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Safety Planning with
Individuals with Disabilities
Sara Zesski – New Jersey Coalition for Battered
Women
Erica Olsen, M.S.W. – The National Network to End
Domestic Violence
Topics for Today

 Risks to Leaving
 Risk Assessment
 Safety Plan Elements
Key Terms

       Safety planning is the process of
   supporting a survivor to identify resources
    and precautions that will help him or her
             avoid revictimization.




     Danger assessment is the process of
   gathering information to determine level of
                    danger.



     Disability is a product of an interaction
   between characteristics (e.g., conditions or
   impairments, functional status, or personal
    and social qualities) of the individual and
               characteristics of the
        natural, built, cultural, and social
                   environments.
Safety Planning
Guideline should:
 ◦ Consider environment and social barriers
 ◦ Support and encourage self determination
 ◦ Consider the diversity of the person’s
   needs
 ◦ Be developed together with the survivor
 ◦ Prioritize safety, needs and wants
Abuser-Generated Risks to
Leaving
 Physical Injury
 Psychological Harm
 Child-Related Risks
 Financial Risks
 Risk to Family and Friends
 Loss of Relationship
 Risk Involving Arrest or Legal Status
Life-Generated Risks to
Leaving
 Financial
 Home Location
 Physical and Mental Health
 Discrimination based on
  race, gender, sexual orientation
Risk/Danger Assessment
 Create a safe place
 Don’t make about assumptions their
  disability
 Start with the survivor’s questions and
  concerns
 Validate what the person is saying
 Use simple concrete language and
  avoid jargon
Risk/Danger Assessment
   Don’t pretend to understand if you
    don’t

   Ask about abuser and life generated
    risks

   Survivor is the ‘expert’ of perpetrator’s
    behavior and their own needs
Risk/Danger Assessment
   Understand that there may be other
    things on their mind besides the abuse

   Talk to them about what makes them feel
    safe and unsafe

   Ask about where and when abuse
    occurs

   Remember that they have experienced
    trauma and may not ‘react’ to things the
    way you expect
Preparing for Safety Planning
 Have they had a safety plan before?
 What worked?
 What didn’t?
 Is their disability status the same or
  different from last time?
Important Considerations
 Medications
 Service Providers
 Transportation
 Communication
 Finances
 Assistive devices
 Service Animal
 Maintaining safety
Living with the Abuser         Living in a Group Setting

 Do you feel unsafe at         Where does the abuse
  home?                          occur? Are other people
 Do you have children?          in the home at that time?
  Do you have a plan with       What can you do to avoid
  them to stay safe?             being alone with the
 Does the abuser meet           abuser?
  any of your daily needs       Which people in the
  (i.e. bathing, toileting)?     house do you trust?
                                 Staff? Fellow residents?




                Safety at Home
Standard Safety Planning    Disability Concerns

   What are the warning     Survivor may not pick up
    signs that abuse may      on social cues depending
    occur?                    on the disability.
                             S/he may not trust their
   What happens when you     own instincts due to
    are scared?               compliance issues.
                             Include not only the
                              layout of the home, exits
   Where does the abuse
                              and open areas but
    occur?
                              which areas are
                              accessible or not.

     During a Violent Incident
Standard Safety Planning                Disability Concerns

   What knives, guns or other things      This issue can be much
    can be used to hurt you? Where          broader, especially if person
    are they?                               depends on perpetrator for
                                            personal care.
   Who is your network of support?        Discuss
                                            friends, family, neighbors, other
                                            service providers and the reality
                                            of being able to help in an
   How would you let them know             emergency.
    you needed help?                       Consider a person’s mobility and
                                            communication devices, how will
                                            they get help without them?




      During a Violent Incident
Standard Safety Planning       Disability Concerns

   Are you thinking about      Transportation can be
    leaving? What do you         complex and often takes
    think will happen if you     pre-scheduling.
    leave?                      Can the place they want
                                 to go accommodate their
   Where are you planning       disability needs?
    to go?                      Stress importance of
                                 having those supports.
   Who are the people that
    you trust to help you?


       Getting Ready to Leave
Standard Safety Planning         Disability Concerns

   Do you have your own            If the abuser is the
    bank account? If not, set        representative
    one up.                          payee, contact Social
   If they receive benefits –       Security Administration to
    do you know how much             change it.
    your benefits are? Do
    you have an award               If abuser is primary
    letter?                          caregiver, consider a
                                     time that may be safe for
                                     someone else to help
   Prepare items you need
    to take with you when            him/her pack belongings
    you leave.                       and hold them.

       Getting Ready to Leave
GETTING READY TO
LEAVE
Disability Concerns

   Is your abuser your caregiver? Explore alternative
    options to getting your needs met.

