LOUISIANA COALTION AGAINST DOMESTIC VIOLENCE BASIC TRAINING MANUAL FOR DOMESTIC VIOLENCE ADVOCATES INTRODUCTION TO THE TRAINER’S MANUAL LCADV Training Manual for Domestic Violence Advocates INTRODUCTION TO THE TRAINING SERIES CHAPTER 1: INTODUCTION TO THE ORGANIZATION/AGENCY CHAPTER 2: THE CONTEXT FOR OUR WORK The language we use History of the battered women’s movement Understanding the roots of intimate partner violence Various approaches to domestic violence work Seeking and incorporating the perspectives of survivors CHAPTER 3: WHAT IT MEANS TO EXPEREINECE DOMESTIC VIOLENCE Defining domestic violence Types of Abuse Common myths about domestic violence Dynamics of Power and Control Challenges to leaving a violent relationship The impact of domestic violence on adults who are battered The impact of domestic violence on children CHAPTER 4: RESPONDING TO DOMESTIC VIOLENCE: SERVICES PROVIDED Hotline services Safety planning and danger assessment Community based services Residential services Services for children affected by domestic violence CHAPTER 5: RESPONDING TO DOMESTIC VIOLENCE: HOW WE DO THE WORK Empowerment and the delivery of trauma-informed services Advocacy skills Counseling and communication skills Supporting survivors’ cultural and spiritual values and resources Confidentiality and record keeping WRAPPING UP LCADV Training Manual for Domestic Violence Advocates RESOURCES Materials of general interest Resources for chapter two: The context for our work Resources for chapter three: What it means to experience domestic violence Resources for chapter four: Responding to domestic violence: services provided Resources for chapter five: Responding to domestic violence: how we do the work APPENDIX 1: INTRODUCTORY EXERCISES, ICEBREAKERS, AND SELF CARE EXCERCISES APPENDIX TWO: EVALUATION LCADV Training Manual for Domestic Violence Advocates INTRODUCTION TO THE TRAINING SERIES Prior to reviewing or distributing the list below, be sure that you have decided which subjects you intend to cover. A reminder: you can cover all of the subjects or select those that are most consistent with your agency’s priorities for new staff and volunteer training. As appropriate we will look at the agency’s policies, so that new staff and volunteers have an understanding of how we operationalize the principles covered during the training. EVALUATION Prior to this session you should have made some decisions about how you will approach evaluation, because there are several options. You can ask participants to evaluate each session or you can ask participants to evaluate selected sessions. You can also undertake an evaluation of the extent to which learning has taken place during the entire course of the training series. Each of these is described in Appendix Two: Evaluation. The steps below assume that you have studied this section. THE IMPORTANCE OF EVALUATION You can introduce the importance of evaluation by making the following points: Evaluation is an important way for us to be sure that the subjects we are covering are clear and that our methods of presenting them are useful to you. Evaluation gives us a way to continuously improve this training. Evaluating this Session If you are asking participants to evaluate this session, hand out the evaluation form in Appendix Two and give people time to complete it. Encourage people to take their time and to answer each question completely and thoughtfully. Remind participants that they will not be writing their names or otherwise identifying themselves on this evaluation. Evaluating the Entire Training Series: Pre-Test If you are evaluating the extent to which learning has taken place over the course of this training series, you will administer the pre-test evaluation at this time. The pre-test can be found in Appendix Two of this Trainer’s Manual. LCADV Training Manual for Domestic Violence Advocates Page 4 Before you distribute it, offer the following explanation: The purpose of this kind of evaluation is to study the extent to which learning takes place during the course of the training series. This is a “true-not true” quiz on material that will be covered during the training. The same quiz will be given at the end of the training. This is not a quiz in the traditional sense because you will not be judged on how many correct answers you give. In fact, we will be looking at what are called “aggregate” responses and not individual ones. What this means is that we will be looking at how often everyone who takes these tests gives an incorrect answer on the pre-test and then gives a correct answer to the same question on the post- test. If most or many training participants do this, we will know that the material on that question was probably presented clearly and effectively. This is the essence of what we want to learn from pre-testing and post-testing. It is not expected that you will know the correct answers at this point. If you did, you would not need any training. The hope is that, by the end of the training series, when the quiz is given again, if the trainers have done our job and you have paid close attention, you will answer many more questions correctly. In some ways, then, this quiz is really more of a test of how well we are teaching the material in this training series. Hand out the quiz and give people time to complete it. Make the following points: Please take as much time as you need to complete the quiz fully. Please do not confer with others as you complete the quiz. Do not take any guesses. If you are not sure whether a statement is true or false, check the box marked “not sure.” Please put your name on the quiz so that we can compare the answers you give today to those that you will give when this training has been completed. LCADV Training Manual for Domestic Violence Advocates Page 5 Note: Instructions for processing pre-tests can be found in Appendix Two of this Trainer’s Manual CHAPTER 1: INTODUCTION TO THE PROGRAM TIPS FOR TRAINERS: During this session, new staff and volunteers will receive a formal introduction to your agency/organization. Goals: This first session will introduce participants to the training curriculum and also to other participants. By allowing time for participants to introduce themselves, this session is an opportunity to begin to create a community of trust among the participants and to introduce guidelines for participation that will inform all of the training sessions. The Appendix contains suggested exercises that can serve as ice breakers and can also support participants to begin to get to know one another. OBJECTIVES The material in this chapter will give participants basic information about the agency/organization OUTLINE: Program/Agency Description Note: This is a training session you will create from information about your program. Use the following as a checklist or guideline for developing the information for this session. I. PROGRAM HISTORY Provide information about when and how the program originated, and how it has evolved. II. PROGRAM MISSION STATEMENT Go over the stated goals and objectives of the program. This might be given out in written form as handout, or included in your training manual. III. PROGRAM STRUCTURE A. Board of directors, or parent agency, if applicable LCADV Training Manual for Domestic Violence Advocates Page 6 B. Staffing pattern (an organizational chart is helpful here) 1. Describe relationship of staff to board/parent agency and to volunteers 2. Briefly describe job responsibilities of each staff position C. Funding sources IV. SERVICES OFFERED List and describe the services provided by the program. Remember to include education/social change activities, as well as direct services in your description. Geographic service area and eligibility criteria for services should also be explained here. V. RELATIONSHIP TO OTHERS: Where does your program fit in? What is its place in the network of national, state and local service providers? A. Program relationship to state domestic violence coalition B. Program relationship to other domestic violence programs C. Program relationship to national domestic violence coalition D. Program relationship to community E. Program relationship to other organizations on related or similar issues CONTEXT OF THE WORK WE DO: PART ONE CHAPTER OUTLINE: OBJECTIVES The material in this chapter will give participants ■ An appreciation for the language used in domestic violence service work ■ A basic knowledge of the history of the battered women’s movement ■ An opportunity to begin to explore the roots of domestic violence LCADV Training Manual for Domestic Violence Advocates Page 7 ■ An understanding of differing approaches to domestic violence, including social justice, public health, and human rights approaches ■ An appreciation for the essential role that survivors play in responding to domestic violence KEY TERMS AND CONCEPTS INTRODUCED IN THIS CHAPTER Battered women’s movement Patriarchy Battered woman, battered women Victim rights movement Victim Survivor Batterer Perpetrator WELCOME AND INTRODUCTIONS ■ Trainer’s introduction A short trainer’s (re)introduction is probably a good idea because this is the second session of this training series. ■ Participants’ introduction Participants’ (re)introductions are also probably a good idea because training participants are probably still in the process of getting to know one another. See Appendix One for suggested introductory or icebreaking exercises. ■ Suggested guidelines for participation Review the guidelines for participation that were developed in the first session. ■ An icebreaker You can use this time to facilitate an exercise that helps participants feel relaxed, energized, and ready for the work at hand. See Appendix One for suggested icebreakers. LCADV Training Manual for Domestic Violence Advocates Page 8 INTRODUCTION TO THIS CHAPTER ■The premises of this chapter If we are to provide high-quality services for survivors of domestic violence, we need to understand the general context in which our services are provided. This includes the following: A look at the evolving language used in the domestic violence service community. An understanding of the battered women’s movement, a movement that gave our services their initial momentum. The varying ways in which people understand and describe the roots of domestic violence. An appreciation for other perspectives on domestic violence, especially those that approach domestic violence as part of a social justice movement, a public health issue, or a human rights issue. A sense of the central role that survivors have played and continue to play in the development and delivery of domestic violence services. An understanding of the roles of men in responding to intimate partner violence. An appreciation of prevention work as a critical part of our response to domestic violence LCADV Training Manual for Domestic Violence Advocates Page 9 THE LANGUAGE WE USE AN OPENING EXERCISE Write the following phrases on newsprint, with one phrase on each piece of paper: o Domestic violence o Family violence o Intimate partner violence Invite people to offer phrases that illustrate one of these descriptors and to say why the offered phrase belongs on one sheet rather than another. Here is an example: A training participant might suggest that abuse of an elder by an adult child belongs in family violence and not in the others. Notice where there is easy agreement within the group and where such agreement is lacking. Without feeling that it is necessary to reach group agreement, acknowledge the points on which there is a difference of perspective. Close with the thought that these differences are okay. What matters is that we understand that ways in which we all tend to agree on how to characterize this violence and that we appreciate and respect differing ways of characterizing this violence. ■Terminology Over the years and in different circles, different terms have been used to describe the problem we address in our work. Here is a sampling: domestic violence, intimate partner violence, violence against women, family violence, domestic abuse, and battering. For some these phrases are interchangeable. For others they signal differences of emphasis or focus. For example, the term “intimate partner violence” refers to violence that occurs between adults who are in an intimate relationship. “Domestic violence” can include intimate partner violence and can also include other kinds of violence that takes place in the home such as violence between siblings or between roommates who live together. “Family violence,” which may be used to describe violence that takes places between and among members of a family, includes violence inflicted on elders by their adult children, child abuse, and punishment of children by parents when the punishment reaches an intensity that is characterized as violent. LCADV Training Manual for Domestic Violence Advocates Page 10 There are several terms used to describe those who inflict violence on an intimate partner. These include “batterer,” “perpetrator,” and “abuser.” In addition, different terms have been used to name those who are on the receiving end of this violence. These include: “battered woman,” “victim of violence,” “survivor,” and “abused person.” A great deal has been written about the words “survivor” and “victim,” with people advocating that one or the other is a more appropriate word to describe a person who has been abused and/or assaulted by an intimate partner. The word “survivor” has long been a word of choice of the battered women’s movement, while the word “victim” has been the word preferred by those in the victim rights movement. ■In deciding what language to use, here are some factors that we can consider: In what ways does terminology reflect the understanding of a particular time period? In what ways does terminology reflect a particular approach to the issue? In what ways does terminology reflect an understanding of the data on partner violence? In what ways does terminology reflect an effort to capture the essence of an idea with the fewest words possible? In what ways does terminology reinforce or reflect the stigma that many associate with domestic violence? In what ways does terminology exclude a person or group of people? LCADV Training Manual for Domestic Violence Advocates Page 11 AN EXERCISE: EXPLORING LANGUAGE Write the following words/phrases on an index card o Battered women o Family violence o Intimate partner violence o Violence against women o Domestic abuse o Victim o Survivor o Partner violence For each word or phrase, invite training participants to call out what kinds of behaviors or what groups of individuals would be included. For each word or phrase, invite training participants to call out what kinds of behaviors or what groups of individuals would be excluded. ■Suggested principles It is important to take the time to use language that is inclusive of all who might be affected by violence in intimate or family relationships. Therefore, we want to use gender-neutral language as much as possible and use gender-specific language only when necessary to make a point accurately. (For example, we would use the term “battered women” when speaking about the political movement that gave rise to our services.) It is essential to use language that respects the experience and perspectives of those with whom we work. Therefore, whether we use the word “victim” or “survivor” depends on the people with whom we are speaking and their expressed preferences. History of Violence Against Women An understanding of the long history of violence against women and children, and particularly violence to women as intimate partners, provides a context for viewing the current level of abuse in our society. Because the history taught in school is relatively silent on this topic, this training creates an opportunity to examine women’s lives historically in a way that will be new to many trainees. The misconception that domestic abuse is a recent development, or has only now risen to “epidemic” proportions, is addressed through examples and LCADV Training Manual for Domestic Violence Advocates Page 12 illustrations taken from the past. A clear perception of the long roots of the problem and its firm entrenchment in our social fabric gives trainees a better idea of the complexity of the problem, and of the strength of the resistance to bring about change. A history of resistance and response to domestic violence is a good addition to this training. While there are numerous examples of individual resistance and reform efforts throughout history, the history of an organized battered woman’s movement is, in contrast, relatively short, but well worth review. GOALS: 1. Understand violence to women as an historical rather than recent phenomenon. 2. Understand the roots of such violence as connected to social structure and power. 3. Place the current status of women in its appropriate social/historical context. 4. Become familiar with the various efforts to respond to violence against women that have led to our current work. CHRONOLOGY OF THE BATTERED WOMEN’S MOVEMENT 1971 The first shelter specifically for battered women opens in England (Chiswick Womens’ Aid). 1972 Women’s Advocates in Minnesota starts a hotline for battered women. Haven House in Pasadena, California opens a shelter for the battered partners of substance abusers. 1974 Erin Pizzey’s Scream Quietly or the Neighbors Will Hear, a book on battering, is published in England. LCADV Training Manual for Domestic Violence Advocates Page 13 First battered women’s shelter on the European continent opens in Amsterdam. Women’s Advocates in Minnesota opens a shelter for battered women. 1976 NOW forms a task force to examine domestic violence, citing need for money/research. Del Martin publishes Battered Wives, and Betsy Warrior publishes Working on Wife Abuse, a national directory of services for battered women. Pennsylvania creates a state-wide coalition of domestic violence service providers and enacts protective order legislation. The first national domestic violence conference is held in Milwaukee, WI. 1977 Oregon becomes the first state to enact mandatory arrest legislation for domestic violence. 1978 US Civil Rights Commission holds conference on battered women which results 700 pg document including testimony and recommendations by activists. NCADV (National Coalition Against Domestic Violence) is formed as a membership organization of service providers, establishing a vision and philosophy to guide the development of programs and introducing federal legislation (Family Violence Prevention and Services Act). 1979 First meeting of the Louisiana Coalition Against Domestic Violence. First shelter for battered women in Louisiana opens in New Orleans (Crescent House, operated by Associated Catholic Charities). Psychologist Lenore Walker’s book, The Battered Woman, is published. LCADV Training Manual for Domestic Violence Advocates Page 14 1980 First NCADV conference held in Washington, DC. 1982 Louisiana legislature passes the Protection from Family Violence Act creating a state-level office to receive and disburse governmental funding for domestic violence programs and the Domestic Abuse Assistance Act creating an avenue for family violence victims to receive orders of protection. LCADV incorporates as a non-profit organization. NCADV introduces the First National Day of Unity for Battered Women. 1983 Police Foundation Study in Minneapolis, funded by the National Institute of Justice, finds arrest more effective than non-arrest in domestic violence cases, spurring policy change in police departments around the country. Amendment to La.’s Protection from Family Violence Act provides $12.50 marriage license surcharge fee to support family violence programs. 1984 Family Violence Prevention and Services Act passed by US Congress, providing needed funding for domestic violence programs. 1984 US Attorney General’s Task Force on Family Violence holds hearings in 6 sites and collects information and testimony resulting in a document of recommendations for action. Florida passes legislation requiring consideration of spouse abuse in child custody cases. 1985 Tracy Thurman, a battered woman, sues a Connecticut police department for failure to protect her from her husband’s violence and wins $2 million, spurring reconsideration of law enforcement policies around the country. US Surgeon General reports domestic violence is a major health problem in this country. Louisiana legislature adds police officer duties and responsibilities, including use of probable cause warrantless arrest, to the Domestic Abuse LCADV Training Manual for Domestic Violence Advocates Page 15 Assistance Act. 1987 NCADV establishes first national toll-free domestic violence hotline. First national conference to promote collaboration of domestic violence researchers, policy makers and practitioners held in New Hampshire. October officially is pronounced Domestic Violence Awareness Month throughout the U.S. 1990 The first law defining and criminalizing stalking is passed in California. Louisiana legislature removes the spousal rape exemption, which had protected spouses from criminal prosecution for aggravated or forcible rape. Louisiana legislature adopts new criminal evidence code, including Article 404 which provides an avenue for those who are charged with crimes and using self-defense argument to bring past history of abuse into evidence when there has been an intimate or familial relationship between the alleged victim and the accused. 