Post on 01-Apr-2015
Meeting Survivors’ Needs: A Multi-State Study of Survivors’ Experiences
with Domestic Violence Programs’ Non-Residential Services and
Supports
NCADV/NOMAS Conference July 24, 2012 Eleanor Lyon & Anne Menard
Study Overview
Collaboration between the National Resource Center on Domestic Violence and the UConn School of Social Work
Federal funding by the Family Violence Prevention & Services Administration office of DHHS; administered by National Institute of Justice
Collaboration with DV Coalitions & programs across 4 states and within 4 culturally-specific organizations who have a national presence
Methodology: Two phases of outreach & data collection -- surveys and focus groups
Study Goals Learn more about what domestic violence survivors
want when they come to programs for supportive services, the extent to which survivors have had their service expectations met, and survivors’ assessment of immediate outcomes associated with the services they receive.
Learn more about how survivors’ experiences, needs and immediate outcomes vary across demographic and domestic violence program characteristics.
Identify multi-level factors associated with survivors’ positive service experiences.
Develop recommendations for domestic violence programs across the country for how they might improve their services.
Survey Methodology
Collaborated with DV Coalitions & programs across 4 states:
Alabama Illinois Massachusetts Washington
Collaborated with 4 culturally-specific DV organizations & their associated programs across the nation:
Asian & Pacific Islander Institute on Domestic Violence (APIIDV)
Casa de Esperanza Institute on Domestic Violence in the African
American Community (IDVAAC) Women of Color Network (WOCN)
Recruited 90 DV programs who distributed the survey to survivors with 2+ contacts over a 9 month period (April – December 2010)
Surveys2 surveys: one for programs, one
for survivorsSurvivor survey modified from
DOW, FVPSA outcomes, & shelter study
Piloted with survivors in English & Spanish
Outcomes: information, self-efficacy & affect
Translated into 10 languages: Arabic, Chinese, French, Korean, Polish, Portuguese, Russian, Spanish, Tagalog, and Vietnamese
Participating DV Programs
Program Features Avg. Range
Number (#) of program staff (med. = 13) 15.59 1 - 70
# of FTEs (full-time equivalents) 10.93 1 – 43.50
# of volunteers per month (med. = 7.5) 18.90 0 - 300
Starting salary: Advocate $28,881 $19 - $38,000
# of persons receiving services within past year
1,213 26 – 8,519
Years program has been in existence 24 3 - 41
Program Description %
Dual program: Domestic violence & sexual assault 27.9%
Culturally-specific program 27.5%
Program offers both shelter & non-residential services 78.7%
Program receives FVPSA funding (10 no response; 5 DK) 65.0%
Participating DV Programs:Languages Spoken by Program Staff & Volunteers American Sign
Language Amharic Arabic Bangla/Bengali Bosnian Bulgarian Cambodian/Khmer Cantonese Cape Verdean/Criuolo Creole Croatian English Farsi French German Gurajati
Haitian Creole Hebrew Hindi Indonesian Italian Japanese Korean Kurdish Laotian Malayalam Mandarin Mien Nepali Polish Portuguese Punjabi
Russian Samoan Serbian Setswana Sinhala Somali Spanish Tagalog Tai-Pan Tamil Telugu Thai Ukrainian Urdu Vietnamese Yoruba
Survey: Language Completed InLanguage N = 1466 Percent
Arabic 6 .4%
Chinese 13 .9%
English 1013 69.1%
Korean 16 1.1%
Portuguese 15 1.0%
Russian 6 .4%
Spanish 374 25.5%
Vietnamese 23 1.6%
Demographics: Race/Ethnicity
Total % % 4 states
% CS
African American/Black
15.1 10.9 26.2
African 0.6 0.4 1.0
Asian/Asian American 6.8 3.4 15.7
Hispanic/Latino-a 32.1 25.0 50.9
Middle Eastern 0.6 0.2 0
Multi-Racial 2.6 2.6 2.6
Native American/Alaska Native
2.0 2.7 0
Native Hawaiian/Pacific Islander
0.1 0.1 0
White/Caucasian 39.1 53.2 2.3
Other 1.1 1.5 0
Demographics: Age & Education
Age N =1416
%
17 or > 89 6.3%
18-20 58 4.1%
21-30 345 24.4%
31-40 432 30.5%
41-50 320 22.6%
51-60 129 9.1%
61-70 34 2.4%
Over 70
9 0.6%
Highest Level of Education
N =1407
%
8th grade or less
148 10.5%
9th – 11th 323 23.0%
High School Grad. or GED
341 24.2%
Some college 335 23.8%
College Grad. 201 14.3%
Advanced Degree
59 4.2%
Demographics: Gender & Sexual Orientation
Gender N = 1417
%
Female 1355 95.6%
Male 60 4.2%
Transgender 2 0.1%
Sexual Orientation N = 1295
%
Heterosexual 1214 95.6%
Lesbian/Gay 20 1.4%
Bisexual 36 2.5%
Other 25 1.7%
Demographics: History in U.S.
