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					      Laying the Foundation:
    The Strategic Vision for RPE

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

                 October 2009
Presentation Overview


• Rape Prevention and Education
(RPE)
• Prevention Science
• The Economics of Prevention
• Community Prevention Efforts
        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.
Funded via VAWA since 1994

7 Legislatively “Permitted” Uses

2 Added Priorities (2006)

National Sexual Violence Resource
Center funding
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
                        RPE
                     Models and
         RPE          Measures       RPE
      Evaluability                   New
      Assessment                    Co-op




Getting to
Outcomes               RPE            Underserved
for IPV/SV                              Co-op




         RPE
                                   Practice
      Training &
                                  Guidelines
       TA Plan

                     EMPOWER
           The Problem:
 Child maltreatment affects health
        across the lifespan
  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 the affected individuals.”
             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 outcomes           Focus on causes,
                            risk/protective
                            factors
       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
             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 outcomes           Focus on causes,
                            risk/protective
                            factors
        Testing What Works

– Exploring Bullying Behavior and
  Sexual Violence Perpetration
– Mentoring Strategies in Sexual    EXPECT
  and Intimate Partner Violence     RESPECT
– Popular Opinion Leader (POL)
  Green Dot –KY
– Bystander Intervention
             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 outcomes           Focus on causes,
                            risk/protective
                            factors
Principles of Effective Prevention
Programs
1. Appropriately Timed
2. Comprehensive
3. Outcome Evaluation
4. Positive Relationships
5. Socio-culturally Relevant
6. Sufficient Dosage
7. Theory-based
8. Varied Teaching Methods
9. Well-trained Staff
       Comprehensive Prevention
            Programming


                       Community
                       development
                                                 Sustainability


 Partnership               Evidence-based
      &
collaboration                                           Leadership


                                     Programs
         Buy in from                                   Infrastructure
         community
                                                       building

                             Iterative process
             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 outcomes           Focus on causes,
                            risk/protective
                            factors
High-Risk Versus Population Factors
  Associated with Sexual Violence
           Perpetration
High-Risk Factors        Population Factors
 Prior perpetration       Cultural norms/beliefs
 Physiological arousal    Systemic conditions that
 Adverse Childhood        foster isolation, climate
 Experiences              of denial, etc
 Lack social skills       Media portrayals of
 Familial dysfunction     women and children as
 Social dislocation       sexual objects
               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
Prevention Economics
 participation in parenting programs
 Evaluating the effectiveness of population-
 based parenting programs
 Assessing the impact of strategies to prevent
 shaken baby syndrome
             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?
            The Action:
Fostering Community Prevention Efforts
  Strategic Partnerships and
    Diffusing What Works
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
Population/Community Methods
Social marketing techniques

Policy Strategies

Community engagement & political
will

Goals: change knowledge, attitudes,
and behavior
Fostering community
 prevention efforts
       Future Direction
    Implementing your Plan


Leadership

Organizational Support

Competency
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.
 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.

				
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