1992 NCADV moves office to Denver, CO. Louisiana legislature passes a law defining and criminalizing stalking. Louisiana legislature passes the Post-Separation Family Violence Relief Act. 1994 Violence Against Women Act (VAWA) signed into law, authorizing funding for domestic violence services. Federal Violent Crime Control and Law Enforcement Act (“The Crime Bill”) passed by US Congress provides federal penalties for gun ownership by persons against whom a protective order has been entered, creates penalties for interstate domestic violence and interstate violation of protective orders, an battered immigrant women. More than 1,500 shelters for battered women are in existence in the U.S. 1996 A new national toll-free domestic violence hotline is opened, based in Texas. LCADV Training Manual for Domestic Violence Advocates Page 16 1997 Louisiana adopts legislation creating a state-wide registry for protection orders. Louisiana governor issues executive order creating a statewide Coordinating Council on Domestic Violence. RECURRING THEMES THROUGHOUT HISTORY This session should illustrate, and provoke discussion about, the recurrence of certain themes throughout history: The role of “wife” as man’s property Woman as inferior to man (lower value, lower status) Woman as weaker than man (physically, emotionally, spiritually) Women’s need for male protection because of her own weakness/shortcomings Physical punishment as necessary to correct women Punishment/correction/chastisement by husband as “for her own good” Men entitled to freedoms and privileges that women are not entitled to Patriarchy as the structure of choice Social enforcement of traditional gender roles While these views are ancient, they are still present today in varying degrees and continue to be used to justify violence to women and children. UNDERSTANDING THE ROOTS OF INTIMATE PARTNER VIOLENCE Activists and analysts have offered multiple ways to understand the roots of intimate partner violence and to suggest ways to focus our responses. Here are some examples: The roots of intimate partner violence: Unequal power LCADV Training Manual for Domestic Violence Advocates Page 17 Unequal power between men and women is the context in which heterosexual battering exists. It is also the context in which most Americans grow up. A relationship model in which one party holds greater power and control provides the foundation for LGBTQ battering. Patriarchy or Male Domination Patriarchy or male domination is the social structure underlying nearly every culture in the world. It dictates that men, by virtue of their gender are entitled to control women and children. There are many different traditions in culture around the world that keep women from attaining social and economic independence and therefore maintain patriarchy. Racism Racism in the United States continues to put communities of color at risk disproportionally burdening them with unemployment, poverty and poor health outcomes compared to white people. Risks may be exasperated by families experiencing domestic violence. A violation of basic human rights ¾ It has been observed that “the concept of human rights is one of the few moral visions ascribed to internationally.” ¾ Domestic violence violates the principles that lie at the heart of this moral vision: the inherent dignity and worth of all members of the human family, the inalienable right to freedom from fear and want, and the equal rights of men and women. LCADV Training Manual for Domestic Violence Advocates Page 18 Impact of the media The media portray family and community violence as commonplace, if not normative. One report estimates that a child who was two years old in 1993 would have witnessed 7,000 murders on television by seven years of age. That same child would have been exposed to100,000 televised acts of interpersonal violence by high school graduation. Repeated exposure desensitizes viewers because the pain and other effects of violence are minimized or not shown. Some possible exercises Invite participants to examine these statements with an eye toward discovering whether there are any common threads of understanding about domestic violence. Invite participants to share their reactions to these statements, noting the parts that especially resonate for them. Close this segment by noting that, although these are different ways of talking about the root causes of domestic violence, these different approaches are also complementary VARIOUS APPROACHES TO DOMESTIC VIOLENCE WORK ■The battered women’s movement approach The battered women’s approach describes domestic violence as a gender-based dynamic that has its roots in institutionalized inequality between women and men, in a system of male domination that by its very definition assumes male LCADV Training Manual for Domestic Violence Advocates Page 19 supremacy and the right of men to control women and children. The battered women’s approach is explicitly feminist, survivor driven, and grounded in the empowerment model of response. As has been noted, this approach to domestic violence is the foundation on which virtually all domestic violence agencies/organizations were created. Even as these organizations change and grow, their roots in the battered women’s movement remain evident in, among other things, their commitment to the empowerment model of response and their analysis of gender inequality as one of the main components of intimate partner violence. ■ Domestic violence in the context of social justice and anti-oppression approach. Another approach, and one that builds from the gender-based understanding of the battered women’s movement, sees the ways in which institutional forms of oppression reinforce unequal power and control in relationships and make it especially difficult for certain groups to gain any traction in the struggle to end intimate partner violence. One example involves GLBT partner violence. In this context it has been pointed out that unequal power between intimate partners provides the institutional foundation for violence among heterosexual couples and is also the foundation for violence in gay, lesbian, bisexual, and transgender relationships. At the same time, the realities of LGBTQ oppression create conditions in which partner violence in these communities can thrive. ■Human rights approach A human rights approach to domestic violence adds a dimension of international norms and laws to the issue of intimate partner violence. For example, those who articulate a human rights approach note that advances in human rights are often accompanied by government-wide responses to a recognized violation of rights. These individuals suggest that if domestic violence were viewed through a human rights lens, it would more likely be seen as a crime, in and of itself. This, in turn, could bring together both governmental and private (NGO) resources and, in this way, point to a more integrated response. ■Public health approach A public health approach to domestic violence looks at the prevalence and the health impacts of intimate partner violence and its costs. This approach also focuses on prevention of domestic violence. In important ways, a public health LCADV Training Manual for Domestic Violence Advocates Page 20 approach brings domestic violence out of the realm of a strictly private problem that exists solely within families. ■An exercise Invite training participants to explore how each perspective adds something different to our understanding of intimate partner violence. Reinforce the idea that these approaches can be seen as complementary rather than in any sort of competition with one another. Taken together, they provide a multi- dimensional way to understand intimate partner violence and, therefore, to think about responding. SEEKING AND INCORPORATING THE PERSPECTIVES OF SURVIVORS Note to trainer: Be mindful that there may be survivors among the group of training participants (both those who have shared this information and those who have not disclosed their experience of domestic violence). Incorporating perspectives of survivors “I’m a formerly battered woman and a survivor of incest, and I’m not a victim and I’m not a client. I’m a woman in this struggle. “For Shelter and Beyond” “Today I am more than a survivor.... I have learned to love others and myself...I continue on my healing journey and take great pride in which I am as an Indian and a lesbian. I advocate for women and children who have the right to be safe.” KJ, “Sharing My Story in Same-Sex Domestic Violence – Strategies for Change ■ Survivors played a central part in the early battered women’s movement and in the creation of domestic violence organizations. ■ The empowerment model assumes that survivors are at the center of our work and that our job is to take our cues from survivors. LCADV Training Manual for Domestic Violence Advocates Page 21 ■ As our agencies/organizations have evolved, many have become more traditional in their organizational structures, less grassroots in their styles, and more oriented toward a social service approach to domestic violence work. ■ These changes create a risk that the voices of survivors will be of less and less importance as time goes by. ■ How we guard against this loss is an important consideration for the health of our agency/organization. ■Making sure that our agency/organization welcomes survivors and gives them tools to work with other survivors as they tend to their own recovery needs are some ways to assure that the voices and perspectives of survivors remain a central part of our work. At the same time, it is important to acknowledge that not all survivors are able to take on the challenging work of responding to victims of intimate partner violence. By bringing this awareness to our efforts to welcome survivors into our agencies/organizations, we assure the safety and well-being of all who work with us. WRAPPING UP A CLOSING EXERCISE o As a way to support training participants to reflect on what they have learned and also to get to know one another, invite each person to share a concept that came up for her or him during the training that was new or unexpected. o Another way would be to invite each person to say which of the approaches described (battered women’s movement approach, social justice/anti-oppression approach, human rights approach, or public health approach) most resonates with her or him and why this is so. Note that this is not intended to be a debate about the relative merits of each approach but a sharing among group members of individual perspectives on these approaches. LCADV Training Manual for Domestic Violence Advocates Page 22 ■ Closing questions o Ask if there are any closing questions about any of the materials covered. EVALUATING THIS SESSION If you are asking participants to evaluate the session, hand out the evaluation form in Appendix 2 and give people time to complete it. Encourage people to take their time and to answer each question completely and thoughtfully. Remind participants that they will not be writing their names or otherwise identifying themselves on this evaluation. DEFINING DOMESTIC VIOLENCE TIPS FOR TRAINERS This chapter covers material that many trainers affectionately refer to as “DV 101.” It also takes up issues and offers approaches that have not historically been included in training on the essentials of domestic violence (although some readers of this curriculum will have already incorporated these issues and approaches into new staff and volunteer training). These include trafficking and sex work and complex PTSD. For training participants who are survivors of domestic violence, the material in this chapter can be especially difficult, bringing back memories of the battering and abuse they experienced. If you are aware that a training participant is a survivor, it may be appropriate to have a short private conversation in which you give the person a “heads up” about the content of the session and make suggestions about what she or he might do if the material becomes emotionally difficult. It might also happen that in this session you first become aware that a particular participant has survived intimate partner violence. It would be good to have a plan for responding skillfully to this individual while maintaining awareness of the needs of other training participants. OBJECTIVES The material in this chapter will give participants LCADV Training Manual for Domestic Violence Advocates Page 23 ■ An understanding of how we define domestic violence and what is means to experience domestic violence ■ An understanding of common myths about domestic violence and the cycle of violence ■The dynamics of Power and Control ■ An appreciation for the challenges that survivors face if they want to leave an abusive relationship ■ An understanding of how domestic violence affects adults who are battered and children who are exposed to adult domestic violence KEY TERMS AND CONCEPTS INTRODUCED IN THIS CHAPTER Teen dating violence Elder abuse Trafficking and sex work Homo/bi/transphobia Heterosexism The cycle of domestic violence The impact of domestic violence on adults and children WELCOME AND INTRODUCTIONS ■Trainer’s introduction A trainer’s introduction is probably only necessary if this session has a new trainer or there are a significant number of new participants. ■Participants’ introduction Participants’ introductions should only be necessary if there are new group members. ■Suggested guidelines for participation Review the guidelines for participation that were developed in the first session. ■An icebreaker You can use this time to facilitate an exercise that helps participants feel relaxed, energized, and ready for the work at hand. See Appendix One for suggested LCADV Training Manual for Domestic Violence Advocates Page 24 icebreakers INTRODUCTION TO THIS CHAPTER ■The premises of this chapter o There are aspects of domestic violence that are universal, affecting virtually all victims in the same ways, and there are some aspects of domestic violence that are unique to the communities in which the violence takes place. Appreciating the universal aspects of domestic violence is as important as understanding the ones that are particular to various groups. o Even if we have an understanding of the universal and the particular aspects of domestic violence, we need to remember that generalizing can be dangerous. Every person who has been battered is an individual whose story is unique and whose needs for support are unique. A core principle of empowering and strength-based responses to domestic violence is that services be tailored to the individual situations and needs of each survivor. What it means to experience domestic violence In some ways, the experience of domestic violence is universal. In some ways the experience of domestic violence is particular to the communities and cultures in which the violence strikes. Understanding this is a cornerstone of an empowering and traumainformed response. An Exercise Try the following exercise as a way to invite participants to explore the idea that universal aspects of domestic violence and those that are particular to specific communities or individuals, though they may feel contradictory, can exist simultaneously. LCADV Training Manual for Domestic Violence Advocates Page 25 If there are any training participants who are parents, ask them to stand up. Invite each one to say a word or two about the children in his or her life (how many, their ages, and their names). If there are any training participants who were born and raised outside of the United States, ask them to stand up. Invite each one to say a word or two about her or his country of origin. If there are any training participants who are under 25 years of age, ask them to stand up. Then invite training participants who are over 50 years of age to stand up. Invite the two groups to spend a moment exploring what they might have in common despite a significant age difference. If there are any training participants who have a passion for cooking, ask them to stand up. Invite each one to share his or her favorite food. Defining domestic violence Domestic violence is a pattern of coercive and controlling behaviors that one person uses over another to gain power and control. Domestic violence exists along a continuum that includes: Verbal abuse Emotional and psychological abuse Physical abuse Sexual abuse Domestic violence is a pattern of coercive and controlling behaviors that one person uses over another to gain power and control. Domestic violence can be said to exist along a continuum that includes verbal abuse, emotional and psychological abuse, physical abuse, and sexual assault. Although each is described separately, there is considerable overlap among these forms of abuse. ■ An exercise: Defining domestic violence LCADV Training Manual for Domestic Violence Advocates Page 26 o Divide the training participants into four groups. o Using four sheets of newsprint, write “verbal abuse,” “emotional psychological abuse,” physical abuse,” and “sexual abuse” at the top of each (one phrase on each sheet). Place each sheet of newsprint on the wall in a different part of the room. o Place each group in front of one of the sheets of newsprint and give the following assignment: o Take a few minutes to quickly write down words or phrases that are examples of the phrase at the top of the paper. o After about two or three minutes, call a stop to the effort and ask the groups to shift to another piece of newsprint. Invite the groups to add any words or phrases to what the prior group has written. o Continue in this way until all four groups have had a few minutes to review each set of words and add any new ones. When the group comes back together as a whole, examine the results of this effort. Types of Abuse Verbal abuse Verbal abuse takes many forms: Constant criticism Threats Belittling of one's abilities Direct threats of harm Insults Put downs Name calling the victim Threats to harm or leave with the children Threats to relatives or friends LCADV Training Manual for Domestic Violence Advocates Page 27 Verbal abuse Verbal abuse includes constant criticism, belittling of one’s abilities and competency, insults, put downs, name calling and other attempts to undermine one’s self-image and sense of worth. Other examples are yelling, spreading rumors, revealing secrets, and stereotyping. Threats are another form of verbal abuse (and of emotional, mental, and psychological abuse as well) and take the form of direct threats of harm to the victim, threats to harm or leave with children, or threats to other relatives or friends Emotional, mental, and psychological abuse Emotional, mental, and psychological abuse include: Controlling access to friends, school, work, or family Forced isolation and imprisonment Intimidation Using and manipulating a person’s fear of physical harm Threats to harm others Threats of suicide Emotional, mental, and psychological abuse Emotional, mental, and psychological abuse include controlling and limiting one’s access to friends, school, work, or family; forced isolation and imprisonment; placing restrictions on movement and/or activities; intimidation; using and manipulating a victim’s fear of physical harm; and threats to harm others. Suicide threats, stalking, sabotage, blackmail, and destruction of pets and/or property can also be examples of emotional, mental, and psychological abuse Physical abuse LCADV Training Manual for Domestic Violence Advocates Page 28 Physical abuse includes: inflicting, attempting to inflict, or threats to inflict physical injury, such as: Slapping Punching Hitting Use of objects to inflict pain and injury Biting, Choking Kicking Pushing Physical abuse is almost always coupled with verbal and emotional abuse. Physical abuse Physical abuse includes inflicting, attempting to inflict, or threats to inflict physical injury. This includes slapping, hitting, hair-pulling, biting, arm twisting, kicking, punching, use of objects to inflict pain and injury, choking, and pushing. Physical abuse is almost always coupled with verbal and emotional abuse Sexual abuse Sexual abuse includes any sexual contact without consent or any exploitive or coercive sexual contact: Unwanted fondling Rape Oral or anal sodomy Treating a person in a sexually derogatory manner Forced pregnancy or abortion Inappropriate touch Intercourse Attacks on sexual areas of the body Use of objects LCADV Training Manual for Domestic Violence Advocates Page 29 Sexual abuse Sexual abuse includes any sexual contact without consent and any exploitive or coercive sexual contact. It includes unwanted fondling; inappropriate touch, rape, intercourse, oral or anal sodomy; attacks on sexual areas of the body; treating a person in a sexually derogatory manner; use of objects or weapons; forced pregnancy or abortion, and the withholding of contraceptive methods. Teen dating violence Reciprocal use of non-sexual violence among teens appears to be common. Teen females sustain much more sexual violence than teen males. The more community violence, the more likely there is to be dating violence against female teens. GLBT youth in same-sex dating relationships are as likely as heterosexual youth to experience dating violence. As minors, teens face barriers to accessing confidential services. Teen dating violence According to VAWA.net, a project of the National Resource Center on Domestic Violence, it is likely that “physical aggression occurs in one in three adolescent dating relationships.” Some of the ways in which the violence in teen dating relationships differs from violence in adult relationships are as follows: Reciprocal use of non-sexual violence among teens appears to be common. This reciprocity is not the case in sexual violence. Research shows that teen females sustain much more sexual violence than teen males. There is a correlation between community violence and teen dating violence. The more community violence, the more likely there is to be dating violence against female teens. Gay, lesbian, and bisexual youth who are involved in same-sex dating relationships are as likely as their heterosexual counterparts to experience dating violence. In a Family Violence Prevention Fund study, 81% of parents surveyed either believe that teen dating violence is not an issue or admit that they don’t know whether it is an issue. LCADV Training Manual for Domestic Violence Advocates Page 30 For teens caught up in dating violence, securing safety can be complicated by the challenges that teens who are minors face in trying to obtain court orders of protection and accessing supportive services that can extend a promise of confidentiality to the teens. School settings are an example of venues where such complication can manifest, because teachers and counselors may be legally obligated to share with parents information they receive from students. In addition, when a teen who is a minor is struggling with violence in a dating relationship as well as violence in the home, securing safe and affordable housing can be difficult, if not impossible. Domestic violence among elders The longer the relationship the harder it can be to imagine a life apart from the batterer. Judges may hesitate to order an elderly perpetrator to leave the family residence. Adult children may conspire to protect the parent batterer and/or minimize the impact of the violence. Our elder protective services law mandates reporting of suspected abuse of an elder by a caretaker. Shelter services for frail abused elders may not be adequate to meet elders' needs for accessible services. Domestic violence involving elders Domestic violence in relationships between elders is more common than we might think, and it often follows patterns that are similar to domestic violence among other adults. Some factors of particular significance when domestic violence occurs in elders’ relationships are as follows: In long-term relationships, acknowledging abuse can be especially difficult for the elderly spouse who might be incapable of imagining a life apart from the batterer. In cases where a batterer is elderly, judges may be more hesitant to order the perpetrator to leave the family residence. Adult children may conspire to protect the parent batterer and/or minimize the impact of the violence. LCADV Training Manual for Domestic Violence Advocates Page 31 In Massachusetts (and most other states) there are laws aimed at protecting elders from abuse by caretakers. These laws are implemented by a social services network that receives reports of alleged elder abuse and works to protect abused elders. This system is very similar to our child protection system in that it mandates certain categories of people to file reports of suspected abuse and assumes that elders (like children) may need to be protected, whether or not they ask for protection. Among elders and their families, and social service providers as well, there may be resistance to the idea that domestic violence can even exist between people who have been life partners for many decades. As a result of this denial, allegations of partner abuse by elders may be dismissed or minimized. In addition, shelter services for frail abused elders might not be adequate to meet elders’ needs for accessible services. Trafficking and sex work Individuals who have been forced into sex work have needs similar to those who survive sexual and domestic violence. Many have had to endure extreme forms of physical and mental abuse—including rape, torture, and starvation. Violence is the norm for those in prostitution. Trafficking and sex work There is growing recognition of the dimensions of trafficking, of the ways in which prostitution constitutes violence against women, and of the need to address these issues in domestic violence services. Individuals who have been forced into sex work through human trafficking have needs that are in some ways very similar to the needs of survivors of sexual and domestic violence. At the same time, many of these individuals have had to endure extreme forms of physical and mental abuse, including rape, torture, and starvation. Many have also been completely isolated from any sources of potential support, having been lured to the United States from other countries by promises of good work in comfortable surroundings. LCADV Training Manual for Domestic Violence Advocates Page 32 Prostitution has much in common with other kinds of violence against women. Studies have shown that prolonged and repeated trauma often precedes entry into prostitution, with most women beginning prostitution as sexually abused adolescents. In addition, violence is the norm for women in prostitution. Incest, sexual harassment, verbal abuse, stalking, rape, battering, and torture are points on a continuum of violence, and all occur regularly in prostitution. Several writers have pointed out that prostituted women are unrecognized victims of intimate partner violence by pimps and customers who use methods of coercion and control similar to those used by other batterers. These include minimization and denial of physical violence, economic exploitation, social isolation, verbal abuse, threats and intimidation, physical violence, sexual assault, and captivity. The systematic violence emphasizes the victim’s worthlessness, except in her role as prostitute. As a result, trafficked and prostituted women may need enhanced forms of the services that domestic violence agencies/organizations typically provide. Here are some of the service needs that have been identified by programs that have been especially designed to respond to this group of survivors: Extended shelter services, especially where the survivor is cooperating with law enforcement efforts to prosecute traffickers, a process that can often take one to two years. Enhanced safety planning that may need to take into account the fact that the person may be at risk of harm from organized crime and/or sophisticated trafficking operations. Mental health needs that are more like the needs of torture survivors than those who have survived domestic violence The material in this section on trafficking has been adapted from the Human Trafficking Service Provider Manual for Certified Domestic Violence Centers, produced by Florida Coalition Against Domestic Violence (FCADV), 2004. The material on prostituted women was drawn largely from: Farley, M., “Prostitution Is Sexual Violence,” Psychiatric Times, 21: 12, October 1, 2004. Violence against people