This document provides an overview of trauma-informed care principles and concepts of trauma. It discusses how trauma is defined as an event or circumstances experienced as physically or emotionally harmful that has lasting adverse effects. It outlines the three "E's" of trauma - the event, the experience of the event, and the effects. Six key principles of a trauma-informed approach are also summarized: safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment and choice, and addressing cultural and gender issues. The document concludes with sample questions to consider when implementing trauma-informed screening and treatment services.
The document discusses the importance of integrating behavioral and physical healthcare as the human body does not distinguish between the two. It notes that factors like early trauma, socioeconomic status, and endocrine dysfunction can impact both mental and physical health. The document then introduces the concept of wellness as having eight dimensions: physical, spiritual, social, intellectual, emotional/mental, occupational, environmental, and financial. It provides examples of strategies for each dimension to promote overall wellness and recovery in mental health.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Improve clinical assessment of and increase referrals for IPV- including reproductive coercion – through increased understanding of the prevalence and impact of IPV, acknowledging the role that reproductive coercion plays in IPV, utilizing clinical best practices for IPV assessment and referral, and considering use of a brief, evidence-based, brochure-based intervention to enhance IPV and reproductive coercion assessment and referral in clinical settings.
ABOUT THE PRESENTER
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
Returning from Prison - Building Health, Purpose and CommunityMichael Changaris
Here are the key steps I would take to develop a health reentry program in my clinic:
1. Assess the needs of the returning population in my community through surveys and focus groups to understand barriers to care.
2. Build partnerships with local reentry organizations, parole/probation, and community groups to identify and engage potential participants.
3. Enlist administrative support for the program from my clinic's leadership and identify a medical champion.
4. Develop core program components like group medical visits, health education, care coordination, and linkages to social services.
5. Train medical providers, case managers, and other staff on the unique needs of those with criminal justice involvement.
6. Pil
This document discusses mental health risk assessment and management. It notes that clinicians have poor ability to predict suicide or homicide. It identifies static risk factors like previous self-harm and dynamic factors like suicidal ideation. Guidelines are provided for asking patients about suicidal thoughts and developing safety plans. Involuntary referral criteria and processes are outlined when significant short-term risk is present.
Elder mistreatment involves harm or risk of harm to elderly persons by caregivers or trusted individuals. It can take various forms including physical, psychological, sexual, financial abuse, and neglect. Risk factors relate to characteristics of victims, abusers, and external stressors. Abuse may occur at home or in institutions. Prevention requires education while management requires a multidisciplinary approach including medical care, social services, and legal assistance. Identification of abuse involves recognizing physical and behavioral signs, with healthcare providers playing an important role.
You have been tasked with orienting new registered nurses in the emergency department in your hospital about how to manage child abuse and neglect cases. The orientation should cover child abuse and neglect definitions, prevention, detection, intervention and treatment, reporting, and interdisciplinary resources.
This document provides an overview of trauma-informed care principles and concepts of trauma. It discusses how trauma is defined as an event or circumstances experienced as physically or emotionally harmful that has lasting adverse effects. It outlines the three "E's" of trauma - the event, the experience of the event, and the effects. Six key principles of a trauma-informed approach are also summarized: safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment and choice, and addressing cultural and gender issues. The document concludes with sample questions to consider when implementing trauma-informed screening and treatment services.
The document discusses the importance of integrating behavioral and physical healthcare as the human body does not distinguish between the two. It notes that factors like early trauma, socioeconomic status, and endocrine dysfunction can impact both mental and physical health. The document then introduces the concept of wellness as having eight dimensions: physical, spiritual, social, intellectual, emotional/mental, occupational, environmental, and financial. It provides examples of strategies for each dimension to promote overall wellness and recovery in mental health.
This presentation was part of Embody's Safe Healthy Strong 2014 conference on sexuality education (www.ppwi.org/safehealthystrong). Embody is Planned Parenthood of Wisconsin's education and training programs. Learn more: www.ppwi.org/embody
DESCRIPTION
Improve clinical assessment of and increase referrals for IPV- including reproductive coercion – through increased understanding of the prevalence and impact of IPV, acknowledging the role that reproductive coercion plays in IPV, utilizing clinical best practices for IPV assessment and referral, and considering use of a brief, evidence-based, brochure-based intervention to enhance IPV and reproductive coercion assessment and referral in clinical settings.
ABOUT THE PRESENTER
Meghan Benson, MPH, CHES has worked in the field of sexuality education since she was a teen peer HIV educator in high school. She completed her MPH in Community Health Sciences with a focus on adolescent health and development at the University of Illinois at Chicago, and is a Certified Health Education Specialist (CHES). As the Planned Parenthood of Wisconsin Director of Community Education, Meghan develops programming and coordinates educational opportunities throughout the state. Meghan is a board member for the Association of Planned Parenthood Leaders in Education (APPLE), a co-chair of the Policy and Action Subcommittee of the Wisconsin Maternal and Child Health Advisory Committee, and a member of the Dane County Youth Commission.
Returning from Prison - Building Health, Purpose and CommunityMichael Changaris
Here are the key steps I would take to develop a health reentry program in my clinic:
1. Assess the needs of the returning population in my community through surveys and focus groups to understand barriers to care.
2. Build partnerships with local reentry organizations, parole/probation, and community groups to identify and engage potential participants.
3. Enlist administrative support for the program from my clinic's leadership and identify a medical champion.
4. Develop core program components like group medical visits, health education, care coordination, and linkages to social services.
5. Train medical providers, case managers, and other staff on the unique needs of those with criminal justice involvement.
6. Pil
This document discusses mental health risk assessment and management. It notes that clinicians have poor ability to predict suicide or homicide. It identifies static risk factors like previous self-harm and dynamic factors like suicidal ideation. Guidelines are provided for asking patients about suicidal thoughts and developing safety plans. Involuntary referral criteria and processes are outlined when significant short-term risk is present.