N =
1262%
I came to the U.S. from another country
585 46.4%
At least one of my parents came to the U.S. from another country
69 5.5%
At least one of my grandparents came to the U.S. from another country
135 10.7%
My ancestors were here before my grandparents were born
473 37.5%I came to the U.S. from another
country, and I am a….N = 525 %
Refugee 32 6.1%Immigrant 367 70.0
%Other 125 23.9
%
Demographics: Disability & Financial Situation
Do you consider yourself to have a disability or disabling condition(s)?
N = 1317
%
Yes 277 21%
No 1040 79%
Current financial situation: N = 1333
%
I simply can’t pay my bills. 324 24.3%
I have trouble paying regular bills. 270 20.3%
I can pay my bills but a big expense would cause a hardship.
389 29.2%
I can easily pay my bills, but need to be careful.
188 14.1%
I do not worry about paying for things I want and need.
157 11.8%
Top 10 Sources: First Heard about DV Program
Total 4 states
CS
1. Friend(s) * 19% 17% 25%
2. DV staff, including other DV program * 17% 19% 12%
3. Police * 16% 17% 11%
4. People at court * 13% 15% 7%
5. Family member 11% 11% 11%
6. Social service agency staff, incl. homeless shelter
8% 8% 7%
7. Mental health counselor/therapist * 7% 8% 4%
8. Other specify: School * 6% 2% 18%
9. Flyer/brochure/poster 6% 6% 6%
10. Health care provider 5% 6% 4%
Types of Services Currently Being Used
75%
57%
56% 36%
Differences in Services Currently Being Used by Race/Ethnicity
Support GroupMean of total sample = 57%
%
African American 61.5%
Asian 41.4%
Hispanic 60.3%
White/Caucasian 56.3%
Support ServicesMean of total sample = 75%
%
African American 79.0%
Asian 81.3%
Hispanic 80.0%
White/Caucasian 70.3%
CounselingMean of total sample = 56%
%
African American 56.0%
Asian 73.8%
Hispanic 53.8%
White/Caucasian 55.0%
LegalMean of total sample = 36%
%
African American 22.4%
Asian 62.2%
Hispanic 47.9%
White/Caucasian 29.3%
Differences in Services Currently Being Used By Whether Born In or Outside U.S.
Support GroupMean of total sample = 57%
%
Born outside the U.S.
60.1%
U.S. born 54.2%
Support ServicesMean of total sample = 75%
%
Born outside the U.S.
82.5%
U.S. born 70.3%
CounselingMean of total sample = 56%
%
Born outside the U.S.
59.4%
U.S. born 53.3%
LegalMean of total sample = 36%
%
Born outside the U.S.
