2.21 BILLION REASONS: CREATING SAFE ENVIRONMENTS FOR CHILDREN AND YOUTH Peace-Psychology and Protection of Vulnerable Groups University of Copenhagen January 30th, 2009 PRESENTED BY: Judi Fairholm, National Technical Director RespectED: Violence & Abuse Prevention Canadian Red Cross • How do we protect children? • How do we address violence? • How do we build the systems to create and monitor safe environments for children and youth? www.redcross.ca/respected VIOLENCE The intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, that either results in or has a high likelihood of resulting in injury, death, psychological harm, mal-development or deprivation. ~WORLD HEALTH ORGANIZATION, 2002 TYPOLOGY OF VIOLENCE WORLD HEALTH ORGANIZATION, 2002 54% 35% 11% ISTOCK MS CLIPS ISTOCK MS CLIPS MS CLIPS ISTOCK MS CLIPS ISTOCK MS CLIPS ISTOCK MS CLIPS MS CLIPS MS CLIPS WHO ESTIMATES OF GLOBAL VIOLENCE Homicide rates per 100,000 population: Boys aged 15-17 9.1 Boys under 1 4.5 Girls under 1 4.3 Girls aged 15-17 3.3 Global average - low income countries 2.6 Global average - high income countries 1.2 WHO REPORTS ON VIOLENCE, AND VIOLENCE AGAINST CHILDREN, AS CITED BY WAVE TRUST UNDERSTANDING THE INFANT BRAIN • Infant brain acutely vulnerable to trauma • If early experience fear: stress hormones wash over brain like acid • Brains of abused children significantly smaller – many areas dark on CAT scans (“black hole”) – limbic system (emotions) 20-30% smaller, fewer synapses – hippocampus (memory) smaller – increased activity in locus coeruleus (hair-trigger alert) MS CLIPS WAVE TRUST UNDERSTANDING THE INFANT BRAIN WAVE TRUST IN DISASTERS • Hurricane Hugo, South Carolina • Loma Prieta Earthquake, California • Hurricane Andrew, Louisiana • Refugee/Internally Displaced Camps – West Africa – Tsunami – Katrina – Liberia – Lakes District – Haiti MOST COMMON ABUSE IDENTIFIED: S. Sudan, Côte d’Ivoire, Haiti Forced Sex Kissing Touching Sexual Exploitation Verbal Abuse 0 10 20 30 40 50 Percentage of Study Participants 60 70 CONSEQUENCES OF CHILD MALTREATMENT Psychological & social outcomes PTSD Anti-social behaviour Reduced empathy Depression Anxiety Eating disorders Impaired cognitive dev. Unwanted pregnancy Obesity Repeat victimization Health-risk behaviours Sexual promiscuity Sexual violence Physical violence Alcohol abuse Illicit/injecting drug use Smoking Other behaviour problems Diseases and injuries Ischaemic heart disease Diabetes Stroke Cancer Suicide Homicide Non-fatal injuries Chronic bronchitis/emphysema Asthma STDs (e.g., HIV) Hepatitis WORLD HEALTH ORGANIZATION HUMAN COSTS • Adults who experienced child abuse were • 192% more likely to become addicted to drugs • 103% more likely to become smokers • 103% more likely to become alcoholics • 95% more likely to become obese • 43% more likely to become suicidal • 80% of female prisoners were victims of childhood physical or sexual abuse • Children with a history of sexual abuse are 10X more likely to attempt suicide and 7X more likely to become addicts DEVELOPMENTAL TRAJECTORY OF POWER & VIOLENCE Elder Abuse Child Abuse Marital Abuse Dating Aggression CHILD ABUSE AND/OR Gang Aggression BULLYING Sexual Harassment Community Violence Workplace Harassment © PROMOTING RELATIONSHIPS AND ELIMINATING VIOLENCE NETWORK, 2007 CASE STUDY: INTERGENERATIONAL ABUSE Grandmother & Grandfather -Emotionally, physically & sexually abused in Residential School -Grandfather became sexual abuser himself -Grandmother was killed Mary -Neglected by parents -Sexually abused by father -Stabbed by Lizzie -Jailed for murdering partner Hannah Lizzie Peter -Neglected by parents -Sexually abused by father -Alocoholism -Jailed for stabbing Mary -Neglected by parents -Sexually abused by father -Alcoholism -Jailed for murdering