Strategies and Tools for Serving Survivors with Intellectual and Developmental Disabilities: A Webinar for I/DD Service Providers September 17, 2019 Why Do Work at the Intersection? Leigh Ann Davis Director of Criminal Justice Initiatives The Arc of the United States Alarming statistics • Violent crime (rape/sexual assault, robbery, and aggravated assault) for persons with disabilities (12.7 per 1,000) • More than three times the rate for persons without disabilities (4.0 per 1,000) • Persons with cognitive disabilities had the highest rates (57.9 per 1,000) Alarming statistics (2) • People with intellectual and developmental disabilities (I/DD) are 7 times more likely to experience sexual assault • 49% of people with developmental disabilities were assaulted 10 or more times. Relationship to offender Acquaintance Intimate partner 66% Other relative Stranger 34% Unknown Challenges for people with I/DD • Bias / stereotypes about people with I/DD • Lack of general education about victimization and sex education for both adults and youth with I/DD in special education • Accessibility of sexual health materials created for general population, as well as prevention of all types of victimization Challenges for I/DD service providers in addressing violence • Victim service providers don’t know about the issue, or understand how critical it is, or how to connect to disability organizations • Different cultures and/or terminology than anti-violence organizations • Lack of opportunity to work together, co- train, and learn from each other • Few funding streams or opportunities A Potential Solution: Introducing the Disability Grant Program Ashley Brompton Center on Victimization and Safety Vera Institute of Justice The Disability Grant Program OVW’s Training and Services to End Violence Against Women with Disabilities Grant Program The purpose of the Disability Grant program is to create permanent changes within and among the organizations – working in collaborations – that result in more accessible, safe, and effective services for survivors with disabilities and Deaf survivors. About the Grant Program • 3 year cooperative agreement • Multidisciplinary team structure • At least one DV/SA organization and at least one disability organization partner to create true collaboration Goal: Collaboration for sustainable organizational change • Emphasis on sustainable, internal organizational change • Policies and procedures • Safety and access within partner agencies • Staff capacity building • Shared vision amongst partner agencies for long term service provision in your community Benefits of the Grant Program • Opportunity to start conversations and relationship building at this intersection • Shared understanding of the complexities at the intersection • Bring lessons learned to other chapters of The Arc and other community partners • Opportunity to have an intentional planning process What you can accomplish in the Grant Program • Increased staff capacity to work with survivors with I/DD • Increased accessibility and safety • Increased capacity of anti-violence organizations understand I/DD, while increasing capacity to address DV and/or SA • More seamless service provision for survivors with I/DD • Innovative solutions for serving survivors with I/DD Solutions and resources from the Grant Program • Staff training and cross-training; • Policies to address mandatory reporting, guardianship, accommodations, and other issues for survivors with I/DD; • Plain language outreach materials; • Cognitively accessible tools such as an illustrated power and control wheel; • Safety and access reviews and barrier removal plans Grantees Share Their Perspectives, Work, and Resources Question 1 What motivated you to begin work at this intersection? Question 2 What benefits are there to working with a sexual assault organization? Question 3 What can sexual assault and domestic violence organizations gain from working with I/DD service providers? Question 4 What opportunities has the Grant Program provided your collaborations that you would not have otherwise had? Question 5 What have your agencies gained from your work in the Disability Grant Program? Question 6 How have services for survivors with I/DD improved since your work in the Grant Program? How do you anticipate them improving moving forward? Question 7 What word of advice do you have for I/DD service providers looking to do work at the intersection? Twin Cities, Minnesota Georgann Rumsey, The Arc Minnesota Amy Daher-Waller, Sexual Violence Center Who we are AccessingSafety inHennepin County (ASHC) Mission: • Improve how we help victim/survivors with IDD • Provide help that respects and empowers victim/survivors with IDD • Support victim/survivors with IDD get the skills and resources they need to heal VISION: • Create best possible services for victim/survivors with IDD VALUES: • Everyone has the right to be fully included in the community & feel safe Self-advocates Self advocates guide our work. WHAT IS A SELF-ADVOCATE? •They act or speak for themselves or other people with IDD •They have a voice in everything that affects their lives “Nothing about us, without us.” Self-advocates (2) HOW DOES ASHC SUPPORT SELF-ADVOCATES? •Include Self-Advocates on our teams •Make sure materials, meeting locations, and conversations