If she spoke to any other boys, he would become angry and occasionally hit her. Additionally, Matt demanded access to Stephanie’s Facebook and Instagram accounts, and began monitoring her social media accounts. Stephanie thought that this behavior was typical for boys that really cared about and loved the person they were with. She felt that he never meant to hurt her and that when he got angry, and it was her fault for not doing as he asked of her. Matt always took her out and bought her gifts when he would hit her, so Stephanie thought that he truly never meant any harm and that, deep down, he was a good person that loved her. 4. Discussion Questions: a. What risk factors are evidenced in this case? 80 b. What are the warning signs evidenced by Stephanie and Matt behaviors? c. What advice/suggestions would you offer Stephanie? [Listen for and validate responses such as the following: Risk factors include Stephanie’s low self-esteem and peer influence; Warning signs include Matt’s possessive and controlling behavior; Advice including controlling behavior is a form of dating violence and she should seek help and that she doesn’t need to have a boyfriend to be a part of a group.] Closing Ritual 10-15 minutes before the end of the session, pass around the shoebox for students to place their index cards. Collect shoebox. Read the questions and/or comments aloud. Answer as many of the questions as possible. Refer to the supplemental guide for further explanations, if needed. If students have serious questions or comments that need immediate attention, refer students to the school psychologist or counselor or accompany them to the office for further debriefing. 81 Session 4: What Would You Do? (adapted from the Salt Lake Area Domestic Violence Coalition, 2005) Goal Analyze the scenarios in which someone you know is experiencing ADV. Decide best options and actions. Rationale Analyzing practical dating abuse scenarios can help students determine and generate appropriate proceeding choices and actions for the characters. In return, this activity can better aid students with improved decision making skills in alike, real-world circumstances. Materials Copies of scenarios (Appendix G) Tips on how to help the abused victim and the abuser (Appendix H) Index cards Comment/question box Opening Ritual Pass out index cards to one student and have him/her distribute two to four cards per student in the class, depending on class size. Say, These index cards are for you to anonymously write down any comments or questions that you have regarding each lesson. You do not have to write a question or comment, but if you are curious about something or need clarification and do not feel comfortable speaking in front of the class, then these cards give you the opportunity to ask those questions. 10-15 minutes before the end of the session I will pass around a shoe box for you to put your cards and with the remaining time, I will read the questions and try to answer them as best as I can for you. Activity 1. Choose one person to read the first scenario aloud to the class. Dating Scenario 1: Your best friend has been spending all of her time with her new boyfriend, who has isolated her from all her old friends. You have noticed that she seems to have lost her self-confidence. 2. Discussion Questions: a. How could you go about addressing this issue with your friend? b. In what ways can you express your support, as well as concerns for your friend? c. What about this task would be challenging? 82 [Listen for and validate responses such as the following: Talk to your friend, focus on how you are feeling, suggest a time to hang-out together; Tell your friend that you are happy for her, but that you are concerned she isn’t spending time with her friends; Challenging aspects about this task might be defensiveness and a lack of understanding regarding the abuse.] 3. Choose one person to read the second scenario aloud to the class. Dating Scenario 2: Your male friend’s girlfriend scratches and throws objects at him when she gets angry. He states that it is not violence because he could fight back. 4. Discussion Questions: a. What can you say to help him discuss the violence in his relationship? b. Do you think it is a stereotype that only men can be abusers? [Listen for and validate responses such as: Suggesting that the girlfriend is still violent even if he is not fighting back; Concern for his safety; Questions regarding what it is like for him to experience that aggression. Listen for and validate responses such as that it is a stereotype (both men and women can be abusers and victims) or how it might not be a stereotype (statistics suggestive that majority of abusers are men). 5. Choose one person to read the third scenario aloud to the class Dating Scenario 3: Amy and Paul are at a restaurant looking at a menu. Paul asks Amy what she’s going to order and Amy says she’d like the jumbo platter. Paul gets upset with Amy and tells her that she can’t afford to gain more weight. He resorts to name-calling. Amy begins to cry. 6. Discussion Questions: a. Does this scenario represent dating violence? Why or why not. b. How can you address Paul’s behaviors and actions? c. In what ways could you console Amy? [Listen for and validate responses such as: Acknowledgement that scenario represents emotional abuse (saying hurtful things, lowering self-worth); Explaining that putting someone down/lowering someone’s self-worth is dating abuse and that making someone feel bad about themselves is not justifiable; Planning an activity that might help raise Amy’s self-worth (something that she is good at and enjoys).] 7. Choose one person to read the third scenario aloud to the class 83 Dating Scenario 4: One day Russ stops by Jennifer’s house unannounced. She tells him that she didn’t know he was coming over and has arranged to play tennis with her friends. Russ loses control and threatens her with a tennis racquet. He then breaks the racquet over his knees, but later apologizes. 8. Discussion Questions: a. In what ways is Russ’ behavior appropriate or inappropriate? b. If you were Jennifer, what would you do next? c. What do you think Russ’ intentions were by breaking the racquet? [Listen for and validate responses such as the following: Lack of appropriate communication; unrealistic expectations; controlling and aggressive behavior; destruction of property. Listen for and validate responses such as telling Russ to leave and that his behaviors were unacceptable; Ask for help. Listen for and validate responses such as fear mongering, controlling the situation, actions, and Jennifer.] Closing Ritual 10-15 minutes before the end of the session, pass around the shoebox for students to place their index cards. Collect shoebox. Read the questions and/or comments aloud. Answer as many of the questions as possible. Refer to the supplemental guide for further explanations, if needed. If students have serious questions or comments that need immediate attention, refer students to the school psychologist or counselor or accompany them to the office for further debriefing. 84 Session 5: Resources and Questions Goal Test student’s knowledge of ADV through post-test and class trivia game. Rationale Providing students with a list of local and federal resources, supports, and services can help facilitate those experiencing adolescent dating violence to seek help and guidance. Emphasis of community and school-based supports can better yield preventative and intervention efforts to combating teen dating abuse. Materials Copies of Fact of Fiction Post-test (Appendix B) One copy of Fact or Fiction Answers (Appendix B) for teacher during trivia game. Large bag of candy to pass out to students once they have completed the trivia game. Resources page for students (Appendix I) Opening Ritual Pass out index cards to one student and have him/her distribute two to four cards per student in the class, depending on class size. Say, These index cards are for you to anonymously write down any comments or questions that you have regarding each lesson. You do not have to write a question or comment, but if you are curious about something or need clarification and do not feel comfortable speaking in front of the class, then these cards give you the opportunity to ask those questions. 10-15 minutes before the end of the session I will pass around a shoe box for you to put your cards and with the remaining time, I will read the questions and try to answer them as best as I can for you. Activity 1. Pass out the post-test to each student. Allow 10 minutes to complete quiz. Collect quiz. 2. Prepare class for whole class trivia. a. Break class into two teams and write team names on the board. b. Ask questions from the Pre- Post-Test to students in random order. First team to raise a quiet hand will provide an answer to receive a point. Provide answers from the answer sheet. c. The team with the most points will be the first to receive candy from the 85 candy bag. d. Congratulate students on their knowledge! 3. Pass out resources page for students. Discuss resources, hotlines, and organizations students can contact if they need additional people to talk to, or if they have friends who need someone to talk to about their situation. If possible, use a classroom projector to visit the websites listed on the resource page to guide students through the sites. Final Ritual 10-15 minutes before the end of the session, pass around the shoebox for students to place their index cards. Collect shoebox. Read the questions and/or comments aloud. Answer as many of the questions as possible. Refer to the supplemental guide for further explanations, if needed. If students have serious questions or comments that need immediate attention, refer students to the school psychologist or counselor or accompany them to the office for further debriefing. 86 Appendices to a School-Wide Approach to Preventing Adolescent Dating Violence 87 Appendix A: Passive Permission Letter for Parents and Guardians Our school is taking part in the Behind the Illusion: Middle School Curriculum that addresses adolescent dating violence prevention. The one hour curriculum will be administered for five consecutive days in the month of February by your student’s homeroom teacher and all students, grades 6th through 8th, will participate. The curriculum will cover topics including what adolescent dating violence (ADV) is, warning signs, risk factors, and prevalence rates of ADV. The curriculum will also include vignettes, or stories, about students who have been involved with unhealthy and/or violent relationships. The class is expected to participate in discussions regarding what type of violence the characters are experience and what they might do if they found themselves in similar situations. Further, students will be given a list of resources and community connections to address ADV should they experience it and if they need assistance. The purpose of this curriculum is to provide awareness to the students, staff, and parents regarding the importance and prevalence of ADV, in order to prevent ADV in middle and high school and foster healthy relationships throughout students’ lives. Potential risks that may come up would be if students found certain questions or topics sensitive or if a student is currently in a violent relationship and is coming to terms with that fact. Teachers will never ask students to reveal any personal details about situations if they arise and will be in touch with the school counselor or school psychologist if a student needs a confidential place to speak about his/her situation. It is our hope that students will have a lot to take away from this curriculum and encourage healthy relationships among their peer groups. This curriculum is voluntary, but we would like all students to participate. No action will be taken if you do not want your student to participate in the curriculum. Further, any student is able to stop participating at any point, if necessary. If you have questions, please contact your school psychologist. Please read the section below: Please return this slip to your student’s homeroom teacher if you DO NOT want your child to participate in the Behind the Illusion Middle School curriculum. Signing and returning this form will dismiss your child from participating in the curriculum. If you have no objection to your child taking part in the survey, you should do nothing with this form. Thank you. 88 --Detach and return to the office-Child’s name: __________________________________________ Grade: ___________ I have read this form and know what the survey is about. [ ] My child may not take part in this survey. Parent’s signature: ___________________________________ Date:_________________ Phone number:___________________________ 89 Appendix B FACT or FICTION Pre- & Post-test (Adapted from Atlantic County Women’s Center, 2010) Test your dating violence knowledge by answering the true/false questions and the multiple choice questions below. TRUE/FALSE _____ 1. Dating violence is rare among high school students, college students and other educated people. _____ 2. When someone leaves an abusive relationship, the abuse usually ends. _____ 3. Drug and/or alcohol abuse is often a factor in dating violence incidents. _____ 4. The best way to get a friend to leave an abusive relationship is to "cut ties" with them. _____ 5. If violence occurs once in a dating relationship, it is likely to happen again. _____ 6. Police hardly ever make arrests in dating violence situations. MULTIPLE CHOICE (Can have more than one correct answer) 7. What kind of behavior could be considered a sign of relationship abuse? a. your partner takes a nap while you're talking to him or her about something important. b. your partner tells you that you're fat and ugly. c. your partner lets you know that he/she doesn't like it when you "flirt" with other people. d. you're a vegetarian, and your partner makes you eat at a restaurant with no veggie menu. 8. What's a good way to help a friend who's in an abusive relationship? a. offer to beat up your friend's partner. b. offer to burn down your friend's partner's house. c. listen when your friend wants to talk about the relationship. d. remind your friend that he/she is beautiful, smart, and fun to be around. 