1.5.3 Fiona Meade
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1.5.3 AWHN Conference 6 2010 Harbour 1: Primary Violence Prevention Working our way out of a job?
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1.5.3 Fiona Meade
- 1. 6th Australian Women’s Health Conference May 2010 Primary Violence Prevention Working our way out of a job? Fiona Meade Adelaide Hills Community Health Service fiona.meade@health.sa.gov.au
- 2. SA Health In this presentation… Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and Lighthouses “Let every shipwreck be your lighthouse” Chris Hancock, Comedian, 1962.
- 3. SA Health Primary Violence Prevention Primary universal no risk populations prevent before it occurs Secondary targeted risk evident prevent it getting worse Tertiary everything is broken fix it up minimise long term injury avoid death Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 4. SA Health Inside Out Violence Prevention Project May 2007 – May 2009 .4 FTE Two Goals: • Enhance the capacity of the organisation to address issues of V & A in the community • Enhance a respectful organisational culture Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 5. SA Health Highlights Survey profiling baseline Beliefs, values and attitudes Service activity on V&A Experience of workplace abuse Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 6. SA Health Highlights Mapping exercise Data management Workforce Learning and Development Framework Vicarious Trauma Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 7. SA Health Highlights Violence Awareness Training Diversity training Mentoring Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 8. SA Health Highlights Privilege Conversations (Dulwich Centre) “Privilege refers to the invisible and unearnt advantages and benefits associated with culture, race, gender, class, professional identity, sexual identity, gender identity, age, ability and other factors.” Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 9. SA Health Outcomes 2007 2009 Experience bullying 23% 12% Witness bullying 40% 13% Violence Awareness Training Data management Contact Officers Policies, guidelines, trainings embedded Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 10. SA Health Outcomes Change in thinking Real evidence of change Personally and professionally challenging Gradual change Hard stuff became good stuff Infiltrate and influence personal, professional and organisational spheres Bigger picture learnings Engaging in organisational change Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 11. SA Health Enablers Senior management support Funding WHO – Violence Prevention Alliance ‘Whole of Organisation’ Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 12. SA Health Challenges Big, long, slow job “Primary violence prevention seeks to interrupt and alter long established and entrenched attitudes, norms and behaviour that are violent, abusive, disrespectful or inadvertently supportive of all of these.” Evaluation Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 13. SA Health Challenges Engaging diverse groups – ? core business “All of my clients are elderly so violence and abuse is not a problem in my work role” “Most of my clients live alone so it is not an issue.” Nature of violence and abuse Hidden Private Silent Primary Violence Prevention Inside Out Violence Prevention Project Highlights Outcomes Shipwrecks and lighthouses
- 14. SA Health Final Report “Inside Out; An organisational map for primary violence prevention” May 2009 www.publications.health.sa.gov.au/allied/8/ www.who.int/violenceprevention/inside_out.pdf
- 15. SA Health Useful Resources World Health Organisation Violence Prevention Alliance http:// www.who.int/violenceprevention/en/ International Society of the Prevention of Child Abuse and Neglect (ISPCAN) http://www.ispcan.org/ Amnesty International Campaign to Stop Violence Against Women http:// www.amnesty.org/en/campaigns/stop-violence-against-women Close to Home, Domestic Violence Prevention Initiative (USA) http://www.c2home.org/ The Men’s Initiative of Jane Doe Inc, The Massachusetts Coalition Against Sexual Assault and Domestic Violence , (USA) http://www.janedoe.org/about.htm
- 16. SA Health Useful Resources Aged Rights Advocacy Service (ARAS), Abuse Prevention Program (AUS) http://www.sa.agedrights.asn.au/prevent/home.html Preventing violence before it occurs: A framework and background paper to guide the primary prevention of violence against women in Victoria http://www.vichealth.vic.gov.au/en/Resource-Centre/Publications-and- Resources/Mental-health-and-wellbeing/Preventing-violence/Preventing- violence-before-it-occurs.aspx Time for Action, the report of the National Council to Reduce Violence Against Women and their Children and associated documents http://www.fahcsia.gov.au/sa/women/pubs/violence/np_time_for_action/Pages/ default.aspx B Pease, Engaging Men in Men’s Violence Prevention: Exploring the Tensions, Dilemmas and Possibilities http://www.adfvc.unsw.edu.au/PDF%20files/Issues %20Paper_17.pdf
- 17. SA Health Which brings me to… THE DAFFODIL PRINCIPLE…
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Editor's Notes
- In the developed world, most intervention and effort at secondary and tertiary levels Easier Measurable Fundable
- Activity V&A – knew staff were seeing it – either not responding or not reporting.
- Against determinant and contributory factors for V&A Surprising amount of activity could be mapped against these factors not intentional not coordinated Determinant rigid gender roles dominance and control entitlement cultural support for inequality violence supportive attitudes CME VIV codes Preferred use - education Improvement in use
- Mandated for all staff 165 attended (85%) Definitions Best Practice Principles Basic first response We found that… Staff not responding Staff thought first response more Competence and confidence Diversity Homophobia Mandated for supervisors No need to train all
- One house surrounded by 5 acres of daffodils. On the patio, is a poster to inform visitors: "Answers to the Questions I Know You Are Asking", was the headline. The first answer was a simple one. "50,000 bulbs," The second answer was, "One at a time, by one woman. Two hands, two feet, and one brain." The third answer was, "Began in 1958."
- For me, that moment was a life-changing experience. I thought of this woman whom I had never met, who, more than forty years before, had begun, one bulb at a time, to bring her vision of beauty and joy to an obscure mountaintop. Planting one bulb at a time, year after year, this unknown woman had forever changed the world in which she lived. One day at a time, she had created something of extraordinary magnificence, beauty, and inspiration.
- Violence is preventable We know what causes it We can prevent it
- Back to evangelism Violence prevention is EVERBODYS business Whatever part of health you work in – whether you: Cut toenails Dress wounds Work with children, men or women Whether you work at the reception counter In medical records Whether you write policy Whether you advise ministers Whatever part of the process you are responsible for, Get your bit right And we will all be planting daffodils.