CaliforniaDepartmentofPublicHealth
RapePreventionandEducationProgram:
APublicHealthApproachtoSexualViolence
CALCASAStatewideConference
June21,2016
Sacramento,CA
ThistrainingissupportedbytheCaliforniaDepartmentofPublicHealth,SafeandAc=ve
Communi=esBranch,RapePreven=onandEduca=onProgram,fundedbytheCenters
forDiseaseControlandPreven=on,Na=onalCenterforInjuryPreven=onandControl.
Bytheendofthissession,participantswillbeableto:
•
Understandthecurrentpriori=esoftheCalifornia
DepartmentofPublicHealth(CDPH),RapePreven=on
andEduca=on(RPE)Program;
•
Iden=fythecurrentpublichealthprinciplesbeing
u=lizedandstrengthenedincurrentlocalRPEprograms;
and
•
Understandeligibilityand=melinesofthefuture
RequestforApplica=ons(RFA)fundingprocess.
Agenda
•  Introduc=ons
•  MovementtoEndSexualViolence
•  OverviewoftheCDPHRPEProgram
•  RPEBestPrac=ces
•  EligibilityandTimelinesforfutureCDPHRFA
•  ResourcesandToolstosupporttheapplica=on
process
PresenterIntroductions
•  NancyBagnato,MPH,Chief
StateandLocalInjuryControlSec=on
SafeandAc=veCommuni=esBranch
CaliforniaDepartmentofPublicHealth
•  DavidS.Lee,MPH
DirectorofPreven=onServices
CaliforniaCoali=onAgainstSexualAssault
•  JessieTowne-Cardenas
Consultant
CaliforniaCoali=onAgainstSexualAssault
MovementtoEndSexualViolence
Dyad
Describehowyousee
theworkofrape
preven=onaspartofa
movementtoend
sexualviolence
PrimarypreventionofDV/TDV/SVand
endingintersectingformsofoppression
areinextricablylinked.
•
Primarypreven=onpromotessocialjus=cetoaddressthe
intersec=ngsystemsofoppressionandinequitythatunderlie
violenceinrela=onshipsandsociety.
•
Primarypreven=onini=a=vesmustapplyanunderstandingofthe
rolesofgender,gendernorms,andgenderinequalityas
contributorstoDV/TDV/SV.Thisgenderanalysisshouldaddress
theintersec=onsofprivilegeandoppressionbasedonrace,class,
culture,age,gender,sexuality,andabili=es.
#3,AppendixA-CoreComponentsofEffec7vePrimaryPreven7onof
Domes7cViolence,TeenDa7ngViolenceandSexualViolence
CaliforniaDepartmentofPublicHealth,SafeandAc7veCommuni7es
Branch,ViolencePreven7onUnit
•
Primarypreventioninitiativesareapart
ofamuchbiggermovementthatisapart
ofmanymovements.
Primarypreven=onofDV/TDV/SVisavitalstreamwithinthe
broadermovementtoaddressDV/TDV/SVandviolenceagainst
womenandgirls.
•
ThemovementtoendDV/TDV/SVisavitalcurrentamongmany
evolvingmovementsforsocialandenvironmentaljus=ce.
#5,AppendixA-CoreComponentsofEffec7vePrimaryPreven7onof
Domes7cViolence,TeenDa7ngViolenceandSexualViolence
CaliforniaDepartmentofPublicHealth,SafeandAc7veCommuni7es
Branch,ViolencePreven7onUnit
MovetoEndViolence
OverviewoftheCDPHRPEProgram
Background
•
FundedthroughtheNa=onalCentersforDisease
ControlandPreven=on(CDC),Na=onalCenterforInjury
Preven=onandControl;
•
Adherencetopublichealthapproach,Social-Ecological
ModelandPrinciplesofEffec=vePreven=on;
•
Buildcapacityoflocalrapecrisiscentersin
implemen=ngevidence-informed,sexualviolence
primarypreven=onprograms;and
•
Currentlyfund33localrapecrisiscentersasaresultof
acompe==veRFAprocessin2014.
