Intimate Partner Violence 5-Year Action Plan Sample



Deliverable Form D – 5-Year Action PlansIntimate Partner Violence (IPV) (For further instructions see separate document titled “Action Plan Guidelines”)MCAH SOW Goal X:Problem Category(ies)From Deliverable Form B of your Title V Needs Assessment.Problem Statement(s)From Deliverable Form B of your Title V Needs Assessment.Five Year Local Goal(s)Develop one or more five year local goal(s) that state the desired results of your interventions. Examples: Stop violence before it begins, increase awareness of healthy relationships for females and males, increase screening for IPV, physical, sexual, or psychological harm by a current or former partner or spouse for all women, especially at-risk women, and increase awareness of IPV. Risk/Contributing FactorsList LHJ-specific contributing factors using a problem analysis. Examples: Lack of exposure to healthy relationship role models, negative media messages, substance use, anger and hostility, depression, lack of friends or family support, witness to violence at home, in community, prior history of being physically abusive, poverty, low academic achievement, emotional dependency, desire for control or power in relationships, psychological aggression, history or abuse as a child, marital conflicts, and weak community sanctions against IPV. Refer to the CDC website on IPV at: Practice Strategies/ InterventionsList best practice strategies and/or interventions to address your problems. Example: Stop IPV before it starts, screen all women, teach healthy relationship skills to men and women, promote respectful, nonviolent intimate partner relationships at the individual, community and societal level, social media awareness and prevention campaigns, implement strategies that interrupt the development of IPV perpetration, and build community capacity. CDC “Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Programs, Policies, and Practices”: Resources: Without Violence identifies and promotes education programs, national policy development, professional training programs, and public actions designed to end violence against women, children and families around the world: prevention strategies: IPV infographic: Resources and Services Administration: The HRSA Strategy To Address Intimate Partner Violence 2017-2020: Population(s)List the populations you will be focusing on for the next five years. Examples: Pregnant and parenting women, men, families’ parents/caregivers, primary care providers and pediatricians, faith-based communities, community-based organizations, peer groups, and neighborhoods.Short and/or Intermediate Objective(s)Inputs, including Community Partner involvementIntervention Activities to Meet ObjectivesPerformance MeasuresShort and/or IntermediateProcess Description and Measure(s) including data sourceOutcome Measure(s) including data sourceFiscal Year 1By June 30, 20XX, all women of child-bearing age and girls in MCAH programs and presenting at the public health department (PHD) will be screened for IPV and those who screen positive will be referred to and enter into appropriate careMCAH programsPHD staffPrimary care providers and pediatriciansFemale-serving agencies and programsAgencies focused on working with men Social service and mental health providersBehavioral health(Insert specific LHJ partners and resources, such as funding)Perform the following activities:Develop and implement policies (or a screening protocol) to screen all women of childbearing age and girls in MCAH Programs and presenting at the PHD for IPV. See Futures Without Violence, “Healthy Moms, Healthy Babies Train the Trainers Curriculum”, Appendix E – Relationship Assessment Tool: women/girls who screen positive for IPV to the appropriate provider who will best meet their individual needsGive women Futures Without Violence Safety Cards: client to develop a safety plan. Sample located here: with providers, community organizations, and support groups to establish a referral resource networkDevelop and implement processes that link women/girls who screen positive for IPV to appropriate resourcesDevelop and implement a Continuous Quality Improvement/Quality Assurance (CQI/QA) process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and evaluate the impactProvide technical assistance (TA) as neededBriefly describe or report:Currently existing and newly created resources and support groups for IPVIdentified access to care issues Rationale for interventions, recommendations and strategies/policies developedReferral process developed and implementedCollaboratives/ partnerships formedResource referral list/brochure/websiteCQI/QA process developed, including TA providedNumber of women of childbearing age and girls in MCAH programs and presenting at the PHD who are screened for IPV/AllNumber of women of childbearing age women and girls who screened positive for IPV and were referred for follow-up/All screening positive for IPV Number of women of childbearing age and girls who screened positive for IPV and were referred to and saw a provider/All women who screened positive and were referredBrief description of screening and referral policies/protocols developedBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 2By June 30, 20XX, X/X providers working with women of childbearing age will adopt policies to screen all girls and women of childbearing age for IPV and refer those who screen positive to appropriate care(May be duplicated for multiple years depending on your yearly capacity to reach all providers or may also be written to target organizations that work with women of childbearing age, such as child care providers, school parent programs, and faith-based communities)CPSP providersPrimary care providers and pediatriciansPHD staffProviders working with women of childbearing ageFemale-serving agencies and programsSocial service and mental health providersBehavioral healthSchoolsFaith-based communities(Insert specific LHJ partners and resources, such as funding)Perform the following activities:Assist providers or organizations to develop and implement policies (or a screening protocol) to screen all women of childbearing age for IPV. Futures Without Violence, “Healthy Moms, Healthy Babies Train the Trainers Curriculum”, Appendix E – Relationship Assessment Tool: women who screen positive for IPV to the appropriate provider who will best meet their individual needsGive women Futures Without Violence Safety Cards: with providers, community organizations, and support groups to establish a referral resource networkDevelop and implement processes that link women who screen positive for IPV to appropriate resourcesDevelop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continually improve the process and evaluate the impact Provide TA as neededBriefly describe or report:Currently existing and newly created resources and support groups for IPVIdentified access to care issues Rationale for interventions, recommendations and strategies/policies developedReferral process developed and implementedCollaboratives/ partnerships formedResource referral list/brochure/websiteCQI/QA process developed, including TA provided Number of providers who adopt policies to screen all women of childbearing age for IPV and refer those who screen positive to appropriate care/(X)Brief description of screening and referral policies/protocols developedBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 3By June 30, 20XX, (X/X) organizations (specify) working with victims or survivors of trauma or IPV will implement policies to provide their staff with support to deal with secondary trauma(May be duplicated for multiple years depending on your yearly capacity to reach all organizations working with victims or survivors of IPV)CPSP provider staffPHD staffProviders working with trauma victimsStaff at female-serving agenciesSocial service and mental health providers/staffBehavioral healthSchools(Insert specific LHJ partners and resources, such as funding)Perform the following activities:Assist providers or organizations to develop and implement policies to provide support to their staff working with trauma victims or survivors to deal with secondary trauma.Futures Without Violence, “Healthy Moms, Healthy Babies Train the Trainers Curriculum”, Module 10: partnerships among agencies that are working with the same woman or familyAssist organization to identify resources available through employee assistance/human resources programsEncourage organizations to offer stress management training to staffAssist organizations to implement policies to maintain a secure and violence-free work environment Workplaces Respond to Domestic & Sexual Violence: and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continuallyimprove the process, and evaluate the impactProvide TA as neededBriefly describe or report:Rationale for interventions, recommendations and strategies/policies developedCollaboratives/ partnerships formedTypes of training organizations have provided to staff to deal with secondary traumaBarriers, challenges and opportunities encountered by organizationsCQI/QA process developed, including TA provided Number of organizations (specify) working with victims or survivors of IPV who implemented policies to provide their staff with support to deal with secondary trauma/(X)Brief description of screening and referral policies/protocols developedBrief description of outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 4By June 30, 20XX, (X/X) organizations (specify) working with women of childbearing age and girls experiencing IPV will implement policies to use evidence-based interviewing techniques with their clients(May be duplicated for multiple years depending on your yearly capacity to reach all organizations working with trauma victims or IPV survivors)CPSP provider staffPublic Health Department staffProviders working with women, girls and familiesFemale-serving agencies and programsFaith-based organizationsAgencies focused on working with men and boysSocial service and mental health providers/staffBehavioral healthSchools(Insert specific LHJ partners and resources, such as funding)Perform the following activities:Assist providers or organizations to develop and implement policies to to use evidence-based interviewing techniques with their clientsAssist organizations to develop and implement policies to use evidence-based interviewing techniques with their clients experiencing IPV. Review the following resources: Substance Abuse and Mental Health Services Administration (SAMHSA) Motivational Interviewing Training: Fetal-Infant Mortality Review Program (NFIMR): Fetal and Infant Mortality Review: A Guide for Home Interviewers: Training professionals in the Primary Prevention of Sexual and Intimate Partner Violence: partnerships among agencies that are working with the same woman or familyTrain staff to use evidence-based interviewing techniques with their clients experiencing IPVDevelop and administer evaluation tools to measure knowledge change after education and ability to use evidence-based interviewing techniques Develop and implement a CQI/QA process to monitor implementation of policies/processes, a regular feedback mechanism to continuallyimprove the process, and evaluate the impactProvide TA as neededBriefly describe or report:Outcomes of meeting(s), partnerships and collaborationsNumber of staff trainedEvaluation tool developedBriefly describe barriers, challenges, and opportunities to motivational interviewing techniques with clients of childbearing ageCQI/QA process developed, including TA providedNumber of organizations (specify) working with women of childbearing age experiencing intimate violence who implemented policies to use motivational interviewing techniques with their clients/(X)Briefly describe knowledge change and ability to implement knowledge in practiceList types of policies developed by providerDescribe the outcomes of the CQI/QA process, including methods of measurements and resultsFiscal Year 5By June 30, 20XX, in collaboration with partners, implement a community awareness campaign targeting women of childbearing age and men and boys (X population or area) to increase awareness of healthy relationships and IPV (Choose a target population or area to focus campaign)Mental health professionalsProviders working with women of childbearing ageBehavioral HealthSocial ServicesAlcohol and Drug ProgramsNonprofit/community organizations working on IPVSchoolsWomen-serving agenciesFaith-based organizationsAgencies focused on working with men and boys(Insert LHJ’s specific partners and resources, such as funding)Perform the following activities:Participate in the statewide, regional and/or local violence prevention and healthy relationship capacity building programs. Healthy Relationships information: Without Violence: Men: Coaching Boys into Men: Call to Men: Stopping Violence: to targeted populations to increase awareness of healthy relationships and IPVGive women Futures Without Violence Safety Cards: resources to increase awareness of healthy relationships and IPV in the communityIntegrate recommendations into MCAH program activitiesDevelop a method to track and measure awareness of adolescent healthy relationships and IPV in targeted population or areaProvide training and/or materials on healthy relationships and violence to relevant health department and community programs; Start Strong: Building Healthy Teen Relationships at: Partnership to End Domestic Violence: healthy relationships and IPV information and screening through webinars, workshops, and presentations at conferences/professional meetingsTo improve understanding of how to evaluate the effectiveness of community campaigns, review CDC “Evaluating Communication Campaigns”: Develop a plan to evaluate the outcomes of the community awareness campaignExploring funding opportunities to sustain programBriefly describe or report:Objectives, key activities, timelines, evaluation components, and barriers to implementation of capacity building programs Plan developed to evaluate outcomes of the community awareness campaignMaterials and resources created and/or identified Number of trainings and attendeesCommunity outreach efforts for distribution of materialsMeasures include:Describe community awareness campaign targeting women of childbearing age and men and boys in (X -insert target population or area)Number reporting increased awareness of healthy relationships and IPV/target populationPrograms that have added healthy relationship and violence prevention information to their curriculaTrack number of clients informed, if applicable.Brief description of outcomes of the community awareness campaignBrief description of policy changes, if any ................
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