   What kind of assistive technology do you use?
    What are the must haves? Where can you get
    replacements or loans if you have to leave with it?

   What types of medications do you take and how
    much? Can these be left with someone else? Do
    you know where you can get refills?
Standard Safety Planning         Disability Concerns

   Do you go to work or          Discuss how they get to
    school?                        and from job/school.
   Does the abuser know          Explore possibilities of
    where these are?               changing work/school
   Are there times when           locations.
    you are alone on the
    job/school?                   Talk with supervisors
                                   about changing
   Decide who you will
    inform of your situation.      schedules or job duties.
   Devise a plan for arriving    Consider accessibility of
    and leaving a building.        the entrances or exits.


       Safety on at Job/School
Safety with a Protective Order
 Do you have a restraining order or are
  you thinking of getting one?
 Who knows that you have one?
 Consider who should get a copy of it.
 Make a plan for what to do if abuser
  does not obey the order.
 Keep it with you at all times!
Concluding the Safety Planning
Process
   Ask the survivor if he/she has any
    further concerns or questions

   Review the key points of the plan

   Discuss the need and safety factors of
    taking a written or electronic copy of
    the plan
Concluding the Safety Planning
Process
   Discuss items that require follow up by
    either the survivor or you

   Consider discussing possible
    scenarios and what they would do in
    that situation
Tips for Advocates When Supporting an
Individual with a Disability

 Ask the survivor about specific
  physical and attitudinal barriers they
  face
 Present materials in a clear, concise
  manner
 Be aware of your own assumptions
  about the survivor’s ability and
  disability
 Allow extra time to understand
  complicated choices
Tips for Advocates When Supporting an
Individual with a Disability

 Use opened questions to gather more
  information
 Confirm with the survivor that they
  understand the plan
 Listen to the survivor’s ideas about
  risks and resources
 Consider involving other agencies in
  the process if safe and confidential
References
   Joanne Berman, Eileen Dombo, Roy Froemming, Dianne
    Greenley, Holly Ramsey-Klawsnik, Leslie Myers and Christine
    White. Widening the Circle: Sexual Assault/Abuse and People with
    Disabilities and the Elderly. Madison, Wisconsin: Wisconsin Coalition
    Against Sexual Assault, Fall 1998.
   Carrie Frasier, Linda Mintzer, Cindi Black, Mary Ann Gainey and
    Linda Spies. Open Minds, Open Doors. Denver, Colorado: National
    Coalition Against Domestic Violence. Denver, Colorado: Domestic
    Violence Initiative for Women with Disabilities, 1996.
   Jill Davies, Eleanor Lyon and Diane Monti-Catania. Safety Planning
    with Battered Women. Thousand Oaks, California: SAGE
    Publications, 1998.
   Volunteers of Finex House. Escape: A Handbook for Battered
    Women with Disabilities. Jamaica Plan, Massachusetts: Finex
    House.
   Serving Crime Victims with Disabilities. DVD. Office for Victims of
    Crime, 2009.
   Domestic Violence Danger Assessment and Safety Planning – An
    Interactive Training DVD. DVD. Emerge Counseling and Education
    to Stop Domestic Violence.
   Hughes, Celia. Stop the Violence, Break the Silence (a training
    guide). Austin, Texas: Safe Place, 2003.
Helpful Websites
   Baylor College of Medicine -
    http://www.bcm.edu/crowd/index.cfm?pmid=1325


   Washinton State Coalition Againt Domestic Violence –
http://www.wscadv.org/docs/protocol_disability_safety_planning.pdf


   Accessing Safety –
http://www.accessingsafety.org/uploads/File/Kansas_City_Advocate_Guide
   _Safety_Planning.pdf


   Wisconsin Coalition Against Domestic Violence -
    http://www.vaw.umn.edu/documents/safetyplandisability/safetyplandisabi
    lity.pdf


   Strengthen Our Sisters -
    http://www.strengthenoursisters.org/safetyplansos2010.pdf
Thank You