Elder mistreatment involves harm or risk of harm to elderly persons by caregivers or trusted individuals. It can take various forms including physical, psychological, sexual, financial abuse, and neglect. Risk factors relate to characteristics of victims, abusers, and external stressors. Abuse may occur at home or in institutions. Prevention requires education while management requires a multidisciplinary approach including medical care, social services, and legal assistance. Identification of abuse involves recognizing physical and behavioral signs, with healthcare providers playing an important role.
You have been tasked with orienting new registered nurses in the emergency department in your hospital about how to manage child abuse and neglect cases. The orientation should cover child abuse and neglect definitions, prevention, detection, intervention and treatment, reporting, and interdisciplinary resources.
The document summarizes research on Adverse Childhood Experiences (ACEs) and their relationship to long-term health outcomes. It discusses two major studies - the ongoing CDC/Kaiser Permanente ACE study of over 17,000 patients, and the 2011 Oregon BRFSS survey where over 4,000 adults responded to ACE questions. Both studies found ACEs like abuse, neglect and household dysfunction to be common, and correlated with increased risk of health problems, disease, and unhealthy behaviors later in life. The document advocates for preventing ACEs through community programs that encourage safe relationships and healthy development for children and families.
Legal & ethical issues provisions and programmes for elderlypradeepmk8
This document discusses several ethical issues related to research involving elderly subjects. It notes that elderly subjects may be more vulnerable due to physiological and psychological factors. Key issues include obtaining proper informed consent, assessing subjects' ability to make decisions, and evaluating risks and benefits of research for this population. The document calls for more interdisciplinary research on ethical guidelines to properly address these challenges and protect elderly participants.
MHN-counselling, dying and death, HIV-AIDS, Unwed mothersrutu1912
The document provides information on counselling for various topics including:
1. Counselling is defined as a process to assist clients in resolving personal problems through guidance from a trained professional. Effective counselling skills include active listening, clarification, reflection, and questioning.
2. Unwed mothers are discussed, including causes like teenage mistakes, lack of sex education, poverty, and contraceptive failure. Counselling for unwed mothers involves discussing all options and providing support like education assistance and childcare.
3. Research on voluntary HIV testing in Zimbabwe found increased testing over time. Those who tested positive reported safer sex practices while those testing negative engaged in more risky behavior. The study stresses the importance of pre- and post-test
Intimate partner and sexual violence against womenAsif Hasan
This document discusses intimate partner and sexual violence against women. It defines intimate partner violence as physical, sexual, or psychological harm by a partner or ex-partner, and sexual violence as any nonconsensual sexual act. Globally, about 30% of women experience intimate partner violence, and 35% experience intimate or non-partner sexual violence. Risk factors include lower education and acceptance of gender inequality. Health consequences range from injuries to depression. Children of families with violence also face behavioral and emotional impacts. Prevention requires addressing discrimination and promoting gender equality.
The document summarizes discussions and findings from the International AIDS Conference 2010 regarding HIV prevention targeting couples. It discusses factors that influence risk behavior in couples, including stigma, lack of communication about HIV status, and trust issues. Interventions should address stigma, support discordant couples, and promote healthy relationships through education, counseling, and peer support groups.
This document discusses reducing stigma and discrimination against those with mental illnesses or substance use disorders. It defines stigma and discrimination, and explores protections under the Americans with Disabilities Act (ADA). Several common stereotypes and their negative effects are described. The document advocates challenging stereotypes through education, advocacy, and speaking openly about mental health. It also discusses protections against discrimination in housing and education.
The document discusses violence against women globally. It notes that around 1 in 3 women experience intimate partner or non-partner sexual violence. Risk factors include lower education levels, childhood abuse, and attitudes accepting of violence. Health consequences can include physical injuries, mental health issues, risky behaviors, and even death. Prevention requires multi-sector efforts like legal reforms, education programs, and healthcare services for survivors.
This document discusses strategies for engaging men in sexual and reproductive health services. It notes that men can act as bridges transmitting infections to regular partners and emphasizes increasing awareness of prevention messages and condom use for men with infections. Specific strategies proposed include public awareness campaigns targeting men, condom promotion, and linking family planning and STI services to enable partner referral and treatment. The document also discusses challenges engaging men and approaches to address those challenges.
The document discusses Adverse Childhood Experiences (ACEs) and their impact on health and well-being. It notes that ACEs are common and associated with increased risk of chronic disease, risky health behaviors, and early death. However, it also discusses that the effects of ACEs can be prevented or reduced through safe, stable, nurturing relationships and building resilience in children and communities. The document provides information and strategies for communities to help support families and prevent ACEs.
The document summarizes theories of psychological development that have traditionally focused on male subjects and standards, and how this excluded or viewed women as deficient. It then discusses more recent relational models of development that emphasize women's sense of identity being strongly tied to their relationships with others. Finally, it outlines sociocultural influences and life skills that can impact women's emotional well-being and mental health issues such as depression.
This document discusses the evidence around the relationship between pet ownership and human health. It finds that while early research suggested various health benefits of pet ownership, more recent studies have failed to replicate these findings consistently. The relationship is complex, as pet ownership may be beneficial through emotional support and companionship rather than direct health effects. Most pet owners see their pets as valued family members, so reluctance to give up pets can impact compliance with health advice. The role of pets in people's lives and well-being may be more important than direct health effects.
You are not Alone: Mental Health Across America MaggieMiller41
This is a policy brief I designed for my Family Policy class. The policy brief address the many issues that families face when their loved one does not have appropriate support and access to adequate help throughout their communities.
Astor Service's Teen Suicide Prevention White PaperStephen Jackson
Astor Services for Children & Families faced a high number serious teen suicide attempts and published this White paper to educate the signs and preventive methods of dealing with teen suicide prevention.
The document provides an overview of Joe Neigel's presentation on creating thriving children through applying strategies informed by research on adverse childhood experiences and developmental needs. The presentation discusses findings from the Adverse Childhood Experiences Study showing strong links between early life trauma and long-term health outcomes, and considers additional factors like brain nutrient deficiencies, lack of movement, and inadequate social reinforcement that contribute to difficulties. Neigel then examines low-cost strategies backed by evidence like using positive notes, praise, and mystery motivators that can positively influence school culture and protect children by meeting their developmental needs.