9. True love is... a. never having to say, "I’m sorry." b. feeling that your partner's needs are just as important as your own. c. when your partner is jealous and possessive--that's how you know he/she loves you. d. when you and your partner love spending all your time together. 10. Why do people abuse their partners? a because the partner makes the abuser so angry. c. because the abuse is trying to control the partner. d. because they don't have much money and this causes stress in the relationship. 11. Which of the following behaviors could be considered a sign of dating violence? a. when you try to end the relationship, your partner says he/she can't live without you and threatens suicide. 90 c. you have an argument about what to do on a Friday night, so you decide to spend the evening alone and don't speak until the next day. d. after you go out on a Friday night with your friends, your partner falsely accuses you of cheating. 12. Which of the following may be a reason a person would have a difficult time leaving an abusive relationship? a. the victim likes the abuse--it spices up their sex life. b. the victim still loves his/her partner. c. the victim has been lying to you, and the abuse isn't really happening. 13. Which of the following is an important part of a healthy, loving relationship? a. spending all your time together. b. valuing each other's opinions and ideas. c. having sex every day. d. your partner is totally hot. 14. How do you keep safe in a dating relationship? a. communicate with your partner about your expectations. b. just don't date--it's the only way to stay safe. d. get to know yourself and your beliefs before jumping into relationships. Scoring All Correct Congratulations! You’re a genius when it comes to knowing about dating violence. Proceed to your healthy relationship! 12 or more correct Good Job! You’re pretty good when it comes to knowing about dating violence. Knowing lots of information increases your chances of staying away from abusive relationships and shows that you can be a good friend to someone who is experiencing abuse. You scored a Green on the Healthy Relationship-o-meter. 11-10 correct Not Bad! You’re doing okay, but you could still do better on the Healthy Relationship-o-meter. The more you know, the better chance you have of staying safe and building a strong, healthy relationship. Yellow for you on the Healthy Relationshipo-meter. 9 or less correct Uh-oh! You need to head back to remedial dating violence school. You scored a red on the Healthy Relationship-o-meter. Red Light – Uh Oh! Head back to remedial relationship school! Yellow Light – Not Bad! You’re doing okay, but you could do better! Green Light – Good Job! You’re on the right track for success! 91 FACT or FICTION Pre- & Post-test – ANSWERS Test your dating violence knowledge by answering the true/false questions and the multiple choice questions below. TRUE/FALSE 1. FALSE Dating violence is rare among high school students, college students and other educated people. Dating and domestic violence is common among all people – rich, poor, black, white, Asian, Latino, etc. 2. FALSE When someone leaves an abusive relationship, the abuse usually ends. Unfortunately, a time when a victim is most at risk is when leaving the relationship. This is called separation violence, and safety planning needs to be put in place for this whenever possible. 3. TRUE Drug and/or alcohol abuse is often a factor in dating violence incidents. Although drug and alcohol abuse is often a factor in dating violence, it is not a cause or an “excuse.” Both victims and perpetrators of violence are much more likely to use drugs and alcohol than people who are not in abusive relationships. 4. FALSE The best way to get a friend to leave an abusive relationship is to "cut ties" with them. This may actually have the opposite effect. Someone who is being abused in a relationship needs outside help and support and is very unlikely to leave that relationship without the support and help of families and friends. 5. TRUE If violence occurs once in a dating relationship, it is likely to happen again. It is rare for someone to hit or otherwise abuse their partner once and never do it again. 6. FALSE Police hardly ever make arrests in dating violence situations. This once was the case when the victim had to agree to press charges before the police would make an arrest. However, it is now mandatory in our state to make an arrest if there is any physical evidence of abuse, even if the victim does not press charges. MULTIPLE CHOICE (Can have more than one correct answer) 7. What kind of behavior could be considered a sign of relationship abuse? b. your partner tells you that you're fat and ugly. c. your partner lets you know that he/she doesn't like it when you "flirt" with other people. d. you're a vegetarian, and your partner makes you eat at a restaurant with no veggie menu. Abuse comes in many different forms – verbal, physical, mental, emotional and sexual. The point of all abuse is power and control. As for falling asleep when you’re talking about something important – well that’s just rude. 8. What's a good way to help a friend who's in an abusive relationship? 92 c. listen when your friend wants to talk about the relationship. d. remind your friend that he/she is beautiful, smart, and fun to be around. It is best to listen to your friend and let him or her know that there are many resources available for people experiencing dating violence – they’re not the only one to go through with this, and they don’t deserved to be treated that way. 9. True love is... b. feeling that your partner's needs are just as important as your own. The most productive relationships are one’s that are equal partnerships – both partner’s needs are identified and goals are built around them. 10. Why do people abuse their partners? c. because the abuse is trying to control the partner. The violent partner is trying to control and have power over the victimized partner. They may not have experienced much empowerment in their lives, or witnessed dominating relationships. 11. Which of the following behaviors could be considered a sign of dating violence? a. when you try to end the relationship, your partner says he/she can't live without you and threatens suicide. d. after you go out on a Friday night with your friends, your partner falsely accuses you of cheating. All of these are examples of emotional and mental abuse, as is stalking, jealousy and isolating the victim from his or her friends. 12. Which of the following may be a reason a person would have a difficult time leaving an abusive relationship? b. the victim still loves his/her partner. The victim may believe what the abuser tells him or her – that’s he or she is nothing without that person. 13. Which of the following is an important part of a healthy, loving relationship? b. valuing each other's opinions and ideas. A healthy relationship includes respecting each other’s time, resources, needs and goals. 14. How do you keep safe in a dating relationship? a. communicate with your partner about your expectations. d. get to know yourself and your beliefs before jumping into relationships. Knowing yourself is always a good thing – it will benefit you in life as well as relationships. 93 Appendix C Definition of Terms Abuse via technology: Any type of harassment, including teasing, telling lies, bullying, monitoring or controlling partner, making rude or mean comments, spreading rumors that occurs through e-mail, a chat room, instant messaging, a website, or text messaging (David-Ferdon & Hertz, 2007). Cyber abuse: Abuse that is conducted through the Internet. The abuser uses social media networks to perpetrate abuse. This type of abuse often co-occurs with emotional abuse, sexual coercion, and physical abuse (Zweig et al., 2013). Dating Violence: A type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual (CDC, 2012). Emotional dating violence: A type of abuse in which one partner threatens the other or harms his/her self-worth such as name calling, bullying, embarrassing on purpose, and/or keeping him/her away from family and friends (CDC, 2012). Risk factors for dating violence: “Attributes or characteristics that are associated with an increased probability of ADV reception and/or expression” (O’Keefe, 2005, p. 3). Sexual dating violence: Occurs when one partner forces the other partner to engage in a sexual act without his or her consent (CDC, 2012). Stalking: A type of dating violence that refers to repeated harassing and/or threatening methods used by a perpetrator that is unwanted and causes the victim to fear the perpetrator (CDC, 2012). Warning signs: Various behaviors that adults and peers should look for if they suspect someone they know is in an abusive relationship (Alabama Coalition Against Domestic Violence, 2012). 94 Appendix D Characteristics of Unhealthy versus Healthy Relationships Healthy Mutual Respect Trust Honesty Support Compromise Individuality Equality Negotiation and fairness Good communication Unhealthy Using intimidation Using coercion and threats Isolation and control Harassment Hostility Dependence Destruction of property Abuse: o Emotional o Verbal o Physical o Sexual o Psychological o Technological 95 APPENDIX E Risk Factors and Warning Signs Risks of having unhealthy relationships increase for teens who: Warning Signs Use alcohol or drugs Hang out with violent peers Difficulty with managing anger and frustration Are depressed or anxious Believe it’s okay to use threats or violence to get their way or to express frustration or anger Witness violence at home or in the community Have a history of aggressive behavior or bullying Physical signs of injury Avoids friends/isolating behaviors Dating partner monitors calls/emails Dating partner makes frequent accusations in regards to relationship Excessive jealousy and control Use of insults and intimidation Owns or uses weapons Refusal to end relationship Threats t harm self and/or others 96 APPENDIX F Case Vignettes Case of Maggie: Maggie thought her relationship with her boyfriend Lucas was no different from most relationships. The occasional “put-downs” and “slaps” were a normal part of being in a relationship, especially as a teenager. Maggie, a 12-year-old 7th grader, had been dating Lucas, a 13-year-old 8th grader, for five months. Although Lucas had a “bad” temper, Maggie looked forward to spending time with him. She had strong feelings for him and believed he felt the same for her. From time to time, Lucas would call Maggie names such as “idiot,” “fat head,” and “dumb blond.” He also told her that she would “never amount to anything” and that “no one liked” her. At times, he would push her and slap her on the back. Maggie believed this was a natural part of being in a relationship. She felt that this was “okay” and Lucas only did those things when he was angry. Maggie’s friend, Jessica, agreed with Maggie. She told her “it was no big deal” and Lucas did those things because he “loved her and did not know how to express it.” Maggie thought, “If my friend thinks it is okay and I’m not