FundamentalsofCDPHRPEProgram
•  Preventfirst-=meperpetra=onandvic=miza=on(primary
preven=on)throughpopula=on-basedapproaches;
•  Reducemodifiableriskfactorswhileenhancingprotec=ve
factors;
•  Usethebestavailableevidencewhenplanning,
implemen=ng,andevalua=ngprograms;
•  Incorporatebehaviorandsocialchangetheoriesinto
preven=onprograms;and
•  Evaluatepreven=oneffortsanduseresultstoimprove
futureprogramplans,iden=fymeasurableoutcomes,and
sharebestprac=ces.
GoalsforCDPHRPEProgram
•  CDPHRPEProgramPlanwithalogicmodel,goalsand
measurableoutcomes;
•  CDPHRPEGuidelinesrevisedtoreflectresearchinformedbestprac=ces;
•  Refinedandstrengthenedevidence-informed
strategiesandmodelprograms;and
•  Strategy-specificlogicmodels,workplans,and
measurableoutcomesforlocalprograms.
Whyarethesegoalsimportant?
•  AlignwithCDCdirec=on,priori=esandfunding
guidelines;
•  Structuredtocreateastatewideprogrambasedon
collec=veac=onsandmeasurableoutcomes;
•  Ensuresoureffortsarebasedonresearchandevidence
thatwillcreaterealchange;and
•  Createsavisionforpreven=ngsexualviolencein
Californiathatcanbesharedwithotherstakeholdersand
keypolicymakers.
RPEBestPrac=ces
Whatcomestoyour
mindwhenyou
thinkof“best
prac=ce’?
Keyelementsofbestpracticefor
CDPHRPEprogram
•
Community-centered
•
CollectanduseSVsurveillanceorothersourcesofdata
•
Comprehensiveprimarypreven=on
•
Informedbyanunderstandingofriskandprotec=ve
factors
•
Evidence-informed
•
Roadmap
•
DevelopedusingthePrinciplesofPreven=on
CommunityCentered
•
Theprogramshouldberelevant,appropriate,and
respeceultothecommunityinwhichitistobe
implemented.Communitycenteredprogramsaresocioculturallyrelevant,relevanttocommunityexperience,
appropriately=medforpopula=on(community
readinessanddevelopmentalstage)andhelpfulto
communityresiliency.Acommunity-centeredprogram
isdesignedforappropriateprogramaudiencesand
implementa=onsefngs,includingculturalandother
diversity.
CollectandUseSVsurveillance
orothersourcesofdata
•  Toinformpreven=onstrategy,understand
intendedaudienceandevaluatepreven=on
efforts(toindicateaboutSVtrends,priority
popula=onsandwheretofocusefforts).
ComprehensivePrimaryPrevention
• UsecomprehensivePrimaryPreven=on
strategiessupportedbyworkatdifferentlevels
oftheSocialEcologicalModelorSpectrumof
Preven=on.
PrimaryPrevention
•  Anyac=on,strategyorpolicythatprevents
sexualviolencefromini#allyoccurring.
EcologicalModel
RiskandProtectiveFactors
•  Informedbyanunderstandingofriskandprotec7vefactors
thatfacilitateandinhibitSV.
