Accessing Federal FundsPeace Over Violence

Los Angeles, CA

Aleisha A. Langhorne, MPH, MHSADepartment of Health and Human Services

Office on Women’s HealthAugust 11, 2010

One HHS- VAW ActivitiesAdministration for Children and Families (ACF)Administration on Aging (AoA)Centers for Disease Control and Prevention (CDC)Health Resources and Services Administration (HRSA)Indian Health Services (IHS)National Institutes of Health (NIH)Office of Population Affairs, Office of Family Planning

(OPA)Office on Women’s Health (OWH)Office of Adolescent Health (OAH)Substance Abuse and Mental Health Services

Administration (SAMHSA)

What every Federal Funder wants? An Organization with G.I.F.T.S.Get in on the Ground FloorIdentify innovative approaches to create

change Find ways to Collaborate and CompromiseTake time to Measure Show how your organization has sustained

Office on Women’s HealthFiscal Investment2007- $400K 2008- $875K2009- $2.375M2010- $3.325M (1% of Appropriated Funds)

VAW ProgramsAIDS-Related Services for Survivors of Domestic

ViolenceProject Connect: A Coordinated Public Health

Initiative to Prevent Violence Against WomenTraining for Health Care Professional End Violence Against Women on College

Campuses/UniversitiesPilot Initiatives

Women of Faith Advocacy Training ProgramAddressing Female Teen Pathways to Violence

Regional Opportunities- Feb. 2011

AIDS-Related Services for Survivors of Domestic Violence (2010-2011)Training

Domestic Violence Providers and HIV/AIDS Service Providers

Capacity BuildingBuilding Relationships between the providers

Raising AwarenessRegional WorkshopsNational Meetings

AIDS-Related Services for Survivors of Domestic Violence- GoalsProvide training to community based organizations

that directly service victims/survivors of DV Train counselors and shelter workers to integrate messages about

risk of contracting HIV/AIDS in the services they provide to survivors of DV Develop materials for both group & one-on-one settings Determine the level of need within the organization Track counselor and survivor knowledge and behavior changes

Educate HIV/AIDS Service providers on how to: Provide services in a manner that is sensitive to survivors and/or victims of

domestic violence Develop linkages and self-sustaining relationships

between the provider organizations-BUILD CAPACITY

Measuring Success and ChallengesQualitative Outcomes

Creates an infrastructure of changeLeadership and Staff buy-in Technical Assistance and Updates

Quantitative Outcome Measuresproviders trainedfemale clients of Domestic Violence CBOs servedwomen tested

Local Systems Level Change- policy changes within the organizations

Federal Impact for ProgrammingThe intersection of HIV and Violence has

become an area of interest by many federally funded programs outside of mandates and policy recommendations.

The Office on Women’s Health incorporates violence as a focus area into all of its HIV Prevention Programs for Women and Girls.

Many national/state funders are implementing work groups which are looking at the impact of STIs on victims and/or survivors of domestic violence.

Health Care Reform*Potential Funding OpportunitiesWomen's Health Amendment – Well

Woman Visit Additional funding for PREP, Home

Visitation and Services for Pregnant/Parenting Victims

Prevention Investments

* The information provided for this portion of the presentation was supplied from a non-governmental source and may not be reflective of all current changes.

Women's Health AmendmentIn September, all plans must cover preventive

health services, and plans cannot require cost sharing or deductibles for these services.

 These services include women’s preventive care and screenings that are recommended by USPSTF, but the new law also gave authority to HRSA to craft comprehensive guidelines for services not already supported by USPSTF.