Elder abuse is defined as a single or repeated act that causes harm or distress to an older person within a relationship where trust is expected. Common types of elder abuse include psychological, financial, physical, and neglect. Analyses found that adult children and spouses or partners are most often the abusers. Professionals and victims may discount abuse by believing it is not a problem or that nothing can be done. Institutional abuse involves the failure of an organization to provide an appropriate service for older adults. Signs of abuse include injuries, malnutrition, poor hygiene, and behavioral changes. Responding appropriately involves listening without judgment, documenting concerns, ensuring safety, and monitoring the situation.
Here are the 11 DSM-5 criteria for substance use disorder filled in with the blank (___) replaced with "alcohol":
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This document discusses the philosophy of health for health educators. It states that a philosophy of health is formed through life experiences and evolves over time, serving as the foundation for how educators view health and educate others. The document also examines definitions of health, including factors like genetics, behavior, environment, and access to healthcare services that influence individual and community health. Finally, it explores approaches to health education and promotion, emphasizing the need for behavior and environmental changes supported by short and long-term goals to encourage sustained healthy lifestyle modifications.
The document discusses domestic violence against women in Bihar, India. It begins by outlining common myths about domestic violence and explaining that domestic violence is a pattern of abusive behavior used by one partner to control the other. It then provides statistics showing that nearly 60% of married women in Bihar experience domestic violence, the highest rate in India. Several reasons for why women stay in abusive relationships in Bihar are discussed. The document also examines laws and resources around domestic violence in Bihar and India more broadly. It concludes by calling for increased awareness, access to resources, and coordination between actors to better address domestic violence against women.
This document provides an overview of trauma-informed care training. It defines trauma and discusses how adverse childhood experiences (ACEs) like abuse, neglect, and household dysfunction can negatively impact health and development. The ACEs study found strong correlations between early life stressors and poor physical, mental, and social outcomes later in life. Trauma can alter brain development, especially in children and teens. Becoming trauma-informed requires understanding how trauma affects individuals and systems in order to minimize further harm and support recovery. The training discusses trauma responses, resilience factors, and practical strategies for applying trauma-informed approaches.
Preventing Intimate Partner Violence Across the Lifespan: A Technical Package...InstitutodeEstadstic
Preventing Intimate Partner Violence
Across the Lifespan: A Technical Package of
Programs, Policies, and Practices
Developed by:
Phyllis Holditch Niolon, PhD
Megan Kearns, PhD
Jenny Dills, MPH
Kirsten Rambo, PhD
Shalon Irving, PhD
Theresa L. Armstead, PhD
Leah Gilbert, PhD
2017
Division of Violence Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Atlanta, Georgia
The document summarizes research on Adverse Childhood Experiences (ACEs) and their relationship to long-term health outcomes. It discusses two major studies - the ongoing CDC/Kaiser Permanente ACE study of over 17,000 patients, and the 2011 Oregon BRFSS survey where over 4,000 adults responded to ACE questions. Both studies found ACEs like abuse, neglect and household dysfunction to be common, and correlated with increased risk of health problems, disease, and unhealthy behaviors later in life. The document advocates for preventing ACEs through community programs that encourage safe relationships and healthy development for children and families.
Legal & ethical issues provisions and programmes for elderlypradeepmk8
This document discusses several ethical issues related to research involving elderly subjects. It notes that elderly subjects may be more vulnerable due to physiological and psychological factors. Key issues include obtaining proper informed consent, assessing subjects' ability to make decisions, and evaluating risks and benefits of research for this population. The document calls for more interdisciplinary research on ethical guidelines to properly address these challenges and protect elderly participants.
MHN-counselling, dying and death, HIV-AIDS, Unwed mothersrutu1912
The document provides information on counselling for various topics including:
1. Counselling is defined as a process to assist clients in resolving personal problems through guidance from a trained professional. Effective counselling skills include active listening, clarification, reflection, and questioning.
2. Unwed mothers are discussed, including causes like teenage mistakes, lack of sex education, poverty, and contraceptive failure. Counselling for unwed mothers involves discussing all options and providing support like education assistance and childcare.
3. Research on voluntary HIV testing in Zimbabwe found increased testing over time. Those who tested positive reported safer sex practices while those testing negative engaged in more risky behavior. The study stresses the importance of pre- and post-test
Intimate partner and sexual violence against womenAsif Hasan
This document discusses intimate partner and sexual violence against women. It defines intimate partner violence as physical, sexual, or psychological harm by a partner or ex-partner, and sexual violence as any nonconsensual sexual act. Globally, about 30% of women experience intimate partner violence, and 35% experience intimate or non-partner sexual violence. Risk factors include lower education and acceptance of gender inequality. Health consequences range from injuries to depression. Children of families with violence also face behavioral and emotional impacts. Prevention requires addressing discrimination and promoting gender equality.
The document summarizes discussions and findings from the International AIDS Conference 2010 regarding HIV prevention targeting couples. It discusses factors that influence risk behavior in couples, including stigma, lack of communication about HIV status, and trust issues. Interventions should address stigma, support discordant couples, and promote healthy relationships through education, counseling, and peer support groups.
This document discusses reducing stigma and discrimination against those with mental illnesses or substance use disorders. It defines stigma and discrimination, and explores protections under the Americans with Disabilities Act (ADA). Several common stereotypes and their negative effects are described. The document advocates challenging stereotypes through education, advocacy, and speaking openly about mental health. It also discusses protections against discrimination in housing and education.
The document discusses violence against women globally. It notes that around 1 in 3 women experience intimate partner or non-partner sexual violence. Risk factors include lower education levels, childhood abuse, and attitudes accepting of violence. Health consequences can include physical injuries, mental health issues, risky behaviors, and even death. Prevention requires multi-sector efforts like legal reforms, education programs, and healthcare services for survivors.
This document discusses strategies for engaging men in sexual and reproductive health services. It notes that men can act as bridges transmitting infections to regular partners and emphasizes increasing awareness of prevention messages and condom use for men with infections. Specific strategies proposed include public awareness campaigns targeting men, condom promotion, and linking family planning and STI services to enable partner referral and treatment. The document also discusses challenges engaging men and approaches to address those challenges.
