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Survivor-Centered GBV Response_Micah Oct 2022.pptx
- 1. Gender-Based Violence Survivor-Centered Support Services
- 2. Understanding GBV o Any harmful act that is perpetrated against a person’s will and that is based on socially ascribed differences between males and females. o Rooted in gender discrimination and the power imbalance between men and women. o Includes acts that inflict physical, sexual or mental harm or suffering, threats of such acts, coercion, and other deprivations of liberty. o Worldwide, one in three women have experienced physical or sexual violence by an intimate partner or sexual violence by a non-partner. o Risks of GBV increase in complex emergencies.
- 3. GBV Response o Acts of GBV can result in a range of consequences affecting survivors’ safety, health, psychosocial wellbeing, livelihoods, access to education and resources, etc. o Where victim-blaming is pervasive, consequences are frequently severe o In emergencies, GBV health and PSS response services are classified as life-saving
- 4. MHPSS Services for Survivors of GBV Specialised services Focused services Community & family supports Basic services & security Diagnosis and treatment from mental health professionals GBV case management and individualized PSS support Women and girl safe spaces; group PSS & empowerment activities; community and family support Quality and compassionate health services; responsive security services
- 5. Survivor-Centered Approach • Central to GBV programming and services • Guiding principles of approach: respect, confidentiality, safety, non-discrimination • Promotes agency and self-determination • Reduces risks • Recognizes that each survivor: Has equal rights to care and support Is different and unique Will react differently to violence Has different strengths, capacities, resources and needs Has the right, appropriate to her age and circumstances, to decide who should know about what has happened to her and what should happen next Should be believed and be treated with respect, kindness, and empathy
- 6. GBV Case Management & Individualized PSS Support A - Emotional support B – Facilitate family support D - Referral to additional services (including MH) C – Facilitate Community based support GBV Case Management GBV case management services that include focused, individualized support are recommended as a first line of support. GBV caseworkers work with survivors to identify and access support from family and/or social networks.
- 7. Benefits of GBV Case Management Approach Survivor-centered Holistic Connected to PSS support One-on-one relationship with trained helper Restores measure of control Attentive to specific needs, risks related to GBV Favors values and attitudes over credentials Caseworker practice in Dollo, Ethiopia
- 8. GBV Case Management Survivor-Led GBV-Informed Value & Skill-Based 1. Introduction & Engagement 2. Assessment 3. Action Planning 4. Implementation 5. Follow Up 6. Closure Safety Planning
- 9. Individualized PSS Support for Survivors o Planned with survivor o Component of GBV Case Management o Continued relationship with one helper o Source of assurance, kindness, attentiveness, information, referrals o Attentive to common relationship and social consequences in sociocultural context o Attentive to evolving situation, including: Feelings, safety, health, family situation, social engagement, interest in services
- 10. “She told me that my rape was not my fault, that I should feel no shame, that – simple as it may sound – I hadn’t caused it. No one causes rape but rapists. No one causes rape but rapists. No one causes rape but rapists. It was true. And it had not been obvious to me. And hearing it from someone else, a professional, someone who should know, helped me believe that soon I would believe it.” -- Aspen Matis, Girl in the Woods: A Memoir
Editor's Notes
- These boxes provide a representative - not comprehensive - list of services that may be relevant for survivors of GBV according to each pyramid level. Quickly review some of the services. Ask participants if they are familiar with a GBV programme that can provide all of these services? In discussion, important points: GBV programmes mainly work in the center of the pyramid, strengthening family and community supports (even through basic awareness-raising), and also providing focused support for survivors of GBV. Some GBV programmes have MH specialists and also provide specialized services. GBV program staff should be familiar with all services available to survivors in a given area and be able to make referrals. It is often challenging to identify referrals for specialized services, but even where these are unavailable it is never acceptable for programs to attempt specialized mental health care (especially provision of psychotropic drugs) without proper qualifications and diagnosis. It is bad practice for even healthcare providers, without training in mental health, to prescribe these medications. The majority of survivors will not require specialized MH services. Early and good support from families, friends and from trained non-specialists (GBV staff/volunteers) might reduce the likelihood that a survivor will develop a condition requiring treatment. GBV programmes don’t often provide basic services (the bottom level of the pyramid). But they may play a role in training other service providers in basic GBV prevention and response, guiding principles, etc. to ensure high-quality and compassionate care. GBV programmes also identify risk factors and vulnerabilities related to different, basic services and should share this information with relevant actors to improve integration and quality of services.
- Focused, GBV case management services are recommended for holistic support of survivors. Trained staff familiar with forms of violence and their consequences are best-placed to provide appropriate service referrals and to support survivors through a process of recovery. GBV case management is a psychosocial support service and also a process by which survivors can link to additional services, including additional psychosocial support. A GBV caseworkers should be trained to provide basic emotional support to a survivor throughout the case management process. The social, emotional and psychological consequences of GBV are often the most significant consequences a survivor faces, and many survivors will report problems such as sleeplessness, anxiety and fear long after their medical and basic security needs have been addressed.