U.S. Preventive Services Task Force (USPSTF)- Agency for Healthcare Research and Quality

Women's Health Amendment (cont.)WomenWell Woman visit Preconception visitAssessment and Counseling for Lifetime

Exposure

ChildrenCovers Bright Futures services for infants,

children and adolescents

Training on DV/SA for Health ProvidersServices for Pregnant/Parenting Victims$25 million per year

FOA has come out and awards will be made soon

States are a pass through and AG can apply for intervention and social service support for victims and TA (including to health professionals)

HHS Office of Adolescent Health will administer

AG=Attorney General

Preventing Youth Violence and Teen PregnancyPersonal Responsibility Education Program$75 million annually over five years in

mandatory funding for evidence-based teen pregnancy prevention grants for states and tribes

Educational programs must include both abstinence and contraception and three or more adulthood preparation subjects, including healthy relationships.

Preventing Youth Violence and Teen Pregnancy (cont.)Personal Responsibility Education

ProgramAdministered by HHS ACF and OAHAnnouncement closed August 2, 2010State portion will be at the discretion of the

stateEligible programs – 28 proven programs used

in Tier 1 with a little more flexibility to adapt those programs

Maternal, Infant and Early Childhood Home Visiting Programs$1.5 billion in mandatory spending

Funding for the program starts in FY 2010 and funds must be awarded by September 30th

25% of awards can be used for promising new program model(s)

3% to American Indian/Alaska Native

Home Visiting Programs (cont.)Health reform amended Title V of the Social

Security Act to add funding for home visiting programs.

Current appropriations to federal HHS is $100 million in FY 2010; $250 million in FY 2011; $350 million in FY 2012; $400 million in FY 2013 and $400 million in FY 2014 for a total of $1.5 billion in mandatory spending.

Formula funding is based on the number of children in families with income at or below 100% of the federal poverty line as compared to the number of children nationally.

Home Visiting Programs (con’t)The new law is very prescriptive regarding requirements

of the service delivery model or models used. The Nurse Family Partnership, which seems to meet almost

all model requirements has demonstrated effectiveness in reducing child maltreatment but has had mixed results for domestic violence.

The law allow up to 25% of funding to be used for a new program which could address the needs of children and women exposed to DV. AMCHP has a resource page on home visiting and lists

possible choices of home visiting programs to address domestic violence and child maltreatment (brief prepared by FVPF in partnership with the National Child Abuse Coalition)

AMCHP = Association of Maternal and Child Health Programs

Home Visiting Programs (con’t)The needs assessment should identify

communities at risk and two risk factors specifically identified in the law are domestic violence and child maltreatment.

The program must demonstrate improvements in multiple benchmarks including prevention of child injuries, abuse, neglect or maltreatment and the reduction in crime or domestic violence.

National Prevention StrategyProject Connect as Public

Health Leadership Model

Convener/Coalition Builder

National Policy Opportunities

Project ConnectCollaboration with the Family Violence

Prevention Fund (FVPF) Two-year initiative designed to improve the

health and safety of women and childrenTen sites in nine states

Arizona, California (2 tribes),Georgia, Iowa, Maine, Michigan, Ohio, Texas, Virginia

Policy Shift

Prevention InvestmentPrevention and Public Health Fund $15 billion to improve health and reduce

health costs in the public and private sector.

A broad range of prevention interventions, including activities to prevent and respond to violence and abuse, and research funding to supplement the existing evidence for assessment of risk factors related to violence prevention and effective interventions could become eligible.

Prevention Investment (cont.)National Prevention, Health Promotion &

Public Health CouncilChaired by Surgeon General and Members

are Cabinet HeadsRequired to submit National Strategy report

by March 23, 2011.President's Executive Order lists domestic

violence screenings Effort to expand to lifetime exposure

Prevention Investment (cont.)National Prevention, Health Promotion &

Public Health Council25 Member Advisory Group will be createdInclude expertise in: (1) worksite health

promotion; (2) community services, including community health centers; (3) preventive medicine; (4) health coaching; (5) public health education; (6) geriatrics; and (7) rehabilitation medicine.”

Contact InformationAleisha A. Langhorne, MPH, MHSA

Health ScientistViolence Against Women’s Team Leader

Office on Women’s Health200 Independence Ave, SW,

Washington, DC 20201202-401-8325

Aleisha.Langhorne@hhs.govwww.womenshealth.gov/violence/programs/#d