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Safety Planning

  • 1. Safety Planning with Individuals with Disabilities Sara Zesski – New Jersey Coalition for Battered Women Erica Olsen, M.S.W. – The National Network to End Domestic Violence
  • 2. Topics for Today  Risks to Leaving  Risk Assessment  Safety Plan Elements
  • 3. Key Terms Safety planning is the process of supporting a survivor to identify resources and precautions that will help him or her avoid revictimization. Danger assessment is the process of gathering information to determine level of danger. Disability is a product of an interaction between characteristics (e.g., conditions or impairments, functional status, or personal and social qualities) of the individual and characteristics of the natural, built, cultural, and social environments.
  • 4. Safety Planning Guideline should: ◦ Consider environment and social barriers ◦ Support and encourage self determination ◦ Consider the diversity of the person’s needs ◦ Be developed together with the survivor ◦ Prioritize safety, needs and wants
  • 5. Abuser-Generated Risks to Leaving  Physical Injury  Psychological Harm  Child-Related Risks  Financial Risks  Risk to Family and Friends  Loss of Relationship  Risk Involving Arrest or Legal Status
  • 6. Life-Generated Risks to Leaving  Financial  Home Location  Physical and Mental Health  Discrimination based on race, gender, sexual orientation
  • 7. Risk/Danger Assessment  Create a safe place  Don’t make about assumptions their disability  Start with the survivor’s questions and concerns  Validate what the person is saying  Use simple concrete language and avoid jargon
  • 8. Risk/Danger Assessment  Don’t pretend to understand if you don’t  Ask about abuser and life generated risks  Survivor is the ‘expert’ of perpetrator’s behavior and their own needs
  • 9. Risk/Danger Assessment  Understand that there may be other things on their mind besides the abuse  Talk to them about what makes them feel safe and unsafe  Ask about where and when abuse occurs  Remember that they have experienced trauma and may not ‘react’ to things the way you expect
  • 10. Preparing for Safety Planning  Have they had a safety plan before?  What worked?  What didn’t?  Is their disability status the same or different from last time?
  • 11. Important Considerations Medications Service Providers Transportation Communication Finances Assistive devices Service Animal Maintaining safety
  • 12. Living with the Abuser Living in a Group Setting  Do you feel unsafe at  Where does the abuse home? occur? Are other people  Do you have children? in the home at that time? Do you have a plan with  What can you do to avoid them to stay safe? being alone with the  Does the abuser meet abuser? any of your daily needs  Which people in the (i.e. bathing, toileting)? house do you trust? Staff? Fellow residents? Safety at Home
  • 13. Standard Safety Planning Disability Concerns  What are the warning  Survivor may not pick up signs that abuse may on social cues depending occur? on the disability.  S/he may not trust their  What happens when you own instincts due to are scared? compliance issues.  Include not only the layout of the home, exits  Where does the abuse and open areas but occur? which areas are accessible or not. During a Violent Incident
  • 14. Standard Safety Planning Disability Concerns  What knives, guns or other things  This issue can be much can be used to hurt you? Where broader, especially if person are they? depends on perpetrator for personal care.  Who is your network of support?  Discuss friends, family, neighbors, other service providers and the reality of being able to help in an  How would you let them know emergency. you needed help?  Consider a person’s mobility and communication devices, how will they get help without them? During a Violent Incident
  • 15. Standard Safety Planning Disability Concerns  Are you thinking about  Transportation can be leaving? What do you complex and often takes think will happen if you pre-scheduling. leave?  Can the place they want to go accommodate their  Where are you planning disability needs? to go?  Stress importance of having those supports.  Who are the people that you trust to help you? Getting Ready to Leave
  • 16. Standard Safety Planning Disability Concerns  Do you have your own  If the abuser is the bank account? If not, set representative one up. payee, contact Social  If they receive benefits – Security Administration to do you know how much change it. your benefits are? Do you have an award  If abuser is primary letter? caregiver, consider a time that may be safe for someone else to help  Prepare items you need to take with you when him/her pack belongings you leave. and hold them. Getting Ready to Leave
  • 17. GETTING READY TO LEAVE Disability Concerns  Is your abuser your caregiver? Explore alternative options to getting your needs met.  What kind of assistive technology do you use? What are the must haves? Where can you get replacements or loans if you have to leave with it?  What types of medications do you take and how much? Can these be left with someone else? Do you know where you can get refills?
  • 18. Standard Safety Planning Disability Concerns  Do you go to work or  Discuss how they get to school? and from job/school.  Does the abuser know  Explore possibilities of where these are? changing work/school  Are there times when locations. you are alone on the job/school?  Talk with supervisors about changing  Decide who you will inform of your situation. schedules or job duties.  Devise a plan for arriving  Consider accessibility of and leaving a building. the entrances or exits. Safety on at Job/School
  • 19. Safety with a Protective Order  Do you have a restraining order or are you thinking of getting one?  Who knows that you have one?  Consider who should get a copy of it.  Make a plan for what to do if abuser does not obey the order.  Keep it with you at all times!
  • 20. Concluding the Safety Planning Process  Ask the survivor if he/she has any further concerns or questions  Review the key points of the plan  Discuss the need and safety factors of taking a written or electronic copy of the plan
  • 21. Concluding the Safety Planning Process  Discuss items that require follow up by either the survivor or you  Consider discussing possible scenarios and what they would do in that situation
  • 22. Tips for Advocates When Supporting an Individual with a Disability  Ask the survivor about specific physical and attitudinal barriers they face  Present materials in a clear, concise manner  Be aware of your own assumptions about the survivor’s ability and disability  Allow extra time to understand complicated choices
  • 23. Tips for Advocates When Supporting an Individual with a Disability  Use opened questions to gather more information  Confirm with the survivor that they understand the plan  Listen to the survivor’s ideas about risks and resources  Consider involving other agencies in the process if safe and confidential
  • 24. References  Joanne Berman, Eileen Dombo, Roy Froemming, Dianne Greenley, Holly Ramsey-Klawsnik, Leslie Myers and Christine White. Widening the Circle: Sexual Assault/Abuse and People with Disabilities and the Elderly. Madison, Wisconsin: Wisconsin Coalition Against Sexual Assault, Fall 1998.  Carrie Frasier, Linda Mintzer, Cindi Black, Mary Ann Gainey and Linda Spies. Open Minds, Open Doors. Denver, Colorado: National Coalition Against Domestic Violence. Denver, Colorado: Domestic Violence Initiative for Women with Disabilities, 1996.  Jill Davies, Eleanor Lyon and Diane Monti-Catania. Safety Planning with Battered Women. Thousand Oaks, California: SAGE Publications, 1998.  Volunteers of Finex House. Escape: A Handbook for Battered Women with Disabilities. Jamaica Plan, Massachusetts: Finex House.  Serving Crime Victims with Disabilities. DVD. Office for Victims of Crime, 2009.  Domestic Violence Danger Assessment and Safety Planning – An Interactive Training DVD. DVD. Emerge Counseling and Education to Stop Domestic Violence.  Hughes, Celia. Stop the Violence, Break the Silence (a training guide). Austin, Texas: Safe Place, 2003.
  • 25. Helpful Websites  Baylor College of Medicine - http://www.bcm.edu/crowd/index.cfm?pmid=1325  Washinton State Coalition Againt Domestic Violence – http://www.wscadv.org/docs/protocol_disability_safety_planning.pdf  Accessing Safety – http://www.accessingsafety.org/uploads/File/Kansas_City_Advocate_Guide _Safety_Planning.pdf  Wisconsin Coalition Against Domestic Violence - http://www.vaw.umn.edu/documents/safetyplandisability/safetyplandisabi lity.pdf  Strengthen Our Sisters - http://www.strengthenoursisters.org/safetyplansos2010.pdf