with disabilities Personal care givers can abuse people with disabilities in unique ways. They LCADV Training Manual for Domestic Violence Advocates Page 33 might: Withhold medication, personal care, or medical equipment. Refuse to fix meals or feed the person. Withhold access to communication such as interpreters and TTY. Dependence on the perpetrator can increase vulnerability. A person with disabilities may be economically dependent on the abuser. Accessible shelter can be difficult (or impossible) to locate. Violence against people with disabilities Studies suggest that women with disabilities are more likely to be abused or assaulted than those women who do not have disabilities and, when they are abused, they may be less able to access the services they might need to achieve a measure of safety and recovery. Some of the factors at work in creating these barriers are as follows: Abusers who are personal care givers can abuse people with disabilities in unique ways, including withholding medication, personal care, or medical equipment; refusing to fix meals or feed the person; or withholding access to communication such as interpreters and TTY. When the abuser is a person who has been responsible for providing assistance in activities of daily living, there may be increased vulnerability on the part of the person with disabilities and an increased dependence on the perpetrator. A person with disabilities may be economically dependent on the abuser and therefore may feel that she has fewer options for resisting the abuse. For people with disabilities who are battered and in need of shelter, it can be difficult to locate a shelter that is accessible (in terms of physical access to the building, physical access to the use of all facilities in the shelter building, and in terms of accommodating the specific needs for assistance that a person might need. As we think about people with disabilities who experience intimate partner violence, we need to be careful not to fall into the trap of over-generalization. People with disabilities constitute a diverse group of individuals, including those who have developmental disabilities, those who experience disability as a result of illness or injury, and those whose disabilities can be attributed directly to intimate partner violence. Likewise, empowering and trauma-informed responses to individuals with disabilities who have been abused must be LCADV Training Manual for Domestic Violence Advocates Page 34 informed by a real understanding of the ways in which these individuals’ disabilities have impacted their lives and by attention to their particular needs for support and assistance. The material in this section on violence against people with disabilities is drawn mainly from Untold Stories, Unmet Needs: Understanding the Needs of Sexual Assault and Domestic Violence Survivors with Physical and Sensory Disabilities, Jane Doe Inc. This manual is an excellent resource for agencies/organizations seeking to examine and improve their capacity to respond to survivors who have physical and sensory disabilities. Domestic violence in GLBT communities The threat to reveal the partner's orientation to family or to an employer can result in job loss and the destruction of life-long relationships. Historic homo/bi/transphobia of law enforcement can leave GLBT victims of violence believing that the police will not help them to secure safety. Courts do not necessarily enforce laws uniformly though gay and lesbian people have some legal rights. Knowing this, many LGBTG people hesitate to turn to the legal system for protection from abuse. Domestic violence in the LGBTQ community In many ways intimate partner violence in the LGBTQ community looks very much like partner violence in other communities. And there is every reason to believe that domestic violence occurs in LGBTQ relationships at the same rate as it occurs in heterosexual relationships. The ways in which LGBTQ domestic violence differs often combine to make access to effective services extremely challenging for LGBTQ victims of violence. Some of these factors are as follows: The threat, by a perpetrator, to reveal the partner’s orientation to family or to an employer holds the possibility of loss of a job and life-long relationships. For a victim of domestic violence who is not “out,” these threats can be insurmountable. The historic homo/bi/transphobia and heterosexism of our law enforcement institutions can leave LGBTQ victims of violence believing that the police will not help them to secure safety. Moreover, if a victim feels that calling the police means that the partner, however abusive, will LCADV Training Manual for Domestic Violence Advocates Page 35 be brutalized by a homo/bi/transphobic police officer, calling the police can be extremely difficult if not impossible. Even though certain rights of gay and lesbian people are protected by the law, the court system does not necessarily enforce these laws uniformly. Knowing this, many LGBTQ people hesitate to turn to the legal system for protection from abuse. Given the homo/bi/transphobia and heterosexism that has been woven into our history and the biases that we have internalized as a result of that history, welcoming LGBTQ survivors of intimate partner violence into our programs and serving them appropriately calls for more in-depth training than most agencies/organizations can provide. Training is available however through Boston’s GLBT Domestic Violence Coalition. That training covers essential topics—from making an agency/organization more LGBTQ-accessible to determining whether the person you’re working with is the survivor or the batterer. Further information can be obtained by e-mailing info@tnlr.org. Note to trainer: The handout "History, Culture, and Identity—What Makes GLBT Battering Different," by Charlene Allen and Beth Leventhal, provides additional information on domestic violence in GLBT communities. Domestic violence in communities of color This country’s history of violence against communities of color can leave victims of violence doubting whether that system is able or willing to respond to violence perpetrated by one person of color against another. Black women who are battered may find themselves in an exceptionally difficult position within the Black community. The images and expectations of African-American women are actually both super- and sub-human. This conflict has created myths and stereotypes that cause confusion about our own identity and make us targets for abuse.” Evelyn C. White, Chain Chain Change Domestic violence in communities of color There are ways in which this country’s history of racism leaves all people of color similarly situated when it comes to accessing domestic violence services. At the LCADV Training Manual for Domestic Violence Advocates Page 36 same time, different communities of color experience different forms of prejudice. Here are a few things to consider: The history in this country of institutional violence against communities of color can leave victims of violence within these communities with serious doubts about whether that very system would be able or willing to respond appropriately to violence perpetrated by one person of color against another. Black women who are battered may find themselves in an exceptionally difficult position within the Black community. As Evelyn C. White points out in Chain Chain Change, “The images and expectations of African-American women are actually both super- and sub-human. This conflict has created myths and stereotypes that cause confusion about our own identity and make us targets for abuse.” Note to trainer: To explore in greater depth the ways in which domestic violence is likely to be experienced by Black women, hand out the excerpt from Chain Chain Change. Domestic violence in immigrant communities Legal protection Immigrants too often assume that the law is not available to protect them from abuse. Distrust of government and law enforcement Some immigrants have come to the U.S. following experiences of brutality in their countries of origin. They may be deeply distrustful of government in general and of law enforcement in particular. Domestic violence issues in immigrant communities In addition to the challenges to securing safety and recovery that all victims of partner violence experience, those who are immigrants experience challenges that are particular to newcomers who are not United States citizens, who lack documentation of their right to be in the United States, or whose primary language is other than English. Some of these are as follows: Immigrants too often assume that the law is not available to protect them from abuse. This may simply be the result of not knowing that there are laws that are intended to protect all who are abused, including immigrants and people who lack documentation to be in the United States. It may also LCADV Training Manual for Domestic Violence Advocates Page 37 be that particular immigrants have come to the United States following experiences of brutality in their countries of origin that have left them deeply distrustful of government in general and of law enforcement in particular . Fear of deportation, whether well-founded or not, can keep a non-citizen victim of violence from seeking help, especially if there are citizen children from whom the victim could be separated upon deportation. Although this has been changing, domestic violence agencies/organizations may not have staff or volunteers who are able to connect with a person whose first language is other than English and whose first culture is other than North American. For a person in need of shelter or other domestic violence services, the lack of a person with whom the victim can actually communicate can make it difficult if not impossible for quality services to be delivered. Note to trainer: “Ensuring Fairness and Justice for Noncitizen Survivors of Domestic Violence” by Gail Pendleton is a good source of additional information issues facing immigrant women who experience domestic violence. See the Resources section for more information. AN EXERCISE: MYTH OR FACT? Make three signs, one that says “Myth,” one that says “Fact,” and one that says “Unsure.” Read each statement above and invite training participants to move close to the sign that matches their understanding of the statement. For example, when you say, “There is no such thing as marital rape,” those who think this is a myth would stand near the sign that says “Myth.” After training participants have positioned themselves near a sign, you can invite them to explain why they chose the sign where they stood, beginning with those who chose to stand near the “Unsure” sign. COMMON MYTHS ABOUT DOMESTIC VIOLENCE Without exercising any pressure, you might invite training participants to move from one spot to another in light of what others say, signifying a shift in their beliefs about the statement. ■There are a number of myths about domestic violence that we hear in conversation in the media, and in many other settings. What these have in common is that they all either justify partner abuse or blame the person who has been abused. Here is a sample of these myths: ○ What is happening is not abuse; it is mutual violence within an intimate relationship. ○ Drugs and/or alcohol cause abuse to occur. ○ Stress (problems at work, financial problems, and so forth) causes abuse. ○ Psychopathology causes abuse. LCADV Training Manual for Domestic Violence Advocates Page 38 ○ Only people of color and poor people are abusive in intimate relationships. ○ Victims like the violence, otherwise they would leave. ○ When violence happens in relationships, the victim has usually provoked it. ■ Another exercise As a way to help new staff and volunteers better appreciate how common myths about domestic violence impact survivors, ask each training participant to choose one of the myths and make a “presentation” to the group. They are to show exactly how that myth could be reasonably expected to affect a victim of violence, if the participant/presenter believed the myth to be true? As a follow up, invite the participant to suggest things that could be said to refute the myth. Dynamics Of Power And Control Many authors have described the phenomenon of “power and control” demonstrated in abusive relationship. It is based on the cultural belief in the appropriateness of male dominance in relationships. This imbalance of power puts the abuser in a superior position while maintaining the victim’s subservience. It leaves her feeling powerless, dehumanized, and incapable of independent thought or decision-making. Below are two wheels and charts that demonstrate how power and control can be manifest: The Domestic Abuse Intervention Project in Duluth, Minnesota developed a chart entitled the Power and Control Wheel, which describes the components of power and control. At the core is the abuser’s need for power and control over the victim; this need manifests itself through physical and emotional abuse, economic abuse, and sexual abuse, as well as mistreatment of children, use of male privilege, intimidation, and isolation. Biderman’s Chart of Coercion As It Relates to Domestic Violence represents a two-page chart that outlines the different types of behaviors that abusers will often use in order to control their victims. It also sets forth the effects these behaviors will oftentimes have on their victims, as well as specific examples of those behaviors. In contrast, the Equality Wheel visually represents the components of a healthy relationship. EXCERCISE Review LCADV Training Manual for Domestic Violence Advocates Page 39 Power and Control Wheel Biderman’s Chart of Coercion Equality Wheel THE CYCLE OF VIOLENCE Note to trainer: Distribute the Cycle of Violence handout ■The battered women’s movement has long described domestic violence in terms of cycles of abuse in which the extent of physical violence increases over time. In this understanding, there are three cycles: The period of tension building, in which a small series of events creates and intensifies tension in the relationship and in which the perpetrator instills a feeling of fear in his or her partner. The explosion stage, in which the perpetrator uses violence to release built-up tension, anger, and/or frustration and, most importantly, to exercise ultimate control. The honeymoon stage, in which the perpetrator expresses remorse and attempts to convince his or her partner that explosions of the sort that just occurred, will never happen again. Challenges to leaving Challenges to leaving a violent relationship Leaving can be dangerous The hope for change is strong Isolation Societal denial Economic dependence Threats of retaliation Leaving is a process Many people not involved with an abusive partner say that if their mates ever harmed them they would leave. Survivors often recall having these same thoughts and they have taught us that there are complex factors working against LCADV Training Manual for Domestic Violence Advocates Page 40 a person who is caught in a violent relationship. ■Leaving can be dangerous Research has demonstrated that leaving a violent person places a victim of violence at increased risk of harm. Survivors know this and may decide that leaving is simply too risky. For those who have children, the prospect of even greater harm may make leaving feel impossible. ■Hoping for change Because no one plans to enter into a violent relationship, finding one’s self threatened and abused by one’s partner can be difficult to acknowledge. Perpetrators may take advantage of their partners’ desires for different and nonviolent relationships by expressing remorse after inflicting violence, by promising never to hit again, or by agreeing to seek counseling. ■Isolation Perpetrators and society often combine to create an environment in which a victim of violence is likely to be physically isolated and feel very much alone. This can take a number of forms. The perpetrator may work consciously to isolate his or her partner. Strategies include prohibiting connections by phone or in person with friends and family; humiliating the person in front of friends and family; controlling the person’s ability to get to work, to school, or to social events; and censoring mail. Over time, these efforts can result in a person being nearly or completely isolated from all potential sources of support. Batterers in LGBTQ communities can capitalize on the fact that their victims already labor under the isolation resulting from homo/bi/transphobia and heterosexism on multiple fronts. These include family who reject them, court systems that have failed or refused to protect them, and a sheltering system that lacks the capacity to serve them appropriately. For immigrants, especially those whose first and primary language is other than English, the need for community is especially strong. When a batterer LCADV Training Manual for Domestic Violence Advocates Page 41 is able to separate his or her partner from the community by using the tactics already mentioned, and can add the threat of deportation to the mix of threats, the isolation can be devastating. Over time, a person who has been separated from all sources of potential support and connection can come to believe that support simply does not exist and that there is therefore no way out of the violent relationship. ■Societal denial Although laws that provide protection from abuse have been in place in Massachusetts for thirty years and although media attention to sexual and domestic violence has improved in recent years, denial of the extent of intimate partner violence and of its impact has persisted. This denial can manifest in a number of ways that combine to make it extremely difficult to walk away from a violent partner. The behavior of batterers often takes place in the context of general societal and community denial of the reality and seriousness of domestic violence. Perpetrators often present themselves as engaging and charming individuals, making it difficult if not impossible for others to imagine that they might actually abuse their partners. The more they are able to take advantage of societal denial, the more they are able to convince the victim that no one will believe allegations of abuse. Too many helping professionals continue to deny the existence of domestic violence or minimize its seriousness. When doctors or therapists refuse to act on a person’s description of abuse or trivialize a person’s complaints, the perpetrator’s message that no one will believe the victim is confirmed. Denial within faith communities can also conspire to keep a person from escaping a violent partner. It is true that efforts are being made to educate clergy and other faith community leaders about domestic violence. At the same time, if someone struggling with partner violence turns to a religious leader for help and support, that person is too likely to hear that prayer and reconciliation are preferred responses. Faced with these kinds of responses, leaving the batterer may not feel like an option. LCADV Training Manual for Domestic Violence Advocates Page 42 ■Economic dependence In many intimate relationships, the most likely predictor of whether a victim of violence will permanently separate from the abuser is whether she or he has the economic resources to survive without the batterer. Perpetrators are likely to understand this and may make serious efforts to reinforce the idea that their partners cannot survive without them. We can see this dynamic at work in a number of ways. Among elderly couples, it is frequently the case that the perpetrator has been the sole earner in the family and that the partner has no experience in the work world or in matters related to basic money management. Should this factor combine with denial of domestic violence among adult children of the couple, the victim’s options can feel and actually be severely limited. In immigrant families it may be that the perpetrator has documentation that enables him or her to secure employment legally, while the victim does not. In this situation economic dependence on the batterer leaves the victim with few or no options for leaving. ■Threats of retaliation Even when a person decides to leave, batterers put up many barricades. Many threaten to seek custody of their children, to withhold support, to interfere with the victim’s employment, to advise prospective landlords that she or he is not credit-worthy, to try to turn the children or family against her or him, to threaten to kill the victim or other family members if she or he leaves, to threaten retaliatory suicide, or in other ways to escalate the violence in an attempt to hold the person in the relationship. ■Leaving is a process Sometimes it is said that if a person who has been battered remains with or returns to the abuser this is a sign that the person is not ready to accept the help we have to offer. If we look deeply into this sentiment, we may find that it arises out of a hope that the person will leave the abuser and that it may not reflect a real understanding of the challenges we have been exploring. The truth is that most individuals leave and return several times before permanently separating from the batterer. Leaving is a process. The first time a person leaves may be a LCADV Training Manual for Domestic Violence Advocates Page 43 test to see whether the batterer will actually get some help to stop the abusive behavior. When the violence persists the victim may leave to gain more information about resources available. There may be a reconciliation during which the victim works to gather economic and educational resources together that would enable her or him to leave. Leaving must be done in a way that does not further jeopardize the victim’s safety. This is a process that must be driven by the person struggling with domestic violence. Note to trainer: If your agency/organization receives funding to provide services related to sexual assault in addition to domestic violence, you will probably present this material in a way that coincides with your basic training on sexual assault. The materials in this section are presented mainly for agencies/organizations that are not “dual” programs. ■An exercise: What does it mean to leave? o The purposes of this exercise are as follows: o To sensitize participants to the difficulties of leaving a violent relationship. o To explore what it really means for a family to leave home to enter a shelter. o To acknowledge that some people make a choice to stay in abusive relationships. Materials needed o White index cards o Colored index cards o Play dollar bills or coins o Palm card advertising agency/organization services (if you have one) or a o SafeLink card Here are the steps Step 1: Ask participants to leave their seats and move to another seat (the furthest point possible from their original seats), taking nothing with them. Step 2: Once they are seated, hand each participant a hotline card and a number of play coins or play dollar bills. Ask participants: “If you were to leave your home today, what would you like to take with you?” Step 3: Give each participant 5 white index cards and 1 colored index card. Ask the participants to write the names of any children they have who are under the age of 18 on the colored index card. LCADV Training Manual for Domestic Violence Advocates Page 44 On each of the 5 white cards, the participants should write one item that they would want to bring with them (5 cards, 5 items). The following suggestions could be on newsprint to assist participants in creating their white cards: o Cell phone o Furniture o Clothing o Important papers o Pet o Car o Food o Electronics item such as TV, DVD player, music o Pictures o Computer o Children over age 18 Step 4: Once the cards are completed, go around the room and ask participants to give up a white card. Repeat this process until participants have given up all but one white card. [A variation on this is for the trainer to go around the room and take 3 or 4 white index cards from each participant. Read them aloud as you take them away. Step 5: As cards are being given up or taken away, explore why a person might not be able to take into shelter the item given up or taken away. Some points of discussion at the close of the exercise o Invite participants to explore having to choose only five items and note that very often a person fleeing a dangerous situation has to make choices like this very quickly. o The option of seeking emergency shelter can be very difficult. Some barriers to obtaining shelter include lack of space, large families, families with older children, job loss, school transitions, living with strangers, possibly leaving their community, being unable to bring certain things with them, leaving things and people behind, having a disability, cultural differences, drug/alcohol addictions, and serious mental health problems associated with the experience of intimate partner violence. LCADV Training Manual for Domestic