The document discusses Adverse Childhood Experiences (ACEs) and their impact on health and well-being. It notes that ACEs are common and associated with increased risk of chronic disease, risky health behaviors, and early death. However, it also discusses that the effects of ACEs can be prevented or reduced through safe, stable, nurturing relationships and building resilience in children and communities. The document provides information and strategies for communities to help support families and prevent ACEs.
The document summarizes theories of psychological development that have traditionally focused on male subjects and standards, and how this excluded or viewed women as deficient. It then discusses more recent relational models of development that emphasize women's sense of identity being strongly tied to their relationships with others. Finally, it outlines sociocultural influences and life skills that can impact women's emotional well-being and mental health issues such as depression.
This document discusses the evidence around the relationship between pet ownership and human health. It finds that while early research suggested various health benefits of pet ownership, more recent studies have failed to replicate these findings consistently. The relationship is complex, as pet ownership may be beneficial through emotional support and companionship rather than direct health effects. Most pet owners see their pets as valued family members, so reluctance to give up pets can impact compliance with health advice. The role of pets in people's lives and well-being may be more important than direct health effects.
You are not Alone: Mental Health Across America MaggieMiller41
This is a policy brief I designed for my Family Policy class. The policy brief address the many issues that families face when their loved one does not have appropriate support and access to adequate help throughout their communities.
Astor Service's Teen Suicide Prevention White PaperStephen Jackson
Astor Services for Children & Families faced a high number serious teen suicide attempts and published this White paper to educate the signs and preventive methods of dealing with teen suicide prevention.
The document provides an overview of Joe Neigel's presentation on creating thriving children through applying strategies informed by research on adverse childhood experiences and developmental needs. The presentation discusses findings from the Adverse Childhood Experiences Study showing strong links between early life trauma and long-term health outcomes, and considers additional factors like brain nutrient deficiencies, lack of movement, and inadequate social reinforcement that contribute to difficulties. Neigel then examines low-cost strategies backed by evidence like using positive notes, praise, and mystery motivators that can positively influence school culture and protect children by meeting their developmental needs.
Elder abuse is defined as a single or repeated act that causes harm or distress to an older person within a relationship where trust is expected. Common types of elder abuse include psychological, financial, physical, and neglect. Analyses found that adult children and spouses or partners are most often the abusers. Professionals and victims may discount abuse by believing it is not a problem or that nothing can be done. Institutional abuse involves the failure of an organization to provide an appropriate service for older adults. Signs of abuse include injuries, malnutrition, poor hygiene, and behavioral changes. Responding appropriately involves listening without judgment, documenting concerns, ensuring safety, and monitoring the situation.
Here are the 11 DSM-5 criteria for substance use disorder filled in with the blank (___) replaced with "alcohol":
1. Alcohol is often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.
3. A great deal of time is spent in activities necessary to obtain alcohol, or recover from its effects.
4. Craving, or a strong desire or urge to use alcohol
5. Recurrent alcohol use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused
Effective childhood prevention of mental health problemsKristian Wahlbeck
A short overview of effective childhood interventions to prevent mental health problems and disorders in adulthood. The focus is on public mental health interventions, especially parental support and school mental health interventions. The presentation concludes that cost-effective interventions exist and that they need to be taken to scale.
Presentation in Nice, France March 6, 2018, at the European Psychiatry Association Congress
This document discusses the philosophy of health for health educators. It states that a philosophy of health is formed through life experiences and evolves over time, serving as the foundation for how educators view health and educate others. The document also examines definitions of health, including factors like genetics, behavior, environment, and access to healthcare services that influence individual and community health. Finally, it explores approaches to health education and promotion, emphasizing the need for behavior and environmental changes supported by short and long-term goals to encourage sustained healthy lifestyle modifications.
The document discusses domestic violence against women in Bihar, India. It begins by outlining common myths about domestic violence and explaining that domestic violence is a pattern of abusive behavior used by one partner to control the other. It then provides statistics showing that nearly 60% of married women in Bihar experience domestic violence, the highest rate in India. Several reasons for why women stay in abusive relationships in Bihar are discussed. The document also examines laws and resources around domestic violence in Bihar and India more broadly. It concludes by calling for increased awareness, access to resources, and coordination between actors to better address domestic violence against women.
This document provides an overview of trauma-informed care training. It defines trauma and discusses how adverse childhood experiences (ACEs) like abuse, neglect, and household dysfunction can negatively impact health and development. The ACEs study found strong correlations between early life stressors and poor physical, mental, and social outcomes later in life. Trauma can alter brain development, especially in children and teens. Becoming trauma-informed requires understanding how trauma affects individuals and systems in order to minimize further harm and support recovery. The training discusses trauma responses, resilience factors, and practical strategies for applying trauma-informed approaches.
Preventing Intimate Partner Violence Across the Lifespan: A Technical Package...InstitutodeEstadstic
Preventing Intimate Partner Violence
Across the Lifespan: A Technical Package of
Programs, Policies, and Practices
Developed by:
Phyllis Holditch Niolon, PhD
Megan Kearns, PhD
Jenny Dills, MPH
Kirsten Rambo, PhD
Shalon Irving, PhD
Theresa L. Armstead, PhD
Leah Gilbert, PhD
2017
Division of Violence Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Atlanta, Georgia
Child abuse can include physical, sexual, or psychological harm by a caregiver and negatively impact a child's development. Effects include physical injuries, mental health issues like PTSD, and increased risk for continued abuse. Prevention methods teach children bodily autonomy and provide support for at-risk families. Treatment focuses on cognitive behavioral therapy to change trauma-related thoughts and behaviors through techniques like rational emotive therapy and parent-child interaction therapy.
Hiv related stigma pryor texas hiv std confjohnbpryor
The document outlines John B. Pryor's presentation on HIV-related stigma. It discusses the theoretical framework of the four manifestations of stigma, including public stigma, self-stigma, stigma-by-association, and institutional stigma. It then applies this framework to examine HIV-related stigma and describes studies evaluating interventions to reduce public and self-stigma. Common effective components of stigma reduction interventions are discussed.
