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Preventing Violence
Against Women
and Children
Workshop Summary
Deepali M. Patel, Rapporteur
Forum on Global Violence Prevention
Board on Global Health
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, N.W. Washington, DC 20001
NOTICE: The project that is the subject of this report was approved by the Govern-
ing Board of the National Research Council, whose members are drawn from the
councils of the National Academy of Sciences, the National Academy of Engineer-
ing, and the Institute of Medicine.
This study was supported by contracts between the National Academy of Sciences
and the U.S. Department of Health and Human Services: Administration on Aging,
Office of Women’s Health; Anheuser-Busch InBev; Avon Foundation for Women;
BD (Becton Dickinson, and Company); Catholic Health Initiatives; Centers for
Disease Control and Prevention; Department of Education: Office of Safe and
Drug-Free Schools; Department of Justice: National Institute of Justice; Fetzer
Foundation; F. Felix Foundation; Foundation to Promote Open Society; Kaiser
Permanente; National Institutes of Health: National Institute on Alcoholism and
Alcohol Abuse, National Institute on Drug Abuse, Office of Research on Women’s
Health, John E. Fogarty International Center; Robert Wood Johnson Foundation;
and the Substance Abuse and Mental Health Services Administration. Any opin-
ions, findings, conclusions, or recommendations expressed in this publication are
those of the author(s) and do not necessarily reflect the view of the organizations
or agencies that provided support for this project.
International Standard Book Number-13: 978-0-309-21151-2
International Standard Book Number-10: 0-309-21151-4
Additional copies of this report are available from the National Academies Press,
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(202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.
For more information about the Institute of Medicine, visit the IOM home page
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Copyright 2011 by the National Academy of Sciences. All rights reserved.
Printed in the United States of America
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all cultures and religions since the beginning of recorded history. The serpent ad-
opted as a logotype by the Institute of Medicine is a relief carving from ancient
Greece, now held by the Staatliche Museen in Berlin.
Suggested citation: IOM (Institute of Medicine). 2011. Preventing violence against
women and children: Workshop summary. Washington, DC: The National Acad-
emies Press.
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“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
— Goethe
Advising the Nation. Improving Health.
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The National Academy of Sciences is a private, nonprofit, self-perpetuating society
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the furtherance of science and technology and to their use for the general welfare.
Upon the authority of the charter granted to it by the Congress in 1863, the Acad-
emy has a mandate that requires it to advise the federal government on scientific
and technical matters. Dr. Ralph J. Cicerone is president of the National Academy
of Sciences.
The National Academy of Engineering was established in 1964, under the charter
of the National Academy of Sciences, as a parallel organization of outstanding en-
gineers. It is autonomous in its administration and in the selection of its members,
sharing with the National Academy of Sciences the responsibility for advising the
federal government. The National Academy of Engineering also sponsors engineer-
ing programs aimed at meeting national needs, encourages education and research,
and recognizes the superior achievements of engineers. Dr. Charles M. Vest is presi-
dent of the National Academy of Engineering.
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cil is administered jointly by both Academies and the Institute of Medicine. Dr.
Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of
the National Research Council.
www.national-academies.org
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PLANNING COMMITTEE ON PREVENTING VIOLENCE
AGAINST WOMEN AND CHILDREN WORKSHOP1
JACQUELYN C. CAMPBELL (Chair), Anna D. Wolf Chair and Professor, Johns
Hopkins University School of Nursing
CLARE ANDERSON, Deputy Commissioner, Administration on Children, Youth
and Families, Department of Health and Human Services
GARY BARKER, International Director, Promundo-DC
JEFFREY EDLESON, Professor and Director of Research, University of
Minnesota School of Social Work
CLAUDIA GARCÍA-MORENO, Coordinator, Department of Gender, Women,
and Health, World Health Organization
JOANNE LACROIX, Manager, Family Violence Prevention Unit, Public Health
Agency of Canada
SUSAN SALASIN, Director, Trauma and Trauma-Informed Care Program,
Substance Abuse and Mental Health Services Administration
Consultant
ELENA NIGHTINGALE, Scholar-in-Residence, Institute of Medicine
1 Institute of Medicine planning committees are solely responsible for organizing the work-
shop, identifying topics, and choosing speakers. The responsibility for the published workshop
summary rests with the workshop rapporteur and the institution.
