Corinne Graffunder, DrPH, MPHNational Center for Injury Prevention and Control

October 2009

Laying the Foundation: The Strategic Vision for RPE

Presentation Overview

• Rape Prevention and Education (RPE)• Prevention Science• The Economics of Prevention • Community Prevention Efforts

RPE Mission and VisionVision: 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

RPEEvaluabilityAssessment

RPE Models and Measures RPE

NewCo-op

UnderservedCo-op

PracticeGuidelines

EMPOWER

RPETraining &

TA Plan

Getting toOutcomes for IPV/SV

RPE

The Problem:Child maltreatment affects health

across the lifespanPreventing 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 $$, butcost effective

Focus on outcomes Focus on causes, risk/protective

factors

Prevention involves:

Stopping the violence before it startsRecognizing that no one factor causes sexual violenceDeveloping comprehensive programs that address multiple factorsRe-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 $$, butcost effective

Focus on outcomes Focus on causes, risk/protective

factors

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

EXPECT RESPECT

The Evolution of Prevention

Raising Awareness/ Keep SV from Reporting happening

“Let 1,000 Flowers Bloom” More Systematic Approach

Prevention on the “cheap” Requires $$, butcost effective

Focus on outcomes Focus on causes, risk/protective

factors

Principles of Effective Prevention Programs1. Appropriately Timed2. Comprehensive3. Outcome Evaluation4. Positive Relationships5. Socio-culturally Relevant6. Sufficient Dosage7. Theory-based8. Varied Teaching Methods9. Well-trained Staff

Comprehensive Prevention Programming

Leadership

Community development

Programs

Partnership &

collaboration

Iterative process

Sustainability

Buy in from community

Evidence-based

Infrastructure building

The Evolution of Prevention

Raising Awareness/ Keep SV from Reporting happening

“Let 1,000 Flowers Bloom” More Systematic Approach

Prevention on the “cheap” Requires $$, butcost effective

Focus on outcomes Focus on causes, risk/protective

factors

High-Risk Versus Population Factors Associated with Sexual Violence

Perpetration

High-Risk FactorsPrior perpetrationPhysiological arousalAdverse Childhood ExperiencesLack social skillsFamilial dysfunctionSocial dislocation

Population FactorsCultural norms/beliefs Systemic conditions that foster isolation, climate of denial, etc Media portrayals of women and children as 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 programsIdentifying core components & increasing participation in parenting programsEvaluating the effectiveness of population-based parenting programsAssessing the impact of strategies to prevent shaken baby syndrome

Prevention EconomicsPrevention Economics

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:Strategic Partnerships and

Diffusing What Works

Because Kids Count!Child maltreatment partnership meetingPolicies and procedures for preventing sexual abuse in child-serving organizationsCollaborations to prevent child sexual abuseFraming and better communication

Fostering Community Prevention Efforts

Population/Community Methods

Social marketing techniques

Policy Strategies

Community engagement & political will

Goals: change knowledge, attitudes, and behavior

Fostering community prevention efforts

Future DirectionImplementing 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.