This document summarizes a webinar on co-occurring risk behaviors during adolescence. The webinar objectives were to describe how youth risk behaviors are correlated, identify factors that place youth at risk for multiple outcomes, consider how teen pregnancy programs address overlapping risk factors, and discuss implications for partnerships and sustainability. The webinar included an overview of youth risk behaviors, lessons from a teen pregnancy prevention program in New Orleans that addressed trauma and mental health needs, and implications for considering common and unique risk factors in programming.
Trauma experience(s) can create a state of severe-chronic stress disrupting cognitive, emotional, social and physical development. Studies show that it is a catalyst for the majority of society’s mental/physical illnesses (including addiction, anxiety, depression, co-occurring issues) which can culminate into early death. The mind/body link of trauma will be explored as well as treatment approaches.
-Understand how trauma can create a “3rd degree emotional burn” which can
lead to destructive thoughts, choices and relationships.
-Discover how this “emotional burn” can lead to addictions and other
“using to soothe” behaviours.
-Can traumatic experiences actually shorten your life? You’ll be
surprised what some studies have shown.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
The document discusses several models of health prevention including:
- The primary, secondary, and tertiary levels of prevention which focus on health before, during, and after disease.
- Clinical, role performance, and adaptive models which view health based on absence of symptoms, ability to perform roles, and ability to adapt.
- Agent-host-environmental model examining disease causes through interactions.
- High level wellness and holistic health models recognizing multifaceted influences on well-being.
- Nightingale's environment theory viewing health on a continuum influenced by internal and external factors.
- Milio's framework addressing community health determinants and policy.
Running Head FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POL.docxcowinhelen
Running Head: FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POLICY DECISIONS 5
Findings Used to Make Public Health Planning and Policy Decisions
Unit 4 - HA560
March 28, 2016
There has been increased concern among policy makers, scientists and communities that health is greatly affected by a number of factors that occur in a person’s lifetime and in multi levels. Prevention is sententious to curb occurrence of any disease within the population, and it has to come first even if access to quality healthcare services is provided. To adequately promote health and prevent diseases, certain policies and factors need to be addressed mostly factors that are related to health behaviors.
Social psychology is all about understanding individuals’ behavior specifically in a social setting. Basically, social psychology focuses on factors that influence people to behave in certain ways in presence of others. The two greatest contributors in the field of social psychology were Allport (1920) and Bandura (1963). To begin with, according to Allport; he argued that the interaction of individuals with others or the presence of social groups can encourage the development of certain behaviors (Kassin, 2014). This is what Allport referred to as social facilitation, in his research he identified that an audience will facilitate the performance of an actor in a well learnt and understood task; however the performance of the same actor will decrease in performance on difficult tasks which are newly learnt, and this is contributed by social inhibition. The second contributor in the field of social psychology is Bandura (1963), in his work he developed a notion that behavior in the social world could be possibly modeled, and this is what he referred to as social learning theory. He gave his explanation with three groups of children who were watching a video where in the video an adult showed aggressiveness towards a “bobo doll” and the adults who displayed such behavior were awarded by another adult or were just punished. Therefore Bandura found that children who saw the adult being rewarded were found to be more likely to imitate that adult’s behavior.
Certain theories plays important roles in health assessment, and a theory is defined as a collection of concepts in specific area of concern or interest in the world that need explanations, intervening and prediction. Theories need to be backed up with evidence that tend to explain why things will happen in relation to current situations, and followed with some actions to turn situations in certain desirable ways. Health assessment can be defined as a plan of care that recognizes specific person’s health needs and how such needs will be addressed by healthcare system or any other health institutions (Jarvis, 2008). Generally, health assessment is the evaluation of health status through examination of physical and psychological concerns after looking at the health history of the victim assess ...
PRINCIPLES OF HEALTH PROMOTION AND HEALTH EDUCATION.pptxNatalya80
This document discusses the principles of health promotion and health education according to the World Health Organization. It outlines five key principles: having a broad and positive view of health; community participation and involvement in health-related decisions; taking action and developing skills to promote health; considering multiple settings that can influence health; and promoting equity in health so everyone has the opportunity to be healthy. The document also discusses different approaches to health promotion, including mediation, enablement, and advocacy. The overall aim is to empower communities and individuals to improve their health.
The ppt is prepared to serve the need of curriculum for post graduate students interested in learning about the counselling for terminal disease esp. HIV/AIDS.
The field of health promotion and education is at a turning point as it steps up to address the interconnected challenges of health, equity and sustainable development. Professionals and policy makers recognize the need for an integrative thinking and practice approach to foster comprehensive and coherent action in each of these complex areas.
The document discusses the need for behavioral health services in Nueces County, Texas. It provides statistics on mental illnesses like bipolar disorder and major depressive disorder treated in the county. Suicide rates are also discussed both locally and nationally. The nursing implications are early detection, education on risk factors, and management of disorders. Nurses play a role in comprehensive assessment, advocacy, and linking patients to support services. Barriers to mental healthcare include stigma, lack of perceived need, and cost of treatment. Community education and support can help address these barriers.
Elder abuse refers to any intentional act or lack of appropriate action that harms an elderly person. It can include physical, psychological, sexual, financial abuse, and violation of personal rights. Around 1 in 6 elderly people experience some form of abuse. The main abusers are often sons and daughters-in-law. Signs of abuse include unexplained injuries, weight loss, and inconsistent stories from the elderly person and their caregiver. Prevention strategies include education, awareness campaigns, and ensuring elderly people's basic needs for food, shelter, and healthcare are met.
The document discusses trauma, its prevalence, and effects. It defines individual trauma as an event that is physically or emotionally harmful that has lasting adverse impacts. Over half of Americans report experiencing a traumatic event in their lifetime. Trauma can result from events like abuse, violence, accidents, or life changes outside normal stages. It causes both psychological effects like depression, anxiety, and withdrawal as well as physical effects like headaches, insomnia, and digestive issues. The document emphasizes that trauma recovery is possible through understanding, community support, and trauma-informed care and treatment.
The Biopsychosocial-Spiritual Model of health takes a holistic approach to health that considers physical, mental, social, and spiritual well-being. It recognizes that illness may relate to spiritual concerns and addresses supporting the whole person through treatment, comfort, and spiritual/religious resources. Holistic nursing, inspired by Florence Nightingale, focuses on healing the whole person by considering all aspects of their life and environment.