Violence Advocates Page 45 ■An exercise: A guided imagery Explain that this exercise asks people to sit with eyes closed for a few moments and acknowledge that not everyone is comfortable in a situation like this. Anyone can optout of this exercise. Invite participants to close their eyes and breathe deeply and regularly throughout the exercise and to keep their eyes closed or lowered until you ask them to open their eyes. Read each line slowly. ◊ You were just backhanded by your partner and pushed to the floor. You scraped your knees and hands in the fall. ◊ Imagine how you feel. ◊ Your mother and sister are on their way over for dinner. ◊ Will they know by looking at you what has happened? ◊ Do you tell them what happened? ◊ What do you tell them? ◊ How will they react? ◊ Will they be angry with you for hiding the abuse for the past eight years? ◊ Did the kids hear it from their room? ◊ Will they tell anyone what is happening? ◊ How can you keep them safe? From being afraid? ◊ Where did your partner go? ◊ Will he come back mad? Loving? Ready to hurt you again? ◊ What can you do? ◊ Should you leave? ◊ Where would you go? ◊ How can you make it alone? ◊ You’re supposed to stand by your man, your husband, for better or worse. ◊ Your children need their father. ◊ You’re afraid he’ll find you. ◊ How will you support yourself and your kids? ◊ Your children love their school, their friends. ◊ You have no job skills. ◊ You have no money. ◊ Maybe it’s your fault. ◊ Maybe you can do better and not upset him. ◊ You don’t want to leave your home—you’ve lived there for 12 years. LCADV Training Manual for Domestic Violence Advocates Page 46 ◊ ◊ ◊ ◊ ◊ ◊ He said you’ll never make it on your own. You don’t want to end your marriage—you just want the abuse to stop. What should you do? What is the best option? The safest option? What else do you think about when you think about leaving? Do you wish people understood how difficult it is to leave? Some discussion points to explore Once you have completed reading the lines, and invite participants to open their eyes and offer the following discussion points: ◊ What came up for you as you imagined the unfolding reality described in these lines? ◊ Imagine considering leaving the abuser under these circumstances. What thoughts come up? ■Some closing thoughts on challenges to leaving an abusive relationship Too often we hear the question, “Why doesn’t the victim just leave?” The very question demonstrates a lack of understanding of what it really means to be in a relationship with an abusive and violent partner. Worse, it places responsibility for doing something about the violence on the shoulders of the victim. The responsibility does not belong there. As we see from the material we have just covered, leaving an abusive partner can place a person in great danger. Even if the perpetrator is not threatening lethal harm, the dynamics of intimate partner violence combine to make it extremely difficult to escape. Thus, instead of asking, “Why doesn’t the victim just leave?” it would be more appropriate to ask the following questions: “Why does this person batter?” What can we do to stop this behavior? “What can we do to provide immediate and enduring safety from abuse? THE IMPACT OF DOMESTIC VIOLENCE ON ADULTS WHO ARE LCADV Training Manual for Domestic Violence Advocates Page 47 BATTERED The impact of domestic violence on adults who are battered They have fear of being battered again. Economic dependence keeps victims in abusive relationships. Battering is the single major cause of injury to women, more significant that auto accidents, rapes, or muggings. ` Psychological harms include: Low self-esteem Depression Post traumatic stress syndrome (PTSD) ■Fear of being assaulted again Domestic violence has wide-ranging and sometimes long-term effects on victims that can be both physical and psychological. First and foremost is the fact that the experience of battering can leave the victim in terror of being battered again. Where the violence has included sexual assault—as is often the case—the fear of abuse can take on a truly terrifying dimension. Instilling this fear is a key tactic used by perpetrators. ■Economic impact Intimate partner violence can have a significant economic impact on the lives of its victims. o Because workplaces are often public places, victims may not be safe at work. o If the perpetrator harasses them at work, in addition to being unsafe, victims may struggle with how to explain the situation to co-workers and/or supervisors. o They may lose their jobs for reasons associated with the abuse, such as the following: Absenteeism because of illness as a result of the violence. Absenteeism because of court appearances associated with obtaining protection from abuse or associated with custody or LCADV Training Manual for Domestic Violence Advocates Page 48 visitation issues. o Victims may have to move many times to avoid violence. Moving is costly and can also interfere with continuity of employment. o Many victims have had to forgo financial security during divorce proceedings to avoid further abuse. ■Immediate and long-term physical effects o The immediate physical effects of domestic violence are obvious. Battering is the single major cause of injury to women, more significant that auto accidents, rapes, or muggings. o Many of the physical injuries sustained by victims of domestic violence can cause medical difficulties in later life. Arthritis, hypertension, and heart disease have been traced to domestic violence earlier in adulthood. o Medical disorders such as diabetes or hypertension may be aggravated in victims of domestic violence because the abuser may not allow them access to medications or adequate medical care. o Victims may experience head injuries, chronic pelvic pain, abdominal and gastrointestinal problems, frequent vaginal and urinary tract infections, sexually transmitted diseases, and HIV. o Victims may also experience pregnancy-related problems. Women who are battered during pregnancy are at higher risk for poor weight gain, pre-term labor, miscarriage, low infant birth weight, and injury to or death of the fetus. ■Psychological harms In addition to the physical impacts of intimate partner violence, victims of partner violence also experience psychological harms, some of which can be more devastating and longer lasting than the physical injuries they sustain. Chief among these are depression, thoughts of and attempts at suicide, and posttraumatic stress disorder (PTSD). Post traumatic stress disorder (PTSD) PTSD is caused by an overwhelming life experience that is not digestible— physically, emotionally, or spiritually—and that impacts the body, the mind, and the spirit. ■PTSD LCADV Training Manual for Domestic Violence Advocates Page 49 The following are some key things to understand about PTSD: To paraphrase Judith Herman, author of Trauma and Recovery, traumatic events can profoundly affect us: They call into question basic human relationships. They can breach our connections to family, friends, and community. They can shatter the construction of the self that is formed and is sustained in relation to others. They can undermine belief systems that give meaning to human experience. PTSD is caused by an overwhelming life experience that is not digestible— physically, emotionally, or spiritually—and that impacts the body, the mind, and the spirit. Its most common symptoms are re-experiencing the traumatic event, avoidance and numbing, and hyperarousal. Domestic violence and sexual assault are prime examples of overwhelming life experiences. Post- traumatic stress disorder Symptoms Recurring nightmares Intrusive and frightening thoughts that can occur anytime Extreme emotional and/or physical reactions (chills, heart palpitations, panic) Hyper vigilance—always being on edge Feeling emotionally detached and withdrawn Inability to concentrate „Feeling jumpy and being easily startled Here are some behaviors we might observe in a person with PTSD: Being jumpy and easily startled. While a sudden noise might startle many people, for a person with PTSD that same noise could make them practically “jump out of their skin.” This is known as hyperactive startle reflex. This high state of arousal can result in sleep difficulties. Inability to regulate emotions or overreaction: those who have PTSD might react strongly to small things, which can make it difficult to concentrate or focus. When this happens repeatedly, a person can have difficulties in parenting, in job performance, and in many other aspects of everyday life. LCADV Training Manual for Domestic Violence Advocates Page 50 Post traumatic stress disorder :Emotional consequences Survivors with PTSD May have a hard time being loving family members. May avoid activities, places, and people associated with the traumatic event. May be so emotionally drained that they have trouble with basic daily functioning. Emotional detachment may take place as a way of coping with emotional systems being in overdrive as a result of the trauma. Feelings of rage, shame, and helplessness are common results of intimate partner violence. When they seem to come in floods of emotion, this can simply be too much to bear. Shutting down emotionally in these situations can actually be a form of protection, even though they have negative consequences, when emotional detachment leaves a person unable to respond to children, family, or friends. Post traumatic stress disorder: Avoidance and numbing Individuals with PTSD may try to avoid situations that trigger memories of the traumatic event. For some trauma survivors avoidance takes the form of seeking distractions that enable them to avoid thinking about the traumatic event. Numbing is a common strategy for avoiding the possibility of having to relive the traumatic events that caused PTSD. Emotional avoidance and numbing. Those who have suffered serious trauma that results in PTSD might experience emotional numbing as a way to avoid situations that can trigger memories of the trauma. FLASHBACKS Imagine experiencing the most terrifying horror movie you’ve ever seen playing over and over in your mind. You can’t make the images go away Flashbacks can occur at any time and can be triggered by events that are not obvious to those who are serving the trauma survivor. During a flashback, a person experiences many of the actual physical sensations associated with the traumatic event. The survivor may act as if she or he were being attacked (for LCADV Training Manual for Domestic Violence Advocates Page 51 example, by screaming, running, hiding, or struggling physically). This reexperience of the trauma may appear to “come out of nowhere,” but, in fact, something has triggered it. Dealing with flashbacks: some ways to help Gently remind the person that this is a flashback, that the actual event is over, and that she or he has survived. Encourage slow breathing, focusing on the inhalation and the exhalation. (When there is panic, the body takes short, shallow breaths, leading to a decrease in oxygen and heightened anxiety. Increasing the oxygen in our system by slow breathing helps reduce anxiety.) Gently urge the person to return to the present by looking around and taking note of the colors in the room, listening to the sounds that arise and pass away. When someone is having a flashback, it can be helpful to gently suggest that this is what is happening, and to support the person to ground herself or himself by breathing slowly and deliberately for a few moments and paying attention to the present moment, Depression Depression is one of the most common consequences of domestic violence. Depression is NOT the result of laziness, weakness, personal failure, or lack of will power. Symptoms of depression Prolonged sadness or unexplained crying spells. Loss of energy or persistent fatigue or lethargy. Significant change in sleep patterns (insomnia, sleeping too much, fitful sleep). Loss of interest and pleasure in activities previously enjoyed, social withdrawal. Inability to concentrate, indecisiveness. Thoughts of death or suicide. LCADV Training Manual for Domestic Violence Advocates Page 52 ■Depression Depression is very common in those who have been abused by an intimate partner. Symptoms of depression include the following: Loss of energy and/or appetite. Deep and prolonged sadness. Persistent pessimism. Irritability, worry, anxiety, and agitation ■Suicide Suicide is neither an illness nor a condition. It is a complex set of behaviors that exists on a continuum, from ideas to actions. Suicide Those who have been abused may experience thoughts of suicide and may attempt to commit suicide. Research has shown a strong correlation between those who consider or commit suicide and those who have experienced domestic and sexual assault. Warning signs for suicide include talking about and/or threatening suicide Other signs include withdrawing from social connections, engaging in risky behavior, giving away belongings, and saying good-bye to people in ways that suggest that they won’t be seen again. Questions to ask someone considering suicide Direct questions are best. Are you thinking about dying? Are you thinking about hurting yourself? Are you thinking about suicide? Have you thought about how you would do it? Do you know when you would do it? Do you have the means to do it? It is important to find a way to directly address the issue of suicide with program participants. Direct questions are the best way to do this. By asking questions that invite the program participants to talk about their thoughts and plans, you can accomplish these very important objectives: You are giving a clear message that you are concerned and are available to LCADV Training Manual for Domestic Violence Advocates Page 53 the program participant. You can obtain crucial information that will enable you to decide what steps, if any, you need to take. Responding to program participants who appear to be struggling with thoughts of suicide or actually take suicidal actions can be very challenging. This is especially so for those who have personally struggled with suicide or have a family member or close friend who has struggled with or committed suicide. Using supervision to address and explore these issues is an essential part of responding skillfully to program participants. Note to trainer: If your agency/organization has a policy about how to respond to program participants who are suicidal, this would be a good time to distribute the policy. If it does not, it would be a good idea to suggest that such a policy be developed. Complex PTSD Complex PTSD is a result of repeated or chronic infliction of traumatic violence. Victims have enormous difficulty coping or responding to offers of assistance. Complex PTSD While PTSD may arise from a single traumatic event and may be a condition that is relatively short term, many survivors have experienced repeated and prolonged abuse. The consequences for these individuals can be long lasting and challenging to understand and to address. Complex PTSD is an emerging field of understanding that can offer us a way to both understand what is happening for a survivor and to respond with compassion and skill. The signs and symptoms of Complex PTSD can look like mental illness and are, in fact, often diagnosed as major mental illness. Bipolar disorder and schizophrenia are two of the most common examples of the diagnoses obtained by survivors who have Complex PTSD. At the same time, individuals with this depth of trauma frequently turn to addictive substances in an effort to escape the pain, which can be both LCADV Training Manual for Domestic Violence Advocates Page 54 physical and mental. Very often people struggling with addiction have abuse and trauma histories, frequently dating from childhood. When we meet a survivor who has experienced long-term partner violence, is struggling with addiction to alcohol and or drugs (including legal drugs that have been prescribed by physicians or psychiatrists), and reports being diagnosed with a major mental illness (or shows signs of serious mental illness), it may be that we have met a survivor with Complex PTSD. Complex PTSD Some signs and symptoms Feelings of extreme disconnection Fundamental changes in relationships to others Fundamental changes in basic belief systems Radical changes in self-perception Altered perceptions of the perpetrator Victims are often diagnosed as having bipolar disorder, schizophrenia, or other mental illnesses. Addictive substances provide an escape from the pain. Some characteristics and behaviors associated with Complex PTSD include the following: Feelings of extreme disconnection. Examples include emotional numbness; non- responsiveness; and non-interaction with service providers, children, and/or friends and relatives. Fundamental changes in one’s relationship to others. An example is breaking one’s association with potentially supportive individuals. Fundamental changes in one’s basic belief systems. Examples include beliefs and expectations that no one can be trusted, that one cannot count on offers of support and assurances of help, and that recovery from the effects of abuse is not possible. Radical changes in self-perception. A common example is a feeling of extreme self-loathing and worthlessness. LCADV Training Manual for Domestic Violence Advocates Page 55 Altered perceptions of the perpetrator. An example is internalizing and expressing a belief in the ultimate power of the perpetrator to both control and protect the survivor. Responding effectively to challenging behaviors that are associated with Complex PTSD is not easy. Supervision is essential for those who work with survivors whose behavior suggests complex PTSD. THE IMPACT OF DOMESTIC VIOLENCE ON CHILDREN Opening exercise: 911 recording (also known as “the Lisa tape”) o Introduce the 911 recording with a warning like the one contained in the note to trainer above. o Play the recording. o Invite reactions and thoughts from training participants, with questions such as the following: o How did it feel to listen to Lisa? o What emotions came up for you about the perpetrator? o What feelings came up for you about Lisa’s siblings? o What feelings came up for you about Lisa’s mother? o Did you have any particular reactions to how the person from the police department worked with Lisa? o How do you think Lisa’s experience might affect her over the long term? o What kinds of support do you think Lisa and her siblings might need to recover from the effects of this experience? o What kinds of support do you think Lisa’s mother might need to help her understand and respond to the ways in which this experience might affect her children? ■When we talk about children who witness adult domestic violence or are exposed to adult domestic violence, it is important to keep in mind that the witnessing and exposure we are discussing can be direct and indirect as well. Here are some examples: Infants and very young children may be physically caught in the crossfire of abuse when they are being held by a parent who is attacked by the abuser. Children might be direct witnesses by being in the same room when a parent is being beaten. Children can be in an adjoining room and hear the sounds of violence, LCADV Training Manual for Domestic Violence Advocates Page 56 including the threats and verbal abuse of the perpetrator and the fear and pain the voice of the person being beaten. Children might not see or hear the abuse, but they may see the results in the abused parent in the form of bruises or in the obvious emotional distress that the victim exhibits. ■Looking at the impact of adult domestic violence on children is important because, for every victim of violence who is a parent, there are children who suffer deep and enduring harm as a result of witnessing the abuse—abuse that is most often inflicted on their mothers and most often inflicted by their fathers. The children of domestic violence are at great risk for the following: Being seriously abused themselves. Developmental delays. Long-term psychological damage. Emulation in their own adult relationships of the violence to which they have been exposed as children. Impact of domestic violence on children Children in homes where domestic violence occurs are physically abused or neglected at a rate 15 times the national average. Children exposed to the battering of their parents suffer the same harm and display the same symptoms as children who are actually abused. If untreated, trauma of this degree may thread its way into adulthood, appearing as emotional instability; the formation of volatile relationships; lagging work productivity; substance abuse; and inconsistent, if not abusive, parenting styles. The majority of studies of abusive men find that a high percentage of them come from homes in which there was abuse of a spouse, a child, or both. ■Here are some things to keep in mind in our work with survivors who are parents and in our work with children: Children in homes where domestic violence occurs are physically abused or neglected at a rate that is 15 times the national average. The most serious cases of child abuse resulting in emergency room treatment are often extensions of the battering rampages launched LCADV Training Manual for Domestic Violence Advocates Page 57 against the child’s mother Studies have shown that despite mothers’ efforts to shield their children from violence, 68 to 87% of incidents of partner abuse are, in fact, witnessed by children. A 1995 Massachusetts study estimated that 43,000 Massachusetts children are exposed to reported acts of domestic violence each year. Parent-child relationships, influenced by many factors, can be deeply impacted when a battered parent’s physical and mental health are adversely affected by domestic violence. Children exposed to the battering of their parents suffer the same harm and display the same symptoms as children who are actually abused, including the symptoms of post-traumatic stress disorder. Such trauma can damage their capacity to trust, resulting in their being hyper vigilant. It can impair their ability to manage tension, frustration, and transition, and can adversely impact their school work and social relationships. If left untreated, trauma of this degree is likely to thread its way into adulthood, appearing as emotional instability; the formation of inadequate or volatile relationships; lagging work productivity; substance abuse; and inconsistent, if not abusive, parenting styles. The severity of a particular child’s reaction to family violence is often related to his or her age, proximity to the violent event, the victim’s relationship with the child, and the presence of a parent or caretaker to mediate the intensity of the violence. During their early years, children naturally turn to their parents as their most immediate source of stability and protection. When these same adults are the perpetrators or the emotionally distraught casualties of violence, the child’s need for safety and stability may be undermined or even shattered. Very young children who have witnessed violence bear the additional burden of being least able to communicate their fears and reactions in words. As a result, they may have the fewest resources available to them to help them cope with this exposure. Among preschoolers exposed to domestic violence, trauma symptoms frequently observed by clinicians include regression to earlier stages of functioning, insomnia, sleepwalking, nightmares and bed-wetting, headaches, stomach aches, diarrhea, ulcers, and asthma. Adolescence may be marked by the beginning of violence in peer and dating relationships. For girls witnessing their mothers being battered LCADV Training Manual for Domestic Violence Advocates Page 58 during early adolescence may result in their belief that threats and violence are the norm in relationships. For boys it may result in the belief that violence is an appropriate way to resolve conflicts. Children in this age group who witness violence against their mothers often have difficulties in school, including poor academic performance, school phobia, and difficulties in concentration. They have an increased tendency to fight with peers, rebel against instruction and authority, and exhibit an unwillingness to do school work. Many suffer low self-esteem, sadness, depression, poor impulse control, and feelings of powerlessness. The majority of studies of abusive men find that a high percentage come from homes in which there was abuse of a spouse, a child, or both. ■It is important to understand the ways in which intimate partner violence can impact the capacity of a victim of violence to parent her or his children and how this affects the children. Consider the following: Perpetrators may purposely work to undermine the relationship between the battered parent and her or his children, creating fear and disconnection between them and using the victim’s fear to cement power and control over the victim. The more intense and persistent