physically hurt then my relationship isn’t violent.” Discussion Questions: d. What warning signs are evident in this case? e. What definitions of dating and dating violence is Maggie using? f. As a friend or over-seeing peer, how could you address the physical and emotional violence occurring in Maggie and Lucas’ relationship? g. What factors might prevent Maggie from disclosing the violence to an adult or friend? Case of Stephanie: Stephanie is a 14-year-old girl just finishing her freshman year in high school. She has always felt awkward around the other students, never really fitting in with any particular group. She is constantly concerned about being accepted and liked by others, and so she decided to try out for the cheerleading squad at the start of her school year and made the team. She noticed all of the other girls on the team had boyfriends, so she felt it was important to have one as well. Soon, Stephanie met Matt, a 16-year-old sophomore. He seemed to be very interested in her, always complimented her, and they began dating. However, about three weeks into their relationship, Matt began to dictate which friends Stephanie could spend time with and he insisted on going out with her to any social events she was invited to. If she spoke to any other boys, he would become angry and occasionally hit her. Additionally, Matt demanded access to Stephanie’s Facebook and Instagram accounts, and began monitoring her social media accounts. Stephanie thought that this behavior was typical for boys that really cared about and loved the person they were with. She felt that he never meant to hurt her and that when he got angry, and it was her fault for not doing as he asked of her. Matt always took her out and bought her gifts when he would hit her, so Stephanie thought that he truly never meant any harm and that, deep down, he was a good person that loved her. 97 Discussion Questions: a. What risk factors are evidenced in this case? b. What are the warning signs evidenced by Stephanie and Matt behaviors? c. What advice/suggestions would you offer Stephanie? 98 APPENDIX G What Would You Do? (adapted from the Salt Lake Area Domestic Violence Coalition, 2005) Scenario 1: Your best friend has been spending all of her time with her new boyfriend, who has isolated her from all her old friends. You have noticed that she seems to have lost her self-confidence. You decide to talk to her about it. Scenario 2: Your male friend’s girlfriend scratches and throws objects at him when she gets angry. He states that it is not violence because he could fight back. What can you say to help him discuss the violence in his relationship? Scenario 3: Amy and Paul are at a restaurant looking at a menu. Paul asks Amy what she’s going to order and Amy says she’d like the jumbo platter. Paul gets upset with Amy and tells her that she can’t afford to gain more weight. He resorts to name-calling. Amy begins to cry. Scenario 4: One day Russ stops by Jennifer’s house unannounced. She tells him that she didn’t know he was coming over and has arranged to play tennis with her friends. Russ loses control and threatens her with a tennis racquet. He then breaks the racquet over his knees, but later apologizes. 99 APPENDIX H You Have The Power To Help (adapted from the Salt Lake Area Domestic Violence Coalition, 2005) It’s so easy to stand outside an abusive relationship and offer simplistic advice like, “If you’d just do this and this, then your problems would be over!” Relationships are a complicated web of needs and perceptions and personalities. Don’t fall into a judgmental mode. Instead prepare yourself to really help a teen, in an abusive relationship, by getting into a correct mindset of empathy, patience, and understanding. Try to adhere to the following helping guidelines: How to Help an Abused Victim Listen, believe, and validate the victim Avoid blaming questions. Victims are not responsible for someone else’s choices or violence Do not assume that the victim wants to leave the relationship or that you know what is best for them Become a comfort zone for the victim. Assure the victim that their conversation to you will not be revealed to the abuser Offer to go with the abused victim for help How to Help an Abuser Tell the abuser that violent behavior is not okay and that it is a sign that a person has a problem and needs help Offer to talk with the abuser about an alternative to violence (i.e., support groups, counseling, talking with a trusted adult about the problem) Don’t reinforce abusive behavior by laughing, minimizing, or ignoring an act of violence or a threat of violence Be a role model for healthy relationships 100 APPENDIX I List of Resources Hotlines: National Dating Abuse Helpline, call 1-866-331-9474 o Direct service provider behind loveisrespect.org o Operating 24/7 phone, text, and chat services National Domestic Violence Hotline, call 1-800-799-SAFE o Available 24 hours a day and assistance offered in numerous languages o Provides crisis intervention, safety planning, information, and referrals o Operating 24/7 phone, text, and chat services Organizations: Break the Cycle o Provides tools and materials for teens, parents, and educators o http://www.breakthecycle.org/ National Resource Center for Teen Dating Violence Awareness Month o Resource center is a collaborative effort to promote teen dating awareness month and all other related activities o http://teendvmonth.org/ National Organization for Victim Assistance, call 800-TRY-NOVA o Provides information and referrals o Operating 24/7 phone line o http://trynova.org/ Community United Against Violence o Offers direct assistance, education and outreach within the LGBTQQ communities o (415) 333-HELP (4357) (San Francisco, CA/Bay Area) o http://cuav.org/ National Center for Victims of Crime o Online center offering fact sheets, articles, posters, and information regarding teens experiencing violence. o http://www.ncvc.org/tvp/Main.aspx National Online Resource Center on Violence against Women o offers information for teens, parents, educators, health care professionals, and domestic and sexual violence service providers o http://VAWnet.org 101 References for A School-Wide Approach to Preventing Adolescent Dating Violence California Education Code, Section 200-201. (n.d.). Retrieved from http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=0000101000&file=200-201. Centers for Disease Control and Prevention. (2012). Teen dating violence. Retrieved from www.cdc.gov/violenceprevention/intimatepartnerviolence. Crime and Violence Prevention Center at California Attorney General’s Office. (2008). A guide to addressing teen dating and sexual violence in a school setting. Retrieved from http://www.ocjs.ohio.gov/TDVMonth/AssessingTDViolence.pdf. David-Ferdon, C., & Hertz, M. F. (2007). Electronic media, violence, and adolescents: An emerging public health problem. Journal of Adolescent Health, 41, S1–S5. doi: 10.1016/j.jadohealth.2007.08.020 Eccles, J.S., Midgley, C.W., Allan, B., Miller, C., Rueman, D., Flanagan, C.M., Mac Iver, D. (1993). Development during adolescence: The impact of stageenvironment fit on young adolescents’ experiences in schools and in families. American Psychologist, 48, 90-101. doi: 10.1037/0003-066X.48.2.90 Education Task Force. (2005). Teen Dating Violence Toolbox. Salt Lake Area Domestic Violence Coalition. Retrieved from http://www.health.utah.gov/vipp/pdf/DatingViolence/Toolbox.pdf. 102 Khubchandani, J., Telljohann, S., Price, J., Drake, J., & Hendershot, C. (2013). Providing assistance to the victims of adolescent dating violence: A national assessment of school nurses’ practices. Journal of School Health, 83, 127-136. doi: 10.1111/josh.12008 Love Is Respect. (2012). Dating basics: Is my relationship healthy? Retrieved from http://www.loveisrespect.org/dating-basics/dating-basics Martsolf, D. S., Draucker, C., & Brandau, M. (2013). Breaking up is hard to do: How teens end violent dating relationships. Journal of the American Psychiatric Nurses Association, 19, 71-77. doi: 10.1177/1078390313484801 The Women’s Center. (2010). Atlantic City Women’s Center. Retrieved from http://www.ncdsv.org/images/dating%20violence%20quiz.pdf 103 APPENDIX C Behind the Illusion: Addressing Adolescent Dating Violence A Small-Group Curriculum for High School Students 104 Behind the Illusion: Addressing Adolescent Dating Violence A Small-Group Curriculum for High School Students Marisa C. Acosta Brynn E. Balcom Caitlin A. Conheim 105 TABLE OF CONTENTS Program Overview ...........................................................................................................107 Session 1: Introduction ....................................................................................................108 Session 2: Goal Setting ....................................................................................................112 Session 3: Hidden Strengths in Me ..................................................................................116 Session 4: Self-Esteem Game ..........................................................................................118 Session 5: Stereotypes......................................................................................................120 Session 6: Compliments...................................................................................................123 Session 7: Practice What You Preach ..............................................................................126 Session 8: Difficult Situations .........................................................................................128 Session 9: Building Healthy Relationships ......................................................................132 Appendices to a Small-Group Curriculum for High School Students Appendix A: Teacher Referral Form ...............................................................................135 Appendix B: Permission Letter for Parents and Guardians for Group Counseling .........137 Appendix C: Student Pre- & Post-Evaluation Form ........................................................139 Appendix D: Group Evaluation Form..............................................................................140 Appendix E: Teen Dating Violence Bill of Rights ..........................................................142 Appendix F: Goal Setting ................................................................................................143 Appendix G: Fact or Fiction Pre- & Post-Test ................................................................144 Appendix H: Definition of Terms ....................................................................................150 106 Appendix I: Positive Attributes .......................................................................................151 Appendix J: “At My Best” ...............................................................................................152 Appendix K: Stereotype Activity.....................................................................................153 Appendix L: Emotional Abuse Checklist ........................................................................154 Appendix M: Difficult Situations ....................................................................................155 Appendix N: Safety Plans ................................................................................................156 Appendix O: “Advice Please” .........................................................................................157 Appendix P: Qualities of a Healthy Relationship ............................................................158 Appendix Q: Building Blocks ..........................................................................................159 Appendix R: Resources for Students ...............................................................................160 References for A Small-Group Curriculum for High School Students ...........................161 107 Program Overview This program is designed for high school psychologists and counselors as an introduction to the prevalence and implications of adolescent dating violence on school campuses. It is intended to address teens’ views of relationships and foster healthy relationships among high school teens through a small group intervention curriculum. It is crucial to educate students regarding what constitutes adolescent dating violence. However, it is equally important to help them learn and understand the elements of a healthy relationship so they can strive to foster healthy relationships for themselves. A healthy relationship consists of mutual respect, honesty, emotional support, respected boundaries, communication, encouragement, and safety (Love is Respect, 2012). Ideally, if adolescents are knowledgeable of what comprises healthy and unhealthy relationships, they will be more likely to seek those that are healthy. In addition to being less likely to seek or find themselves in unhealthy relationships, awareness of ADV amongst adolescents will help them to recognize when their peers are in abusive relationships and help encourage them to get help (Love is Respect, 2012). Small Group Approach In order to prevent, intervene, and provide post-treatment to those who experience ADV, it is important to be clear as to what truly constitutes adolescent dating violence. High school students have likely begun relationships with other students, some more intimate than others, without understanding that a relationship can be positive or negative. Adolescents themselves must also understand the psychological and behavioral aspects that comprise adolescent dating violence in order to foster positive and healthy relationships. The Curriculum School psychologists or counselors in the high school setting should implement the Behind the Illusion curriculum. The program consists of 9 45-minute sessions, which include vignettes, dating scenarios, and activities. The lectures and activities all have a focus on student involvement and whole-group discussion to combat adolescent dating violence. 