Presentation on Child Abuse, it's Recognising Signs , consequences and the wa...DrOsiaMajeed
In this presentation Child Abuse has been discussed with its Recognising Signs, it's Consequences and the ways it can be prevented.
#child abuse #child rights #child violence #child labour #Abused Child #Human rights #equal rights #exploitation
This document defines and discusses reproductive health. It covers sexually transmitted diseases, unsafe abortion, gender-based violence, harmful practices like female genital mutilation, infertility, family planning, and maternal and child health. Reproductive health deals with reproductive processes throughout life and aims for complete physical, mental and social well-being. It addresses issues like sexually transmitted infection prevention and management, unsafe abortion prevention, gender-based violence prevention, and more.
Similar to Jmb tx of lgbt populations 9 23-13 (19)
Communicating for Success: Improving Health Outcomes for Transgender Peoplejayembee
This document provides an overview of a presentation on communicating for success and improving health outcomes for transgender people. The presentation's agenda includes discussing definitions, language usage, gender identity, collecting data on sexual orientation and gender identity, asking questions sensitively, and providing affirming care. The presentation emphasizes that gender affirmation across social, psychological, medical, and legal domains is key to engagement and retention of transgender people in health services. Affirming care involves using preferred names and pronouns, deferring unnecessary exams, conducting sensitive exams only when needed, and acknowledging barriers transgender people face.
This presentation introduces the viewer to basic information about HIV: what it is, how it affects the human body, how it is transmitted, and how to prevent transmission.
Intimate Partner Violence and LGBT Relationshipsjayembee
This presentation describes how LGBT relationships are impacted by intimate partner abuse (IPV), and how these effects are similar or different to heterosexual relationships. A brief review of policy and law is included.
This presentation covers the essential information about Sexually Transmitted Infections (STIs), including transmission, treatment, prevention, and national and Maryland statistics. Presented by Jill Smith, MHS, CAC-AD, Maryland Department of Health.
This presentation covers essential information about viral hepatitis, with and emphasis on types A, B & C; prevention strategies; current screening and treatment recommendations; and links to informational videos for further study. Presented by Boatemaa Ntiri-Reid, JD, MPH, Chief, Center for Viral Hepatitis and Kirstie L. Neal, MPH, Adult Viral Hepatitis Prevention Coordinator for the Maryland Department of Health.
This is Tuberculosis 101, including history; current stats; Maryland resources. This presentation is part of a full day Infectious Disease 101 training.
Introduction to Culture and Health - May 26 2016jayembee
This presentation presents information about the national CLAS Standards, defines culture, and explores the intersections of culture and health. Medical mistrust and its impact on health seeking behaviors is also examined.
Intro to Gender Minorities - Baltimore Police Dept., June 30 2016jayembee
This presentation was developed for the Baltimore Police Department, June 30, 2016. It covers the basics of sex, gender, gender identity, and sexual orientation; sexual development; health, social and legal challenges faced by transgender persons; and best practice tips for improving police interactions with transgender community members. Updated from the previous (March 2016) posting.
This is a brief update on laws and regulations that impact transgender persons in relation to seeking shelter or services related to Intimate Partner Violence. The focus is on Maryland, but includes applicable federal policies. Developed for the LGBTQ 201: Serving Transfeminine, Transmasculine, and Non-binary Survivors meeting, March 31, 2016.
This is a 10-word language game that can be used to familiarize large audiences with some of the words relative to sex, gender, and sexuality. Prepared for LGBTQ 201: Serving Transfeminine, Transmasculine, and Non-binary Survivors: March 31, 2016
Trauma and Health Issues Among LGBTQ Youthjayembee
This presentation describes the impacts of trauma and minority stress on LGBTQ youth and discusses resultant health outcomes. Targeted resources for providers are highlighted.
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
1. Treatment of LGBT Populations:
The Importance of a Sexual Health Framework
Jean-Michel Brevelle
Sexual Minorities Program Manager, Center for
HIV Prevention and Health Services
Maryland Department of Health & Mental Hygiene
Prevention and Health Promotion Administration
Road to Recovery: An Addictions Conference for Professionals
September 23, 2013
2. Mission and Vision
MISSION
The mission of the Prevention and Health Promotion Administration
is to protect, promote and improve the health and well-being of all
Marylanders and their families through provision of public health
leadership and through community-based public health efforts in
partnership with local health departments, providers, community
based organizations, and public and private sector agencies, giving
special attention to at-risk and vulnerable populations.
VISION
The Prevention and Health Promotion Administration envisions a
future in which all Marylanders and their families enjoy optimal
health and well-being.
September 23, 2013 2Prevention and Health Promotion Administration
3. Agenda
Intersections of HIV and Substance
Abuse
Environmental Influences on LGBT
People
Trauma
Why Sexual Health?
Current PHPA Efforts
Prevention and Health Promotion Administration September 23, 2013 3
4. National HIV/AIDS Strategy
(NHAS) July 2010
Goals:
Reducing HIV incidence
Increasing access to care and
optimizing health outcomes
Reducing HIV-related health disparities
Prevention and Health Promotion Administration September 23, 2013 4
5. Maryland Reported Adult/Adolescent HIV
Diagnosis Rates by Jurisdiction, 2011
Using data reported through 12/31/2012
September 23, 2013 5Prevention and Health Promotion Administration
7. Leading HIV Exposure Category
in Maryland
Year of HIV
Diagnosis
Number of
Years
Most
Common HIV
Exposure
Category
1981 - 1988 8 MSM
1988 - 2003 16 IDU
2004 - 2008 5 HET
2009 - 2012 4 MSM
September 23, 2013 7Prevention and Health Promotion Administration
8. Environment
Sexual shame
Racism
Sexism
Heterosexism
Homophobia
Classism
Absorbed attitudes toward self
Absorbed attitudes toward others
Prevention and Health Promotion Administration September 23, 2013 8
9. Trauma
Psychological trauma is the unique individual
experience of an event or enduring conditions, in
which
the individual’s ability to integrate his/her
emotional experience is overwhelmed, or
the individual experiences (subjectively) a
threat to life, bodily integrity, or sanity.