48.9%
U.S. born 26.7%
Top 10: Services & Supports Wanted
% ofUS
born
% of born
not US
1. Talking to someone who understands my situation.
96.4 97.2
2. Support to make decisions and changes in my life.
92.7 91.5
3. Finding out who to call or where to get help.
92.1 88.6
4. Learning more about why/how DV happens.
90.6 88.2
5. Information about counseling options. 85.4 84.7
6. Help being safe from the person abusing me.
80.4 83.8
7. Hearing what other people have done in similar situations. *
82.5 76.2
8. Help staying in my community safely. 76.2 74.8
9. Information about my legal rights and options.
70.6 78.3
10. Help with access to legal services. 64.5 72.9
Additional Services & Supports Wanted
Type of Help and Ranking Out of 54 % ofUS
born
% of born
not US
14. Help with previous/other forms of abuse *
60.4 45.5
16. Help staying in my relationship safely * 41.6 50.5
20. Help with grief related to family losses * 36.0 27.3
23. Help with mental health services 34.1 35.4
27. Help getting housing 32.5 36.3
32. Help for the person who hurt me 28.5 29.7
36. Help with reproductive/women’s health issues *
17.8 38.3
37. Help with job/job training 24.9 26.3
44. Help with immigration-related issues * 3.0 42.5
48. Help with substance abuse services 15.3 10.7
Help Staying in Relationship Safely: A Closer Look
More likely to be born outside the US, have less trouble paying bills, & better off now than 2 years ago
Report more average needs: information & support, child-related, safety, personal support & immigration-related
Want more: help for person who hurt them, stopping court case, AND help ending relationship
Types of Services Sought for Children
Percentage based on those who sought at least one (n=818)
% of US
born
% of born
not US
1. Help with counseling for my children. 63% 61%
2. Help with other (local/state/federal) benefits for my children.
57% 61%
3. Help related to custody of my children. 59% 58%
4. Help maintaining safe visitation with my children. 58% 53%
5. Help with children related to their abuse. 55% 50%
6. Help with child protection hearing or requirements.
42% 42%
7. Help with child care. * 38% 45%
8. Help with child support. 38% 44%
9. Help with health care for my children. * 33% 44%
10. Help meeting the needs related to my child’s disability.
17% 14%
11 Factors: Services & Supports Wanted
a = more by US born; b = more by born outside US
% Who Wanted 1 or More
1. Information/support needs (6 items)
93%
2. Safety needs (4 items) 88%
3. Legal advocacy needs (4 items) 76%
4. Child-related needs (9 items) – b 65%
5. Economic needs (7 items) 59%
6. Victimization-related needs (2 items) - a
57%
7. Family-related needs (3 items) - b 57%
8. Physical/mental health needs (4 items) -b
51%
9. Criminal legal needs (3 items) 32%
10. Immigration-related needs (5 items) - b
30%
11. Vulnerability-related needs (3 items) -a
24%
Total Number of Services Wanted by Demographic Features (overall mean = 22.18)
Current Financial Status
Mean
I simply can’t pay my bills 23.96
I have trouble paying my bills.
21.00
I can pay regular expenses, but a big expense would cause a hardship.
20.00
I can easily pay my bills. 18.50
I do not worry about paying for things I want and need.
17.00
History in U.S. Mean
Born outside the U.S. 23.98
U.S. born 20.65
Ability to speak English
Mean
Not at all 24.52
Not well 23.97
Okay 24.85
Well 23.26
Very well 21.20
Significant Predictors
•Less completed education• Younger ageClose:• Less ability to speak English• More financial difficulty
Top 10: Services & Supports Received
Scale: 3: I got all of the help of this kind that I wanted 2: I got some of the help of this kind that I wanted 1: I wanted this kind of help but didn’t get any