108 Session 1: Introduction Goal Learn about the group and the purpose of the group. Opening statement I have invited you into the group because I wanted us to focus on how to create and maintain positive relationships. Each of you knows something about challenging or negative relationships and it is my hope that we will all have ideas on how to help each other achieve more positive relationships with others. These meetings are an opportunity to get to know others in similar situations as your own, which we will do in approximately nine sessions. My hope is that we can all learn something about ourselves, each other, and learn some ways other teens have managed to engage in healthy relationships, even after experiencing unhealthy or abusive relationships. Name game (adapted from Cooley, 2009) Goal Get to know other group members. Rationale Knowing one another’s names is important in creating a sense of group trust, cohesiveness, and community. Learning each others’ names is the first step towards being able to identify and make connections with each other. Materials List of positive descriptors if students need help figuring out what word to use (Appendix I) Activity 1. Say, But to start, we will learn each others’ names. To make it a little more fun, how about we add a descriptor to our names. I’ll go first. (example, my name is Ms. Balcom and I am benevolent) Let’s go around the room and say your name and a word to describe you. 2. Each person says her/his name and a describing word. If a student is having trouble coming up with a word, provide a list of adjectives for each letter. 109 3. Once each student has gone around, say, Now we’ll amp it up a little bit more. Who thinks they can remember two names and descriptors? Pick a volunteer to state a couple of names. Admire volunteers listening skills. Ask if one or two more students can remember more or if they just want to try. Again, admire volunteers’ listening skills. Discussion 1. Did you find out anything surprising about anyone in the group? 2. How was it attaching an adjective or descriptor to a person’s name? to your own name? 3. Did it help you remember? [Listen for and validate positive and negative traits and attributes.] Establishing rules (adapted from Cooley, 2009) Goal To establish rules and protocols that will be used to guide each group session. Rationale Guidelines must be established as a collective group so all input is valued and respected. Materials Chalk or whiteboard Writing utensil for brainstorming A piece of paper to record the guidelines once there is agreement. Activity 1. Group leader will write down group members’ ideas and suggestions for the group guidelines and rules. 2. Group leaders should say, What guidelines or rules would be helpful in ensuring that everyone has a chance to share and be heard in our sessions together? 3. Group leader will help students to phrase the guidelines and rules in positive terms (i.e. the behaviors that they want to see). For example, Instead of “do not interrupt each other,” say “raise your hand if you want to speak.” 110 4. Group members will come up with 3-5 guidelines. 5. If not done by the students, the leader will facilitate confidentiality as a guideline to follow. This is especially important with this group of students, as this is a sensitive subject. Say Because this may be a sensitive subject for some members of this group, it’s important that we make a pledge to keep everything that we say in this group confidential. What we say in group stays in group to protect everyone and to make sure everyone is heard without fear of anyone outside of the group knowing. However, if anyone expresses that she/he is hurting her/himself, someone is hurting her/him, or anyone is planning to hurt someone else, then those would be times when we would need to speak to someone outside of the group. Does anyone have any questions about that? 6. Group leader will copy all of the rules onto a sheet of paper. The group members and leader will all sign the sheet if they are all in agreement with the guidelines created. 7. Group leader will photocopy the group guidelines and bring a copy for each group member to refer to during the remaining meetings. Closing Activity/Ritual: Teen Dating Bill of Rights (adapted from the Salt Lake Area Domestic Violence Coalition, n.d.) Goal Develop a closing ritual using the Bill of Rights for teen dating violence as a way to foster self-reliance and self-worth in relationships. Rationale All people should feel safe and secure in relationships without feeling forced to do things that make them uncomfortable or be someone they are not. Materials Teen Dating Violence Bill of Rights (Appendix E) Activity 1. Hand each student a copy of the Teen Dating Violence Bill of Rights. 111 2. Group leader will read each “right” aloud to the group, then ask the students to pick one that particularly resonates with them. 3. Once students have chosen a “right,” create a new list with the 5-8 “rights” that the students have chosen. 4. This new list will be the pledge the group members will recite at the end of each session as their closing activity. 5. The class can either read the new list together aloud, or each student can recite one. 112 Session 2: Goal Setting (adapted from In the Future, I... Taylor & Trice-Black, 2007) Goal For each student to write down meaningful and attainable goals regarding their current/future relationships Rationale Goal setting is a helpful way for teens to break up daunting tasks into smaller chunks. Accomplishing small goals on one's way to reaching a large goal is empowering and motivating because self-confidence is fostered as smaller goals are achieved. Materials A “Goals Sheet” handout (Appendix F) A pen or pencil for each student Activity 1. As a group, discuss how individual goals are beneficial and related to the students’ futures. 2. Explain to the students that today they will be setting short term goals. Explain that sometimes we must set and accomplish small goals in order to reach our larger goals. The leader should clarify the difference between short-term and longterm goals. 3. Give each student a copy of the Goals Sheet handout and a pencil or pen. 4. The leader should give the students a few examples of good short-term goals while encouraging them to think about what they want and need. For example, “I will value my own feelings and acknowledge if something does not feel right,” or “I will find someone who I feel comfortable talking with about my relationship if I need help.” 5. Next, students will write down their individual goals on their goals sheets. 6. After the students have finished, the leader should pair the students up allowing them to share the goals that they wrote on their piece of paper. The students may also share why these goals are important to them. 113 7. Leader should emphasize how these goals, if worked toward and reached, will help benefit the students’ futures. Discussion 1. Ask if anyone would like to share one of her individual goals with the group. 2. What do you think could be different about your life if you accomplished the goals you wrote? What could be different about your relationship? 2. How do the goals you have chosen affect more than one aspect of your life? [Listen for and validate responses such as: wanting better grades, more positive relationships, and higher self-confidence.] Fact or Fiction? (adapted from Atlantic County Women’s Center, 2010) Goals Determine group members’ knowledge about ADV and develop an acceptance of the problem Rationale Students should be able to test their knowledge on ADV, then challenge their viewpoints when discussing the answers. Materials Fact or Fiction quiz (Appendix G) Activity 1. Group leader will pass out the Fact or Fiction quiz about ADV. Students will be given 10-15 minutes to complete the quiz. Once completed, group leader will invite the group members discuss their thoughts about the quiz, their answers, etc. 2. Questions: a. How was that quiz for you? b. Did you learn anything about yourself, a friend, a relationship you were/are in? c. Were some of the questions easy for you to answer? Difficult? d. Can you think of other questions that came to mind while you were completing the quiz? 3. The group leader will read the questions aloud and ask for volunteers to give their 114 answers. This may be a risky activity for some students, so if they are not comfortable, the group leader can read the answers aloud and try to generate conversation/discussion about each answer. The group leader should read from the Fact or Fiction? Answer sheet. Discussion 1. Now that you have the answers, did anything change? 2. Do you feel the same or different after knowing what the answers are? 3. Does your opinion on ADV change or remain the same? 4. Are you able to reflect on your relationship and determine whether or not it is healthy? [Listen for and validate responses that indicate that a student is in an unhealthy relationship, or whose opinions and perceptions have not changed. Listen for and validate responses that indicate positive changes in perceptions and growth.] Definition of Terms Goal Teach students the definitions of different types of dating violence. Rationale There are many different types of dating violence that affect relationships. Students should be aware of each type and how it may look in their relationships. Materials Definition of terms handout (Appendix H) Activity 1. Share with the class the types of ADV, with subsequent examples of each type. a. Physical: The intent of physical force to cause injury, such as hitting, kicking, slapping, pinching, shoving, strangling, or using a weapon. b. Verbal/Emotional: The intent of harming one’s self-worth to cause nonphysical emotional injury. This includes threats, insults, name-calling, bullying, humiliation, intimidation, or isolation. c. Sexual: The intent of harming a partner in a sexual manner, such as forcing sexual acts without consent, controlling sexual activity, or the circumstances in which sexual activity occurs. d. Stalking: This refers to unsolicited, persistent actions by a perpetrator, including being harassed, followed, or watched. 115 e. Technological/Social: The intent of bullying, stalking, harassing, or intimidating a partner through the use of technology, such as texting, social media, and social networking. Discussion 1. How do your views on ADV change? 2. Are there any types of abuse that you did not understand before? 3. Do you think any of these are affecting or have affected your relationship? [Listen for and validate what types of abuse students are willing to share from personal experiences, if any. Listen for and validate honest and courageous responses.] Closing Ritual Recite the Teen Dating Pledge. 116 Session 3: Hidden Strengths in Me (Adapted from Cooley, 2011) Goal To help student discover hidden positive attributes about themselves. Rationale Sometimes it is easier for one to recognize positive attributes in others than it is to see them within one's self. This activity is designed to help students identify their own positive attributes by finding them in others first, and coming to realize that a person can only see attributes in other people that they themselves have as well. Materials A piece of paper as well as a pen or pencil for each student The list of pre-written positive attributes (Appendix I) Activity 1. Leader will pass out a pencil or pen and a piece of paper to each group member. 