(Pearlman & Saakvitne, 1995, p. 60)
An individual’s subjective experience determines
whether an event is or is not traumatic, not the
actual event.
Prevention and Health Promotion Administration September 23, 2013 9
10. Trauma is Common and
Pervasive
Between 55% and 90% of us have experienced at
least 1 traumatic event. Average is 5. (Fallot &
Harris, 2009)
Disproportionately affects the most vulnerable
People who are homeless, impoverished, diagnosed
with severe mental illness, struggle with addiction, or
who are developmentally disabled are at increased risk
of trauma.
LGBT people may experience trauma at much higher
rates than the general population.
Impact is broad, often deep and long-lasting
Affects the way people approach helping
relationships
Has often occurred within the service context itself
Prevention and Health Promotion Administration September 23, 2013 10
11. Adverse Childhood Experiences
ACE Study (1998 & 2009)
Kaiser Permanente, San Diego – 17,000 (1995-
1997)
5 States via Behavioral Risk Factor Surveillance
Survey - 26,229 (2009) (AR, LA, NM, TN, WA)
ACEs have been linked to a range of adverse
health outcomes in adulthood, including
substance abuse, depression, cardiovascular
disease, diabetes, cancer, and premature
mortality.
Prevention and Health Promotion Administration September 23, 2013
Centers for Disease Control and Prevention. MMWR, December 17, 2010 / 59(49);1609-1613
http://www.cdc.gov/ace/
13
12. ACE Study
The ACE study found that the more
traumatic experiences had in childhood,
the more mental health issues, substance
abuse/addiction, and physical health
conditions emerged in adolescents and
adulthood.
“Building emotional health and resilience is
building protections” (SAMHSA)
September 23, 2013 14Prevention and Health Promotion Administration
13. ACE Comprehensive Chart
September 23, 2013Prevention and Health Promotion Administration
Column 1 Column 2 Column 3
Adverse Childhood
Experiences
Neurobiological Impacts
and Health Risks
Long-Term Health and
Social Problems
The more types of
adverse childhood
experiences…
the greater the
neurobiological impacts
and health risks…
the more serious the life-
long consequences to
health and well-being.
Abuse
Neglect
Trauma in the Household
Substance Use
Violence/Bullying
50+ Sex partners
Asthma
Liver Disease
Homelessness
HIV
15
*
14. ACE Survey Samples
While you were growing up, during your first 18 years of life:
Prevention and Health Promotion Administration September 23, 2013
Excerpted from Finding Your ACE Score, assessment tool. 092406RA4CR
1. Did a parent or other adult in the household often or very often…
Swear at you, insult you, put you down, or humiliate you?
or
Act in a way that made you afraid that you might be physically hurt?
Yes No If yes enter 1 ________
2. Did a parent or other adult in the household often or very often…
Push, grab, slap, or throw something at you?
or
Ever hit you so hard that you had marks or were injured?
Yes No If yes enter 1 ________
16
15. ACE Survey Samples
September
23, 2013
Prevention and Health Promotion Administration
While you were growing up, during your first 18 years of life:
4. Did you often or very often feel that…
No one in your family loved you or thought you were important or special?
or
Your family didn’t look out for each other, feel close to each other, or support
each other?
Yes No If yes enter 1 ________
3. Did an adult or person at least 5 years older than you ever…
Touch or fondle you or have you touch their body in a sexual way?
or
Attempt or actually have oral, anal, or vaginal intercourse with you?
Yes No If yes enter 1 ________
Excerpted from Finding Your ACE Score, assessment tool. 092406RA4CR
17
17. 19
Trauma /
Oppression
HIV Risk
Power / decision-making authority
perceived as outside self:
• No testing • No serostatus discussion
• No condom negotiation
Substance Abuse as Self-Care
• sub-optimal behavior under the
influence
• regret / shame
• addiction
• anxiety
• depression
• self-loathing
• isolation
• low self-esteem
Mental Health Outcomes
Mental
Health
Services
Substance
Abuse
Services
HIV Prevention Services
18. Self-Efficacy
Self-efficacy originates at the level of self-
identity.
Any action or situation that challenges,
dismisses, stigmatizes, or annihilates
one’s identity, reduces or eliminates self-
efficacy in ways that impact every
decision-point in daily life.
Witnessing or experiencing the annihilation
of another’s or one’s own identity is
traumatizing.
Prevention and Health Promotion Administration September 23, 2013 20
19. Premises: All Populations
Syndemics / HIV travels with oppression.
Our advertising and popular culture are
highly sexualized, yet we give people very
little information about sexuality.
Before we can make progress with
providers and clients on addressing sexual
HIV risk reduction, we have to overcome
shame, discomfort, silence, judgment, and
ignorance.
September 23, 2013 21Prevention and Health Promotion Administration
21. 23
Sexual Health
What is Sexual Health NOT?
Sexual health is more than:
Not having an STI
Not having an unplanned pregnancy
Not being made to do things you don’t want to do
Sexual health assumes that desire is a natural,
healthy part of life—across the lifespan—and that
everyone has the right to pursue safe, consensual,
fulfilling sex.
