Hombres Unidos Contra la Violencia Familiar

Transcription

1 Image by Migrant Health Promotion Hombres Unidos Contra la Violencia Familiar Men United Against Family Violence Ricardo Garay November 2015 A force for health justice for the mobile poor

2 Image by Alan Pogue Disclaimer: I have no real or perceived vested interests that relate to this presentation nor do we have any relationships with pharmaceutical companies, biomedical device manufacturers, and/or other corporations whose products or services are related to pertinent therapeutic areas. A force for health justice for the mobile poor

3 OUR MISSION To be a force for justice in healthcare for the mobile poor

4 10,000 constituents Founded in 1984 Oldest clinical network serving the mobile poor MCN s primary constituents Federally funded Migrant & Community Health Centers State and local health departments Photo Alan Pogue

5 MCN Areas of Primary Care Services Focus Health Network Violence Prevention Cancer Prevention Environmental and Occupational Health

6 Over 6,000 national and international partners On-site Online Webinars Conferences Networking Training Resource Developme nt Clinical Tools Patient Education Online resources Primary Care EOH Violence Prevention Cancer Continuity of care Others Program Development Advocacy and Policy Clinical representation Immigration Worker rights Website Newsletter Enewsletter Social Media Information Dissemination Technical Assistance Onsite Phone Resource Distribution Clinical Focus

7 Outcomes. Methods on how to begin a conversation on sexual and intimate partner violence with Latino migrant men Knowledge on efforts to continue to engage Latino migrant men in sexual and intimate partner violence prevention Skills on how to incorporate existing efforts with your population

8 History of Family Violence Prevention Program Practice Based Research Network 1994 Women s Leadership Project 1996 No Hay Mal Que Por Bien No Venga 1998 Clinical Network in Action 2000 Familias Saludables 2002 Strengthening What Works VAWA Project 2001 Familias con Voz 1999 Migrant Workers and Clinicians Trainings 1995 Domestic Violence and Farmworker Men 2005 Hombres Unidos 2011 Engaging Migrant Men

9 Risk Factors vs Protective Factors

10 Risk Factors Individual low self esteem, depression, unemployment, gender roles, prior history, low academic achievement, desire for power and control, etc. Relationship marital instability, male dominance, economic stress, unhealthy family relationships, etc. Community poverty, low social capital, peer behaviors and attitudes, weak community IPV sanctions, etc. Societal gender norms, societal norms that maintain women's inferiority, high violence tolerance levels.

11 Risk Factors Latino Migrants Low Academic Achievement Job Insecurity Live under poverty lives Male dominated culture Machismo Language Barriers Live in Geographically Isolated Areas Documentation?

12 Protective Factors Emotional health Connectedness with friends & adults High socioeconomic status Latino Migrants Familism Respectism Collectivism Personalism

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14 Freirean, peer educational approach Latino males explore attitudes, behaviors, and beliefs about IPV Gain the skills and vocabulary to encourage others to develop healthy relationships Become advocates against IPV Define healthy relationships through group dialogue Take ownership of the issue

15 This reframing of the cultural norms that condone intimate partner abuse and resulting advocacy are expected to reduce IPV in our local communities.

16 Popular Education Educación Popular a concept grounded in notions of class, political struggle, and social transformation. popular = of the people more specifically refers to the popular classes, which include peasants, the unemployed, the working class and sometimes the lower middle class

17 Promotores Community Member Outreach Worker Respected Peer Image by Allan Pogue

18 The Hombres Unidos Experience

19 Hombres Unidos Primary prevention 5 session curriculum Latino migrant men Source: MCN Hombres Unidos curriculum

20 Workshop Ideology Men can be naturally loving, sensitive, nurturing human beings. Many men can and want to help stop violence against women. Men who provide support for each other have the power to change the social acceptance of violence. We cannot define perfection and we can only change ourselves; we cannot change anyone else.

21 Promotores Train Recruit Facilitate Communicate with MCN/Organization

22 Interactive and Dialogue Based Peer Led

23 Image by Migrant Clinicians Network Interactive and Dialogue Based

24 SESSIONS: Male Socialization Definitions of Violence Power and Violence Tools to Prevent Violence Promise and Celebration Week 1 Week 2 Week 3 Week 4 Week 5 Workshop Structure

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26 Image by Migrant Clinicians Network I promise not to commit, condone or remain silent about domestic and sexual violence

27 Evaluation Image by Migrant Clinicians Network

28 Focus Groups Five focus groups Terminology refinements Analysis of focus group data Photo: CKugel

29 Curriculum Review and Revisions Ensure consistency with learning objectives Integration of focus group findings 3 rd and final edition Translation Image by Migrant Clinicians Network Image by Migrant Health Promotion

30 Pre/Post Test Revisions/Analysis Aligned with content and objectives Low literacy Yes/No Image by Migrant Clinicians Network

31 Facilitator Response Forms Image by Migrant Health Promotion Image by Migrant Health Promotion

32 Interviews 8 Past Participants Personal Stories Photo: CKugel

33 In Person Interviews

34 Outcomes Image by Migrant Clinicians Network

35 65.99+% desired outcomes for each of the 11 questions on the current pre/post survey Have kids * C-1. Should men make the decisions? [count, row %]. C-1. Should men make the decisions? Have kids C right C WDK NC right NC WDK Total yes % 14.90% 37.70% 17.50% % no % 18.80% 25.00% 6.30% % Total % 16.00% 34.00% 14.20% %

36 Image by Clinicians Network Engaging Migrant Men Office on Violence Against Women Image by Alan Pogue

37 #1: Hombres Unidos used to develop messages in Reading, PA #2: Focus Groups used to select most compelling messages and the most effective media in Quincy, WA; Reading, PA; and Homestead, FL

38 Outcomes 3 messages were selected Men selected the messages felt the best way to communicate these messages to their peers is through video WITH the opportunity to discuss these messages. MCN created three videos with accompanying print pieces and discussion guides.

39 Products

40 La violencia no es solo física. Es emocional, sexual y económica.

41 Para. Mantegase calmado. Y evite la violencia.

42 Mis palabras pueden causar daño a mi pareja.

43 Process Sign agreement between MCN and an Organization Train on Intimate Partner Violence topics and Hombres Unidos provided by MCN The Organization implements Hombres Unidos 4 MCN provides ongoing technical assistance throughout MOU period

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45 Image by Migrant Clinicians Network Adrian Velasquez Contact Us migrantclinicians