the violence, the less able a battered parent may be to care for the child and respond to the ways in which the violence has affected the child. When domestic violence has rendered one parent unable to care effectively for her or his children, the children may jump into caretaking roles for younger siblings and, sometimes, into attempting to care for the battered parent. This “parentified” behavior is not healthy and can have long lasting, negative effects on children and their parents. If the impact of domestic violence is severe enough to leave children in seriously unsafe situations, the government can intervene, removing children from their homes and placing them in foster care. Even when this is necessary to protect the fundamental safety of children, and even when foster care placement is made with appropriate friends or family members, this is likely to be devastating to both children and parents and to the parent-child relationship. On the other hand, we know that some children appear to be quite resilient. What do we mean by this word? Here is a definition of resilience: LCADV Training Manual for Domestic Violence Advocates Page 59 Resilience is…the ability to survive, and even to thrive, in the face of adversity. Investing in Children, Youth, Families, and Communities ■An exercise: Resilience Write the above definition on newsprint. Invite training participants to offer thoughts on what kinds of factors might contribute to a person’s ability to survive or thrive in the face of adversity. After hearing from participants, note that the literature on resilience tells us we are most likely to witness resilience in children who have been harmed by exposure to adult domestic violence, if we can provide the following : Safety. A relationship with a caring adult who offers unconditional support for the child as a person. Positive and high expectations of the child. Opportunities for meaningful participation in positive community activities. Impact of domestic violence on children A sober look at our world reveals ... all too many children struggling to move forward, but [who] are being diverted, or even blocked by the adults who surround them. Abused women and front-line staff in shelters have spoken out for over a quarter century about violence in the lives of women and children. Gradually, social scientists have 'validated' these observations with increasing evidence that witnessing violence is neither a benign nor passive event. Violence and the misuse of power and control may gradually traumatize even the most resilient of hearts and minds among our children.... [It is] our strong belief that stopping violence and healing from its effects are possible only through a coordinated, multi-system response. Peled, Jaffe, and Edleson, Ending the Cycle of Violence: Community Responses to the Children of Battered Women. ■Although children can demonstrate enormous resilience, this resilience is not likely to be realized if our system of services remains as fragmented as it is today. Here is how one group of researches explained this point: “A sober look at our world reveals ... all too many children struggling to move forward, but [who] are being diverted, or even blocked by the adults who surround them.... Abused women and front-line staff in shelters have spoken out LCADV Training Manual for Domestic Violence Advocates Page 60 for over a quarter century about violence in the lives of women and children. Gradually, social scientists have ‘validated’ these observations with increasing evidence that witnessing violence is neither a benign nor passive event. Violence and the misuse of power and control may gradually traumatize even the most resilient of hearts and minds among our children.... [It is] our strong belief that stopping violence and healing from its effects are possible only through a coordinated, multi-system response.” Peled, Jaffe, and Edleson, Ending the Cycle of Violence: Community Responses to the Children of Battered Women ■An exercise: Coordinated responses What does a coordinated response include? Invite training participants to suggest the names of local institutions (other than your own agency/organization) that can provide support and services to children affected by domestic violence and their parents. Examples that might be offered include the following: o A specialized program of clinical services for children affected by domestic o violence (if one exists in your area). o A local health or mental health center with a counseling department whose staff o have been trained to provide trauma-informed services. o School-based counseling services for children, including strong special education programs. Note to trainer: Whether and how you facilitate this exercise depends on whether your agency/organization offers specialized services for children. If it does offer such services, you will probably use this time to describe these services in detail. Note to trainer: If your agency/organization has a collaborative relationship with a community agency that specializes in services to children of domestic violence, this would be a good time to share information about that agency. Note to trainer: The handout "When Home Isn't Safe—Children and Domestic Violence," by Betsy McAlister Groves, provides a good overview of how children experience adult domestic violence. LCADV Training Manual for Domestic Violence Advocates Page 61 WRAPPING UP ■ A closing exercise o Have participants pair off. o Each person will share one thing with your partner that you learned in this session o that you did not know prior to the session. Say how you imagine this new knowledge will concretely impact your work as a new staff member or volunteer. o When this has been completed, invite each person to tell the whole group what the partner shared. ■ Closing questions Ask if there are any lingering questions about the material covered in this session. EVALUATING THIS SESSION If you are asking participants to evaluate the session, hand out the evaluation form in Appendix 2 and give people time to complete it. Encourage people to take their time and to answer each question completely and thoughtfully. Remind participants that they will not be writing their names or otherwise identifying themselves on this evaluation. RESPONDING TO DOMESTIC VIOLENCE: SERVICES PROVIDED TIPS FOR TRAINERS This chapter covers the range of services provided by domestic violence agencies/organizations Thus, the chapter describes each service in a general way that is likely to be applicable to all domestic violence service agencies/organizations. Study the materials and adjust your presentation to match the services your agency/organization actually provides and present these services in a way that is tailored to your agency/organization is recommended that you attend to self-care during the session. Here are some ways to do this: Begin each session with some kind of check-in or opening exercise. Be sure to take a break during the training session and invite participants to use the break to relax and to separate for a few minutes from the work being done during the training. Depending on the place in which training happens, it might be possible for participants to take a walk outdoors LCADV Training Manual for Domestic Violence Advocates Page 62 during the break. Invite participants to share a few words, especially at the end of a session, about things they might do when they leave the session to take care of themselves. OBJECTIVES The material in this chapter will give participants ■ A basic understanding of the range of services that domestic violence agencies/organizations most typically provide ■ A basic understanding of the services that this agency/organization provides KEY TERMS AND CONCEPTS INTRODUCED IN THIS CHAPTER Hotline Safety planning Danger assessment Emergency shelter Specialized substance abuse shelters Safe homes Transitional housing Permanent housing Service for children affected by adult domestic violence WELCOME AND INTRODUCTIONS ■Trainer’s introduction A trainer’s introduction is probably only necessary if this session has a new trainer or there are a significant number of new participants. ■Participants’ introduction Participants’ introductions should only be necessary if there are new group members. ■Suggested guidelines for participation Review the guidelines for participation that were developed in the first session. ■An icebreaker You can use this time to facilitate an exercise that helps participants feel relaxed, energized, and ready for the work at hand. See Appendix One for suggested icebreakers. LCADV Training Manual for Domestic Violence Advocates Page 63 INTRODUCTION TO THIS CHAPTER ■The premises of this chapter Understanding the continuum of services available to adults and children who struggle with and are affected by domestic violence is essential if we are to respond holistically. Few agencies/organizations are able to provide responses that address every single point along this continuum. If there is a service a survivor needs that our agency does not provide, our job is to be able to connect the survivor with that service. This means developing and continuously nurturing collaborations with partners in the community. LCADV Training Manual for Domestic Violence Advocates Page 64 AN OPENING EXERCISE: An opening exercise o Create teams of four or five people, depending on how many are in the whole group. o Explain that they are to take on the role of a team of staff whose job is to help figure out what kinds of services survivors might find useful. o Each team will be given the following scenario and then have about ten minutes to answer a set of questions. o After they have done their work together for about ten minutes, invite them to report on their answers. The scenario (which can be put on newsprint or made into a handout) A woman with a child, who looks to be about 9 years old, came to the agency seeking “information” about domestic violence and about our services. She is invited to meet with one of the staff and she tells the following story. She was sent to us by her son’s school counselor. The school counselor told her that the son was overheard telling some other kids that his mother’s girlfriend and his mother had a huge fight and that his mother was walking around with a black eye and a broken tooth. The woman acknowledges that she and her girlfriend had a fight but says it wasn’t really a big deal and that her son tends to exaggerate things. She tells you that the only reason she is here is that she is afraid that if she doesn’t do what the counselor says, the counselor will call DCFS and they will take her son away, DCFS being a homo/bi/transphobic agency. After more conversation, the woman says that she probably could use some counseling to deal with her issues. In addition to having a girlfriend who is, in her words “kind of aggressive,” she has a son who is very angry that she is a lesbian. Moreover, the woman is worried that if she stands up to the girlfriend she will tell the whole world about the relationship and that would be a catastrophe on many levels, one of which is that the son’s father would probably take custody of the son and she would never see him again. Here are the questions for each team to discuss. You can put them on newsprint or make a handout and distribute it: Is there any additional information we need to be able to decide what services we might offer this woman? What kinds of services could we offer her? What suggestions might we make with regard to her son? After each team has made its report, here are some questions to explore: Are there any concerns about serving a lesbian who is struggling to sort out the complex issues raised by the scenario? If so, what are they and how might we deal with them? If help is needed in working on these issues, do we know how to get that help? In what ways are the experiences of this person universal to all who experience intimate partner violence and in what ways are they unique to her as a lesbian? LCADV Training Manual for Domestic Violence Advocates Page 65 HOTLINE SERVICES ■Hotline services generally Understanding the dynamics of crisis To respond effectively to those who call the hotline, we need to be able to respond to people in crisis. For this reason, having an understanding of the dynamics of crisis is an important element of this work. Here is one such understanding that is particularly geared toward those who are struggling with intimate partner violence: Before a crisis occurs, a person’s life is manageable. There may be serious stressors and constant or increasing threats, but the person feels able to cope with these. There is a sense of balance, however frail the balance may be. In the context of domestic violence, a crisis is an event (or the culmination of several events) that radically shifts a person’s sense of life as manageable to one in which things do not seem manageable. Abuse or the threat of violence may be the cause of the crisis, and the shift may be accompanied by confusion, disorientation, or scattered thinking processes. There is a sense that things are out of control and it is not clear how to recover the sense of balance that one had prior to the crisis. Crisis intervention skills The ability to listen fully and attentively Listen with empathy, respect, and acceptance and without interrupting. The ability to assess the situation Understand the caller’s level of crisis and help to clarify the situation so that the caller can make action decisions. The ability to support action Support the caller’s effort to examine alternatives and settle on one or more action steps. Crisis intervention If we understand that most people who use the hotline do so while in a state of crisis, we approach hotline work as crisis intervention. It is generally agreed that crisis intervention skills include the following: The ability to listen fully and attentively. To listen fully and attentively, LCADV Training Manual for Domestic Violence Advocates Page 66 hotline responders need to be able to attend to the caller with empathy, respect, and acceptance. The ability to assess the situation. By listening fully and attentively, hotline responders are able to understand the caller’s level of crisis and capacity and to respond accordingly. The process of assessment involves asking questions that help the caller clarify the situation and eventually make a decision about what action to take. It is important to recognize that it is not the role of hotline responders to tell a caller what to do (or not do). Listening to the caller’s description of the crisis, and asking appropriate questions, can help the caller to obtain a measure—however small—of balance, and this in turn can help to diminish the degree of crisis that has surrounded the person. The ability to support action. Listening and assessment skills enable a hotline responder to support the caller to examine alternatives and choose one or more action steps that are consistent with the safety concerns and that can support resolution or passing of the crisis. When hotline services are felt to be effective, the caller feels that she or he has been believed and supported. The element of crisis in which things feel out of control has begun to abate. Statewide, toll-free, domestic violence hotline (888) 411-1333 Confidential response 24/7/365. Safety planning Direct linkage to emergency shelter Resource linkage to supportive services such as counseling and legal advocacy ■Statewide hotline services With funding from DCFS, Louisiana Coalition Against Domestic Violence operated, a statewide hotline that provides crisis intervention and information. It assists callers who need shelter by connecting them to emergency shelters that LCADV Training Manual for Domestic Violence Advocates Page 67 have openings. ■Our hotline services Use this time to describe specific aspects of hotline work that new staff and volunteers in your agency/organization need to understand. SAFETY PLANNING AND DANGER ASSESSMENT ■Safety planning and danger assessment generally o With roots in the battered women’s movement, safety planning is a lynchpin of our community’s response to domestic violence. Safety planning is an interactive process that focuses on the immediate safety needs of the victim, whether or not there is an intention to leave the abusive partner. o Although there are many variations in safety plans, most safety plans have the following components: o Steps that can be taken to maximize safety and minimize harm for a person who is currently in a violent relationship o Steps that a person can take while preparing to leave a violent relationship o A checklist of items the person would want to have when leaving a violent relationship o Steps that can be taken by a person who has left a violent relationship to secure and assure safety over a longer period of time Note to trainer: Assuming your agency/organization has a safety planning protocol that it uses, introducing the protocol at this time in the training would be appropriate. How much time you dedicate to this depends on whether and to what extent training participants will be engaging in safety planning with survivors. ○ It is important to keep in mind that safety planning with a person whose relationship to the perpetrator continues is as important as—if not more important than—safety planning with a person who has found a way to separate from the abuser. ○ Assessing the likelihood that a person will be harmed by the perpetrator has also been an important part of safety planning. Alternatively called “risk assessment,” “danger assessment,” or “lethality assessment,” this process focuses on the perpetrator’s past and recent behavior to get a sense of how great the current risk of serious harm may be. LCADV Training Manual for Domestic Violence Advocates Page 68 Most recently assessment of risk has been linked to the need to hold perpetrators accountable for their behavior, and efforts are underway to improve our community’s capacity to assess risk and to develop communitycentered responses to risk that focus more fully on the perpetrator. A great deal of work on danger assessment has been done by Jacquelyn Campbell and others at Johns Hopkins University School of Nursing. Dr. Campbell and her associates have developed a 20-point danger assessment that is available for use by community providers. Danger assessment instrument The Danger Assessment was developed by Dr. Jacquelyne C. Campbell in 1986 with consultation from battered women, shelter workers, law enforcement officials, and other clinical experts on battering. It includes a 20-item instrument that uses a weighted scoring system to count yes/no responses of risk factors associated with intimate partner homicide. The Danger Assessment is available as a free download at http://www.dangerassessment.org Note to trainer: If you want to spend time studying Dr. Campbell’s Danger Assessment, “Risk and Lethality Assessment in the Field of Intimate Partner Violence,” this article includes the Danger Assessment instrument. ■Some safety planning specifics It is clear that danger assessment and safety planning are applicable to all who are at risk of harm from intimate partner violence. We have also seen (in Chapter Five) that people from various communities experience domestic violence in ways that are unique to their communities and to the histories and contexts in which these communities lead their lives. Safety planning with people from these communities needs particular attention. LCADV Training Manual for Domestic Violence Advocates Page 69 Here are some examples: o Safety planning with teens o Safety planning with teens addresses the particular ways in which teens experience and respond to intimate partner violence. For one example of how to think about safety planning with teens, see “A Teen’s Safety Plan,” developed by the Family Violence Prevention Fund and available at http://www.fvpf.org. o Safety planning with people with disabilities o People with disabilities who struggle with intimate partner violence experience unique challenges both in terms of the actual experience of domestic violence and in terms of their ability to access services. For additional thoughts on safety planning and screening for survivors with disabilities, see “Model Protocols on Safety Planning & Screening Practices for Domestic Violence Victims with Disabilities” by Cathy Hoag, Abused Deaf Women’s Advocacy Services for the Washington State Coalition Against Domestic Violence (Revised 2004). This document is available from the National Online Resource Center on Violence Against Women: http://www.vawnet.org. o Safety planning with LGBTQ survivors o Truly understanding the ways that domestic violence affects and/or plays out in LGBTQ communities requires more than reading a training manual. In-depth training that addresses these complexities is offered every year by the Boston GLBT Domestic Violence Coalition. This training covers essential topics, from making your program more LGBTQ-accessible to determining whether the person you’re working with is the survivor or the batterer.. ■Agency-specific methods of assessing risk and conducting safety planning o Use this time to describe specific aspects of risk assessment that new staff and volunteers in your agency/organization need to understand. o Consider a role play exercise in which a training participant completes your agency/organization’s safety plan document in conversation with someone who plays the role of a survivor. If you do this, it might make sense for you (or another trainer) LCADV Training Manual for Domestic Violence Advocates Page 70 to take the role of the survivor. COMMUNITY BASED SERVICES ■Community based services generally The term “community based services” refers to those services that an agency/organization offers to those who live in the community and are struggling with domestic violence and its aftermath. Many of the services that are described in this segment are also offered and provided to survivors who use residential services. It is important to keep this in mind as we explore these services in this segment. ■Assessment This is a process in which staff engage with a survivor in order to understand her or his needs, explain the services that are available (either directly from the agency/organization or through referral to a resource in the community), and begin to develop a plan for the use of offered services. At its best, assessment is a dynamic and ongoing process that takes into account two important factors. The first of these is that information about a survivor and his or her needs is likely to emerge over time as trust is developed between the survivor and provider. The second is the fact that the survivor’s circumstances are likely to change—in part, as a result of the services your agency/organization provides. An exercise: The dynamic nature of assessment Present the following scenario: A survivor of domestic violence comes to our agency/organization seeking services. In conversation with the person you learn that he has obtained an order of protection (a restraining order) that includes an order for the perpetrator to leave the home (a vacate order) and a custody order for their five-year-old child. The abuser has left but says he has an attorney and is going to fight this at the next court hearing, which is set to take place in five days. Ask the training participants to help you think through what kinds of support and services your agency/organization might offer the person, based on this scenario. Services offered might include legal advocacy for the court hearing and group and individual counseling. The training participants might add other services to this list. LCADV Training Manual for Domestic Violence Advocates Page 71 Now add the following to the scenario: The survivor has entered into individual counseling. The survivor and counselor have been steadily developing a level of trust that supports the survivor to share more and more information. In a particular session, the survivor shares that the child is having nightmares, is not eating well, and seems to be having trouble in school. The survivor says that this has been going on for a while, but he hesitated to say anything for fear that the counselor would judge him to be a poor parent. Ask the training participants what kinds of additional support and services might be offered in light of this new information. Suggestions might include referral of the child to a specialized program of services for children exposed to adult domestic violence. Now add the following scenario: After continued counseling, the survivor shares that the perpetrator sexually assaulted him during the relationship and may have also sexually abused the child. He reports that, in addition to being terrified for himself and the child, he was afraid to report this because, even though he clearly wanted to stop the perpetrator’s abuse, he was afraid that “the system” would respond with homo/bi/transphobic brutality to the