2. Explain that each group member is to think of five people they admire the most, and that their five people can be anyone in the world, living or deceased. Assure the students that they will have the option to share out loud later, but it will not be required. Then tell students to write each person's name on the piece of paper provided. The order in which they write the names does not matter. 3. While students are brainstorming and writing down their five people, the leader can refer to the pre-written positive attribute list and quickly transfer the list contents onto a whiteboard or a large piece of poster paper hanging up in the room for student reference. 4. Once students have written down the five names, leader will instruct students to go back through each person on the list, and write down all of the attributes that they admire about each person they have on their list. Tell students that if they need help thinking of positive attributes, there is a list (on the whiteboard or on a poster hanging up in the room) to assist them. 5. When students have finished writing down the attributes for each person, have students go back through the current list and circle the five attributes that are 117 repeated the most throughout all five people listed. 6. Lastly, have students make a new list (either at the bottom of their paper or on the backside of their paper) in which they write down the five attributes that they circled the most. 7. At this point, the leader will instruct the group members to silently read over the final list of the most common positive attributes identified. 8. Leader will then inform the students that the positive attributes they just listed the most about the five people they admire are, in fact, the attributes that they themselves have as well. The leader will explain to the group members that a person can only recognize positive attributes in other people when they themselves have those attributes. Discussion 1. What do you think about this final list? Are you able to recognize any of these positive attributes in yourself? 2. What surprised you about the positive attributes on your final list? 3. What is it like for you to know that you embody the same attributes you admire about others? [Listen for and validate an ability to find positive traits about themselves.] Closing Ritual Recite the Teen Dating Pledge. 118 Session 4: Self-Esteem Game (Toilet Paper Game from National Healthy Marriage Center, 2011) Goal To provide group cohesion and build self-esteem. Rationale This is intended to be a low risk activity, which facilitates students’ learning about others and increase self-worth. Materials Roll of toilet paper (1) Activity 1. Have the group of students form a circle and be seated. 2. Pass out the roll of toilet paper and ask each member of the group to tear off as many sheets of toilet paper as they think they need. This is the only instruction given to the students. 3. Once every student has completed the task, the leader will inform students that for each sheet torn off they have to share a positive trait and/or strength about themselves to the group. Discussion 1. Did you find it risky tearing off pieces of paper without knowing what you were going to be asked to do? 2. How was it for you to say positive qualities about yourself aloud verses writing those positive qualities down on the paper? [Listen for and validate responses such as validation, self-appreciation, but also challenging, awkward.] “At My Best” (from StrengthsQuest, 2008) Goal To appreciate talents and positive qualities. Recognize talents and positive qualities in relationships. 119 Rationale This activity allows students to reflect on their personal strengths, talents, and attributes. Materials An “At My Best” (Appendix J) handout and a pen or pencil for each student. Activity 1. Give each student a copy of “At My Best” handout and a pen or pencil. 2. Instruct students to fill out each of the listed areas. Inform students that the qualities they list should be a self-evaluation regarding their own life. The leader will give examples in order to inspire students own ideas. After everyone has completed the activity, encourage each person to share with the group. Discussion 1. What was it like for you to do this activity? 2. Sometimes people see their faults before they can really see all of their talents. What happens to you if you are asked to list your talents? 3. Do you think you are “at your best” in relationships? 4. Do you recognize your own talents in relationships? Does your significant other recognize your talents? Do you recognize your significant other’s talents? Do you and/or your significant other focus on faults over talents? 5. While doing this activity did you recognize areas that you wished to improve? If you did, how would you start in taking the steps towards improving yourself? 6. Do you feel like your relationship allows you to improve in some areas? Are you forced to improve? [Listen for and validate students’ ability to recognize their own positive talents and relationship qualities in themselves, as well as their partners. Listen for and validate responses that indicate relationships that are unbalanced or authoritative.] Closing Ritual Recite the Teen Dating Pledge. 120 Session 5: Stereotypes (adapted from Salt Lake Area Domestic Violence Coalition, 2005) Goal Allows people to express their views on ADV, as well as learn about other members of the group. This is a way for the group to dispel myths about ADV. Rationale This activity can provide an opportunity for students to talk about their thoughts, understanding, and views on ADV. Materials Stereotype Activity sheet (Appendix K), with boxes cut out A bowl or hat to put pieces of paper in. Activity 1. Have each student pick a stereotype out of the hat and tell you if it is true or abusively false. 2. Have students go through with each stereotype and discuss what they thought it might be true or false. 3. Once the group has gone through each of the stereotypes, say, We need to all look at our own stereotypes and perspectives about men and women and how we learned to treat others based on what we were taught in our past. We need to keep an open mind that some of these attitudes are not healthy or correct and will be damaging in our male-female relationships. 4. Acknowledge that the students have their own way of viewing ADV, but state that all of the stereotypes that the group went through are in fact FALSE. Each are a form of abuse in relationships and none should be considered a healthy or normal part of a relationship. Discussion 1. What did you discover about yourself while doing this activity? 2. Did this activity change your views on ADV? Why or why not? 3. Do you think certain stereotypes influence your behaviors in relationships? 4. Think of the images in the media regarding violence against women. What are 121 common stereotypes that are present in movies, TV shows, reality television? Are the same stereotypes against women used against men? [Listen for and validate views that have not changed and those that have changed and grown. Listen for and validate responses such as: what students believe are stereotypes of relationship and/or dating violence, indications that students are experiencing violence in their relationships.] Emotional Abuse Checklist Goal Identify the ideas that the group members have about emotional abuse and whether they are experiencing emotional abuse in their relationships. Rationale Students should learn to identify whether they are experiencing emotional abuse in their relationships. Materials Emotional Abuse Checklist (Appendix L) Activity 1. Pass out the Emotional Abuse Checklist to group members. 2. Have students mark whether the phrases are often, sometimes, rarely, or never true. 3. Once the students have completed the checklist, discuss their answers, if comfortable. 4. Explain to the students that the more “never” boxes they have checked is indicative of a healthy relationship. Discussion 1. How was this activity for you? 2. What did you find out about yourself while doing this activity? 3. Did you have more “often” boxes checked or “never” boxes checked? 4. Does this make you think about your relationship in a different way? The same? 5. Is there anything you would change about your current relationship? Past 122 relationships? [Listen for and validate responses that indicate prosocial/positive behaviors to have with a partner. Listen for and validate responses that indicate a lack of awareness of an unhealthy relationship and/or an unwillingness or inability to change negative behaviors in their relationships.] Closing Ritual Recite the Teen Dating Pledge. 123 Session 6: Compliments (from Jones, 1998) Goal Students will give and receive positive compliments as a way to improve self-esteem. Rationale Students who have low self-esteem can benefit from hearing and giving positive compliments about themselves. Materials One envelope per person 3x5 index cards Pens or pencils. Activity 1. Split students into two equal groups. Pass out an envelope and a pen or pencil to each student. Every student should also receive four to five 3x5 index cards (enough for the student to write a compliment about each of their group members on the other team; i.e. if there are 4 group members on one team they need 4 cards each). Have students put their name on the front of the envelope, as well as in the top right corner of each 3 X 5 index card. 2. After the students have written their name on their envelope and 3x5 index cards, explain to students that they will be writing a compliment about each of their peers in the opposite group. The leader should give students some examples of compliments. Make sure leader informs the students that the compliments they write will be read out loud during a later part of the activity. 3. Once students have completed name labeling noted above, leader will collect students’ envelopes from group 1 and give them to group 2 and vice versa. Each student should have one envelope for each peer from the other group. Tell students that they should write down an attribute that they admire about the person whose envelope they have on one of their 3x5 index cards and placed their compliment into that member’s envelope. When finished they should pass it to their own group member to their right. 124 4. Repeat this process and continue passing the envelopes to the right until everyone in their group has written down a comment for everyone in the other group. When students are done, the leader should collect all the envelopes (keep them in separate piles, i.e. group 1 and group 2). 5. The leader then reveals that this is actually a challenge and that groups are going to be competing against each other for points. The objective is to be the team with the most points by the end. Explain that you, the leader, will be reading a compliment out loud from a selected envelope to group member whose name is on the front of the envelope. The student, who the compliment was about, will then guess which group member on the other team wrote that compliment about her. They can work with their team members to come up with a guess. If that student guesses correctly, that team receives a point. 6. The leader then selects one of the envelopes from the first team and pulls out one of the index cards. The leader will read the compliment out loud to that student, without reading the name of the student who wrote it. The student will guess who wrote the comment. If they guess correctly, give them a point. 7. After the student on team 1 guesses, the leader will select an envelope for a student on team 2. The leader will switch off from one team to the other, and read a comment from each student’s envelope before starting over with the first person again. Continue in this process until all comments have been read from each student’s envelope. At the end, congratulate the team who earned the most points and thank both groups for participating. Then give the students their envelopes back. Tell them they are welcome to keep their envelope as a reminder of all their good qualities. Discussion 1. What was it like for you to hear all those positive things about yourself? 2. Were you surprised about anything that was said about you? 3. What was it like for you to guess who said the compliment about you? 4. How does it affect you to hear positive things from others outside of this group? 5. Do you think it is important to hear positive things from your significant other? 6. Do you think giving compliments to and receiving compliments from your significant other hurts or helps a relationship? 