IndividualRiskFactors
•  Alcoholanddruguse
•  Delinquency
•  Empathicdeficits
•  Generalaggressivenessandacceptanceofviolence
•  Earlysexualini=a=on
•  Coercivesexualfantasies
•  Preferenceforimpersonalsexandsexual-risktaking
•  Exposuretosexuallyexplicitmedia
•  Hos=litytowardswomen
•  Adherencetotradi=onalgenderrolenorms
•  Hyper-masculinity
•  Suicidalbehavior
•  Priorsexualvic=miza=onorperpetra=on
CommunityRiskFactors
•  Poverty
•  Lackofemploymentopportuni=es
•  Lackofins=tu=onalsupportfrompoliceandjudicialsystem
•  Generaltoleranceofsexualviolencewithinthecommunity
•  Weakcommunitysanc=onsagainstsexualviolenceperpetrators
SocietalRiskFactors
•  Societalnormsthatsupportsexualviolence
•  Societalnormsthatsupportmalesuperiorityandsexualen=tlement
•  Societalnormsthatmaintainwomen'sinferiorityandsexual
submissiveness
•  Weaklawsandpoliciesrelatedtosexualviolenceandgenderequity
•  Highlevelsofcrimeandotherformsofviolence
Rela7onshipRiskFactors
Protec7veFactorsforPerpetra7on
•  Familyenvironmentcharacterizedbyphysicalviolenceandconflict Protec=vefactorsmaylessenthelikelihoodofsexualviolence
•  Childhoodhistoryofphysical,sexual,oremo=onalabuse
vic=miza=onorperpetra=onbybufferingagainstrisk.Thesefactorscan
•  Emo=onallyunsuppor=vefamilyenvironment
existatindividual,rela=onal,community,andsocietallevels.Thefew
•  Poorparent-childrela=onships,par=cularlywithfathers
protec=vefactorsiden=fiedbyresearcherstodatearelistedbelow.
•  Associa=onwithsexuallyaggressive,hypermasculine,and
Researchinthisareaisongoing.
delinquentpeers
•  Parentaluseofreasoningtoresolvefamilyconflict
•  Involvementinaviolentorabusivein=materela=onship
•  Emo=onalhealthandconnectedness
•  Academicachievement
•  Empathyandconcernforhowone’sac=onsaffectothers
TharpAT,DeGueS,ValleLA,BrookmeyerKA,MassefGM,MatjaskoJL.Asystema=cqualita=vereviewofrisk
andprotec=vefactorsforsexualviolenceperpetra=on.TraumaViolenceAbuse.2013;14(2):133-167.
SexualViolenceRisk&Protec=veFactorshlp://www.cdc.gov/violencepreven=on/sexualviolence/riskprotec=vefactors.html
Evidence-Informed
•  Evidence-informedandincludeatheoryofhow
programac=vi=eswillresultinchange.Program
shouldbebasedinsoundresearchandlogic
andexaminetheconnec=onbetweenatheory
base,evalua=onanddesiredoutcomesor
change.
LogicModel
Roadmap
•  Builtusingaroadmaporprocessthatconnects
programac=vi=estodesiredoutcomes.
WorkPlan
PrinciplesofEffectivePrevention
•  DevelopedusingthePrinciplesofEffec7ve
Preven7on:Programsshouldbecompetently
implementedtomeaningfullyeffectchange.
Programsshouldemployvariedteaching
methodsandconsidermul=plestylesof
learning.Programsshouldincludesufficient
dosage,fosterposi=verela=onshipsandbe
implementedbywelltrained,wellsupported,
andcompetentstaff.
10PrinciplesofEffective
PreventionPrograms/Strategies
1.
Comprehensive:strategiesaddressriskandprotec=vefactorsforsexualviolenceat
mul=plelevelsoftheEcologicalModelorSpectrumofPreven=on.
2.
Variedteachingmethods:mul=plestrategiesthatincreaseawarenessand
understandingaswellasenhanceandbuildnewskills.
3.
Sufficientdosage:exposuretoenoughoftheinterven=ontoproducethedesired
effect(i.e.mul=plesessions).Researchshowsthat7-9“doses”areneededtoaffect
changesinaftudesandbehaviors.
4.
Theorydriven:strategiesthathaveascien=ficjus=fica=onorlogicalra=onalefor
whytheyshouldwork.
5.
Posi=verela=onships:strategiesthatpromotestrongposi=verela=onships
betweenchildren/youthandadults,youthtoyouth,andadulttoadult.