perpetrator and he couldn’t bear to think he might be responsible for that. Invite training participants to suggest supportive services that could be offered in light of this disclosure. If your agency/organization does not have this capacity, a suggestion could include referral for advocacy and counseling services especially geared toward the needs of GLBT survivors. Support training participants to be sure that the suggestions offered take into account the survivor’s fears (which we know are legitimate) and his desire to balance his need for safety for himself and the child with his concerns for the perpetrator. You can close this exercise with a reflection on the fact that we most often learn about the needs of survivors as we work to support them and as trust grows. Seeing assessment as a dynamic process enables us to be sure that we are responding fully to survivors and their children. ■Information and referral LCADV Training Manual for Domestic Violence Advocates Page 72 This is a process that results in supporting individuals and families to locate and access needed services in their communities. In its best sense, information and referral includes following up to make sure that a referral has resulted in the receipt of needed services or assistance and, if it has not, working with the person to develop and implement alternative plans. ■Individual support Individual services can include counseling, coordination of services within the agency/organization, and ongoing assessment of the needs of the survivor or program participant. ■Support groups Domestic violence agencies/organizations offer a range of support groups on a variety of subjects. Some support groups have an educational component, and some are focused on specific subjects. Examples of typical support groups include domestic violence support and education groups, parenting support groups, and economic literacy groups. Best practice models of support groups generally assume that support groups are co-facilitated by two individuals who have been specially trained in group facilitation and that child care is provided for parents who participate in support groups. Advocacy Providing information and support to a person who is working to achieve selfdefined goals Taking action to achieve specific goals ■Advocacy services Advocacy has been a core component of domestic violence services from the earliest days of the battered women’s movement. The definition of an advocate as “someone who provides information and support to a person who is working to achieve self-defined goals” is general and specific. They are general when, for example, the advocate’s job is to work with the program participant to respond to whatever needs for advocacy assistance may arise. They are specific when, for example, a specially trained legal advocate assists a program participant to address legal needs that arise out of the domestic violence situation. Historically, advocacy services in domestic violence agencies/organizations LCADV Training Manual for Domestic Violence Advocates Page 73 have been separately focused on adults or children. In this model a person might have the job designation of “Children’s Advocate” or “Woman’s Advocate.” The current trend is toward integrating advocacy services for adults and children and creating the job designation “Family Advocate.” This newer model is based on an understanding of the ways in which the needs of adult survivors and their children are deeply interconnected. It recognizes that, when advocacy assistance is provided with appreciation for the concerns of both adult and child survivors, that assistance is more likely to have long-term benefits for both. When they work with survivors to achieve the survivor’s goals, advocates are demonstrating the central elements of the empowerment model. By tailoring their efforts to the specific realities of the survivors with whom they work, advocates demonstrate a key element of trauma-informed service. ■Our community based services Use this time to describe specific aspects of community based services that new staff and volunteers in your agency/organization need to understand. SERVICES FOR CHILDREN AFFECTED BY DOMESTIC VIOLENCE ■Services for children affected by domestic violence, in general It is well known and undisputed that adult domestic violence can cause serious, long-term harm to children. Despite this knowledge, children affected by adult domestic violence have historically met a fragmented system of services. On the one hand, too many domestic violence service agencies/organizations do not have staff who are skilled in clinical assessment and intervention services for children. On the other hand, too many mental health agencies for family and children do not appreciate the extent to which family violence pervades the lives of their adult clients and do not fully understand the impact of domestic violence on children. In recent years, there have been increasing efforts to respond to this problem by prioritizing services for children and working to develop a more integrated response to children affected by adult domestic violence. These efforts have been informed by the belief that early and successful intervention on behalf of children constitutes an important form of prevention of domestic violence. LCADV Training Manual for Domestic Violence Advocates Page 74 ■Basic children’s services Apart from specialized children’s services such as these, most domestic violence agencies/organizations provide basic children’s services that include the following: child care while parents participate in program services; referral for child care and other children’s services; and, in shelters, work with individual children that is intended to create an environment of safety for the children. ■Our services for children affected by domestic violence If your agency/organization has a specialized set of services for children, it would be a good idea to have this presented by a staff person who is part of that program. If your agency/organization has an especially close collaborative relationship with another agency/organization that provides this service, it would be helpful to invite a staff person from that program to present this material to new staff and volunteers in your agency/organization. WRAPPING UP Closing questions Ask if there are any closing questions about the material covered in this session, EVALUATING THIS SESSION If you are asking participants to evaluate the session, hand out the evaluation form in Appendix Two and give people time to complete it. Encourage people to take their time and to answer each question completely and thoughtfully. Remind participants that they will not be writing their names or otherwise identifying themselves on this evaluation. RESPONDING TO DOMESTIC VIOLENCE: HOW WE DO THE WORK TIPS FOR TRAINERS This chapter introduces the following concepts that are basic to the delivery of domestic violence services: empowerment and the delivery of trauma-informed services; advocacy skills; counseling skills and communication skills; and supporting survivors’ cultural and spiritual values and resources. It also includes segments on confidentiality and record keeping and on mandatory reporting of suspected child abuse or neglect. LCADV Training Manual for Domestic Violence Advocates Page 75 Although there are separate sections on advocacy and counseling skills, there is a great deal of overlap between these two functions, and the communication skills necessary to be a good advocate and a good counselor are very much the same. Depending on how you decide to use these materials, you might want to include the materials on communication in the advocacy section or combine advocacy, counseling, and communication skills into one section. The material in this chapter addresses each of these concepts in ways that are likely to be applicable to your agency/organization and to domestic violence services generally. Where your agency/organization has specific policies to which new staff and volunteers should be introduced, this can be done following the general material. As with the materials in other chapters, you should feel free to use those sections that are appropriate for your agency/organization and skip those that may not apply to you. The material in this chapter may give rise to discussion of whether, when, and how staff and volunteers are supported to disclose to program participants their own experience of intimate partner violence. Being clear on this is essential to both protecting program participants and honoring the experience of staff and volunteers who are survivors. By taking the time to assure that new staff and volunteers appreciate, understand, and accept the policies on self-disclosure that your agency/organization has adopted, you can go a long way toward meeting both of these important goals. OBJECTIVES The material in this chapter will give participants ■A basic understanding of the concepts of empowerment and trauma-informed approaches to domestic violence ■An understanding of basic advocacy, counseling, and communication skills ■An appreciation for the importance of honoring the cultural and spiritual resources that survivors bring to their experience LCADV Training Manual for Domestic Violence Advocates Page 76 ■Basic knowledge of the agency’s policies and procedures regarding confidentiality and record keeping ■A basic understanding of the laws and regulations governing mandatory reporting of suspected child abuse and neglect and of the agency’s policies regarding mandatory reporting KEY TERMS AND CONCEPTS INTRODUCED IN THIS CHAPTER Empowerment Trauma-informed responses Harm reduction Empowerment counseling Confidentiality Mandatory reporting of suspected child abuse and neglect (51A) WELCOME AND INTRODUCTIONS ■Trainer’s introduction A trainer’s introduction is probably only necessary if this session has a new trainer or there are a significant number of new participants. ■Participants’ introduction Participants’ introductions should only be necessary if there are new group members. ■Suggested guidelines for participation Review the guidelines for participation that were developed in the first session. ■An icebreaker You can use this time to facilitate an exercise that helps participants feel relaxed, energized, and ready for the work at hand. See Appendix One for suggested icebreakers. INTRODUCTION TO THIS CHAPTER The premises of this chapter ■How we deliver services to survivors is as important as the services we deliver. ■Domestic violence services should be grounded in the empowerment model and should be trauma-informed. ■These two approaches are harmonious and complementary. LCADV Training Manual for Domestic Violence Advocates Page 77 ■The theories that support our work are sometimes easy to state and difficult to apply. For this reason, it is helpful to see the effort to apply these theories as a practice in which we do our very best and remain open to continuously learning new ways improve our work EMPOWERMENT AND THE DELIVERY OF TRAUMA-INFORMED SERVICES Empowerment Empowerment is a process that supports a survivor’s intrinsic inner awareness, strength, and capacity to gain the skills and knowledge needed to exercise positive power in her or his life. The empowerment model assumes that every survivor has personal and community strengths that can be summoned in support of safety and recovery from the effects of domestic violence. ■What we mean by empowerment Empowerment has been a foundational concept of domestic violence work since the earliest days of the battered women’s movement. The core principle of the empowerment model is that the survivor is the expert on what can and should be done to secure safety and to recover from the effects of partner violence. Empowerment is a process that supports a survivor’s intrinsic inner awareness, strength, and essential capacity to gain the skills and knowledge needed to exercise positive and productive power in her or his life. Later on in this session we will look at what it means to actually provide empowering services on a day-to-day basis. For now, it is important to understand the basic concept of empowerment as it relates to those who have experienced domestic violence. One way to do this is to look at what empowerment does and does not mean in the context of serving survivors of domestic violence: Empowerment means assuming a survivor has personal and community strengths that can be summoned in support of safety and of recovering from the effects of domestic violence. Empowerment means providing a survivor with information that can be used to make decisions related to safety and recovery. LCADV Training Manual for Domestic Violence Advocates Page 78 Empowerment does not mean insisting that a survivor can do something that she or he believes she or her cannot do. Empowerment does not mean standing by while a survivor tries and fails to accomplish important goals, on the theory that these efforts will make her or him stronger. The empowerment model is consistent with a strength-based approach to services. A strength-based approach assumes that every survivor has the capacity to secure safety and recover from the effects of domestic violence. In a strengthbased approach, as in the empowerment model, our responsibility is to support a survivor to discover and use these strengths in ways that work for him or her. It is not our job to encourage a survivor to take steps that we believe to be most likely to keep the survivor safe, even when we are certain that our assessments are correct. ■An exercise: The empowerment quiz Hand out the quiz and invite training participants to answer the questions. Invite a training participant to read one of the statements and then ask how many wrote that the statement is “true” and how many said “false.” Explore participants’ reasons for responding as they did, using the time to explore the complexities and nuances of empowerment approaches. If a particular issue raised in the quiz touches on a formal policy of your agency/organization, you can use this time to present that policy. Trauma informed services Trauma informed services” refers to a way of responding to survivors that takes into account the likelihood that those who seek services will have experienced (or will still be struggling with) a depth of intimate partner violence that causes trauma. Trauma informed services respond to the specific experiences and needs of survivors. What we mean by trauma-informed services The term “trauma-informed services” refers to a way of responding to survivors that fully takes into account the likelihood that those who seek our services will have experienced (or will still be struggling with) a depth of intimate partner violence that causes trauma. LCADV Training Manual for Domestic Violence Advocates Page 79 Chapter 5 of this training series introduced the relationships between the experience of domestic violence and trauma. A reminder and a summary follow. The effects of traumatic events (such as domestic and sexual violence) have been well-documented. As articulated by Judith Herman in Trauma and Recovery, we know the following about traumatic events: They can call into question basic human relationships. They can breach the connections that we otherwise have to family, friends, and community. They can shatter the construction of the self that is formed and is sustained in relation to others. They can undermine the basic belief systems that give meaning to human experience. When traumatic events are repeated or become chronic, as they often do in the case of domestic violence, this can cause complex PTSD. The signs and symptoms of complex PTSD include the following: An inability to regulate emotions Feelings of extreme disconnection Fundamental changes in one’s relationships to others Fundamental changes in one’s basic belief systems Radical changes in self-perception Altered perceptions of the perpetrator These signs and symptoms can look like mental illness and are, in fact, often diagnosed as major mental illness. In addition, survivors who have survived chronic trauma frequently turn to addictive substances in an effort to escape the physical and emotional pain. Survivors with Complex PTSD often have enormous difficulty coping with their lives or responding to our offers of assistance. ○Agencies/organizations that offer services that are trauma-informed do not necessarily have the capacity to provide treatment services for those who manifest the signs and symptoms of complex PTSD. Nevertheless, there are LCADV Training Manual for Domestic Violence Advocates Page 80 things that agencies/organizations can do to respond effectively. These include the following: Services focus on what has happened to the survivor rather than on what might be wrong with her or him. Strong collaborations are fostered with agencies/organizations that can provide mental health and/or addiction-related services with an equal dedication to a trauma-informed approach. This means, among other things, that these agencies/organizations understand domestic violence and how it affects adults and children. The importance of tailoring our responses to the specific needs of survivors of trauma cannot be over-emphasized. In many ways the experience of trauma is universal. In other ways it is unique to each individual survivor. Listening attentively to each survivor with whom we work can help us to really appreciate this, especially when it comes to understanding what combination of factors spark a particular survivor’s ability to break through the challenges that she or he has met on the path to recovery. Note to trainer: The excerpted material from “Models for Developing Trauma-Informed Behavioral Health Systems and Trauma-Specific Services” provides a useful overview of this issue. It can be used as a handout to generate additional conversation. Note to trainer: The excerpt from “It’s My Time to Live: Journeys to Healing and Recovery” provides a useful way to understand the kinds of circumstances that support a trauma survivor’s commitment to recovery. One way to use it might be to invite training participants to read it prior to the session, so that you can discuss it during the session. ■What we mean by a harm reduction approach to domestic violence In the realm of individualized responses tailored to meet the specific needs of each survivor of trauma, there is a trend toward adapting harm reduction approaches that have historically been associated with HIV/AIDS treatment. Whether and how these might be applicable to survivors is an important question to explore. As an important aspect of advocacy work, harm reduction emphasizes the dynamic and changing realities that survivors often experience. By understanding this reality and supporting a survivor to look for ways to be as safe as possible in LCADV Training Manual for Domestic Violence Advocates Page 81 an inherently unsafe situation, advocates can help keep the concept of safety planning front and center in the agency/organization’s work with the survivor. Hand out “Harm Reduction Approach to Survivor Services” and review key points as follows: As applied to intimate partner violence, harm reduction aims to reduce the negative consequences of violence in ways that work for the survivor. It is understood that reducing the negative consequences of violence may well mean finding ways to survive while violence persists. Harm reduction approaches ask us to meet survivors “where they’re at.” The concept of empowerment is central to harm reduction approaches in that both approaches focus on the survivor as the person best able to make decisions about how to be safe and how to achieve recovery. ■The relationship between empowerment and trauma-informed services In providing high-quality domestic violence services, we do not need to choose between the empowerment model and the trauma-informed approach because these are harmonious systems. They use different language to articulate many of the same basic principles. ■An exercise: Exploring the meeting of these models Offer the following hypothetical scenarios and ask training participants to suggest how each approach (empowerment, trauma-informed services, and harm reduction) would respond to the scenario: Scenario one Imagine a man whose perpetrator husband has abused him for many years, battering him in ways that outsiders would not observe, and then arranging for his spouse’s pain to be eased through the use of powerful and illegal pain killers. Now addicted to these drugs, the victim relies on his perpetrator spouse for the drugs, even as the battering keeps causing the pain. In the course of a hotline conversation, you hear that the victim is struggling with what to do, saying that he can hardly bear the violence but also cannot possibly imagine a way out. LCADV Training Manual for Domestic Violence Advocates Page 82 Scenario two A woman is homeless after being thrown out of her house by her batterer husband and has endured years of sexual and domestic violence. She has been forced into prostitution and has become addicted to injection drugs. She has been offered and declined shelter on several occasions, expressing fear that “the system” is “out to get her.” Scenario three A guest in a domestic violence shelter has a history of serious mental illness and abuse of anti-psychotic medication. Other guests are complaining about the guest’s erratic behavior and have accused the guest of stealing their money to buy drugs. ADVOCACY SKILLS ■We have seen that advocacy services are an essential component of an effective response to domestic violence. Achieving the goal of providing empowering and traumainformed advocacy means tending to the following: Creating an atmosphere in which the survivor feels safe and able to honestly and freely share the experience of domestic violence. Believing what the survivor tells you about the experience. Validating the survivor’s experience without making judgments or in any way blaming the victim. Acknowledging the survivor’s feelings and perceptions. Educating the survivor about her or his options, so that she or he can make thoughtful decisions. Supporting the survivor’s decisions, even if these are different from decisions you think you might make in the same situation. ■These goals may be more difficult to achieve than we expect. Here are some reasons, all of which can be barriers to effective advocacy: We might find ourselves subtly blaming the survivor, thinking that, if she or he had done something differently, the abuse might not have happened or might not have been as serious. We might not believe what the person has told us. We might fail to see and acknowledge the strengths that the survivor brings to his or her situation. LCADV Training Manual for Domestic Violence Advocates Page 83 If we talk more than we listen, we miss opportunities for effective advocacy, especially if we talk about our own experience or our views of what the survivor has told us. If we tell the survivor what to do (or nor do), our efforts will not be empowering. ■An exercise Hand out Responding to Victims of Violence—Advocacy Strategies That Help. Invite training participants to choose one of the suggestions and give an example that could illustrate why the suggestion is consistent with skillful advocacy. ■An exercise Hand out Advocacy Empowerment Wheel. Invite training participants to choose a section of the wheel and offer some thoughts on concrete steps that can be taken to operationalize the principle that is enunciated and also some challenges that come to mind in operationalizing that principle. COUNSELING AND COMMUNICATION SKILLS There are many models of and approaches to counseling. This section offers the model of empowerment counseling, a model that applies basic tenets of the empowerment model to the interactions between providers and program participants or clients. Empowerment counseling Empowerment counseling invests survivors with self-confidence and authority to act by offering support, resources, advocacy, information, and education. The goal ... is to equalize power between a survivor and a counselor thereby enabling shared growth. Susan Schecter ■What is empowerment counseling? Empowerment counseling is a model that integrates core principles of the empowerment model in the work of counseling survivors of intimate partner LCADV Training Manual for Domestic Violence Advocates Page 84 violence. Susan Schechter offered this definition of empowerment counseling: “a shared method in which survivors take control of their lives by making choices. Empowerment counseling invests survivors with self-confidence and authority to act by offering support, resources, advocacy, information and education. The goal of the helping relationship is to equalize power between a survivor and a counselor thereby enabling shared growth.” Here are some things to consider in relation to this model of counseling: This model is based on the principle that just as “I am responsible for myself,” so is the client responsible