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Hanging out or Hooking Up

Hanging out or Hooking Up. Responding to Adolescent Relationship Abuse. Domestic and Adolescent Relationship Violence. Patterns of coercive and controlling behaviors perpetrated by an adult or teen against an intimate partner.

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Hanging out or Hooking Up

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  1. Hanging out or Hooking Up Responding to Adolescent Relationship Abuse

  2. Domestic and Adolescent Relationship Violence Patterns of coercive and controlling behaviors perpetrated by an adult or teen against an intimate partner. (National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings. San Francisco, CA: Family Violence Prevention Fund)

  3. What We Know 1 in 4 (25%) U.S. women and 1 in 5 (20%) U.S. teen girls report ever experiencing physical and/or sexual partner violence (CDC Morbidity and Mortality Weekly Report, February 2008; Silverman et al, 2001)

  4. Definition: Reproductive Coercion Reproductive Coercion involves behaviors that a partner uses to maintain power and control in a relationship that are related to reproductive health: • Explicit attempts to impregnate a partner against her wishes • Controlling outcomes of a pregnancy • Coercing a partner to have unprotected sex • Interfering with birth control methods

  5. Pregnancy Pressure and Condom Manipulation “ Like the first couple of times, the condom seems to break every time. You know what I mean, and it was just kind of funny, like, the first 6 times the condom broke. Six condoms, that's kind of rare I could understand 1 but 6 times, and then after that when I got on the birth control, he was just like always saying, like you should have my baby, you should have my daughter, you should have my kid.” “ 17 yr. old female who started Depo-Provera without partner’s knowledge (Miller et al, 2007)

  6. Domestic violence increases women’s risk for Unintended Pregnancies (Sarkar, 2008)

  7. Why is Reproductive Coercion Important? • Rapid Repeat Pregnancy Adolescent mothers who experienced physical abuse within three months after delivery were nearly twice as likely to have a repeat pregnancy within 24 months (Raneri& Wiemann, 2007)

  8. What We Know Preventing intimate partner violence and reproductive coercion positively impacts adolescent health outcomes, including: • Preventing sexually transmitted diseases • Reducing unplanned pregnancy • Reducing unprotected sex • Promoting health and safety

  9. Healthcare providers can make a difference in their patients’ lives Women who talked to their healthcare provider about the violence were 4 times more likely to use an intervention and 2.6 times more likely to exit the abusive relationship McCloskey et al, 2006

  10. Building and keeping trust with young people is crucial: • Use educational materials to create a safe space at your nurses’ station or clinic • Make it obvious that you are someone young people can talk to: Ask the questions.

  11. Anticipatory Guidance on Healthy Relationships • STI/HIV Test Visit

  12. Anticipatory Guidance on Healthy Relationships • Addressing Technology and Harassment

  13. Defining Success Success is measured by our efforts to reduce isolation and to improve options for safety. Futures Without Violence

  14. Resources • That’s Not Cool • Love is Respect • Futures without Violence

  15. Contact Information Maria Limon Texas Council on Family Violence 800-525-1978

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