partner Minnie and their two children Ann Bob Brad Mina Pat Tom -Foster home -Suicide -Foster home -Suicide -Foster home -Suicide -Foster home -Now living with grandfather the sexual abuser -Severe FASD -Vandalism -Jailed for killing one classmate and seriously injuring another -Neglected by parents -Sexually abused by father -Struggled with alcoholism but ok now Daniel Jane Billy -Murdered by Peter -Murdered by Peter -graduated from vocational school -worried about Mina ECONOMIC COSTS • Brazil, child abuse accounted for 77% of hospital costs • Chile, child abuse cost 2% of the gross domestic product • USA, cost of child abuse is $94 billion/year • Canada, cost of child abuse is $15 billion/year ECOLOGICAL MODEL OF VIOLENCE WORLD HEALTH ORGANIZATION, 2002 WHO’S 10 “BEST BUYS” IN VIOLENCE PREVENTION 1. Increase safe, stable, and nurturing relationships between children and their parents 5. Promote gender equality & empower women 2. Reduce availability and misuse of alcohol 7. Improve criminal justice systems 3. Reduce access to lethal means 8. Improve social welfare systems 4. Improve life skills and enhance opportunities for children and youth 9. Reduce social distance between conflicting groups 6. Change cultural norms that support violence 10. Reduce economic inequality & concentrated poverty WORLD HEALTH ORGANIZATION PROTECTIVE FRAMEWORK – UNICEF 2008 • Gov’t commitments to fulfilling protective rights • Legislation and enforcement • Attitudes, traditions, customs, behaviours and practices • Open discussion/engagement of media and civil society • Children’s life skills, knowledge and participation • Capacity of those in contact with children • Basic and targeted services • Monitoring UNICEF, 2008 COMMUNITY: TEN STEPS TO CREATING SAFE ENVIRONMENTS FOR CHILDREN & YOUTH RESPECTED: VIOLENCE & ABUSE PREVENTION RECOGNIZE VULNERABLE CHILDREN • Separated/orphaned children • Children with disabilities • Aboriginal children • Institutionalized children • Minority children • Children/youth in detention • Infants under 1 year of age • Adolescents • Street youth DEFINE PROTECTION INSTRUMENTS • International Instruments • National Laws: Criminal and Civil • Human Rights Legislation • Child Protection Laws • Organizational Policies MS CLIPS PRINCIPLES OF PROTECTION • Equality, non-discrimination, inclusion • “Best interests” of the child • Accountability • Each child has the – Right to survival – Right to protection – Right to development – Right to information – Right to participation MS CLIPS THE PROTECTION “P’s” • Policies • Procedures • Personnel • Participants • Parents • Premises • Programs • Protective Factors MEETING THE CHALLENGES • Societal • Organizational • Community • Individual MS CLIPS MAINTAIN SAFE ENVIRONMENTS • Policy review • Best practices • Communication • Monitor and support • Risk management • Build internal capacity MS CLIPS • Make “safe environments” a priority YOU & ME • Learn • Prioritize children • Protect • No more “observer status” • Empower others • Listen UNICEF, 2008 YOUTH TELL US... We’re not being heard or believed. We don’t know what resources there are. ENOUGH Enough of gnawing hunger Enough of rejection Enough of lost children Enough of child soldiers Enough of sexual violence Enough of children stolen and sold Enough of broken spirits Enough of lives denied MS CLIPS The quality of a child’s life depends on decisions made every day in households, communities and in the halls of government. We must make those choices wisely, and with children’s best interests in mind. If we fail to secure childhood, we will fail to reach our larger goals for human rights and economic develop-ment. As children go, so go nations. It’s that simple. CAROL BELLAMY Photo credit: Jonathan Barth www.redcross.ca/respected