for her or himself. Just as “I have the ability to choose who I am,” so does the client. Our job is to facilitate the client’s efforts to take charge of her or himself (e.g., be assertive). By empowering yourself, you are able to offer to others methods of communication and messages that encourage them to empower themselves. Communicating within this framework involves the following: Sharing a common ground with the client so that there is an equalization of power. Acknowledge that the client is offering to you as much as you are offering to the client. It is often very difficult for a survivor to describe the experience of domestic violence. Try to see this as a gift that enables you to gain new information and insight that you can use in your feedback to the survivor. Remembering that you and the client are separate individuals and that your values, emotional responses, and opinions may be different from the client’s. This asks us to be both involved and separate and is not always easy. Remember that, while there may be similarities between our life experiences and those of the survivor, each person experiences domestic violence in a unique way. There are cues that can suggest that we are not separating ourselves appropriately. These include the following: Finding yourself making internal comparisons between your experience and the client’s. Using (or thinking of using) the phrase “If I were you…” in responding to a LCADV Training Manual for Domestic Violence Advocates Page 85 client’s question. Using (or thinking of using) the phrase “In my culture…” or “When I had that experience….” Staying focused on validating the client’s experience and offering support and encouragement. Here are some points to remember: Accept that you can never fully understand what is going on with a client. Though you try to understand with respectful curiosity, because you are not that person, it is inevitable that you can only learn about “pieces” of the person’s experiences, values, and feelings. Validating another’s experience means letting the person know that you are listening attentively, that you understand what is being said, and that you believe what is being said without judgment or conditions. Offer support and encouragement throughout the empowerment counseling process. This occurs when you reflect back to someone what you hear, when you facilitate the client’s clarification of her or his situation, when you encourage the client to think about what situations she or he would like to be in, when you facilitate the client’s understanding of what is holding him or her back from making changes, and when you express genuine acceptance of the client’s reasons for making particular choices. Empowerment counseling skills Non-verbal communication and attending skills „ The ability to reflect content „ The ability to reflect feelings „ Clarification and problem identification skills „ The ability to educate and share information ■Some skills needed for empowerment counseling Non-verbal communication and attending skills The helper, through body posture and tone of voice, gives the message, “I am listening. I care.” By paying attention to the volume and tone of the client’s voice, facial and other body expressions, we gain perceptions of the client’s unspoken messages. Reflecting content LCADV Training Manual for Domestic Violence Advocates Page 86 By paraphrasing (reflecting back) to the client the content of what we have just heard, we are assured of getting the facts correctly. Since the client may not be carefully listening to his or her own words, this can also facilitate self-awareness. By using this skill we also validate what the client is sharing and we exhibit understanding. Reflecting feelings This involves checking to see if the feelings you see and hear in the client’s content, volume, tone, and body expressions are in sync with the client’s self-perception. The use of this skill exhibits a willingness to accept the client’s emotions and enables the client to vent these feelings as well. Clarification and problem identification With the use of this skill, we actively check in with the client to make sure that we understand the facts that have been presented to us and the feelings that may not be directly stated. This involves asking for more information and identifying the main concerns that we hear either directly or indirectly in the client’s words. When we do this well, we are also facilitating the client’s efforts to solve problems and to gain greater selfunderstanding. Education and information This is an essential part of empowerment counseling because it provides an opportunity for the client to learn about myths related to domestic violence and how others tend to experience intimate partner violence. In this way, the client learns that his or her experience has been shared by others who have found ways to secure safety and recovery for themselves and their children. This aspect of empowerment counseling also includes providing community resources as these are needed, giving the client options that at one time may have seemed impossible. ■Some challenges and how to deal with them Empowerment counseling is not always as easy as it sounds. Here are some challenges that can arise and some thoughts on how to deal with them. “Hop-skip-and-jump” listening happens when we take mental excursions while the client is speaking and we actually miss things that have been said. Missing the point is revealed when we respond to minor facts or miss central themes in the client’s story. When the client suggests that we have misunderstood, we need to practice taking that information in honestly and asking the client to repeat what has been said so that we can listen more fully. LCADV Training Manual for Domestic Violence Advocates Page 87 Distracted listening takes place if we are not listening attentively. This may be because of work-related time pressures or because of personal issues in our own lives. We can miss important facts or cues that the client is presenting. Dismissal of the subject matter can happen if we slip into judging or characterizing what the client is telling us. Criticism occurs when we find ourselves disqualifying the client’s thoughts, feelings, or beliefs. Stereotyping is happening when, in hearing a client’s story, we find ourselves thinking, “That sounds just like …” or “I have heard that one before…” or “That sounds familiar….” Minimizing occurs when we say (or think of saying) something like this: “Remember, things could be worse,” or “That’s not as bad as what happened to me.” Advising takes many forms and is a common example of disempowerment. It can include phrases like, “If I were in your shoes I would …” “I think you should…” and “Why don’t you…?” Reassuring communication is a natural response to people who are at risk, worried, or suffering in any way, but it is not empowering. A typical phrase that signals reassurance is, “Don’t worry, thing will work out.” Ordering often happens when we are personally concerned about the safety and well-being of the client and feel that action is needed immediately. This concern can override our commitment to empowerment counseling. When we say (or think to say) things like, “You must…” or “You really should…,” we are falling into this habit. Being mindful of these traps is the first and most important aspect of working toward ever more empowering counseling. Exploring these in supervision is vital. The section on empowerment counseling is adapted from materials provided by Independence House ■An exercise: Exploring challenges to empowerment counseling Using some or all of the challenges listed above, place the training participants in pairs and invite each pair to choose one of the challenges to work on. LCADV Training Manual for Domestic Violence Advocates Page 88 For the chosen challenge, ask them to write a full sentence that illustrates the kind of response that would not be called empowerment counseling and then to write a sentence with the same content that illustrates empowerment counseling. For example, if they picked “Ordering” they might write these two sentences: Not an illustration of empowerment counseling: “You really need to figure out how to stop the abusive behavior.” An illustration of empowerment counseling: “What kind of things do you need to know that will help you figure out some steps that would work for you in dealing with the abuse?” SUPPORTING SURVIVORS’ CULTURAL AND SPIRITUAL VALUES AND RESOURCES In keeping with the empowerment model and a strength-based approach to domestic violence services, responding skillfully to survivors includes supporting survivors to tap into the cultural and spiritual values that have helped them in the past and can serve as resources as they move forward. In exploring the value of this aspect of domestic violence service response, consider the following: ■Every survivor is part of a culture that has the potential to provide support and comfort to a person struggling with domestic violence. Our work is to support survivors to identify these areas of support and take advantage of them. ■At the same time, it may be true that a particular culture condones violence in intimate partnerships or within families. In this case, our work is not to simply accept these cultural norms or support the survivor to accept them/. ■Inviting a survivor to explore this potential is very much a part of a strengthbased and empowering approach to domestic violence services. ■This is not something to be forced on program participants, but it is an openness to explore an area of a survivor’s life that the survivor has described as an area of strength and support. ■There is a danger here of generalizing about people’s cultural values and spiritual resources. We can avoid falling into this trap by remembering that the empowerment model and trauma-informed approaches both ask us to see each survivor as an individual and not as a symbol of other survivors or groups of survivors. LCADV Training Manual for Domestic Violence Advocates Page 89 ■It is also essential that we remain mindful of our own values and beliefs and work to be sure that these do not interfere with our ability to support the values and beliefs of the survivors with whom we work. CONFIDENTIALITY AND RECORD KEEPING Note to trainer: The material in this section is general in nature. If your agency/organization is a dual agency, it is assumed that your training for new staff and volunteers already has material that explains the differences in protocols applicable to sexual assault survivors and domestic violence survivors. This would be a good time to distribute and discuss your organization’s protocols on record keeping and on what staff or volunteers should do if they receive a request for information from an outside source. ■Confidentiality The first and most important principle to know is that all program participants have a right to have their information kept confidential inside your agency/organization within the limits allowed by law. Requests for information about the services your agency/organization has provided can come from a court-appointed guardian ad litem or probation officer. We can only share this kind of information if the program participant agrees that it can be shared and has signed a release. A subpoena is an official legal document that requires the person or organization upon which it is served to produce specific documents or to appear as a witness in court. A party to a legal action that involves a program participant can serve a subpoena on your agency/organization, requesting copies of all records related to a program participant and can subpoena a staff person to court as a witness or to produce records. The laws governing confidentiality are different depending on whether program participants are receiving services from a domestic violence counselor or from a rape crisis counselor. In general, a survivor’s communications with these counselors are confidential. There are special legal rules called “privilege” that, with certain exceptions, allow a program participant to prevent a counselor from testifying in court about those communications or submitting records of the counselor’s work with the program participant. LCADV Training Manual for Domestic Violence Advocates Page 90 Record keeping Keeping good records is an essential aspect of quality services. Good records assure continuity in the provision of services. At the same time, records can pose dangers for survivors of domestic violence and sexual assault. A generally agreed-upon principle of record keeping is that safety concerns should be the priority. Note to trainer: Depending on the jobs that training participants will have and their level of interest, you might want to share the article “Model Protocol on Record- Keeping When Working with Battered Women.” WRAPPING UP TIPS FOR TRAINERS The purpose of this chapter is to give participants an opportunity to reflect on the entire training series, ask any lingering questions, and generally bring a feeling of closure to the training series. It may be that there are materials that are specific to your agency/organization that you will want to distribute to program participants in this session. OBJECTIVES This chapter will give participants an opportunity to reflect on what they have learned through this training series WELCOME An icebreaker You can use this time to facilitate an exercise that helps participants feel relaxed, energized, and ready for the work at hand. See Appendix One for suggested icebreakers. LCADV Training Manual for Domestic Violence Advocates Page 91 INTRODUCTION TO THIS CHAPTER In this last training session we will have a chance to work with the material left an impression on you, explore any questions that may linger. LOOKING AT WHAT MADE AN IMPRESSION Create small groups of between four and six participants and no more than three small teams. Give each team the following instruction: ■Spend a few minutes choosing one training topic that impressed all members of the group. This should not be a big topic, but one whose substance can be summarized in about 10 to 15 minutes. (Some examples include the following: challenges associated with leaving a violent relationship, the particular ways in which people from GLBT communities experience domestic violence, or the reasons that immigrant victims of violence might hesitate to turn to the legal systems for help.) Give the group about five minutes to come to agreement on what topic to cover. ■Once chosen, the team will construct a very short mini-training on that topic. The mini- training should include no more than 10 minutes of presentation and 10 to 15 minutes of engagement with others in the group. Give the group about 10 to 15 minutes to plan their mini-training. ■Have each team conduct its mini-training. The audience will be all other training participants and the trainer. Give each team up to 25 minutes to deliver their training. ■When all have done this here are some questions to explore: o What prompted the group to choose the topic? o Were others under consideration? If yes, why were they not chosen? o How did it feel to be the trainer? o Did the group feel it had a good grasp of the topic? ANY LINGERING QUESTIONS? Invite participants to reflect on the training sessions and to use this time to ask any questions that linger for them. LCADV Training Manual for Domestic Violence Advocates Page 92 EVALUATING THIS SESSION If you are asking participants to evaluate the session, hand out the evaluation form and give people time to complete it. Encourage people to take their time and to answer each question completely and thoughtfully. Remind participants that they will not be identifying themselves when they complete this evaluation. EVALUATING THE ENTIRE TRAINING If you are evaluating the entire course of the training series, you will give the post-test evaluation at this time. Remind training participants of the purpose and methodology as follows: ■The purpose of this kind of evaluation is to study the extent to which learning has taken place during the course of the training series. ■This is the same quiz that participants took when this training series first began. ■We will compare the responses given the first time with those given this time. The hope is that many more of the responses given this time will be correct than were when the quiz was first given. Hand out the quiz and give people time to complete it. Point out that they will need to put their names on this quiz so that you can compare the answers they give today to the answers they give at the close of the training series. A CLOSING EXERCISE ■This suggested closing exercise gives training participants another opportunity to explore self care. You can introduce the exercise by making the following points: o Anticipating the chance to apply what has been learned during this training to the real world of domestic violence services is the perfect moment to remember the importance of self care. o Reflecting on things you can do to bring a sense of balance to your work (whether as a staff person or a volunteer) increases the odds that you will succeed in this effort. ■Have participants pair off, using the opportunity to connect with individuals with whom they have not worked very closely during the training series. ■Once in pairs, invite each person to take a few minutes to think about one self LCADV Training Manual for Domestic Violence Advocates Page 93 care practice that she or he would be willing to undertake in a committed and sustained way as she or he begins work with the agency/organization. ■Then ask each person to share this idea with his or her partner. The person listening is charged with asking the speaker what she or he might need by way of support to make it more likely that the self-care practice will actually be done. ■After both members of the pair have had an opportunity to explore the questions, invite each person to share what his or her partner has offered, including kinds of support that might be needed to make the effort succeed. Note to trainer: To close the session and the training series, you might thank everyone for their attention and participation, wish everyone well, and share some wonderful food. RESOURCES MATERIALS OF GENERAL INTEREST Best Practices Manual for Domestic Violence Programs, Arizona Coalition Against Domestic Violence, http://new.vawnet.org Breaking the Silence: A Training Manual for Activists, Advocates, and Latina Organizers, Family Violence Prevention Fund, http://www.endabuse.org Defending Our Lives, a video produced by Cambridge Documentary Films, http://www.cambridgedocumentaryfilms.org “Hostages in the Home: Domestic Violence Seen through Its Parallel, The Stockholm Syndrome,” Jeri Martinez, http://www.mincava.umn.edu RESOURCES FOR CHAPTER TWO: THE CONTEXT FOR OUR WORK, “Brief History of the Movement to Address Domestic Violence,” Colorado Bar Association, http://www.cobar.org “Costs of Intimate Partner Violence Against Women in the United States,” LCADV Training Manual for Domestic Violence Advocates Page 94 Department of Health and Human Services, Centers for Disease Control and Prevention, http://www.cdc.gov/ncipc “Domestic Violence as a Human Rights Issue,” Dorothy Thomas and Michele Beasley,Human Rights Quarterly, Volume 15, Issue 36 “Herstory of Domestic Violence: A Timeline of the Battered Women’s Movement,” SafeNETWORK, http://www.mincava.umn.edu “Important Stages of the Battered Women’s Movement in the United States,” Millennium: Ending Domestic Violence, http://www.dvmillennium.org Justice Denied: How Family Courts in NYC Endanger Battered Women and Children, Voices of Women Organizing Project, http://www.vowbwrc.org “Unheard Voices: Domestic Violence in the Asian American Community,” Sujata Warrior, Family Violence Prevention Fund, http://endabuse.org Violence Against Women theme issue of Human Rights Dialogue, , Fall 2003, Series 2, Number 10, http://www.cceia.org WHO Multi-country Study on Women’s Health and Domestic Violence Against Women, World Health Organization, http://www.who.int/gender/violence RESOURCES FOR CHAPTER THREE: WHAT IT MEANS TO EXPERIENCE DOMESTIC VIOLENCE Activist Dialogues: How Domestic Violence and Child Welfare Impact Women of Color and Their Communities, Family Violence Prevention Fund, http://new.vawnet.org “Building Bridges Between Domestic Violence Organizations and Child Protective Services,” Linda Spears, http://www.vaw.umn.edu “Child Protective Services and Domestic Violence,” Janet Findlater and Susan Kelly,Domestic Violence and Children theme issue of The Future of Children, Volume 9, Number3, Winter 1999, http://www.futureofchildren.org LCADV Training Manual for Domestic Violence Advocates Page 95 “Choice and Empowerment for Battered Women Who Stay: Toward a Constructivist Model,” Einat Peled, Zvi Eisikovits, Guy Enosh, and Zeev Winstok, Social Work, January 2000, http://findarticles.com “Distinctions Between Human Smuggling and Human Trafficking,” U.S. Department of State, Bureau for International Narcotics and Law Enforcement Affairs, Human Smuggling and Trafficking Center, http://www.state.gov “Ensuring Fairness and Justice for Noncitizen Survivors of Domestic Violence” Gail Pendleton, Juvenile and Family Court Journal, Fall 2003, http://www.nationalimmigrationproject.org Helping Children Who Witness Domestic Violence: A Guide for Parents (Instructor’sManual), Meg Crager and Lily Anderson, http://www.mincava.umn.edu Human Trafficking Service Provider Manual for Certified Domestic Violence Centers, Florida Coalition Against Domestic Violence, 2004, http://new.vawnet.org “Media Violence,” American Academy of Family Physicians, http://www.aafp.org “Parenting in the Context of Domestic Violence,” Judicial Council of California/Administrative Office of the Courts, http://www.courtinfo.ca.gov Power and Control Wheels, National Network to End Domestic Violence, http://www.nnedv.org “Prostitution is Sexual Violence,” Melissa Farley, Psychiatric Times, Volume 21, Number12, http://www.psychiatrictimes.com “Reshape: The Newsletter of the Sexual Assault Coalition Resource Sharing Project http://www.resourcesharingproject.org “Sex Trafficking of Women in the United States: International and Domestic Trends,” Coalition Against Trafficking in Women, http://action.web.ca “Tech Abuse in Teen Relationships Study,” Liz Claiborne, Inc., LCADV Training Manual for Domestic Violence Advocates Page 96 http://www.loveisnotabuse.com “Teen Dating Violence: A Review of Risk Factors and Prevention Efforts,” Maura O’Keefe, http://new.vawnet.org “Teen Dating Violence Facts” in Warning Signs & Prevention Recommendations, the American Bar Association, http://www.abanet.org “Teen Dating Violence: Information and Resources,” the National Resource Center on Domestic Violence, http://new.vawnet.org “The Impact of Media Violence on Children and Adolescents: Opportunities for Clinical Interventions,” Eugene Beresin, American Academy of Child Adolescent Psychiatry, http://www.aacap.org “Understanding Intimate Partner Violence,” Department of Health and Human Services, Centers for Disease Control and Prevention, http://www.cdc.gov/ncipc/ (enter “IPV fact sheet” in the search bar) RESOURCES FOR CHAPTER FOUR: RESPONDING TO DOMESTIC VIOLENCE: SERVICES PROVIDED “Assessing Risk Factors for Intimate Partner Homicide,” Jacquelyn Campbell, et al., http://www.ojp.usdoj.gov/nij “Assessing Social Risks of Battered Women,” Radhia Jaaber and Shamita Das Dasgupta, http://www.mincava.umn.edu “Assessment of Dangerousness: Brief Overview of Risk Assessment in General and Evaluation of the Danger Assessment Instrument,” Jacquelyn Campbell, Jane Koziol- McLain, and Daniel Webster, http://www.dangerassessment.org “A Teen’s Safety Plan,” Amy Hill, Family Violence Prevention Fund, http://endabuse.org “Domestic Violence Personalized Safety Plan,” National Network to End Domestic Violencem “High-Tech Twist on Abuse: Technology, Intimate Partner LCADV Training Manual for Domestic Violence Advocates Page 97 Stalking, and Advocacy,” Cindy Southworth, Shawndell Dawson, Cynthia Fraser, and Sarah Tucker, Violence Against Women Online Resources, http://www.mincava.umn.edu “Internet and Computer Safety,” Illinois Coalition Against Domestic Violence, http://www.ilcadv.org “Title VI Housing,” Violence Against Women Act Fact Sheets, http://endabuse.org “Voices of Survival—Economic Impacts of Domestic Violence: A Blueprint for Action,” Economic Stability Working Group of the Transition Subcommittee of the Governor’s Commission on Domestic Violence, http://www.janedoe.org RESOURCES FOR CHAPTER FIVE: RESPONDING TO DOMESTIC VIOLENCE: HOW WE DO THE WORK An Advocate’s Guide to Full Faith and Credit for Orders of Protection: Assisting Victims of Domestic Violence, Full Faith and Credit Project, Pennsylvania Coalition Against Domestic Violence, http://www.ncdsv.org/publications “Confidentiality: Cornerstone of Safety for Native Women who are Battered,” by Sacred Circle, http://new.vawnet.org Domestic Violence and