v
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FORUM ON GLOBAL VIOLENCE PREVENTION
JACQUELYN C. CAMPBELL (Co-chair), Anna D. Wolf Chair and Professor,
Johns Hopkins University School of Nursing
MARK ROSENBERG (Co-chair), President and CEO, The Task Force for Global
Health
CLARE ANDERSON, Deputy Commissioner, Administration on Children, Youth
and Families, Department of Health and Human Services
FRANCES ASHE-GOINS, Acting Director, Office on Women’s Health, U.S.
Department of Health and Human Services
KATRINA BAUM, Division Director, Violence & Victimization Research,
National Institute of Justice, Department of Justice
SUSAN BISSELL, Associate Director, Child Protection Section, UNICEF
ARTURO CERVANTES TREJO, Director General, National Center for Injury
Prevention, Ministry of Health, Mexico
XINQI DONG, Associate Professor of Medicine, Behavioral Sciences and
Nursing, Rush Institute for Healthy Aging, Rush University Medical Center
AMIE GIANINO, Global Director, Beer & Better World, Anheuser-Busch InBev
KATHY GREENLEE, Assistant Secretary for Aging, Administration on Aging,
U.S. Department of Health and Human Services
RODRIGO V. GUERRERO, City Counselor, Cali, Colombia
JOHN R. HAYES, Global Strategy Leader for Neuroscience, Medical Affairs, Eli
Lilly and Company
DAVID HEMENWAY, Director, Injury Control Research Center and the Youth
Violence Prevention Center, Harvard University
FRANCES HENRY, Advisor, F. Felix Foundation
MERCEDES S. HINTON, Program Officer, Initiative on Confronting Violent
Crime, Open Society Institute
LARKE NAHME HUANG, Senior Advisor, Office of the Administrator,
Substance Abuse and Mental Health Services Administration, U.S.
Department of Health and Human Services
L. ROWELL HUESMANN, Amos N. Tversky Collegiate Professor of Psychology
and Communication Studies Director, Research Center for Group Dynamics,
Institute for Social Research, The University of Michigan
KEVIN JENNINGS, Assistant Deputy Secretary of Education, Office of Safe and
Drug Free Schools, Department of Education
CAROL M. KURZIG, President, Avon Foundation for Women
JOANNE LACROIX, Manager, Family Violence Prevention Unit, Public Health
Agency of Canada
JACQUELINE LLOYD, Health Scientist Administrator, Prevention Research
Branch, Division of Epidemiology, Services and Prevention Research,
National Institute on Drug Abuse
BRIGID McCAW, Medical Director, NCal Family Violence Prevention Program,
Kaiser Permanente
JAMES A. MERCY, Special Advisor for Strategic Directions, Division of Violence
Prevention, National Center for Injury Prevention and Control, Centers for
Disease Prevention and Control
vi
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PEGGY MURRAY, Senior Advisor for International Research, Office of the
Director, National Institute for Alcohol Abuse and Alcoholism
MICHAEL PHILLIPS, Director, Suicide Research and Prevention Center,
Shanghai Jiao Tong University School of Medicine
COLLEEN SCANLON, Senior Vice President, Advocacy, Catholic Health
Initiatives
KRISTIN SCHUBERT, Program Officer, Vulnerable Populations Portfolio, The
Robert Wood Johnson Foundation
EVELYN TOMASZEWSKI, Senior Policy Advisor, Human Rights and
International Affairs, National Association of Social Workers
ELIZABETH WARD, Chairman, Violence Prevention Alliance, University of the
West Indies, Mona Campus
Staff
DEEPALI M. PATEL, Program Officer
RACHEL M. TAYLOR, Research Associate
RACHEL E. PITTLUCK, Senior Program Assistant
BRANDON J. STRATFORD, Christine Mirzayan Fellow (January
2011-April 2011)
ELENA NIGHTINGALE, Scholar-in-Residence
KATE BURNS, Intern
JULIE WILTSHIRE, Financial Officer
PATRICK KELLEY, Board Director
vii
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Reviewers
This report has been reviewed in draft form by individuals chosen
for their diverse perspectives and technical expertise, in accordance with
procedures approved by the National Research Council’s Report Review
Committee. The purpose of this independent review is to provide candid
and critical comments that will assist the institution in making its published
report as sound as possible and to ensure that the report meets institutional
standards for objectivity, evidence, and responsiveness to the study charge.
The review comments and draft manuscript remain confidential to protect
the integrity of the process. We wish to thank the following individuals for
their review of this report:
NAEEMAH ABRAHAMS, Senior Researcher, Gender & Health Research
Unit, Medical Research Council of South Africa
MANUEL CONTRERAS, Gender and Public Health Specialist,
International Center for Research on Women
LISA NAJAVITS, Professor of Psychiatry, Boston University School of
Medicine
AGNES TIWARI, Associate Professor and Assistant Dean, School of
Nursing, Li Ka Shing Faculty of Medicine of the University of
Hong Kong
Although the reviewers listed above have provided many constructive
comments and suggestions, they were not asked to endorse the final draft
ix
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x REVIEWERS
of the report before its release. The review of this report was overseen by
Richard Krugman, Vice Chancellor for Health Affairs and Dean, Univer-
sity of Colorado at Denver. Appointed by the Institute of Medicine they
were responsible for making certain that an independent examination of
this report was carried out in accordance with institutional procedures and
that all review comments were carefully considered. Responsibility for the
final content of this report rests entirely with the author and the institution.
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Contents
1 Introduction 1
PART I
2 The Co-Occurrence of Child Maltreatment and Intimate
Partner Violence 9
3 Paradigm Shifts and Changing Social Norms
in Violence Prevention 20
4 The State of Prevention Research in Low- and
Middle-Income Countries 32
5 Violence Prevention Among Multiple Sectors 42
PART II
6 Papers on Research in Preventing Violence Against
Women and Children 49
Preventing Intimate Partner and Sexual Violence Against Women:
Primary Prevention Strategies 50
WHO
xi
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xii CONTENTS
International Men and Gender Equality Survey 79
Gary Barker, Juan Manuel Contreras, Brian Heilman,
Ajay Singh, Ravi Verma, and Marcos Nascimento
The Science of Prevention/Interrupting the Cycle of Violence 87
Claire Crooks
Trauma-Informed Care: A Values-Based Context for
Psychosocial Empowerment 97
Roger D. Fallot
Enhancing Emotion Regulation: A Framework for
Psychological Empowerment of Women and Children
Exposed to Violence 102
Julian D. Ford
7 Papers on Global Partnerships and Government Initiatives 117
The InterCambios Alliance 118
Margarita Quintanilla
Global Partnerships on Domestic Violence Legal Reform 123
Cheryl A. Thomas
New Zealand’s Efforts to Address Violence Against
Women and Children 136
Denise Wilson
8 Papers on Preventive Interventions 144
The IMAGE Program: Summary 145
Julia Kim
Innovative Prevention Interventions: Addressing IPV
and Potential Child Abuse at Prenatal Care 148
Agnes Tiwari
The Fourth R: A School-Based Strategy to Prevent
Adolescent Dating Violence 157
David A. Wolfe
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xiii
CONTENTS
The Community Advocacy Project: An Evidence-Based
Psychosocial Intervention for Women with Abusive Partners 163
Cris M. Sullivan
Using a Systems-Model Approach to Improving IPV Services
in a Large Health-Care Organization 169
Brigid McCaw
APPENDIXES
A Workshop Agenda 185
B Speaker Biographical Sketches 192
C Planning Committee Biographical Sketches 205
D Forum Member Biographical Sketches 209
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