7. Should compliments or positive things only be said by one person in the relationship or both people? 125 [Listen for and validate responses such as: willingness to accept compliments or positive remarks, feelings (positive and/or negative) when receiving compliments, and awareness of the language that occurs in each relationship and how it affects their emotional wellbeing.] If a student brings up the fact that sometimes it is hard to accept compliments from others or that they often deflect the compliment by saying “Oh, no I’m not” instead of “Thank you,” use the following questions to further the discussion. 1. What is different when you do accept a compliment? 2. What difference would it make if you embraced the compliment? Closing Ritual Recite the Teen Dating Pledge. 126 Session 7: Practice What You Preach (adapted from Taylor and Trice-Black, 2007) Goal This activity is intended to have students practice making solution-focused good relationship decisions. Rationale Learning how to make good decisions about the relationship one is can be hard, especially during adolescence. Making a decision that is in our best interest is not always easy. This activity will help students to think about issues they and their group members have faced in past romantic relationships, and appropriate ways to deal with these issues. Materials “Advice Please Template” (Appendix M) Pencils or pens. *Please note the names, genders and sexual orientation of the people in the “Advice Please” handout can be modified for male students in unhealthy relationships as well as homosexual males or females in unhealthy relationships. Activity 1. Pass out a copy of “Advice Please” handout to each student. Read the “Advice Please” handout with students. 2. Ask the students what kind of advice they would give this person based on their past experiences. Ask them if they asked for advice from anyone when they were in their unhealthy relationships. If they did, ask them if and how it helped. If they did not, ask them if they wish they had and why. Discuss why they think people might ask for advice as well as what the benefits to receiving advice from others might be. 3. Explain that each student will be creating their own “Advice Please” situationby asking his or her own questions and then answering someone else's. 4. Distribute an “Advice Please” template with a writing instrument to each student. 127 5. Have the student write a letter asking for advice about a real or imagined unhealthy/abusive relationship situation. After they have finished, collect all templates and redistribute in a different order. 6. Have the students answer the letter that they receive and give helpful advice that emphasizes solutions to the writer’s problems. Remind them that the way to provide solution-focused advice is to give suggestions of actions that the person can take, as opposed to telling them what they should not do. 7. After everyone completes the response, group members may share the advice they offered. Discussion 1. Was it easy or hard to give advice? Why? 2. What did you think about getting advice? 3. What was it like to give advice to someone who has experienced being in an unhealthy relationship similar to you? 4. How do you think that giving good advice can help you in making your own decisions? 5. It is easy or hard to follow your own advice? Why? [Listen for and validate the individuals what are unable or unwilling to accept advice from others, and decision-making skills. Listen for and validate advice from an individual to another individual in the same situation. Validate ability to provide solutions from a strength-based perspective and an awareness for students to apply their own advice to their personal situation.] Closing Ritual Recite the Teen Dating Pledge. 128 Session 8: Difficult Situations (adapted from Vernon, 2006) Goal For students to understand the relationship between how they think about themselves and the risks associated with engaging in an abusive relationship. Rationale Students in high school are affected when engaged in unhealthy and abusive relationships. Some students are susceptible to staying in relationships that are not healthy or may often change their actions to match what partner sees as acceptable. Materials A “Difficult Situation” handout (Appendix N) A pencil or pen for each student A handout with resources (Appendix R) to share with the students that they can take at the end of the session. Activity The leader should start a discussion by asking students if they have ever wanted to do something their partner didn’t want them to do, or thought about ending an unhealthy relationship, but did not know if it was the right thing to do. If no students volunteer an example, then begin by passing out a copy of the “Difficult Situation” worksheet to each student and the resources handout. Leader will read the following situations out loud and ask the students to finish each scenario. *Please note the names, genders and sexual orientation of the people in these situations can be modified for male students in unhealthy relationships as well as homosexual males or females in unhealthy relationships. 1. On Friday night, Chelsea wants to go see a movie with her friends, but her boyfriend doesn’t want her spending time with her friends. He says he wants her to spend all of her free time with him so that he knows where and who she is with at all times. Chelsea wants to tell him she is going, but she is afraid if she does he might… 2. Samantha just discovered that her boyfriend figured out her personal passwords without asking her, and has been looking at her text messages and call log on her phone, as well as searching through her Facebook profile and email account 129 without telling her. She wants to confront him, but doesn’t know what to say. One way she might approach this is… 3. Lindsey really loves her boyfriend Dan, and he can be so sweet to her. However, when Dan gets angry with Lindsey he tells her she is stupid and worthless. Sometimes he calls her even worse names. He has never physically hurt her so she continues to date him. If Lindsey continues to stay with him she may… 4. Taylor’s boyfriend is physically abusive. It began with him losing his temper and pushing her down to the ground, but the last time he got angry with her he hit her across the face and gave her a black eye. At this point she is worried that if she breaks up with him, he will physically hurt her even worse that he has in the past. She is scared and doesn’t know where to seek help. Who and where can Taylor access different types of help so that she can safely end this abusive relationship? 5. The leader will then ask if any student will be willing to share their responses to any of the prompts. Discussion 1. What advice would you give to these girls in the above situations? 2. How did you come up this idea? 3. Can anyone think of an alternate way to respond to any of these situations? 4. Is anyone willing to share a similar or abusive experience they have had with a past partner? How did you handle the situation? Is there anything you would have done differently? If you had a friend that was in your same situation, what is the advice you would give them? [Listen for and validate the individuals what are unable or unwilling to accept advice from others, but that are also able to give and receive advice freely. Listen for and validate responses such as: an understanding of the lessons and an ability to learn and grow from the provided lessons, and their strength and willingness to share personal experiences with the group.] 130 Creating a Safety Plan (adapted from Salt Lake Area Domestic Violence Coalition, 2005) Goal For students to become aware of safety precautions to minimize risk of being involved in a violent incident. Rationale There are times when no matter what is done, a violent incident will occur in a dating relationship. Students can become knowledgeable of different safety plans to increase promotion of ways to stay protected. These safety plans will also help students know what to do if they become victimized in a violent relationship. Materials “Safety Plans” handout (Appendix O) Activity 1. The leader should start a discussion by asking students if they have ever felt they have been in a dangerous and unsafe situation with a dating partner. Leader will then ask those students how they handled the situation. Leader will pass out the “Safety Plans” handout to further elicit group discussion. Discussion 1. After reviewing the Safety Plans, is there anything you would do differently? 2. Are there other ways you can think of to minimize the risk of being involved in a violent incident? [Listen for and validate responses that indicate that a student does not believe they have a safe place. Provide support, solutions, and alternative plans, if needed.] Closure Thank the students for being open and sharing today. Acknowledge that this is difficult to talk about, but you are grateful they have. Remind them that the resources handout is something for them to keep and use in the future should they need to do so. Additionally, remind them that the resources on the handout can be used even if they are no longer in an abusive relationship, but are still having a difficult time coping with their past abusive relationship. 131 Closing Ritual Recite the Teen Dating Pledge. 132 Session 9: Building Healthy Relationships (adapted from Santabarbara, Erbe, & Cooper, 2009) Goal At the end of this lesson, students should be able to do the following: Identify and describe the qualities of a healthy relationship after creating their own version of a healthy relationship. Explore the influence their own personal values and beliefs have within an intimate relationship. Rationale Adolescent students become interested in the opposite sex, and as a result, begin to develop intimate relationships. If students learn how to build healthy and strong connections with their partner, they will be able to develop lasting intimate bonds and avoid becoming involved in unhealthy/abusive relationships. Materials “Qualities of a Healthy Relationship” handout (Appendix P) “Relationship Building Blocks” graphic organizer (Appendix Q) Pencils or pens. Activity 1. With the group leader’s guidance, students are asked to define a romantic/intimate relationship. Leader will elicit student answers and discussion. 2. Leader will distribute the “Qualities of a Healthy Relationship” handout and the “Relationship Building Blocks” graphic organizer. Leader will ask students to ‘Construct their healthiest relationship’ while working in pairs, by placing the relationship attributes listed on the “Qualities of a Healthy Relationship” handout into their graphic organizers following the procedure below. 3. Students will select qualities that illustrate the five MOST important qualities of a healthy relationship. These five qualities will represent the foundation of a healthy relationship. They will write in these five choices in the five boxes that are at the bottom of all of the boxes in the graphic organizer. The process will be continued by working upward (one less quality/box in each successive row) throughout the creation of a healthy relationship structure. Each successive row will consist of the next most important qualities in a healthy relationship with the least most important quality being written into the top, single box. 4. Leader will then have students answer the questions in the five boxes outside of 133 the graphic organizer, and the box below. This will allow students to analyze their healthy relationship structures by answering the questions. 5. Leader will then ask each pair to share their “healthy relationship.” 6. Leader will then facilitate a discussion in which “healthy relationships” created by students are compared, and similarities and differences are addressed. 7. The leader will then ask the students why qualities such as love, trust, honesty, and companionship must be built and focused upon first in order for a healthy relationship to be built. Discuss with students. 8. The leader will then ask the students how these characteristics (love, trust, honesty, and companionship) can be developed into a relationship. Discuss with students. Discussion For this activity, discussion in embedded in and throughout the entire activity. [Listen for and validate their ability to identify and prioritize qualities that they believe make up a healthy relationship, and for those students who prioritize qualities that suggest an unhealthy relationship. Show appreciation and input in their overall involvement in the group.] Closure Leader will thank everyone for participating and remind students that the next time they are entering a relationship, they can use the information they have learned here today to ensure they are entering and building a healthy relationship. Lastly, the leader will remind the students that no one should tolerate a unhealthy/abusive relationship. Everyone deserves to be in a healthy relationship including them. Closing Ritual Recite the Teen Dating Pledge. 