Corinne Graffunder, DrPH, MPH National Center for Injury Prevention and Control October 2009

1. Laying the Foundation: The Strategic Vision for RPE Corinne Graffunder, DrPH, MPH National Center for Injury Prevention and Control October 2009

2. Presentation Overview • Rape Prevention and Education (RPE) • Prevention Science • The Economics of Prevention • Community Prevention Efforts

3. RPE Mission and Vision • Vision: A World free of sexual violence because society, communities, relationships and individuals support this goal. • Mission: Creating social conditions, systems and environments to prevent sexual violence before it occurs by mobilizing partners, key constituents and communities; by educating adults, youth and children; and by training professionals.

4. Funded via VAWA since 1994 • 7 Legislatively “Permitted” Uses • 2 Added Priorities (2006) • National Sexual Violence Resource Center funding

5. Additional Priorities (2006) • Develop a comprehensive primary prevention plan • Implement evidence-based and culturally relevant primary prevention programming • Community mobilization • Policy and norms change • Collaboration and coordination

6. RPE Evaluability Assessment RPE Models and Measures Getting to Outcomes for IPV/SV RPE Training & TA Plan Practice Guidelines EMPOWER RPE New Co-op Underserved Co-op RPE

7. The Problem:Child maltreatment affects health across the lifespan Prevention Science • Preventing child maltreatment are strategic • Child Development is about population health and adult health • The potential benefits are very large “No epidemic has ever been resolved by paying attention to (only) the treatment of theaffected individuals.”

8. The Evolution of Prevention Raising Awareness/ Keep SV from Reporting happening “Let 1,000 Flowers Bloom” More Systematic Approach Prevention on the “cheap” Requires $$, but cost effective Focus on outcomesFocus on causes, risk/protective factors

9. Prevention involves: • Stopping the violence before it starts • Recognizing that no one factor causes sexual violence • Developing comprehensive programs that address multiple factors • Re-weaving social fabric

10. The Evolution of Prevention Raising Awareness/ Keep SV from Reporting happening “Let 1,000 Flowers Bloom” More Systematic Approach Prevention on the “cheap” Requires $$, but cost effective Focus on outcomesFocus on causes, risk/protective factors

11. EXPECT RESPECT Testing What Works • Exploring Bullying Behavior and Sexual Violence Perpetration • Mentoring Strategies in Sexual and Intimate Partner Violence • Popular Opinion Leader (POL) Green Dot –KY • Bystander Intervention

12. The Evolution of Prevention Raising Awareness/ Keep SV from Reporting happening “Let 1,000 Flowers Bloom” More Systematic Approach Prevention on the “cheap” Requires $$, but cost effective Focus on outcomesFocus on causes, risk/protective factors

13. Principles of Effective Prevention Programs • Appropriately Timed • Comprehensive • Outcome Evaluation • Positive Relationships • Socio-culturally Relevant • Sufficient Dosage • Theory-based • Varied Teaching Methods • Well-trained Staff

14. Community development Sustainability Leadership Partnership & collaboration Programs Buy in from community Evidence-based Infrastructure building Iterative process Comprehensive Prevention Programming

15. The Evolution of Prevention Raising Awareness/ Keep SV from Reporting happening “Let 1,000 Flowers Bloom” More Systematic Approach Prevention on the “cheap” Requires $$, but cost effective Focus on outcomesFocus on causes, risk/protective factors

16. High-Risk Factors Prior perpetration Physiological arousal Adverse Childhood Experiences Lack social skills Familial dysfunction Social dislocation Population Factors Cultural norms/beliefs Systemic conditions that foster isolation, climate of denial, etc Media portrayals of women and children as sexual objects High-Risk Versus Population Factors Associated with Sexual Violence Perpetration

17. The Science:Identifying Effective and Cost Efficient Prevention Strategies • Establishing clear definitions and building systems to track child maltreatment and SSNRs • Improving the effectiveness of home visitation programs • Identifying core components & increasing participation in parenting programs • Evaluating the effectiveness of population-based parenting programs • Assessing the impact of strategies to prevent shaken baby syndrome Prevention Economics

18. Are you? • Working in schools providing educational sessions? • Working in schools to train teachers or staff? • Working with schools or school boards to review policies and procedures? • Working to expand the number of partners engaged in promoting school policies, procedures, or programs?

19. The Action:Strategic Partnerships and Diffusing What Works Fostering Community Prevention Efforts • Because Kids Count! • Child maltreatment partnership meeting • Policies and procedures for preventing sexual abuse in child-serving organizations • Collaborations to prevent child sexual abuse • Framing and better communication

20. Population/Community Methods • Social marketing techniques • Policy Strategies • Community engagement & political will • Goals: change knowledge, attitudes, and behavior

21. Fostering community prevention efforts

22. Future DirectionImplementing your Plan • Leadership • Organizational Support • Competency

23. In order to build a society that abhors violence we have to be able to imagine it. We have to dare to dream what our stories will be in a world that honors all human feeling….but that dishonors their expression in ways that violate the other. Sandra Campbell. “Creating Redemptive Imagery: A Challenge of Resistance and Creativity.” Transforming a Rape Culture.

24. For More Information Visit CDC’s National Center for Injury Prevention and Control web site: www.cdc.gov/ncipc The findings and conclusions of this presentation have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy.