- [Ashleigh] Hi everyone,
welcome to our PreventConnect
web conference today
titled Addressing the Roots:
Preventing Multiple Forms
of Violence Through
Shared Underlying Factors.
My name is Ashleigh Klein-Jimenez
and I'm with PreventConnect.
PreventConnect is a national project
of the California Coalition
Against Sexual Assault
and is sponsored by the US Centers
for Disease Control and Prevention.
The views and information
provided in this web conference
do not necessarily
represent the official views
of the United States
Government CDC or CALCASA.
So I'm really excited
to be here once again
with our partner, Prevention Institute.
I'm gonna go ahead and
actually turn this whole thing
over to Alisha with Prevention Institute.
Alisha I hope you'll introduce
the rest of your team.
- [Alisha] Yeah, for sure.
Hi everyone, this is Alisha.
We have a full room here today.
We have Morgan who's gonna be helping out
with the text chat today.
You're gonna be hearing
from her during (mumbles).
Hi everyone, thank you for joining us.
I also have Lisa here,
do you wanna say hello?
- [Lisa] Hi everyone, glad to be here.
Sorry we forgot to put a picture,
but we also have Sonya who's helping out
with our web teching today.
So she'll be using our
Prevention Institute main account
and you can feel free to
message Prevention Institute
or leaders and assistants if
you have any private questions.
So today, as you know, our
web conference is called
Addressing the Roots.
I'm gonna take us through the objectives.
We're gonna be learning
about how multiple forms
of violence are shaped
by structural factors
and really get into a deeper
conversation about this.
We'll also be sharing some
links and talking a little bit
about the research on
preventing multiple forms
of violence and more specifically,
sharing some examples
in practice and how communities
are going about this work.
With this, we also wanna talk
about collaborative structures
that communities are using
and how they're going about
lifting community voice.
Then to end off, we always
like to share challenges,
successes and emerging lessons.
Those of you who are familiar
with PreventConnect community,
we have been sharing these two resources
throughout the series
and in the past as well.
But the Centers for Disease
Control and Prevention
released a strategic vision last year,
which is all about preventing
multiple forms of violence.
We'll share the links there for you.
That really was a springboard
off of a publication
that Prevention Institute worked on
with the Centers for Disease
Control and Prevention
that shows the risk and protective factors
that are shared across
multiple forms of violence.
I definitely recommend checking out both
of those publications
when you get the chance.
Some of the main things
that come out of that work
and from the research is that
multiple forms of violence
are often experienced together.
So someone who's
experiencing sexual violence
or intimate partner violence
is often experiencing
perhaps community
violence at the same time.
Also they share common underlying factors
which I mentioned.
Risk and protective factors
such as things like employment
can be seen as commonalities
across the forms of violence
and things that we can work on
to prevent violence concurrently.
They also result in common outcomes.
With this we see also that
exposure to one form of violence
often increases the risk
for further victimization,
which is also known as polyvictimization.
But the thing that we
really want to get into
more today is about how
multiple forms of violence
are shaped by common structural factors
such as racism and sexism,
which results in inequities
in rates of violence.
So structural drivers
can shape circumstances
in which people are born,
where they grow, live,
work, and age.
Things like structural racism
or socioeconomic inequities
play out at the community level
and deeply impact conditions
in communities such as lack
of economic opportunities
or low neighborhood cohesion.
While many communities
experience violence,
we see an inequitable toll taken on groups
with the least power.
Often this includes young
people, young people of color,
often women, people living in poverty,
LBTQ folks, ex cetera.
That's how we see inequities in the rates
of sexual and domestic violence.
So the World Health
Organization has identified
structural factors as the
inequitable distribution
of power, money, and
opportunities and resources
and see this as a key
determinant of inequities
in health and safety outcomes.
Really we see how these structural factors
relate to these determinants
and multiple forms of violence
and how groups with less power
tend to face higher rates
of multiple forms.
Sorry, my slides are skipping ahead.
But I would like to get
right into conversations
with out guests about
addressing the roots.
I'd like to start off
by introducing Vanessa,
Erin, and Andrew.
Vanessa is the Striving to
Reduce Youth Violence Everywhere
program supervisor in the
Multnomah County Health Department
and a Leap Cohort Fellow through CALCASA
and the Women of Color Network.
She has 15 years of
social justice experience
serving communities most
impacted by violence
in settings ranging from
domestic violence shelters,
schools, community centers,
and juvenile halls.
As a Uruguayan-American
Latina, Vanessa is informed
by a bilingual, bi-cultural
background and a commitment
to strength-based
trauma-informed approaches.
Vanessa, can I get you
to say a quick hello?
- [Vanessa] Hello, thank
you for having me today.
- [Lisa] Great.
We also have Andrew here, who was born
and raised in Portland, Oregon.
Andrew obtained two bachelor of sciences
in psychology and sociology
and then a master of science
in sports psychology at the
University of Tennessee.
As a health educator,
Andrew teaches sexual health
in middle schools and high
schools and also works with
the athletic department and
community-based organizations
in implementing coaching boys into men.
Hi Andrew, can I also
get you to say hello?
- [Andrew] Yes, good afternoon,
good morning, everyone.
- [Lisa] Thanks, Andrew.
Last but not least, we
have Erin who has worked
with communities impacted
by trauma and violence
for the past 17 years specializing in
childhood exposures to violence.
She has comprehensive experience
in violence prevention,
the grass roots domestic
violence movement,
child welfare, school
assistance engagement,
trauma and brain development,
adverse childhood experiences,
child-informed practice,
equity and racial justice,
and children's mental health.
Recently Erin was the proud
recipient of the Multnomah
Youth Commission
Youth Champion Award
and the Multnomah Health Department
Public Health Partner Award.
So our three guests really
bring a wealth of experience
in Multnomah County and
really excited to learn more
about their work here today.
I thought we could start off with Vanessa,
do you want to start us off
with why is connecting the dots
between multiple forms of
violence important in your team
and what are your goals with the CDC grant
on connecting the dots?
- [Vanessa] Absolutely, so I will start
personally from my background
with 15 years of experience
in violence prevention of some
kind in different settings.
That really comes from my
own personal experience
and multiple generations
of many forms of violence
in my own family.
For me, the issue of connecting the dots
is very much sculpted in
my own history, my own body
as well as in what I
have seen in the families
and youth that I've sort
of throughout my career.
For us, the opportunity for
the CDC grant was to expand
from the original STRYVE
grant, which was focused
on youth violence to Connect the Dots
with teen dating violence.
We'll talk a little bit more about what
are some of the strategies
that we've chosen.
But I did want to share
this particular image
that I think can help
at least with some of us
get grounded in thinking
about the root causes
of all these forms of violence.
This was a slide that
our STRYVE team developed
for a community health worker training
trying to show how violence
happening at the individual,
family, community, national,
international levels
really has these roots in
structural forms of violence
which can be anything
from, as you mentioned,
policies perhaps (mumbles)
immigrated, migrated,
things to do with (mumbles) education,
socioeconomic opportunities.
So that is a lens that
we bring to our work
regardless of what form of
violence we may be talking about.
Before I pass it off
to my colleague Andrew,
I wanted to share that
right now, those of us here
on this call, Andrew and I both work
for the health department and
he's in Youth Sexual Health
Equity Program; we'll get
to hear a little bit more
about what he's doing.
I'm part of the health
department as well, working on
the Striving to Reduce Youth
Violence Everywhere team.
Then our colleague Erin Fairchild with
the Defending Childhood
Initiative, which actually
is part of the county, but
not in the health department.
She will talk about a
little bit more as well.
- [Alisha] So Andrew, do you
wanna give a quick overview
of what the Youth Sexual
Health Equity Program is?
- [Andrew] Yeah so, the Youth
Sexual Health Equity Program
is a program where we teach comprehensive
sexual education
to middle schools and
high schools in addition
to building awareness about
healthy relationships,
unhealthy relationships
in addition to being a support
system for individuals that may experience
any traumatic
life
experiences.
That's a quick look
about the program,
the Youth Sexual Health Equity Program.
- [Alisha] Thanks Andrew,
that's really helpful.
Vanessa, I know that you're
doing work with STRYVE
and the Youth Sexual Health Equity Program
connecting teen dating
violence and youth violence.
Can you maybe share a
little bit about that?
- [Vanessa] Of course,
so for us on this CDC grant opportunity
that I briefly mentioned,
it's a really wonderful
opportunity for STRYVE
and the health department
to connect with YSHEP, the
program Andrew then noted,
the first time that the
health department was really
intentionally interally connecting
to strengthen and align efforts.
With our focus on teen dating violence,
I'm gonna pass it off to Andrew
to discuss this next slide
with our area of focus.
We really decided to come
together as a program
and choose a couple strategies
based on the strengths
that we had and relationships
that we had in community
and we will talk about
that a little bit more.
I'm gonna pass this to Andrew
so he can discuss this slide for us.
- [Andrew] So just as when Vanessa said,
YSHEP Youth Sexual Health Equity Program,
we built awareness
on sexual health
in individuals, build
awareness on communications
like what dating violence is.
As on this current
slide,
you see a map of
Multnomah County as a whole.
Our targeted area where
we focus at is towards
East County, where the darker shaded part
that you see is like
Fairview, Wood Village,
and Gresham area.
The East County currently
is being focused on
due to a lot of gentrification
that's been happening
in the inner Portland part.
So as you see on the map,
the Portland part is a lot
of gentrification areas.
A lot of individuals
particularly,
population of color and
homelessness and so on
are getting pushed towards East County,
in which a lot of the
services and education
and awareness is much needed.
So within this targeted
area, there is about
six to seven different
zip codes in this area
and this is a lot of
the targeted population
where we hit and built
awareness and have ways
where we can support them.
Our goals.
And on to the next slide
is the goals.
As you all can read and see it,
this is a short, quick of like our goals
in the Multnomah County Health Department.
It's really trying to
find unique ways to be
sustainable in our work.
So by doing that, we really
have a variety of ways
to uplift different communities
so their voices can be heard
in a way that they will like
their input to be heard.
In addition to hearing what they want,
we also hear and listen to
ways how we can support them.
So that can continue to
create the sustainability
to decease dating abuse in that area
or decrease the rates of youth violence
and other types of violence
that individuals may experience.
So that's
a quick information about the goals.
- [Alisha] Thank you so much.
It was really great to
see how you're thinking
really intentionally about how
you're going about connecting
dating violence prevention
with violence affecting youths.
So can you get in a little
more specifically about
what some of the strategies
that you're all working on are?
- [Vanessa] Absolutely and if I could just
get to the next slide,
that would be great.
There we go.
So I wanted to share the two
strategies that Andrew and I
are gonna talk about are
CPTED, (mumbles) here,
which stands for Crime Prevention
Through Environmental Design.
It's a mouthful.
We usually describe that as
place-making as peace-making.
It's really in the way that
we've kind of wrapped our arms
on that strategy is having
youth and community members
be able to identify or
bring to life a project
that they are already passionate about,
that they already have been asking for
in their particular community.
Because something they're mindful as well
is we don't want a fancy,
beautiful CPTED project
to end up being a seed that leads
to gentrification displacement, right?
We need to make sure that
the community buy-in exists
for whatever project,
whatever infostructure
may be in place.
We have some experience
with CPTED in the past
for those first five
years of the STRYVE grant
where we did anything
from street paintings,
peace polls and solutions,
little free libraries.
And then this here are the two projects
that you can see here in East County
where a Futsal court and tournament.
Some of these Futsal courts for those
that may be able to do
this in your own town,
they take up much less
space than a soccer field
and it be used year round.
Take up about the same
size as a basketball court.
So that's one of the projects
that we help support.
Then we also work with one of
our previous STRYVE partners
out at Wood Village Baptist Church.
This is a predominantly Latino community
where there's a lot of
parents and family members
that have become very involved
through the youth
violence prevention work.
They identified a soccer
field that was kind of a field
covered in blackberry
bushes and not being used
that had potholes in it
that you could fall in.
The whole community came
together and cleared the field
and was able to fill in
the field so it was even
and put in that basic
infostructure to have this
amazing sports place.
They're building a park soon
in that particular community
that they're in.
So now the parents and
youth alike are coming out
for tournaments out here at this field.
Again, we supported a
portion of that work.
I'm gonna pass this on now to Andrew,
so he can talk a little bit
about the other strategies
that we selected for the
CDC grant and that is
the Coaching Boys Into Men curriculum.
So I'm gonna pass it back to Andrew here.
- [Andrew] So the other
strategy that we use is
Coaching Boys Into Men.
This curriculum
is prevention containing
violence curriculum,
which really discusses healthy masculinity
traits.
What Multnomah County did,
we really adapted a lot of the
original
curriculum to be more
inclusive, not just
LGBTQ inclusive,
but we translated the curriculum
into
Spanish
for our Spanish-speaking population.
In addition to, we've
added in an ethic cultural (mumbles) input
through a timeline that we created
and all the facilitators
view and
discuss it with them are
trained.
How we operate this
strategy is as you see,
we create buy-ins of the facilitators.
So we recruit buy-in
for our facilitators
that have interest in
implementing the curriculum
with a certain population.
If it's a sports or non-sports setting,
in addition to having their interests,
we train them on the curriculum
and also the other adaptations
that we've implemented and coach with
for our facilitators.
After they get trained,
they start implementing it
with a 12 week curriculum.
How the process goes is they
talk about a certain topic
for 15 to 20 minutes or
however long they want
depending on how the environment is set
to have this conversation.
During this process,
myself, I'm one of the
support team person to help
and support the individuals
that are implementing.
Currently, we're on our
year-two cohorts where
as Vanessa mentioned,
we have Wood Village Baptist Church.
We have another church
that's implementing also
in high school as well.
That's the Coaching
Boys Into Men Strategy.
- [Alisha] It's very neat
that you're applying it
to non-traditional settings
outside of schools.
(muffled crosstalk)
Go ahead.
- [Vanessa] Oh I'm sorry.
So the final thought I'm
gonna share before you'll get
to hear a little bit
from my colleague Erin,
is just to show folks...
You know, there's a lot
of dense information here.
But some of the shared
factors being addressed,
the CDC developed a tool
that I'm not sure if it's gone
live yet on their website.
It's very helpful when you are looking at
the different strategies
that were available for this grant.
It showed the different shared
protective and risk factors
across various strategies.
And so, among residents of East County,
we're hoping to increase
community cohesion
to have positive
relationships with adults,
whether or not be mentors,
community health workers
or health educators such as Andrew,
pastors such as with some
of our faith-based partners.
To have a more sense of
connection, pro-social peers,
peers being able to look to each other,
and we have that with
some of our alumni youth
that have done STRYVE for a few years now.
They're actually starting to
mentor these younger youth
and are still engaged in showing that
to some of these faces.
So really trying to reduce
that social isolation
and create social support.
As Andrew was speaking
about high school aged boys
in East County, that they're
even pushing to the next level
and trying to adopt the
curriculum for all genders.
So they're working on that.
Just really increasing
awareness in dating abuse
and resources, having that conversation,
that connection and communication
in a safe space and having other options
of how to deal with conflict
and how to intervene in a way
that hopefully is not going
to escalate violent behavior.
I know folks have probably heard about
bystander intervention here in Portland
when some young women were
attacked and folks stood up
with bystander intervention.
So I know that was on the radar
with a lot of white supremacy
that has been really feeding
to the surface here locally.
So it's a challenging time
to be doing this work,
but we are seeing that the
community and the young people
are just building and adding
and creating things beyond us.
You know the baseline
curriculum that may be available
or a strategy.
It's bigger than what can
really be captured on paper.
- [Alisha] Thank you.
I'd now like to pose a text chat question
to our audience today and
ask how do structural factors
like racism and sexism
come up in your work
and how are you addressing them?
I'd like to ask you a
similar question, Erin.
I know you share this with me before
about racism is a form
of structural violence
and how healing really needs
to be part of the conversation.
So can you share your
experiences and thoughts
and also tell us about your safe
and thriving community work?
- [Erin] Yes, thank you and
good afternoon, everyone.
I'm recovering from some
respiratory health issues,
so I may have to clear
my throat a few times.
Apologies to that.
I also just have to mention
it's such an honor to be here
with Vanessa, Andrew and my colleagues
(mumbles) are just doing amazing things
and are all endlessly inspiring for me
in (mumbles) prevention work.
I think that their work
and our shared work
has highlighted so far is that communities
that are most impacted by
violence have the solution
to what they need to prevent violence.
A lot of our work, a majority
of our work as funders...
We're all county employees
that work for the government.
Our role is to listen.
To capitalize on this
solution in partnership
is in doing that work with that lens.
I have been taught by
many amazing teachers
and have learned from contact with people
that cannot talk about
structural violence,
stopped talking about structural violence.
In our community, much
like other communities,
communities of color are
more likely to experience
multiple forms of violence.
To be as a white woman
working in diverse communities
around trauma and domestic violence
is a misstep on my part and
potentially further traumatizing
if the work doesn't include
racism as a form of violence.
Acknowledging and beyond acknowledging
but being in partnership with people
around how racial justice
is a form of healing.
We really believe in our work that racism
is a driver of violence
perpetration and victimization.
Because of that, social
justice and racial justice
is a form of healing.
So that's the (mumbles)
foundation of the work
that we're building now through our safe
and thriving communities grant
which is a build up defending childhood.
We are funding two
community health workers
and closely to the communities
in our local black community
and the Native-American community
to work and organize in
communities impacted by violence
to raise awareness, to
promote healing events
and work around racial justice issues
and to also bring those community
members and help us inform
how we draft violence prevention policies.
You can see the slides there.
One was (mumbles) the (mumbles) website,
which has a lot of resources
and the (mumbles) programming.
The slide below is actually
a really fun moment
that I will always hold
with me where youths
who were working on sexual
(mumbles) prevention
gave a presentation after
many focus groups with youth
and graphing their own
policy recommendations.
They presented those
policy recommendations
to youth and other influencers
and local elected officials around
their own (mumbles) ideas for policy.
- [Alisha] That sounds really great.
I'd love to share what's
coming up in the text chat.
So Morgan and Ashleigh, can
you share some key findings
in all of it?
- [Morgan] We're seeing
that a lot of people
are trying to integrate racism and sexism
into things that they're already doing.
A lot of people are in
like an educational space
so it seems like they're
trying to integrate discussions
about these types of structural
violence into their work.
There's still more coming up actually.
It's looking like people staying open
to who they're working with
and trying to make sure
that those people are feeling heard.
What do you think, Ashleigh?
- [Ashleigh] I think
people are taking some time
to think about this.
How this shows up in their work
and how they're addressing it.
I'm seeing the same thing
you are, Morgan. (chuckles)
We just welcome you to continue
answering that question
or posing your own questions
about how to do some of that.
- [Alisha] Yeah, I know
it wasn't an easy question
and I appreciate your
participation in text chat.
With regard to the working (mumbles),
it's really great how
Vanessa, Erin, Andrew
how you're all kind of
connection your work together.
So I'd love if you could share more
about your governance and
implementation structure
and kind of how your time together.
Your stride work, with your youth
sexual health equity program
and the safe and thriving
communities work altogether.
- [Erin] Yeah I'll start
and we'll pass the mic.
This is Erin.
Defending Childhood and STRYVE,
which is Striving to Reduce
Youth Violence Everywhere
come from two different
federal funding streams.
Years ago, about six years ago,
when we began implementation,
we recognize an overlap between the work
and decided to work
across county departments
which I think people outside
of government structures
is kinda meaningless.
If you're an internal employee
and you work for your local government,
you know that (mumbles) developmental work
is not always that easy,
so we basically figured out
how to align a lot of
our golden strategies
that we were supporting each other
and meeting the goals of our grant.
Beyond just a grant, working
together collectively
and capitalizing on all of the solutions
that exist up in the
communities we were supporting.
You can see
sort of almost like an
organizational flowchart
or how we're all nestled together.
I'll explain real briefly
the case that resonates
of people of local
communities and structures
that we have an organization here called
the Local Public Safety
Coordinating Council,
which is really a high-level directors
and elected officials, our mayor sits on
and Chief of Police.
A variety of people who have
the power to shape policies
and really influence
structures in the county.
All of our work you can
see is nestled under
the Local Public Safety
Coordinating Council.
We try to integrate community (mumbles)
without racial and social justice lens.
That intersectional lens that feed off
the Local Public Safety
Coordinating Council.
I'll pass now to Vanessa to see
if she is gonna add something to that.
- [Vanessa] I don't
have much to add to that
just to say that it's been
(muffled speech)
- [Alisha] Vanessa, it's
a little hard to hear.
- [Vanessa] We are able
to get to know each other
in a way...
(muffled speech)
In a way that may be more challenging
may be more challenging
in a larger jurisdiction.
(muffled speech)
- [Alisha] Vanessa?
I'm so sorry, we're having
a little trouble hearing.
- [Erin] Oh okay, this is Erin.
- Oh sorry Erin.
- Can you hear me now?
- [Alisha] Yeah, that way's better.
- [Erin] Oh good.
Who knows what happened
while Vanessa was talking.
Sorry about that.
I wanted to add briefly
about our violence prevention
coordination team which
is newly established.
We're actually having our first
kick-off meeting tomorrow.
It's great timing.
The goal of that group
as we're funded through
the Office of Juvenile Justice
around the safe and
thriving community's work
is the developed shared learning
and understanding and framework
so that everyone on this
multi-tier disciplinary team,
which we have representatives from
multiple county departments, from the city
and from community organizations.
All of which you have a
stake in violence prevention
and address multiple forms of violence.
We all come together and
develop shared learning.
Recommend protective factors
for childhood pleasure and violence.
Even a huge critical part of that work
is developing a shared
understanding of racial justice
and how racial justice relates to our work
and really helping everyone
to have the language
to understand that racial
justice can prevent
other types of violence
while also promoting healing.
It's pioneering work and
we're all gonna learn together
and make that really clear
that a goal of this work
is ongoing and learning together.
That none of us should have the answers.
They're prepacked and
that we're relying on
the knowledge and
expertise of the community
that will be informing all of our work.
They'll be invited to
attend those meetings
and also through the community organizing
that's happening with our
community health workers.
- [Alisha] I think we're all excited
to see where it goes next.
With our text chat, I think
a lot of you have already
kind of answered this
with the last question,
but I'd still like to pose it to offer
the opportunity for
others to also write out
how are you authentically
engaging community members
and meeting cultural needs?
So feel free to respond in the text chat.
For our Multnomah team, I know
to what you've been saying
it seems like authentic community voice
and racial justice are
pivotal to your work.
Please tell us more about you're
looking at community voice
and really trying to
balance power dynamics.
- [Vanessa] I just wanna
make sure you can hear me now
'cause I know that when I was
speaking last I was muffled.
- [Alisha] Yeah, we can hear you.
- [Vanessa] Okay, wonderful.
I'm gonna share this slide
with my colleagues here.
Let's just start to say that...
How about we just talk about
the photographs actually?
On the STRYVE team
we're a very small team.
In the whole department
there's four of us.
Two of my colleagues who...
The picture on the right-hand side
on the far right in the blue t-shirt
that's Dwight Myrick.
He's a community health
worker here with STRYVE.
Then on the picture on
the left with the tie dye
are the youth from one of
our community partners.
In the center kneeling
down is Larry Somerfield
and he's another one of our
community health workers.
Some of the way that we try
and lift up community voice
even just within our system have been
having that commitment
to having individuals
with an experience of violence
who come from the communities
that they're being
asked to serve and really contribute
to be part of the health department.
That can be a challenging space to be in
as a community health worker
'cause often times they are housed in
non-profit organizations
where there might be
a smaller, tighter,
more close-knit feeling
that the giant system such
as the health department.
But we have found it incredibly worthwhile
and my colleagues will sit at tables
with system partners and
advocate for change as well.
I'm gonna pass it here to Andrew
who's a community health educator.
- [Andrew] In addition
to having other ways
to lift community voice, so we just really
like to be the active
listener.
Actively listening while
taking their input serious
in finding ways to make those
words into action-based.
I wish that we have meaning ways
where we communicate
as in like having certain workshops
or community groups
where people can express
certain experiences.
Then we also have a lot
of engaging opportunities
to where people can have fun
while still being heard.
- [Alisha] Seems like
you're really thinking about
how to lift up community
voice through multiple ways
for decision making
and through the lived experiences,
community health workers or
community health educators.
So thank you for sharing.
I'd love to hear what's
coming up in the text chat.
- [Ashleigh] Sure.
I think that there was an acknowledgement
that while folks are doing this work,
there's still more work needed
to be able to elevate community voices.
There's an example of
leadership of the organization
really reflecting the community
that they're working in,
and having authentic conversations
with community partners
and really being intentional
in connecting with the community
in order to inform the work.
- [Erin] Yeah, I'm hearing
similar things, Ashleigh.
It sounds like a lot of what's coming off
is this idea of intentionality
and authenticity.
So in the work that people
are trying to really be there,
to really hear what
the community is saying
and just to do the work intentionally.
- [Alisha] Thank you for sharing.
I think that this is really
important for prevention
because this shouldn't
be a us-to-them approach,
but really should be
what community is saying
is part of the solution and part of...
The people who are living in certain areas
or being affected the most have the power
and have the experiences to be able
to come up with solutions and
speak about what's needed.
- [Erin] Absolutely.
- [Alisha] So thank you so much
to Vanessa, Andrew and Erin.
We're definitely gonna
come back to you later on,
but I would like to turn it over
to our guest from Santa Clara County.
We have Andrea here with us
who has 18 years of experience
addressing racial and health inequity
through local education, juvenile justice,
and incarceration system change efforts.
Her work at the Santa Clara County
Public Health Department's
Violence Prevention...
I'm sorry, where she works as
the Violence and Prevention
Health Equity Manager at the
Public Health Department.
This connects her to her own
native East San Jose community
that she continues to live, worship
and play in with her family.
Andrea earned her BA in Sociology
at San Jose State University.
Hi Andrea, do you wanna
say a quick something
to start us off?
- Hi.
I just wanna say long-time participant
and really honored to
be a presenter today.
Thank you.
- [Alisha] Thanks, Andrea.
Prevention Institute's
actually been working with
Santa Clara County.
Lisa specifically here on our team
has been working with
Andrea and her whole team.
They're on a violence
prevention initiative
in East San Jose.
So Andrea, I'm thinking
maybe you can start us off
by hearing a little bit about
what you're doing in the community.
- [Andrea] Sure, thank you.
First a little bit about East San Jose,
like most communities that are affected
by violence and trauma, it
also has several assets.
We have our School of Arts and Culture
at Mexican Heritage Plaza,
many different fate centers,
and really powerful community
empowerment organizations
like (mumbles) Fair.
But it's also been long-time home
to communities of color
that have been isolated
by power structures within environments
created by government redlining practices,
poor infrastructure
planning and development,
and freeways cutting
through our neighborhoods.
Now it's home predominantly
to Silicon Valley service workers.
We're in the middle of a really hard time
with displacement efforts
with exorbitant rent increases
and lack of affordable housing.
What we're doing is shifting the frame
for long-standing violence prevention
and reduction efforts
from a one-child-at-a-time
delivery approach
to an upstream comprehensive strategy
that is attempting to put residents
at the front, center and back.
These pictures you see are of some
of our public health department.
We have a Safe and Peaceful
Neighborhood program
some similar to Multnomah County
and this is some of our work this summer
in the Children of the Rainbow Park.
The health department's been
really excited to have received
funds to become an accountable
community for health.
We're piloting this in East San Jose.
We're one of six catalyst
communities in California.
There'll be nine other accelerator
communities coming on board this year.
What an accountable
community for health is,
it's a new model that's
really attempting to bring
health to the table and it
includes seven elements.
Any accountable community for health
has to have seven elements.
It's a shared vision
in goals, partnership,
leadership, a backbone organization
which indicates of our grant
as the public health department.
Data analytics and sharing capacity
and two other components
that make it very unique
which are wellness fund and
portfolio of intervention
which I'll be talking about.
For the last year, we've been working with
significant amount of partners
probably over 30 to 40 partners.
We developed these shared goals
about connecting multiple
forms of violence
and you can see we're
attempting to decrease
violence and trauma
affecting youth families
and communities.
We want to increase
cultural, social, capital
in relationships and advance equitable,
economic investments and opportunities.
If we had narrowed this work,
which I think a lot of our partners
wanted it to be more specific,
we really wouldn't have been dealing
with the underlying inequities.
We have kept it broad.
Again, while that's had its challenges
it's really gonna help us get at the
racial and health inequities.
- [Alisha] That was a great overview.
I know that it can get complex
when you're working at the systems levels.
I appreciate a great overview there.
I understand that equity is
a huge part of this work.
How are you taking structural
factors into account?
- [Andrea] Well, we're
taking them into account
in a number of ways and one of
them was through the adoption
of the Adverse Community Experiences
and Resiliency framework
that Prevention Institute and Pfizer
published in early 2016.
This framework has really allowed us
to open the door for a more
inclusive network of partners
who haven't traditionally worked together
on violence and trauma.
So we have the building
trades at the table,
parks and rec, domestic
violence providers,
housing leaders, alongside
neighborhood leaders
health plan healthcare providers.
The framework has really helped us
to bring those people together
and to really give us a language
for addressing structural violence.
It's not an easy conversation,
but it has given us the
framework and the training
so that everyone is on
a level playing field
about how the community
and the environment
has historically impacted our communities
and how that persists.
You can see, if you go back and see...
You'll see that our goals
are really kind of nestled in
with the three clusters of the
Adverse Community Experiences
around people, place and
equitable opportunity.
I'll talk more about how the interventions
are trying to get at
the structural factors.
The other thing that we are
embedding in all of this
is our work with GARE.
GARE is the Governing
Alliance in Race and Equity.
We've been very pleased that
the public health department
was involved in the first cohort in 2016
and I believe Multnomah
County might be as well.
But we have been a part
of a national movement
that started by the Center
for Social Inclusion
in the Haas Institute for
Fair and Inclusive Society.
While it's sort of based
in Northern California,
it is now moved across the country.
For those of you in different
parts of the country,
I would suggest you look up GARE.
This is really a proactive approach
for our racial and health equity work,
so that people within the
public health department
understand how our decisions
benefit or burden communities.
We've adopted the GARE theory of change
which is to normalize conversations
about race through staff training
and infusing the urgency
of why we do what we do
and who we do it with.
What's been really important for us
is to reestablish the social
justice roots of public health
and we've done that through
organizing our workforce
around issues like workforce equity.
But again also reflecting on
all the different programs
that we offer and why we offer them.
What's been striking is
we just finished training
over 300 of our employees
in our introduction
to racial and health equity.
This was sort of an
hour and a half training
that we thought again to the grounded
public health employees into the urgency
of the issues of inequities
and tying it back to our work.
It's really the teaser
because next month we will be launching
Structural Racism 101
to all of our employees.
Structural racism 101 is something that
we have been trained on by GARE.
This is a in-depth four hour training.
We know some of our partner
public health departments
were going out with
Structural Racism 101 first.
We decided to develop our own intro
to racial health equity training first.
That's how we're applying this
and we'll be next figuring out
how to bring this to our partners.
Our partners throughout
the work that we do,
not just in violence prevention,
but in other aspects of
the public health work.
- [Alisha] For those of
you who are interested
in checking out the website,
we've shared the link
in the text chat as well as
the Adverse Community Experiences
in Resilience framework.
Were you gonna say something else, Andrea?
I didn't mean to cut you off.
- [Andrea] No, just in
terms of the key tool
that you receive at GARE
is a actual tool that you can use
in your budgeting processes,
but also in everything from
how you develop in (mumbles)
like a tobacco prevention strategic plan.
The GARE effort is able to be infused
throughout at a leadership
level to programmatic level.
We're looking forward to the county
at a jurisdictional level taking a cohort
in 2018 through this because
then that's really where it
is embedded throughout government
at basically the highest reach.
- [Alisha] So in addition to this
GARE racial equity training where
what are some other specific examples
of how you're requiring an equity lens
and linking multiple forms of violence?
- [Andrea] Sure, so back to...
Lemme get my...
There we go.
So back to the work that we're doing
in East San Jose and through
our mechanical community for health work.
We have to develop a
portfolio of interventions.
These are interventions that
will be mutually reinforcing
and really create the impact that
we've set out through the goals.
Lisa from Prevention Institute
has been right alongside me
as we've been developing this portfolio.
We've moved from over
30 plus interventions
to a prioritized list of 10 interventions.
We've engaged community in residents
at different points in the
decision making process.
You'll see here these are
a few of the strategies
that we'll be deploying.
One of them, which is a part
of our communication strategy,
is to shift the narrative and the narrator
who's really sharing the
stories from the community.
Influencing how the community and leaders,
business leaders, elected leaders,
are really talking about violence, race
and health equity.
So we're looking forward to moving this
out of the public health department,
out of the leadership team
and starting to contract
with the folks that are on the ground
doing the work.
We also have, many of you are familiar
with the Promotoras model,
which here locally has
really been successful
when it comes to moving our literacy
and education justice efforts.
Now we are looking for
them to become leaders
in the intimate partner violence
and gun violence prevention work.
We're also gonna be working with them
on seeing how we can move
existing family resource centers
to have a broader social justice approach,
again not just focused around literacy.
It's not mentioned in the slide,
but a key piece of all this
is a partnership with the
National Compadres Network
that we have and La
Cultura Cura is a training
that's been instrumental in centering
how roots are our strengths.
When I speak to that, I'm
talking about not just
as a white Latina.
I turn to my roots regularly.
But having gone through the
La Cultura Cura training,
it really speaks to anyone
in understanding our
personal lived experiences
has been spoken about already
and really lifting that up as a strength
and how in a landscape
that's really dominated by
sometimes negative
stories from the juvenile
and criminal justice system.
How do we flip that frame
and flip the dialogue and really make sure
that people understand that
our cultural roots are our strength?
That when we use those healing
and community building approaches,
that's really how we can embed
and infuse this throughout
our programming.
So the La Cultura Cura trainings
have started here and of course
they're sort of in the
deeper end part of our system
and child welfare and probation.
We're wanting to move that
out into the community.
Then finally, one of the other,
you've heard a lot about the
healthy relationships work,
we will be looking to Multnomah County.
I'm really excited that the
healthy relationships work
is going to be something
we'll be taking to scale.
We're also interested in working with
our teen and community centers
that the City of San Jose runs
and other non-profits run
and starting to bring back
sort of a trauma and healing
informed perspective.
Not just at a staff development level
but also looking to
enhance the facilities.
We have some facilities here.
It's a teen center.
It's a youth center, but it looks like
it could also be a jail.
So how do we turn those around
and co-design them with youth?
- [Alisha] Sounds like
your really prioritizing
strategies that can push back
against some of those structural drivers
that we talked about and cross multiple
forms of violence.
How does your government structure work
and how are you lifting
up community voices?
I know we heard from Multnomah County
about how their balancing
power through their structures
and love to hear how that's working
with East San Jose work.
- [Andrea] So we're attempting to use
this distributive leadership model
which is also known as the snowflake.
We have a leadership team
that would be represented
by the middle dot
and what we're trying to create
are teams of teams to do the work.
So it's really coordination
of neighborhood-level interventions
would be one group of dots on the side.
There would be other groups
working on our impact evaluation
and data and that would
be a team of teams.
We've sort of operationalized this
as we were trying to
choose the wellness fund operator
and empowering people at the table,
not the backbone, not staff,
but really the leaders at the table
to work through a process
of identifying the wellness fund operator.
So for instance, it was a work group
that had a neighborhood leader,
a clinic partner and a
member of the DA's office,
the District Attorney's office,
and they came together and worked through
not only the draft of the bylaws
but also did the homework on identifying
our wellness fund operators.
So again, it's empowering
the people at the table
to do the work and build
this team of teams.
The government structure also
is attempting to sort of shift
from more traditional violence
preventative collaboratives
that have a big justice presence
and bringing health care
and health plans to the table.
So it's really balancing the new approach
for health to invest and
reinvest in this work,
the traditional justice and education
in parks and recs providers
and then balancing and really waiting
resident and community
empowerment organizations
as just important as the other partners.
I've been at other collaboratives where
one resident voice is there
to speak on behalf of entire communities.
That's neither fair nor inclusive.
So we're seeking to balance all that out.
I'd say the resident affiliation
can be found sort of two-fold.
It's not just Promotora
from one of our agencies,
but it's also resident.
We have our CEO of the
building trades union,
he's a resident, so he
brings lived experience.
We have our parks and recs commissioners,
local youth foundation board members
and like I mentioned,
neighborhood leaders.
So we're trying to make sure that
residents also have their own
team of teams at the table.
(muffled crosstalk)
I worked with last week.
I love Dolly Goal.
She's our chief medical officer
for the Valley Health
Plan in the yellow jacket
and she's sitting next to one
of our Promotoras from Somos Mayfair.
They ended up having a lot in common,
which was always good to find out.
- [Alisha] So I know a lot
of you on this web conference
are seeing all of this and
it all looks really great.
People's minds often go
to what about the funding?
So I'd like to pose a text chat
to ask what are some examples
of models of funding to support prevention
beyond just services and programs?
Because that's kind of the direction
that we're seeing both with Multnomah
and this East San Jose project.
So we'd just like to hear from you.
Do you have any examples
of models of funding?
Also another question
is how do you balance
funder and community needs?
Because they may not always be aligned
and at the end of the day,
you wanna focus on the long-term nature
of this work and not just
one year grants at a time,
but focusing on what's
needed in the long run.
While those of you participating
are writing your responses
in the text chat,
Andrea, I'd like to hear from you.
How are you thinking about sustainability
and creating an enduring platform?
- [Andrea] So I had mentioned that
one of the key pieces of
the accountable community
for health is a wellness fund.
You'll see here...
I'm not sure if this
makes sense to everybody,
but you can see here is
geographically represented
East San Jose.
Within that we have our PEACE Partnership
and our leadership team.
We now have a relationship
with our public hospitals
non-profit arm, the Valley
Medical Center Foundation.
This wellness fund is
outside of government.
It's gonna be directed
by the leadership team.
Any funding will be directed
into the wellness fund
and then back out to
projects and interventions
that are deemed a priority
by the leadership team.
So this wellness fund is
really meant to pool funds,
not just be a transactional placeholder.
We are trying to build a business case
that violence prevention
works and must be sustained.
The mechanism for that
is the wellness fund
because we know when
the next recession hits,
the first thing that gets
cut is usually prevention.
So how do we make a case
that prevention efforts
should be sustained?
We're gonna bring that
into the wellness fund.
The other notion of an
accountable community for health
is that if we prevent violence,
then that means we are
going to be reducing,
not just the burden on community,
but also reducing costs
for social services,
hospitals and criminal justice.
Then that should be reinvested
back into the wellness fund.
So that's the long-term strategy
for sustaining violence prevention efforts
and how it would maintain the priorities
for the East San Jose PEACE Partnership.
- [Alisha] Very innovative as a model.
It looks like we haven't had too much
text chatting other than someone saying
that the wellness fund is brilliant.
It's something that maybe
we can all think about more
and possibly something to revisit
on our next series for PreventConnect.
Talking about funding
models and how to really
fund prevention for the
long haul, the long term.
So I'd like to bring us to our
challenges section of this.
We've shared all the great
things about all of the work,
but of course there are challenges
as others refer to them, opportunities.
So Andrea, let's hear what
some of your challenges
have been with this work
and then hear from the
Multnomah team as well.
- [Andrea] Sure so I just think us,
the practice of distributive leadership
is a challenge in and of itself.
Even as a staff person who's charged with
being the backbone to the leadership team.
I tend to think it's on
us to do some of the work,
but really again, empowering
those at the table
to serve in their
rightful roles as leaders
and by really ensuring that we use
a procedural justice approach.
That's basically those
that are most affected
by violence and end-trauma
need to make sure
that their voices are heard.
Especially in a large group setting
where we need to tease those out
and ensure that they are
respected and listened to.
Making sure that those professionals
who their job is to sit in meetings,
(mumbles) understand
that this really needs to
be a different approach.
It's really just modeling that
and ensuring we do that on a daily basis.
The other challenges widening
our multisector approach,
violence prevention must be comprehensive
and it must bring so
many folks to the table.
But how do we do that
deep partner engagement
and move people beyond the services,
beyond their own agendas
and their own service needs
and move to the policy systems
change that's necessary?
It's just reminding folks about
what our shared outcomes are
and making sure that they know that
this is going to be resident-led
and that they're going
to need to move along
with the priorities that
are set out by the group.
So those are just some of our challenges.
- [Alisha] Thank you.
What about our Multnomah team?
What are some challenges you're all facing
if you integrate your
efforts and connect the dots
between multiple forms of violence?
- [Erin] Hi, this is Erin.
I first wanted to say to
all of us here in the room
that we were really
enamored with Andrea's work
and what's happening in the community.
We follow what San Jose does actually
because so much good work
is coming out of San Jose
and we were all saying that
we would like to go on a
field trip to San Jose.
Andrea was (chuckles)--
- Yay!
- [Erin] But I don't know how that...
I guess we'll try and make that happen.
But one of the challenges,
there's several challenges that's working.
I think they're all, they're manageable,
but important to be responsive to them
and try to avoid them or address them.
One is that in recognizing
that community health workers
or anyone from (mumbles),
anyone who comes from
a community that's impacted
by injustice and/or violence.
It's critical to this work
and introducing people
that maybe have lived experience
and may not have ever
worked in government before
who are now suddenly a part of the system.
They may hire them because
of their lived experience
but may not actually create a
culture of care and compassion
to those very same people.
What I mean by that is
often we hire people
that lived experience
with for example racism
to organize in their communities
to prevent racism or to
promote social justice.
Then those very same people that we hire
come back and (mumbles)
the lowest-paid position
in our organization, but
some of the highest workload
and may experience, often do experience
microaggression and other forms
of oppression in the workplace
that supposedly hired them
in honoring of their expertise.
That's the challenge I think we're really
trying to figure out right now.
How do we create promotional opportunities
for Upper Multnomah so
that their not entry-level
quote unquotes 'cause really
it's highly skilled nuanced
(mumbles) powerful work?
But how do we honor it and elevate it?
Is one of our challenges.
Then another before I
pass it to Vanessa is
one I'm actually working through right now
is how do we kinda bridge the gap
that sometimes exists
between people who are
living through violence and
trauma and also healing?
It's developing a new solution,
but don't necessarily
have the professionalized
elite language of policies?
So how do we connect those dots
and build the bridge between that
on-the-ground solution making to policy
and helping people in the
community understand their role
in policy and try and make it acceptable?
That's what we're looking at here.
I'll pass it to Vanessa now.
- [Vanessa] I will just
share a few thoughts
and pass it to Andrew here.
I think something that's up there
is the funding requirements
and needs of the community.
Something that we can see as in the case
of the grant opportunity can come out.
Our local health department
can work really fast
and really hard to apply
and hopefully secure that
funding opportunity and
that in that process,
there may not have been times
to authentically engage the
community in the first place
to choose the strategies
because we know that's not our
process that could be rushed.
In this case moving into our
second year of the grant,
we are doing a community advisory board
which is going to be community members
who are engaged in the
field of violence prevention
who are working for
agencies in the East County
who are involved as
facilitators of their work
and who will be helping to guide
some of the work and evaluation
while also making sure as a system,
we're not saying we are
authentically engaging
on all the points (mumbles).
Calling out our weak points and any gaps
there may be any limitations
to what we can actually
move forward on so that
we're not setting up
a false expectation.
I think on our team,
we're lucky enough that
everyone working on this project
is very much deeply committed to the work
and feel very strongly about it
outside of any grant requirements.
So that's a strength.
Again making sure that
what we say we're gonna do,
if it ends up being different
in what we said we're gonna do
that we are transparent about
that with community members
and transparent about
where the change points
were camping, the impact.
So I'm gonna pass it to Andrew.
- [Andrew] This is Andrew.
I say the majority of these challenges
the only challenges that I feel
that haven't been mentioned
but then it's a goal as well.
Keeping hold of the sustainability
of the work
in which that can be a
challenge in that times
was trying to have the
community voice heard
and having that sustainability on
so we can always be a challenge
in this work.
Also Vanessa mentioned on the Powerpoint
as well is the business and gentrification
of both strategy (mumbles) CEPTED
and Coaching Boys Into
Men due to gentrification,
due to our targeted area as
you all seen in this map.
In more of the East County wise
and having trying to help individuals
that been gentrified in their city
can be a little more challenging
to a system
if they're outside of the targeted areas.
So yeah, those are some of the challenges
that probably we should mention.
- [Alisha] I appreciate you all sharing.
To close this off today, I'd
like to ask each of our guests
to share some key takeaways or tips
or key messages from what
they've shared today.
Andrea, can we start off with you?
- [Andrea] Sure.
I think I've talked about giving
folks a space at the table.
I'll just really highlight the piece about
how we have STRYVE to balance relationship
with process and impact.
Again, trying to sort of manage
meeting deliverables and milestones.
When you ask people to sit at a table
making the most of it to make an agenda,
but really ensuring that there's trust
among the people sitting at the table
because that's the only
way we're gonna move
from the traditional
transactional approach
to a transformative approach
that then truly will make the changes
that we are hoping for our community.
What that means is sometimes
you just have to slow
things down and that's okay.
Sometimes it feels hard
because of the urgency
that you're getting around
being a violence prevention
practitioner and what the
community's experiencing.
It's just balancing all that
and being really intentional
and open and honest about it.
Then finally, leading with race and roots.
It takes a lot of practice.
It's terribly important
and really acknowledging
these inequities time and time again,
making sure it's not about
a person being racist,
it's about these long-held
government practices
in that we now and have always
but now we really need to play that role
in making sure that each
decision moving forward
has that lens of who we may be harming,
who is being burdened by this
and how can we address that?
I just wanna say it's really about
the lived experience
and how do we model that
as hard as it is every day
to make sure that our communities
are healthy and peaceful.
- [Alisha] Thank you.
How about Multnomah team.
What tips would you like to share?
- [Andrew] This is Andrew,
then I'll pass it along to
the other colleagues of mine.
Two tips that I would recommend
for individuals that work
with community and youth
are to truly be transparent
with your actions compared
to just the words.
In addition for individuals
that are (mumbles)
any kind of evidence-based curriculum
like Coaching Boys Into Men or CPTED
is to recruit individuals that
are interested in the curriculum.
Then if they are interested
and have a buy-in with it,
then their message will be more powerful
and truly organic in authentic
and can connect
with the community a little bit better
or whatever targeted
population that it is.
Now I'll pass the mic
to one of my colleagues.
- [Erin] This is Erin.
I think just for echoing what's been said
throughout this webinar and we've heard
from multiple colleagues
that acknowledging
that people's experience
is part of the solution.
Also I think that taking
that a little bit further
something I've learned
sometimes the hard way
but it's an important
lesson than the last is that
where there is trauma,
there is also healing.
Part of lived experience is healing.
We really are challenged ourselves now
and it's a tip that someone shared with me
that I wanna share now is that
every time we talk about community members
or train or put out
information about trauma,
any impact of trauma, we also
spend an equal amount of time
actually slide-for-slide
or moment-for-moment
talking about healing.
Particularly about how
positive connection to culture
much like (mumbles) Andrea is healing.
It took us a while to
internalize that message
and I just encourage
everyone to think about that.
(mumbleS) I'll pass to Vanessa now.
- [Vanessa] I think the final
thing I'd like to close on,
I know we're getting
close to time, would be
just our unique place here though Erin
isn't in the health department,
we share the public health
approach to violence prevention
is finding the strength in
our particular framework
to be able to address issues
that some of these multi sector tables
that other folks could not
address in the same way.
An example of that that
I would give personally
would be being able to
speak about the impacts,
for example, of immigration policy
on health and violence prevention.
There's a lot of work
coming out around that.
So from a health perspective
being able to talk about
how children, youth and
families are impacted
in the physical, mental,
spiritual, emotional fear.
In that way from that platform
to be able to be really direct
and speak truth to power in a way
that also doesn't alienate
other folks in the room
that maybe are folks
that we need to continue
to work with for years to come.
I think as personal as
some of these issues are
to many of us who are
sitting at these tables,
grounding ourselves in those platforms
that allow us to push
on the face of knowings
but also we can very easily
give folks the backups
that they may ask us for.
I think using our public health platform
to talk about some of these
very challenging things
is a point of advice.
To being able to do that
when other community members
may be don't feel safe,
comfortable or welcome
coming into a particular
community meeting.
Again, not speaking
for everyone (chuckles)
speaking from experience.
I really appreciate what
Andrea said around that.
You can't be one (mumbles) the room
talking for (mumbles),
but you can spring forward voices
and things that you have heard
that are things folks have
said you can share with others.
That's something I would suggest.
- [Alisha] Those are great tips
and I think that's a great note to end on.
I also wanted to acknowledge that
both sets of our guests today
came from county government.
I know that all of you on
the web conference today
may not be working in those spaces,
but hopefully there were
things that you can learn from
or considerations for any partnerships
or the types of work that they're doing.
Something to think about as
you continue in your work
to prevent sexual and domestic violence.
Throughout the web conference we did share
a bunch of tools and resources.
We'll paste some more in
the text chat for you.
But I'm gonna hand it off to Ashleigh
to close us out for today.
- [Ashleigh] Thanks Alisha.
I just wanted to thank all
of our wonderful presenters,
our partners here at Prevention Institute
for really really important
and thought-provoking
session today, so thank you.
Thank you to our audience
for all of your comments
and everything that you
shared in this session.
We really appreciate that.
We will make the text
chat transcript available
within a week or so.
So if you didn't get to
read all of the comments,
that will be there.
So I just wanna thank you all.
We will be sending out a
brief evaluation survey
in about 15 minutes.
Your feedback is really important to us.
We do look at that and use that
to make things better.
So if you would do that, we
would really appreciate that
and you can also access a
certificate of attendance
once that's completed.
But thank you all again,
we really look forward to next season.
If you miss anything,
we hope that you will take a look
at the summary report that
we will be putting together.
So thank you all, have a
wonderful rest of your Wednesday.
We hope to see you on a future
PreventConnect web conference.
Take care.