134 Appendices to a Small-Group Curriculum for High School Students 135 APPENDIX A: Teacher Referral Form Teacher: Date: Student: Grade: 1. Why do you think this student will benefit from partaking in this group? ____________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _____________________________________________ 2. Please describe this student’s overall temperament and behavior in your class. ____________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ 136 _________________________________________ _________________________________________ _____________________________________________ 3. Please describe the student’s peer interaction (in and/or outside) the classroom. ____________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ ____________________________________________ 137 APPENDIX B: Permission Letter for Parents and Guardians for Group Counseling Counseling Department Name of Student: Date: Homeroom Teacher: Grade: Dear Parents/Guardians, The mission of the counseling department this high school is to provide guidance and support for students in developing the skills that they need to be self-directed, successful students, and members of society. To assist in the development of these skills, we offer a variety of small counseling groups throughout the school year. Your student, ___________________, has been carefully selected to participate in a small group experience, which is intended to foster empowerment and healthy relationship skills. We have selected your student because it is our belief that she/he will be able to make many positive relationship decisions, as well as have a unique opportunity to gain from the genuine interactions with others. Some of the topics that will be addressed during group sessions are: (1) self-confidence, (2) self-discovery, and (3) decision making in relationships. The group will begin on __________ and will meet every _______ for nine sessions. Each session will be 45 minutes and meet directly after lunch. Students will be responsible for any schoolwork missed during the group sessions, but teachers have agreed to work with students to ensure they are able to make up their work in a timely manner. Participation in the group is voluntary and confidential. The student/counselor relationship is one based on trust and confidentially. Our goal is to ensure a safe and positive experience that benefits the students and those around them. Information disclosed by the group will not be shared with anyone, except in limited situations. These situations include: Threatening behaviors of harm by the student to herself or others, revelations of abuse, and illegal activities that jeopardize the safety of the group or others. Feel free to contact us if you have any questions or concerns, or would like further information. We may be reached at the counseling department. 8am to 3pm at (555) 555-4475. Please return the attached permission slip by _______________. Sincerely, School Psychologist 138 Permission Letter for Parents and Guardians for Group Counseling Please return this slip to your student’s homeroom teacher Yes! I give permission for my student, ___________________, to participate in this group. No I do not permission give my student, ___________________, to participate in this group. I would like more information. Please contact me at ( ) ______-___________ ___________________________________ Parent/Guardian Name (please print) __________________________________ ______________________ Parent/Guardian Signature Date ___________________________________ ______________________ Student Signature Date 139 APPENDIX C: Student Pre- & Post-Evaluation Form Name of Student: Date: Please fill out the following form. This form will assist us in monitoring the effectiveness of our group. This form will be kept confidential. Think about your answers and be honest with your answer. Check off only one answer…. Never Sometimes Often Always Never Sometimes Often Always 1. I am comfortable being single. 2. I practice good decision-making skills. 3. I don’t feel pressured to do things I don’t want to. 4. I am happy with the way my body looks. 5. I deserve to be treated with respect and care. 6. I can talk openly with friend and family about my feelings. 7. I can identify whether or not I am in a healthy relationship. 8. I understand how my actions might affect others. 9. I know other people have trouble with the same issues as me. 10. I am confident, secure, and an important part of this world. 11. I ask my partner to stop if they are doing something that upsets or hurts me. Please fill out and return no later than _________________ to the counseling department 140 APPENDIX D: Group Evaluation Form Student: __________________ Date:______________________ 1.What did you learn from being part of Behind the Illusion? 2.What was the most helpful part of the group? 3.What was the least helpful part of the group? 4. Did you feel comfortable sharing personal information about yourself and your relationship with the group? 5. Why or why not? Yes No 141 6. I was given the opportunity and encouraged to speak up throughout the group. Never Rarely Sometimes Often 142 APPENDIX E: Teen Dating Violence Bill of Rights 1. I have the right to be treated with respect and not criticized. 2. I have the right to have a partner who values me for me, encourages me, and wants the best for me. 3. I have the right to be safe. 4. I have the right to maintain my own body, feelings, property, opinions, boundaries, and privacy. 5. I have the right to be listened to seriously. 6. I have the right to disagree, assert myself respectfully, and say “no” without feeling guilty. 7. I have the right to not be abused: physically, emotionally, sexually. 8. I have the right to keep my relationships with friends and family. 9. I have the right to have my needs be as important as my partner’s needs and not be my partner’s property or servant. 10. I have the right to have a partner who gives as much to me as I give to him/her. 11. I have the right to decide how much time I want to spend with my partner. 12. I have the right to pay my own way. 13. I have the right to not take responsibility for my partner’s behavior, choices, mistakes, and any acts of violence. 14. I have the right to set my own priorities, make my own decisions, and grow uniquely as an individual. 15. I have the right to fall out of love or leave any relationship. 143 APPENDIX F: Goal Setting Goal Tracker My Goal: ________________________________________________________________________ Weekly Rating (Circle the number that tells where you are with your goals for each week.) Week 2 Week 3 1 2 3 4 5 1 2 3 4 5 Thoughts? Thoughts? Week 4 Week 5 1 2 3 4 5 1 2 3 4 5 Thoughts? Thoughts? Week 6 Week 7 1 2 3 4 5 1 2 3 4 5 Thoughts? Thoughts? Thoughts? Week 8 Week 9 1 2 3 4 5 1 2 3 4 5 Thoughts? 144 APPENDIX G: Fact or Fiction Pre- & Post-Test (Adapted from Atlantic County Women’s Center, 2010) Test your dating violence knowledge by answering the true/false questions and the multiple choice questions below. TRUE/FALSE _____ 1. Dating violence is rare among high school students, college students and other educated people. _____ 2. When someone leaves an abusive relationship, the abuse usually ends. _____ 3. Drug and/or alcohol abuse is often a factor in dating violence incidents. _____ 4. The best way to get a friend to leave an abusive relationship is to "cut ties" with them. _____ 5. If violence occurs once in a dating relationship, it is likely to happen again. _____ 6. Police hardly ever make arrests in dating violence situations. MULTIPLE CHOICE (Can have more than one correct answer) 7. What kind of behavior could be considered a sign of relationship abuse? a. your partner takes a nap while you're talking to him or her about something important. b. your partner tells you that you're fat and ugly. c. your partner lets you know that he/she doesn't like it when you "flirt" with other people. d. you're a vegetarian, and your partner makes you eat at a restaurant with no veggie menu. 8. What's a good way to help a friend who's in an abusive relationship? a. offer to beat up your friend's partner. b. offer to burn down your friend's partner's house. 145 c. listen when your friend wants to talk about the relationship. d. remind your friend that he/she is beautiful, smart, and fun to be around. 9. True love is... a. never having to say, "I’m sorry." b. feeling that your partner's needs are just as important as your own. c. when your partner is jealous and possessive--that's how you know he/she loves you. d. when you and your partner love spending all your time together. 10. Why do people abuse their partners? a because the partner makes the abuser so angry. c. because the abuse is trying to control the partner. d. because they don't have much money and this causes stress in the relationship. 11. Which of the following behaviors could be considered a sign of dating violence? a. when you try to end the relationship, your partner says he/she can't live without you and threatens suicide. c. you have an argument about what to do on a Friday night, so you decide to spend the evening alone and don't speak until the next day. d. after you go out on a Friday night with your friends, your partner falsely accuses you of cheating. 12. Which of the following may be a reason a person would have a difficult time leaving an abusive relationship? a. the victim likes the abuse--it spices up their sex life. b. the victim still loves his/her partner. c. the victim has been lying to you, and the abuse isn't really happening. 13. Which of the following is an important part of a healthy, loving relationship? a. spending all your time together. b. valuing each other's opinions and ideas. 146 c. having sex every day. d. your partner is totally hot. 14. How do you keep safe in a dating relationship? a. communicate with your partner about your expectations. b. just don't date--it's the only way to stay safe. d. get to know yourself and your beliefs before jumping into relationships. Scoring All Correct Congratulations! You’re a genius when it comes to knowing about dating violence. Proceed to your healthy relationship! 12 or more correct Good Job! You’re pretty good when it comes to knowing about dating violence. Knowing lots of information increases your chances of staying away from abusive relationships and shows that you can be a good friend to someone who is experiencing abuse. You scored a Green on the Healthy Relationship-o-meter. 11-10 correct Not Bad! You’re doing okay, but you could still do better on the Healthy Relationship-o-meter. The more you know, the better chance you have of staying safe and building a strong, healthy relationship. Yellow for you on the Healthy Relationship-o-meter. 9 or less correct Uh-oh! You need to head back to remedial dating violence school. You scored a red on the Healthy Relationship-o-meter. Red Light – Uh Oh! Head back to remedial relationship school! Yellow Light – Not Bad! You’re doing okay, but you could do better! Green Light – Good Job! You’re on the right track for success! 147 Fact or Fiction Pre- & Post-test – ANSWERS Test your dating violence knowledge by answering the true/false questions and the multiple choice questions below. TRUE/FALSE 1. FALSE Dating violence is rare among high school students, college students and other educated people. Dating and domestic violence is common among all people – rich, poor, black, white, Asian, Latino, etc. 2. FALSE When someone leaves an abusive relationship, the abuse usually ends. Unfortunately, a time when a victim is most at risk is when leaving the relationship. This is called separation violence, and safety planning needs to be put in place for this whenever possible. 3. TRUE Drug and/or alcohol abuse is often a factor in dating violence incidents. Although drug and alcohol abuse is often a factor in dating violence, it is not a cause or an “excuse.” Both victims and perpetrators of violence are much more likely to use drugs and alcohol than people who are not in abusive relationships. 4. FALSE The best way to get a friend to leave an abusive relationship is to "cut ties" with them. This may actually have the opposite effect. Someone who is being abused in a relationship needs outside help and support and is very unlikely to leave that relationship without the support and help of families and friends. 