are accessible •Encourage and use their input and life experiences – they are the experts Gaps we discovered We conducted focus groups early in our work together to identify gaps in how our agencies were serving survivors with I/DD. We were able to outline the needs of self-advocates, victim-survivors, and parents/guardians. These needs and interests are what have guided our work together. Focus group findings (1) SELF-ADVOCATES’ NEEDS: • A place that is welcoming and easy to find • Let me speak for myself • Treat me as an equal • Ask me what I need • Staff who are friendly and experts • Person-centered planning On left: ‘Help, no get in’ (the participant) On right: ‘We don’t want you over there’ (party goers) Question “When you go somewhere for services and someone really understands you and your disability, what is that like?” “It’s like hugging chocolate!” Focus group findings (2) VICTIM/SURVIVORS’ NEEDS: • Post Safe Place signage • Staff skilled to talk about sensitive and uncomfortable topics • Drop-in support groups • Help with transportation • Self-expression therapies “The first few words that are said are more important than anything else.” “It’s the first place (SVC) I’ve come to in a professional setting where people actually gave a damn.” Focus group findings (3) PARENTS/GUARDIANS’ NEEDS: • Staff need to be patient and be good listeners “All of their growth • Understand diversity and healing comes • Promote self-advocacy from them being • Continuity of staff so there is able to say things in one contact person • Resources that are easy to find their own words. and understand Don’t advocate for but advocate with.” Current work 1. Continue to build access and safety 2. Build our capacity with trainings 3. Develop and/or revise policies and procedures 4. Create a picture guide to explain mandated reporting 5. Create a support group for victim/survivors with IDD 6. Complete Law Enforcement Environmental Scan 7. Continue outreach to parents, adults with IDD and direct support professionals Resources and tools for serving survivors with I/DD we have developed Sexual assault exam picture guide Thank you to Illinois Imagines • This picture guide helps victims/survivors with intellectual and/or developmental disabilities (I/DD) understand what happens during a sexual assault exam • Sexual Violence Center’s (SVC) medical advocates use the guides and they are currently used by sexual assault nurses at seven hospitals • SVC’s medical advocates are trained to use this guide Trainings Policies and procedures Goal: Develop policies and procedures at the Arc and the Sexual Violence Center for people with intellectual and/or developmental disabilities (IDD) that increase their safety, confidence, comfort and empowerment. How: 1. What is The Arc’s role in supporting people with I/DD and mandated reporting? 2. What is the SVC’s role in supporting people with I/DD who have a guardian? Bristol County, Massachusetts Jennifer Adams, The Arc of Bristol County Erin Basler, New Hope What we have seen in Bristol County We Know: • Abuse rates are high • Professionals don’t feel prepared to work at this intersection • In MA a survey found two ( 2 ) licensed mental health providers who felt competent working at the intersection of trauma & IDD • Training around safety focuses on practical safety skills. • Training about sexuality, healthy relationships, and consent are critical for recognizing and reporting abuse and assault. What we have seen -emPower BC What we are doing • Mandated Reporting • Sexual Assault Response • Access and Accommodations @ New Hope • Trauma-Informed Practice @ The Arc • Information, Training, & Resources for ALL! Mandated reporting What we plan to do: • Short Term -Agency policy that supports Empowerment • Long-Term -Conversations and Coalition Building to share what we learn with other Mandated Reporters in MA • Rationale -People with IDD deserve to make decisions about how and when to report -just like people without disabilities. Our priority is balancing physical safety, emotional safety, and legal requirements. Why working together is important • The Arc and New Hope are both dedicated to increasing autonomy in the Mandated Reporting process • Changing the culture of protection in reporting requires ALL those who are mandated reporters to operate in the same way. Sexual assault response What we plan to do: • Short Term -Sexual Assault Response Protocol • Long-Term -Interagency Team • Rationale -Written procedures increase comfort during a crisis. The Team provides an opportunity for ongoing conversation and evaluation. Why working together is important • Each agency has important perspectives on the issue • Based on MA systems, someone supported by the Arc is assaulted will likely interact with New Hope services. Collaboration streamlines that involvement. Staff training and resources What we plan to do: • Short Term -TIC Training, Access Training, Develop Written Guides and Resources, Help Cards • Long-Term -Culture Change, Evaluation • Rationale -People asked for more information. We need to provide education around policy and procedure changes. Why working together is important • Varied Experience • Pooled Resources Questions Thank you! Please complete this brief survey about your experience. https://www.surveymonkey.com/r/P3GVGCJ