10PrinciplesofEffective
PreventionPrograms/Strategies
6.
Appropriately=med:strategiesareini=atedearlyenoughandattheappropriate
developmental=metohaveanimpactonthedevelopmentofposi=veand
nega=vebehaviors.
7.
Socioculturallyrelevant:tailoredtothecommunityandculturalnorms,beliefsand
prac=ces;inclusionofcommunityrepresenta=vesinplanningandimplementa=on
phases.
8.
Outcomeevalua=on:systema=cmeasurementsthatcandocumenthowwellthe
interven=onworks.
9.
Well-trainedstaff:programsareimplementedbystaffthataresensi=ve,
competent,andsufficientlytrained,supported,andsupervised.
10.
Evidence-based:effortsthatareinformedbythebestavailableresearchor
exper=se.
Maximizingeffec=veness
Communitycentered
Comprehensive
Informedby
evidence
Well
implemented
•  Program should be
relevant, appropriate, and
respectful to the
community in which it is
implemented.
•  Program should include
activities on multiple
levels of the social
ecology.
•  Program should be
based in sound
research and logic.
•  Program should be
competently implemented
to meaningfully effect
change.
Community-centered
•
Socio-culturallyrelevant
•
Relevanttocommunityexperience
•
Appropriately=med
•
Helpful
Informedbyevidence
•  TheoryDriven
•  Outcomeevalua=on
•  Whydoyouthinkthiswillmakechange?
Comprehensive
Wellimplemented
•
VariedTeachingMethods
•
SufficientDosage
•
Posi=veRela=onships
•
Welltrainedstaff
Keyelementsofbestpracticefor
CDPHRPEprogram
•
Community-centered
•
CollectanduseSVsurveillanceorothersourcesofdata
•
Comprehensiveprimarypreven=on
•
Informedbyanunderstandingofriskandprotec=vefactors
•
Evidence-informed
•
Roadmap
•
DevelopedusingthePrinciplesofPreven=on
CDPHRPEGrouping
•
WorkinginMiddleSchools(NSVRC)
•  ShiringBoundaries
•
WorkinginHighSchools(NSVRC)
•
WorkinginColleges(CALCASA)
•
WorkingwithMen&Boys(TAASA)
•
WorkingwithWomen&Girls(SadieNash)
•
CommunityOrganizing(MovementStrategiesCenter)
•
CommunityMobiliza=on(ClosetoHome)
EligibilityandTimelinesfor
FutureCDPHRequestforApplica=ons(RFA)
CDPHRPEProgramRFAEligibility
•  Applica=onswillbeacceptedfromalllocalrape
crisiscenterscurrentlyfundedbythe
Governor’sOfficeofEmergencyServicesfor
rapecrisisservices.
•  Allapplicantsmusthavetheabilitytodedicate
aminimumofone(1)full-=meequivalent(FTE)
staffpersonforpreven=onac=vi=es.
CDPHRPEProgramRFATimelines
(tentative)
•  RFARelease:
February2017
•  ContractPeriod:
February1,2018–January31,2022
Resources
PreventConnet
•  WebConferences
•  Podcasts
•  Blog
•  Facebook
•  Wiki
•  eLearning
www.PreventConnect.org
TheHub
hlp://learn.preventconnect.org/course/index.php?categoryid=10
HowtoAccesstheHub
•  Ifyoudonothaveanaccounton
www.learn.preventconnect.org,
pleasecreateanaccount.
•  Sendyourusernameto
hub@preventconnect.org
•  Wewillno=fyyouwhenwe
havegivenyouaccesstothe
Hub.
Formoreinformation
•  Forinforma=onontheCDPHRPEProgram,
contactNancyBagnatoat
nancy.bagnato@cdph.ca.gov
•  Forinforma=ononRPEProgramresources,
contactJessieTowne-Cardenasat
jessie@arboretagroup.com
Thankyou