5. TRUE If violence occurs once in a dating relationship, it is likely to happen again. It is rare for someone to hit or otherwise abuse their partner once and never do it again. 6. FALSE Police hardly ever make arrests in dating violence situations. This once was the case when the victim had to agree to press charges before the police would make an 148 arrest. However, it is now mandatory in our state to make an arrest if there is any physical evidence of abuse, even if the victim does not press charges. MULTIPLE CHOICE (Can have more than one correct answer) 7. What kind of behavior could be considered a sign of relationship abuse? b. your partner tells you that you're fat and ugly. c. your partner lets you know that he/she doesn't like it when you "flirt" with other people. d. you're a vegetarian, and your partner makes you eat at a restaurant with no veggie menu. Abuse comes in many different forms – verbal, physical, mental, emotional and sexual. The point of all abuse is power and control. As for falling asleep when you’re talking about something important – well that’s just rude. 8. What's a good way to help a friend who's in an abusive relationship? c. listen when your friend wants to talk about the relationship. d. remind your friend that he/she is beautiful, smart, and fun to be around. It is best to listen to your friend and let him or her know that there are many resources available for people experiencing dating violence – they’re not the only one to go through with this, and they don’t deserved to be treated that way. 9. True love is... b. feeling that your partner's needs are just as important as your own. The most productive relationships are one’s that are equal partnerships – both partner’s needs are identified and goals are built around them. 10. Why do people abuse their partners? c. because the abuse is trying to control the partner. The violent partner is trying to control and have power over the victimized partner. They may not have experienced much empowerment in their lives, or witnessed dominating relationships. 149 11. Which of the following behaviors could be considered a sign of dating violence? a. when you try to end the relationship, your partner says he/she can't live without you and threatens suicide. d. after you go out on a Friday night with your friends, your partner falsely accuses you of cheating. All of these are examples of emotional and mental abuse, as is stalking, jealousy and isolating the victim from his or her friends. 12. Which of the following may be a reason a person would have a difficult time leaving an abusive relationship? b. the victim still loves his/her partner. The victim may believe what the abuser tells him or her – that’s he or she is nothing without that person. 13. Which of the following is an important part of a healthy, loving relationship? b. valuing each other's opinions and ideas. A healthy relationship includes respecting each other’s time, resources, needs and goals. 14. How do you keep safe in a dating relationship? a. communicate with your partner about your expectations. d. get to know yourself and your beliefs before jumping into relationships. Knowing yourself is always a good thing – it will benefit you in life as well as relationships. 150 APPENDIX H: Definition of Terms Abuse via technology: Any type of harassment, including teasing, telling lies, bullying, monitoring or controlling partner, making rude or mean comments, spreading rumors that occurs through e-mail, a chat room, instant messaging, a website, or text messaging (David-Ferdon & Hertz, 2007). Cyber abuse: Abuse that is conducted through the Internet. The abuser uses social media networks to perpetrate abuse. This type of abuse often co-occurs with emotional abuse, sexual coercion, and physical abuse (Zweig et al., 2013). Dating Violence: A type of intimate partner violence that occurs between two people in a close relationship. The nature of dating violence can be physical, emotional, or sexual (CDC, 2012). Emotional dating violence: A type of abuse in which one partner threatens the other or harms his/her self-worth such as name calling, bullying, embarrassing on purpose, and/or keeping him/her away from family and friends (CDC, 2012). Risk factors for dating violence: “Attributes or characteristics that are associated with an increased probability of ADV reception and/or expression” (O’Keefe, 2005, p. 3). Sexual dating violence: Occurs when one partner forces the other partner to engage in a sexual act without his or her consent (CDC, 2012). Stalking: A type of dating violence that refers to repeated harassing and/or threatening methods used by a perpetrator that is unwanted and causes the victim to fear the perpetrator (CDC, 2012). Warning signs: Various behaviors that adults and peers should look for if they suspect someone they know is in an abusive relationship (Alabama Coalition Against Domestic Violence, 2012). 151 APPENDIX I: Positive Attributes Amused Awesome Adorable Accepting Brave Bright Bold Balanced Confident Courageous Cheerful Courteous Creative Delightful Determined Dependable Down-to-Earth Energetic Excited Excellent Enthusiastic Fair Fantastic Funny Friendly Flexible Generous Gentle Good Goofy Grateful Helpful Happy Hilarious Hardworking Honest Innovative Incredible Ingenious Independent Insightful Jolly Joyous Juicy Kind Kind-Hearted Knowledgeable Memorable Magical Mellow Mature Motivated Nice Neat Noble Nurturing Observant Outstanding Open-Minded Optimistic Peaceful Patient Proud Productive Positive Quiet Quick Quirky Responsible Reflective Reliable Resilient Respectful Silly Successful Smart Self-Directed Strong Talented Thoughtful Talkative Trusting Tolerant Warm Wild Wise eXcellent eXtra fun eXtreme Upbeat Unusual Ultimate Unique Valuable Vibrant Vocal Youthful Yummy Yahoo! Zany Zippy Zesty Likeable Loving Light-hearted Loyal Listener 152 APPENDIX J: “At My Best” 1. A time when I was at my best was…. 2. The best thing about me is… 3. What I enjoy doing the most is... 4. The things I like about myself are… 153 APPENDIX K: Stereotype Activity Girls like guys to always be aggressive and in control. If a girl has already had sex, she cannot be raped. Girls say “no” but really mean “yes”. If a girl is dressed provocatively, she’s asking for sex. Relationships are supposed to escalate from attraction to sex. Relationship building isn’t that important. Boys aren’t victims of dating violence. Once a boy is turned on, he has to have sex. Most sexual assaults are committed by strangers. A guy gets to make the final decision. If a boy pays for a date, he deserves sex. If a girl is alone in a boy’s house, she is consenting to sex. A guy gets to control the money. Having sex with someone proves you love them. A partner can be controlling of his partner if he is just being protective. 154 APPENDIX L: Emotional Abuse Checklist Check the answer that best fits your relationship: 1. Are you expected to drop what you’re doing to meet their needs? 2. Do they insist that everything is your fault? 3. Do they use violence or threats during an argument? 4. Do they go through your personal things? 5. Do they humiliate you in public 6. Do they tell you no one else would ever want you? 7. Do they make rules about what you can and cannot do? 8. Do they put you down about the way you look or dress? 9. Does your partner make you feel obligated to be sexual in order to make them feel loved? 10. Are you fearful is you’re late for an activity together? Often Sometimes Rarely Never 155 APPENDIX M: Difficult Situations 1. On Friday night, Chelsea wants to go see a movie with her friends, but her boyfriend doesn’t want her spending time with her friends. He says he wants her to spend all of her free time with him so that he knows where and who she is with at all times. Chelsea wants to tell him she is going, but she is afraid if she does he might… 2. Samantha just discovered that her boyfriend figured out her personal passwords without asking her, and has been looking at her text messages and call log on her phone, as well as searching through her Facebook profile and email account without telling her. She wants to confront him, but doesn’t know what to say. One way she might approach this is… 3. Lindsey really loves her boyfriend Dan, and he can be so sweet to her. However, when Dan gets angry with Lindsey he tells her she is stupid and worthless. Sometimes he calls her even worse names. He has never physically hurt her so she continues to date him. If Lindsey continues to stay with him she may… 4. Taylor’s boyfriend is physically abusive. It began with him losing his temper and pushing her down to the ground, but the last time he got angry with her he hit her across the face and gave her a black eye. At this point she is worried that if she breaks up with him, he will physically hurt her even worse that he has in the past. She is scared and doesn’t know where to seek help. Who and where can Taylor access different types of help so that she can safely end this abusive relationship? 156 APPENDIX N: Safety Plans Ways to Avoid Potentially Abusive Situations: Arrange to travel with someone to and from school or work. Walk with friends between classes and after-school activities. Try not to be alone in a school building. Stay in public places Stay in familiar neighborhoods and surroundings Be alert to the locations of phones and exits wherever you are Develop previously arranged code word to alert friends or family members that you are in a dangerous situation or need immediate help Safety Issues If You Have Encountered Abuse: After the relationship is terminated, your safety depend on not having contact with the offender, which includes not talk to or meeting with the offender. Stay busy with positive interactions and goals. Implement calming hobbies. Use your instincts. If you find yourself in a dangerous situation, placate abuser if possible to keep them calm, then call the police. Remember to still follow the safety ideas listed above Keep emergency phone numbers in a convenient and safe location. 157 APPENDIX O: “Advice Please” Dear _____________________: I am having a difficult time because ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What do you think I should do? Do you have any advice for me? Sincerely, ____________________________________ Dear _____________________: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (Your Name) 158 APPENDIX P: Qualities of a Healthy Relationship Trust Religion/Spirituality Support Companionship Sex Fun Love Understanding Gifts Acceptance Appearance Common Interests Humor Honesty Communication Respect 159 160 APPENDIX Q: Building Blocks 161 APPENDIX R: Resources for Students The National Teen Dating Abuse Helpline. This hotline is the direct service provider behind loveisrespect.org, operating the 24/7 phone, text and chat services. Phone number: 1-866-331-9474 Website: http://www.loveisrespect.org The National Domestic Abuse Hotline. This hotline provides one-on-one counseling for anyone experiencing domestic violence, seeking resources or information, or questioning unhealthy aspects of their relationship. Phone Number: 1-800-799-7233 Website: http://www.thehotline.org The National Sexual Assault Hotline. This hotline offers counseling, information about community resources, emergency protocols, and legal advise. Phone Number: 1-800-656-HOPE Website: http://www.rainn.org/ The National Sexual Assault Hotline. This hotline used a secure and anonymous instant-messaging type format and allows victims of sexual violence to communicate directly with trained crisis support volunteers. Website: http://www.rainn.org/get-help/national-sexual-assault-onlinehotline 162 References for A Small-Group Curriculum for High School Students Cooley, L. (2009). The power of groups: Solution-focused group counseling in schools. California: Thousand Oaks. Jones, A. (1998). 104 Activities that build: Self-esteem, teamwork, communication, anger management, self-discovery, coping skills. Lusby: Rec Room Publishing. My Best Five. Retrieved from http://www.ribessj.org/SIMPLE_EXERCISES_TO_BOOST_YOUR%20_SELF_ IMAGE.pdf National Healthy Marriage Center. (2011). Toilet paper game. Retrieved from http://www.healthymarriageinfo.org/resource-detail/index.aspx?rid=3595. Santabarbara, T., Erbe, R., & Cooper, S. (2009). Relationship Building Blocks. Journal Of School Health, 79, 505-509. doi: 10.1111/j.1746-1561.2009.00440.x Taylor, J., & Trice-Black, S., (2007). Girls in real life situations: Group counseling activities for enhancing social and emotional development. 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