Average
1. Talking to someone who understands my situation. 2.82
2. Finding out who to call or where to get help. 2.81
3. Learning more about why/how DV happens. 2.80
4. Help being safe from the person abusing me. 2.79
5. Support to make decisions and changes in my life. 2.78
6. Help with translation/interpretation. 2.77
7. Help staying in my relationship safely. 2.75
8. Information about counseling options. 2.74
9. Help staying in my community safely. 2.74
10. Help with protective or restraining order. 2.73
Top 10: Services & Supports Wanted but NOT Received
* Percentage who wanted this kind of help, but reported they didn’t get any
%* Overall % who wanted service
1. Help learning to drive. 28.9% 9.1%
2. Help with a job or job training. 28.5% 26.9%
3. Help paying rent/utilities. 25.5% 37.8%
4. Help with cash assistance/vouchers. 22.6% 36.8%
5. Help for the person who hurt me. 21.0% 31.8%
6. Help with transportation. 20.9% 29.4%
7. Help with financial matters, such as budgeting.
20.3% 33.4%
8. Help with child support. 19.1% 26.5%
9. Help with contacting family who are far away.
18.8% 19.0%
10. Help getting housing. 18.7% 35.9%
Satisfaction with Services & Supports
Survivor Outcomes
Percentage who said “yes”, the statement describes how they feel. [a = higher for Culturally Specific program]
%
I feel more hopeful about the future. – a 95.4%
I know more ways to plan for my safety. 95.0%
I know that I will achieve the goals I set for myself. 94.6%
I know more about my rights and options. 93.4%
I feel more comfortable asking for help. 93.3%
I feel more confident in making decisions. – a 92.7%
I feel like I can do more things I want to do. 91.3%
I know more about community resources. 88.5%
I get more support from family & friends. 78.5%
Feedback on Outcomes
I learned how much I'm worth and my rights as a person and a woman. I have a better life together with my kids and we live in peace and harmony.
Survivor from Illinois
It has helped me a lot in the form of knowing that I'm worth something and I'm someone important. And in the group I feel comfortable again to be able to accept friendships and to have trust in myself.
Survivor from Washington
I feel stronger and do feel more hopeful towards the future.
Survivor from program identified by APIIDV
Focus Group Populations:10 Groups, N = 73
Culturally-specific populations: Asian/Pacific Islander African American Hispanic/Latino(a) (2 groups) Portuguese-speaking Brazilian immigrants
Other targeted populations: LGBTQ Men Older adults Survivors living in rural areas Survivors in recovery from substance abuse
Implications—for DV Programs Survivors report high levels of satisfaction with the
services and supports they receive, and with program staff, suggesting that DV programs should continue to offer a broad array of services and continue with staff training efforts.
High correlation between services and supports “wanted” and those “received” suggests that programs are meeting the needs of survivors in many areas; but there is room for improvement in meeting economic needs, legal advocacy needs, and supports for children.
Outcomes suggest that DV programs are creating positive change the lives of survivors.
Implications—Outcome Measures
Hope the “catalyst” of mental health recovery (SAMHSA, 2006)
Advocacy services found to be protective and enhance well-being in more controlled studies. e.g. --◦ Empowerment services protect against PTSD for
survivors in shelter with low/moderate violence; beyond benefits of resources (Perez, Johnson & Wright, 2012)
◦ Advocacy in health care settings associated with reduced violence, depression, & reproductive coercion (Coker et al, 2012; Kiely et al, 2010; Miller et al, 2010; Tiwara et al, 2010)
◦ Enhanced follow-up advocacy associated with enhanced well-being (Sullivan & Bybee, 2002)
Implications—Training and Practice DV survivors have multiple & complex needs; need
comprehensive & collaborative approach.
Many survivors want/need to remain in a relationship with the person who has abused them—importance of safety planning that takes this into account, and of services for people who are abusing.
Needs related to children are primary among mothers.
Culturally appropriate/competent services are vital.
Resources
RESOURCES on VAWnet.org
Meeting Survivors’ Needs Study Resource Page
www.vawnet.org/research/MeetingSurvivorsNeeds
Research Resources
www.vawnet.org/research/
Use of Data & Statistics
www.VAWnet.org/research/use-of-data
QUESTIONS OR COMMENTS ABOUT THE STUDY?Please contact research@nrcdv.org