September 23, 2013Prevention and Health Promotion Administration
22. Sexual Health in Recovery
Multisession curriculum for people in
recovery
Based on the work of Douglas Braun-
Harvey, MFT, CGP
Supports people in recovery to maintain
sobriety by addressing sexual behavior,
thoughts, and feelings that may be related to
substance use
September 23, 2013 24Prevention and Health Promotion Administration
23. Sexual Health in Recovery
Sessions include:
Making Healthy Sexual Choices
Suspending Judgment About Sexuality
Sexual Functioning in Recovery
Sexual Boundaries in Recovery
HIV/STI Myths, Facts, and Safer Sex
September 23, 2013 25Prevention and Health Promotion Administration
24. Current Efforts
SAMHSA Branch
Source
CSAT CMHS, CSAT, CSAP
Award Type Block Grant Competitive Award
Project Name Integration of Sexual Health in
Recovery
No Wrong Door
Jurisdictional Targets Anne Arundel County
Baltimore County
Charles County
Harford County
Howard County
Montgomery County
Prince George’s County
Washington County
Anne Arundel County
Baltimore City
Interventions/Practices Screening & Referrals
HIV Testing & Linkages
Sexual Health in Recovery
Screening & Referrals
HIV Testing & Linkages
Sexual Health in Recovery
Training Mechanism PHPA Staff
IHV Contractors
PHPA Staff
OETAS Contractors
Type of Grantee Support Jurisdictional awards based on HIV
funding formula
Funding for Infectious Disease Testing
Training for Sexual Health in Recovery
September 23, 2013 26Prevention and Health Promotion Administration
25. 27
No Wrong Door Vision
September 23, 2013Prevention and Health Promotion Administration
26. To ensure that targeted racial, ethnic and
sexual minority communities in the Baltimore-
Towson Metropolitan Statistical Area, who are
at high risk for or have a mental and/or
substance use disorder and are most at risk
for or living with HIV/AIDS and other
infectious diseases, receive culturally
competent and integrated behavioral health,
prevention and care services.
NWD Project Goal
September 23, 2013 28Prevention and Health Promotion Administration
27. Meet unmet MH, SA and infectious disease
prevention and treatment needs.
Increase the number of persons living with
HIV with MH and SA needs who are aware of
their HIV status.
Create an integrated service delivery system
that is equipped to meet the MH, SA and
infectious disease needs of clients.
Create a provider referral network.
The NWD Project Seeks to:
September 23, 2013 29Prevention and Health Promotion Administration
28. NWD Project Activities
Pursue integration of behavioral health with infectious disease
Expand and standardize screening for mental health, substance
abuse disorders in infectious disease settings in all
clinical/treatment settings
Testing and linkage to care and treatment; case management
Capacity building for better climates for discussion of sexuality
Skills for Competent/Comfortable Conversations about Sex
SAMHSA: A Provider’s Introduction to Substance Abuse
Treatment with LGBT
Working with MSM
Living Out Loud: How to Serve Transgender Clients Where
They Are
Sexual health risk reduction counseling interventions
Sexual Health in Recovery
September 23, 2013 30Prevention and Health Promotion Administration
29. NWD Partners
Alcohol and Drug Abuse Administration
OETAS
Baltimore Mental Health Systems
Baltimore Crisis Response, Inc.
Baltimore Substance Abuse Systems
Total Health Care
University of Maryland, Baltimore County, Dept. of
Psychology Center for Community Collaboration
University of Maryland, Baltimore, STAR TRACK
Coppin State University
Morgan State University
September 23, 2013 31Prevention and Health Promotion Administration
30. Contact Information
Jean-Michel Brevelle
Sexual Minorities Program Manager,
Center for HIV Prevention and Health
Services
(410) 767-5016
jean-michel.brevelle@maryland.gov
September 23, 2013 32Prevention and Health Promotion Administration
Maryland has third highest rate of new HIV infections among US states & territories Some populations much higher rates Estimated that 1 in every 175 Marylanders living with HIV BESURE data, MSM Wave 2: At least 1 in 9 non-Hispanic white MSM At least 1 in 2 non-Hispanic black MSM At least 1 in 3 other MSM No reliable data for transgender persons
Describe highlights Approximately 18% – 22% of people living with HIV do not know they are infected Goal is to achieve 100% awareness and move people along the cascade to viral suppression
Parity between MSM and IDU exposure categories Impact of needle exchange IDU now approximately 16% of all HIV cases Growing in MSM, esp AAMSM ages 20 – 29. MSM made up more than 52% of new HIV infections in 2012
The environment is full of negative messages about sexuality, especially same-sex desire and non-heterosexual identity.
Reference back to environmental influences
The types of negative messages that are pervasive in the environment, experienced over a prolonged period, can be traumatizing to LGBT people There are few opportunities or venues for LGBT people within society to experience the level of positive messages and experiences that can ameliorate trauma
Survivors of trauma do need to hear positive messages and have positive experiences that affirm their identities. Sometimes they need more than that.
Substance use may begin as an act of self-preservation. Coping strategy to reduce the impact of trauma. Long-term use can have other consequences, like addiction, impact on mental and physical health It is unlikely to be given up until the underlying trauma is addressed One of the most frequently reported sources of trauma among LGBT people is family rejection or abandonment Tangible outcomes lead to things like leaving school, homelessness, survival sex, and of course, substance use
Briefly explain
Briefly explain
Remember to warn on next 2 slides
Briefly cover
Briefly cover
Display for summary This information is helpful in understanding the intersection of trauma, substance use, and HIV. It can also be helpful in directing prevention and intervention efforts.When taken altogether, these environmental influences on LGBT people could be diagrammed as follows:
Traditional approaches to HIV prevention target the tip of the iceberg with things like Condom use Testing Disclosure What’s actually driving the risk-taking behavior is below the surface, where we usually do not target our efforts This is why, if we want to reduce HIV transmission, we must address substance abuse and mental health issues
Briefly cover
Briefly coverEmphasis on bullet 2
Our culture is saturated with sexual imagery, its used to sell literally every product in the marketplace. We could have a whole seminar on body image, self-esteem, etc.But we almost never have sex-positive discussions of sexual health.This is especially rare in substance abuse treatment and recovery. LGBT people report a wide range of difficulties within treatment related to their sexual identity or same-sex desire, including: Provider discomfort with sex and sexuality Provider lack of knowledge about LGBT people, LGBT cultures and norms Negative messages about and hostility to non-heterosexual, cisgender identities Lack of safe spaces within recovery to honestly discuss sexuality Avoidance of topics related to relationships, sexual desire, and sexuality in general
All of this to introduce the concept of sexual health as a framework for the work we want to do together
Briefly describe
Briefly cover
Read/refer to one-page Emphasize opportunities to participate in NWD Free training Free CEUs (28.0 contact hours for core trainings) Additional CEUs available
Conceptual framework includes Infectious Disease, Substance Abuse, and Mental Health
Briefly describe
Briefly describe- Opportunity to join provider network