Sexual Assault: Basic Curriculum for Advocates, Alaska Network on Domestic Violence and Sexual Assault, http://www.andvsa.org It’s My Time to Live, Bonita Veysey and Jennie Heckman, with Ruta Mazelis, Laurie Markoff and Lisa Russell, http://ncadi.samhsa.gov “Mental Health and Domestic Violence: Collaborative Initiatives, Service Models, and Curricula,” Carole Warshaw and Gabriela Moroney, The Domestic Violence LCADV Training Manual for Domestic Violence Advocates Page 98 and Mental Health Policy Initiative, September 2002, http://new.vawnet.org “The Relationship Between Counseling Self-Efficacy and Communication Skills of Volunteer Rape Crisis Advocates,” Kellie Carlyle and Anthony Roberto, Communication Research Reports, Volume 24, Issue 3, 2007, http://www.informaworld.com LCADV Training Manual for Domestic Violence Advocates Page 99 APPENDIX INTRODUCTORY EXERCISES, ICEBREAKERS, AND SELF CARE EXERCISES INTRODUCTION This appendix contains introductory exercises, icebreakers, and self-care exercises that you can use in training sessions. All of them are designed to relax and engage the new staff and volunteers who participate in this training series and to encourage them to engage with this often emotionally challenging work in ways that sustain their well-being. Although we have divided the exercises into three sections, there is certainly overlap in how they might be used. Introductory exercises Facilitated in a spirit that welcomes new staff and volunteers, the introductory exercises can be used in the first training session and in subsequent training sessions that include new participants. These provide an opportunity for participants to introduce themselves and get to know one another. They can also help underscore the common purposes that have brought people to the agency/organization and create a friendly environment that supports strong individual participation and increased learning. Icebreaker exercises These are intended to help participants feel relaxed, energized, and ready for the work at hand. They are structured to be non-threatening, unrelated to the subject matter of the training session, and fun. With these goals in mind, icebreakers can add a measure of lightness that is so valuable as training participants prepare to absorb material that can be emotionally challenging. Like the sturdy ships that are designed to break through ice and create passageways through frozen waters, icebreaker exercises help to clear the way LCADV Training Manual for Domestic Violence Advocates Page 100 for engaged learning by facilitating conversation and creating a relaxed environment that supports openness and learning INTRODUCTORY EXERCISES ALLITERATION INTRODUCTION This exercise helps participants get to know each other’s names. ■ Ask everyone to form a circle. ■ A participant starts the introductions by making a gesture, and describing him or herself with a word that begins with the same sound as her or his name (this is alliteration): for example, “I’m Wonderful Wendy” or “I’m Smart Steve,” “I’m Fabulous Fran,” “I’m Bossy Bert.” The next player points to the first ands says, “She’s Wonderful Wendy and I’m Rambunctious Ron,” repeating all the previous players’ names, attributes, and gestures, and adding something similar about herself. ■The introductions end with the first player having to do all the previous players’ gestures, names, and attributes. TEN FINGERS This is great for getting to know each other in a new group. All players form a circle and hold all 10 fingers up in the air. To begin, the first person asks a question that takes a Yes/No answer, such as “Do you have a cat?” “Have you ever stolen anything?” “Do you have children?” “Are you the oldest in your family?” and so on. Whoever cannot answer yes to a question drops a finger, until there is only one person remaining with a raised finger. THE LITTLE KNOWN FACT Participants are asked to share their name, role in the organization, length of service, and one “little known fact” about themselves. This “little known fact” becomes a humanizing element for future interactions. LCADV Training Manual for Domestic Violence Advocates Page 101 CROSS THE CIRCLE Have everyone sit in a circle, with one person standing in the center. If you are the person in the center, say, “Cross the circle if…” and name something you have, something you have done, or something you can do. Examples are: if you have ever jumped out of a plane, if you own a dog, if you have blue eyes, if you can whistle. Those who can give a positive answer, including the one in the center, will “cross the circle” and find an open spot of someone else who answered positively. There should be one person left in the center. (This is something like “musical chairs.”) This person then gets to pick the next “Cross the circle if” topic. UNCLE JOE’S SUITCASE ■ The group forms a circle. The first person: state your name and the reason (brief) you applied for this job or chose to volunteer. Continue going around the group, with each person repeating the names of those preceding them and the reasons they gave. ■You also can substitute the “why you came here” with other things, such as “what you like,” where you were born,” or “what you packed in Uncle Joe’s suitcase” (see next paragraph). ■ Another version of this exercise is to begin with, “My name is and I packed Uncle Joe’s suitcase with…” and continue around like that. The real trick is that the last person in the group has to name all the people and why they came, what they like, or what they packed in the suitcase. LOLLIPOP Pass out Dum-Dum lollipops to the group. (These are inexpensive lollipops that come in several flavors with many letters in their names.) For every letter that appears in the flavor, the participant has to share something about herself or LCADV Training Manual for Domestic Violence Advocates Page 102 himself that begins with that letter. For example if the flavor is “raspberry,” the person might say, “I’m righteous, active, silly, perfectionist, beautiful, reverent, ridiculous, and yummy.” M&M’S ■ Pass out M&M’s, letting people take as many as they think they will eat during the session. Make sure the group members do not eat their M&M’s until their turn has passed. Once everyone has chosen, explain to the group that for every M & M in their possession, they must share something about themselves. NOTE: If anyone knows this activity, ask them not to give away the secret under any circumstances. PENNY FOR YOUR THOUGHTS ■ All participants are given a bag with pennies. Each participant should have one penny for each member in the group. If there are 20 people, players each should have 20 pennies. ■ Participants go around the room to each other and trade “a penny for a thought.” Participants trade pennies and positive thoughts about what they think of one another. ■ The activity continues until all participants have shared with every other member of the group and each has a new bag of “pennies for thoughts.” Œ FINISH THE SENTENCE ■ Go around the room and have each person complete one of these sentences (or something similar): o The best job I ever had was... o The worst project I ever worked on was... LCADV Training Manual for Domestic Violence Advocates Page 103 o The riskiest thing I ever did was.. PAIRED SHARING This is a great way to get people talking comfortably to people they don’t know or to raise the level of engagement within a group whose members do not know one another. ■ Ask participants to stand, move about the room (don’t just turn to the person next to them), and find a partner they don’t know or they know the least of anyone else in the room. ■ Once everyone is in pairs (if you have an odd number, one group can be a threesome), the facilitator says: “You will have two minutes to discuss the following topic with your partner....” Choose one of the following discussion topics to offer them or you may have some of your own: ○ Find three things you and your partner have in common. ○ Describe for your partner the first job you ever held. ○ What would you do if you won the lottery? ■ At the end of two minutes, the facilitator gets the group’s attention and may invite participants to share with the group what they talked about with their partners. ■ Participants are then instructed to find a new partner and told they will be given a new topic. ■ This cycle can be repeated two or three times. Œ COMPLETE THESE SENTENCES Using sentence completions allows each person to share something about herself or himself. Make this fun and light. These can be put on a handout or on newsprint. Here are some examples or you can create your own: LCADV Training Manual for Domestic Violence Advocates Page 104 ■ If I suddenly found out that I had 24 hours to live I would spend them … ■ If I had to give up some modern convenience, like TV, car, toilet, telephone, lighting, I would select … ■ … If I had to choose between loosing my hearing or sight, I would choose ■ If I could throw caution to the winds and really risk, I would … ■ The comic character I would like to be like is … ■ The most important decision of my life was/is … ■ As a child, may favorite game was … ■ My favorite movie of all times is … ■ What makes me laugh is … ■ Today, I like to play by … ■ I cry when … Here is a second group of questions that can be done in slightly different way: ■ I need ■ If I had to make my life complete because . ■ I would be the happiest person in the world. ■ I can explain my life as an animal and that animal is a ■ I like to imagine I’m the cartoon character because ■ A gift I can give others is. ■ A gift I would like to receive from others is . LCADV Training Manual for Domestic Violence Advocates . Page 105 ■ If I had all the money in the world, I would . ■ I will eat anything put in front of me except ■ School for me was (is) . ■ If I had to give up a prized possession, it would be . . ICEBREAKERS ŒTWO TRUTHS AND A LIE Give participants some time to write down two things about themselves that are true and one thing that is untrue. One at a time, group members will then share these three “facts” about themselves and the rest of the group has to figure out which two are true and which is actually a “lie.” This can be done by saying, “How many think this is true? How many think it is a lie?” Once all three items are voted on, the person “owns up,” and then the next person takes a turn. GREETINGS ■ Ask people to start milling about the room. Then ask them to greet one another by just shaking hands. Participants just shake hands, move on, and greet the next person they meet with a handshake. ■ After a short while, ask the participants to greet each other in more specific ways, with the trainer calling out one of the following, giving time for participants to greet each other, and then calling another. Here are some possibilities: ○ Greet each other as you would greet a long lost friend. LCADV Training Manual for Domestic Violence Advocates Page 106 ○ Greet each other as if you don’t really trust each other. ○ Greet each other as you would greet an ex-lover. ○ Greet each other as you would greet someone you really don’t like. ○ Greet each other as you would greet someone for whom you have a secret crush. ○ Greet each other as you would greet someone that sold you a miserable used car. ○ Greet each other as you would greet someone with bad breath. ○ Greet someone as if you are a senator, a cowboy, a soldier, a movie star, a farmer, or some other interesting character. Œ PRESENTS In this exercise, participants stand in pairs and give each other presents. ■ To give a present, you just open your arms or hands to indicate (pantomime) that you’re holding something. Try not to think about what you’re “holding,” but give it to your companion. ■ Upon receiving the present, you give it a name—the first thing that comes to mind. You say something like, “Oh, thanks, a little dead bird.” You promptly ignore your present and return something else to your companion. ■ This game works best if it’s played fast, so players really don’t have the time to preconceive. Œ WHO AM I? In this exercise participants are asked to identify the names of famous persons. ■ The leader tapes the name of a famous person on the back of each participant. (Examples: Serena Williams, Princess Di, Barack Obama, Maya Lin, Hillary Clinton, Martin Luther King, Minnie Mouse, Cleopatra, Deval Patrick, LCADV Training Manual for Domestic Violence Advocates Page 107 Michelle Kwan, Queen Latifa, Yo Yo Ma—make your own list and be sure to choose figures that group members are likely to know.) ■ The group member is not to see who is taped to their back. Their task is to find out who they are. ■ Participants mill around the room asking others yes/no questions. Here are some sample questions you can offer to help get them started: “Am I a politician?” “Am I female?” “Am I more appealing to children than adults?” “Am I famous for my accomplishments?” If they receive a “yes” answer, they can continue to ask that individual questions until they receive a “no” answer. Then they must continue on to ask someone else. When a group members figure out who they are, they take off the tag, put it on the front of their shirt, and write their own name on it. They can then help others find out who they are. The exercise concludes when all participants have discovered who they are. WHERE ARE YOU? Pick a past year or a date and then give each person a chance to tell what they were doing on that date (Examples: January 1987, Summer 1990, December 2003). WALK-OVER ASSOCIATION Place all participants at one end of the room. Ask them to name, for themselves, all the things they think of when you throw them the word “Banana” (or some other word). For every thing they come up with they can take a step. They should keep thinking of things until they reach the other side of the room. Then throw them another word. LCADV Training Manual for Domestic Violence Advocates Page 108 ORDER This is a good warm-up exercise to help the group function/agree as a whole. If you want to vary this exercise, you can instruct participants to line up in silence. ■ Everybody starts milling about the room. You then ask them to line up according to various criteria. Examples are: ○ Order by age ○ Order by height ○ Order by shoe size ○ Order by length of hair ○ Order by number of ex-lovers ○ Order by shades of blue Note: Keep criteria light. Participants eventually realize that it doesn’t really matter what the order is, as long as the group agrees on the order. Œ HAVE YOU EVER? ■ Give the following explanation: I will call out different things that may or may not apply to each person. If the item does apply to you, then run into the middle, jump in the air, and do a high 5 with anyone else who runs in. ■ A list of about 20 items should be tailored to the particular group and setting. Usually the items are of a “Have you ever...?” form, but also free to ad lib, for example, “Does anyone have...?” ■ Items should be carefully considered in order to prevent embarrassment or ridicule. LCADV Training Manual for Domestic Violence Advocates Page 109 ■ Here is a list of possible “Have you ever?” items: ○ Have you ever climbed to the highest point in your country of birth? ○ Have you ever lived overseas for more than one year? ○ Have you ever sung karaoke? ○ Have you ever gone without a shower for more than two weeks? ○ Do you have both a brother and a sister? ○ Have you ever ridden a horse? ○ Have you ever eaten frogs’ legs? ○ Can you speak three or more languages? ○ Have you ever been in love with someone who was vegetarian (or a meat eater)? ○ Have you swum in three or more different oceans? ○ Have you ever flown an airplane? ○ Have you broken three or more bones in your body? ○ Have you done volunteer work sometime in the last month? ○ Have you ever free-climbed a tree or rock face more than 10 yards vertically? ○ Have you had a close relative who lived to over 100? ○ Have you ever cooked a meal by yourself for more than 20 people? ○ Have you ever kept a parakeet as a pet? ○ Have you ever parachuted or done a bungee jump? ○ Can you snap your fingers on your non-dominant hand? LCADV Training Manual for Domestic Violence Advocates Page 110 ○ Have you ever seen a polar bear? Œ VARIATION ON: HAVE YOU EVER? ■ Participants can generate their own questions. People are sitting in a circle. Everyone has a chair (or rope ring or hula hoop) except the person who is “It,” who stands in the center. ■ The person in the center asks a “Have you ever” question that is true for himself or herself, such as, “Have you ever climbed a mountain over 10,000 feet?” ■ Anyone whose answer is “yes” gets up and moves to an empty seat. So, if four people get up, they try to exchange seats as quickly as possible. The person who asked the question tries to quickly gain a seat, leaving one other person without a seat and they become the new “It.” If only one person gets up, the person in the center will try to get to that person’s seat. ■ In choosing a question, participants can try for questions that reveal something like, “Have you ever trekked the Great Wall of China?” or they can ask simple questions like “Have you ever fallen off of a bicycle?” for which most everyone would get up. SELF CARE EXERCISES MINDFUL BREATHING Sit in a comfortable position, feet on the floor, with your back straight to allow for alertness and relaxation, but not sleepiness. Rest your palms on your thighs and either close or lower your eyes. Breathe regularly and without force; allowing the breath to come and go on its own. Notice the breathing pattern. Is the in-breath short? Is it long? How about the out- breath? After a few minutes, slowly open your eyes. LCADV Training Manual for Domestic Violence Advocates Page 111 Œ SIMPLE STRETCHING ■ Standing in place with an arm’s length distance around you, feel your feet on the floor. Make stretching movements, in new and different ways. Stretch your whole body. Stretch different parts of your body: arms, legs, hands and fingers, face, shoulders, back, neck. As you stretch, be sure to remember to breath. If you feel comfortable, let out a sigh as you stretch. If you need support, feel free to hold on to a chair or the wall. Be sure to pay attention to what your body can easily do. ■ When you are done, shake everything out. Shake your arms and head, shoulders, one leg, the other leg (or foot). ŒTENSION/RELAXATION This can be done either standing or sitting. Begin by gradually tightening your hands and fingers, and continue with your forearms and upper arms. Then gradually let hands, fingers, and arms be loose. Gradually tighten your feet and legs. Gradually loosen feet and legs. Suddenly tighten your whole body. Gradually loosen, little by little letting the tightness release. Tighten your jaw and face muscles. Tight, tight, tight. Now let them go. Remember to breathe. Gradually tighten all the muscles in your body, feeling them get tighter and tighter (not to the point of hurting!) Then let everything go all at once. Feel yourself letting go of all your tensions. Just enjoy that feeling for a minute as your muscles let go more and more. Enjoy focusing gently on letting go. HEAVINESS AND WARMTH With participants sitting comfortably, with their eyes lowered or closed, give the following directions in a calm, easy voice: LCADV Training Manual for Domestic Violence Advocates Page 112 ■ Imagine that your feet and legs are getting heavier and heavier and warmer and warmer. It’s almost as if you are wearing some lead boots. Feet and legs heavy and warm, heavy and warm. ■ Now, imagine your stomach and the whole central portion of your body getting warm...warm and relaxed. ■ Your forehead is cool...cool...relaxed and cool, breathing is regular...easy and regular. ■ Just feel the warm and heaviness spread all over the body. After a few minutes invite people to slowly open their eyes in their own time, perhaps look around the room, return to this group, this room. A FAVORITE SCENE, PLACE, OR PERSON Sitting quietly, recall in your mind the most relaxing thought you can. Perhaps it’s a favorite place, a vacation spot, or favorite retreat of some sort; or it might be a person with whom you feel at peace, or some scene—a beach, a meadow, or whatever works for you. Take a few seconds to get that in mind. Now, see or imagine that in your mind: colors, textures, quality of the air, smells. Be sure to feel those good feelings you have when you are in that place. Just let them take over your whole awareness. If your thoughts wander, just take them gently back to that peaceful, relaxing place. COOL AIR IN, WARM AIR OUT With your eyes closed, and while relaxing quietly, gently focus on the end of your nose. As you breathe in, feel the air coming in the tip of your nose. As you breathe out, feel the air coming out the tip of your nose. Notice that the air coming in may be cooler than the air going out. Gently focus on the cool air coming in, and the warm air going out. As your attention wanders, just gently bring it back to the tip of your nose. LCADV Training Manual for Domestic Violence Advocates Page 113 FOCUS ON A WORD ■ Pick a word that has “good” vibrations associated with it for you—a word you associate with relaxation, comfort, or peace. It could be a word such as “serenity” “cool,” “peaceful,” “joy,” or “free.” ■ Now just let that word hold the center of your thoughts, gently bring it back to that word. ■ After a while perhaps your mind will drift to other restful thoughts. If so, just let it wander. When it does drift to stressful thoughts, move back to your original word. SOMETHING FOR USE ANYWHERE With practice, you will become more adept at relaxing, while awake, anywhere. As you do, here’s a way to let yourself relax while going about your day. You can do it while walking, sitting at your desk, working with a program participant, shopping, and so forth. ■ First, smile. Yes, smile to remind yourself that you don’t actually have all the cares of the world on your shoulder, only a few of them. ■ Then take a long, deep breath, and let it out. ■ Now take a second long deep breath, and as you let it out, feel yourself releasing the tensions in your mind and in your body. Just let yourself relax more and more, as you continue whatever you were doing. POWER NAP This is good right after lunch or after a break if people are tired and sleepy. ■ Put on some relaxing music or a recording of ocean waves, birds, or other nature sounds. LCADV Training Manual for Domestic Violence Advocates Page 114 ■ Have people either sit or lie on the floor if comfortable and close their eyes for 10 minutes. At the end of ten minutes, turn the sound down gradually until it is silent. Ask participants to open their eyes and be aware of where they are, feel where they are sitting or lying. Come to awareness of being in this room, with this group of people. SIMPLE SELF MASSAGE Massage helps reduce muscle tension and stiffness in numerous ways, including increasing blood flow to your muscles. Some research shows that regular massage may also boost immunity by stimulating the production of white blood cells. Massage helps you relax and improve your mental energy. It may also make you more productive at work. Here are a few simple and selfmassage techniques. ■ Hand massage You can give your hands a massage often—whenever you put on lotion. Start with the bottoms of your palms by clasping your fingers and rubbing the heels of your palms together in a circular motion. Then, with your hands still clasped, take one thumb and massage the area just below your other thumb in circular motions, moving outward to the center of the palm. Repeat with the other hand. Then release your fingers and use your thumbs and index fingers to knead your palms, wrists, and the webbing between your fingers. With one hand, gently pull each finger of the other hand. Finish by using your thumb and index finger to pinch the webbing between your other thumb and index finger. ■ Roll on a tennis ball whenever you feel tight. If your foot feels tense, stand with one hand on a wall for support and place the arch of one foot on top of the ball. Gradually add more body weight over the foot, allowing the ball to press into your arch. Begin to slowly move your foot, allowing the ball to massage your heel, forefoot, and toes. LCADV Training Manual for Domestic Violence Advocates Page 115 You can use a tennis ball to get at that hard-to-reach spot between the shoulder blades or to soothe tension in your low back. Standing against a wall, place the ball on the spot that feels tense and lean into it. ■Give yourself a bear hug to relax away shoulder tension Cross your arms over your chest and grab a shoulder with either hand. Squeeze each shoulder and release three times. Then move your hands down your arms, squeezing and releasing until you get to your wrists. SING A SONG HAVE HEALTHY SNACKS FOR A BREAK AND BE SURE EVERYONE HAS WATER! TAKE SOME FRESH AIR—EITHER OPEN WINDOWS OR TAKE AN OPPORTUNITY TO WALK OUTSIDE. LCADV Training Manual for Domestic Violence Advocates Page 116