Editor's Notes

  1. Emphasize:*Not all people with disabilities are the sameDang ass and SP needs to be individualized to the person and must take into account disability, gender, language and cultural needs
  2. -separation assault-physical includes sexual assault and hitting, slapping etc –refer back to dis specific abusePsych = emotional, name calling, crazy making, encourage substance abuse,blaming them for their own disabilityChild = actual abuse, insulting parenting, threatening to take them or CPS take themFinancial – refer back to unemployment rate and lack of accessible housing, possible homelessness, refer back to rep payeeF & F – loss of support/possible physical threats to those that helpLoss of r – even more complicated if perpetrator is caregiver – example of person w/ID and this person drives them to the store/ physical and adl’s
  3. Home location – accessible housing, access to public transportation, crime rates, Phy and mh – does she need help with adl’s?how will she pay for medical needs?Discrimination – to disclose or not to disclose?
  4. 1. Need for privacy, quiet, lessen distractions, lightingGIVE OUT P & Control wheels now
  5. . 1. especially with Deaf/HOH
  6. Use a calendar to help them see the patterns/severity of abuse
  7. Use of code word or signal to neighbors and children
  8. 1. Especially people with ID/dd. Advocate role is to help them understand warning signs2. Important to tell them to listen to their feelings
  9. prosthetics, bathing supplies or urological supplies can be used to abuseThere may be people who would want to help but who cannot provide an accessible, safe escape.Use tips for pg 22 of KC plan2. Important to tell them to listen to their feelings
  10. Transportation – help them get signed up for access link or county transportation if not on it, advise them to schedule the ride to somewhere that is typical so they don’t arouse suspicion.
  11. Share Safe Place Checklist
  12. 1 – PASP or medicaid home health2 - http://www.cpofnj.org/tlc technology loan center, voc rehab, blind/deaf divisions
  13. Remind them that it does not guarantee safetyBasically same rules apply/ disability or notIf person is blind consider scanning it for them
  14. Electronic copy may be easier for Deaf survivor and can be emailed to a new, confidential email or if blind may be able to be read into a tape recorder or mp3
  15. Electronic copy may be easier for Deaf survivor and can be emailed to a new, confidential email or if blind may be able to be read into a tape recorder or mp3
  16. Survivor knows her needs best – see the sp process as a collaboration
  17. Other agencies – if you are VS agency, the pwd may have a relationship with disability service providers who could help make the plan