2009 Oregon Reproductive Health
Client Homelessness and Violence Resource Guide
Funded in part by a grant from the US DHHS-OPA
October 2009
Introduction
At a 2009 Oregon state meeting, family planning coordinators expressed concern about an increase in the number of family planning clients who are homeless or victims of violence. The state Office of Family Health, Reproductive Health Program organized a committee with the Adolescent Health and the Women’s Health Programs to support local agencies. Thirty-six agencies responded to a needs assessment that identified the scope of the problems, barriers, strengths, community partnerships and specific agency needs.
The 2009 Oregon Reproductive Health Client Homelessness and Violence Resource Guide provides national, state, and local information. We recommend that local agencies use contact information in the guide to work with local organizations. Community agencies are the best connection for:
· Comprehensive resources that meet client needs
· All appropriate services in your community
· Client and staff educational materials and information
· Community awareness materials and activities
· Staff training opportunities.
Marsha Brantley, Reproductive Health Education Consultant
Oregon Public Health Division
Office of Family Health
Reproductive Health Program
Phone: 971.673.0359
Email:
Quick Reference Guide 6
General Resources 10
Statewide Resources 10
2-1-1 in Oregon 10
DHS Safety Net Clinics 10
DHS Women’s and Reproductive Health 11
Family Planning Agency Strategies 11
Oregon Health Go Local 13
Oregon Helps! 13
OregonLawHelp.org 13
Oregon SafeNet 13
Oregon Vital Records 14
Youth Risk Assessment 14
Guidelines for Adolescent Preventive Services (GAPS) 14
Violence Resources 16
National Resources 16
NSVRC National Sexual Violence Resource Center 16
State Resources 16
Click to Empower 16
OCADSV Oregon Coalition Against Domestic and Sexual Violence 16
SATF Oregon Attorney General’s Sexual Assault Task Force 17
Domestic and Sexual Violence Agencies and Hotlines 17
Local Agencies and Hotlines 17
State and National Hotlines 18
Gay Men’s Domestic Violence Hotline 18
Megan’s Law Hotline 18
National Domestic Violence Hotline 18
National Sexual Assault Online Hotline 18
Proyecto UNICA 19
RAINN (Rape, Abuse and Incest National Network) 19
Other Crisis Lines 19
DHS Child Abuse Reporting Hotline 19
Oregon Partnership - Alcohol & Drug Helpline 19
Publications 20
DHS Domestic & Sexual Violence Program 20
Client data, reports, brochures, policies, toolkits, publications and articles 20
OregonLawHelp.org 20
SAFE Stop Abuse for Everyone 20
US Department of Justice - Office of Victims of Crime 21
Youth Resources 21
Adolescent Sexual Coercion Educational Materials (July 2009) 21
DHS Women’s and Reproductive Health 22
Adolescent Sexual Coercion: Identification, Prevention and Response Guidelines 22
Girl’s Health 23
OASOTN Oregon Adolescent Sex Offender Treatment Network 23
Promotetruth.org 23
The Safe Space 23
Break the Cycle, Empowering Youth to End Domestic Violence 23
US Department of Justice - Office of Victims of Crime 24
Reaching and Serving Teen Victims: A Practical Handbook 24
Client Violence Screening 24
CDC National Center for Injury Prevention and Control 24
Intimate Partner Violence and Sexual Violence Victimization Assessment Instruments for Use in Healthcare Settings 24
DHS Domestic & Sexual Violence Program 24
Public Awareness 25
My Strength Campaign 25
OCADSV Oregon Coalition Against Domestic and Sexual Violence 25
SATF Oregon Attorney General’s Sexual Assault Task Force 26
Staff Training 26
National Center for Victims of Crime 26
OCADSV Oregon Coalition Against Domestic and Sexual Violence 26
Statewide Annual Conference 27
SAFE Stop Abuse for Everyone™ 27
SAFE Speaker's Bureau 27
SATF Oregon Attorney General’s Sexual Assault Task Force 27
Oregon Voices 28
SART Handbook, Version II 28
Addressing Barriers 28
NSVRC National Sexual Violence Resource Center 28
Oregon DOJ Batterers Intervention – Provider Directory 28
OCADSV Oregon Coalition Against Domestic and Sexual Violence 28
Understanding Domestic Violence 29
Communities of Color 29
Domestic Violence 29
Sexual Assault 29
Psychology Today 29
Houston Area Women’s Center 30
Resources for the Homeless 31
State and Local Resources 31
Community Action Agencies 31
Homeless Youth 31
DHS SNAP Supplemental Nutrition Assistance Program 31
National Health Care for the Homeless Council - Oregon Directory 31
Oregon Food Bank 31
OSU Extension Service 32
Homeless – Runaway Youth 32
Girl’s Health 32
Homeless Liaisons 32
NSVRC National Sexual Violence Resource Center 33
OHRYC Oregon Homeless and Runaway Youth Coalition 33
Oregon Independent Living Program 34
Addressing Barriers 34
EHAC Ending Homelessness Advisory Council 34
A Home for Hope: Oregon’s 10 year plan to end homelessness 34
National Coalition for the Homeless 34
Oregon League of Women Voters 35
Oregon’s Homeless Youth 35
Appendices 1
Appendix 1 2
Youth Assessment – 4-11 year olds 2
Appendix 2 3
Adolescent Assessment – 11-24 year olds 3
Appendix 3 4
Domestic Violence and Sexual Assault Crisis Lines In Oregon 4
Appendix 4 6
Adolescent Sexual Coercion Education Materials 6
Appendix 5 9
Oregon Community Action Agencies 9
Appendix 6 11
Oregon Independent Living Program 11
Appendix 7 13
Independent Living Program – County Provider List 13
Quick Reference Guide
/Resource Name / Phone Number / Website / Page /
2-1-1 in Oregon / (503) 226-3099 / http://www.211info.org/ / 10
CDC - National Center for Injury Prevention and Control / http://www.cdc.gov/injury/ / 24
Click to Empower / http://www.clicktoempower.org / 16
Community Action Agencies / http://www.ohcs.oregon.gov/ / 31
DHS - Child Abuse Reporting Hotline / (800) 509-5439 / http://www.oregon.gov/DHS/children/abuse/cps/report.shtml / 19
DHS Domestic & Sexual Violence Program / http://www.oregon.gov/DHS/abuse/domestic/about_us.shtml / 20
DHS Safety Net Clinics / http://oregon.gov/DHS/ph/hsp/safetynet / 10
DHS SNAP Supplemental Nutrition Assistance Program / (800) 723-3638 / http://www.oregon.gov/DHS/assistance/foodstamps/foodstamps.shtml / 31
DHS Women’s and Reproductive Health Program / (971) 673-0355 / http://www.healthoregon.org/fp / 11
EHAC Ending Homeless Advisory Council / http://www.ehac.oregon.gov/ / 34
Gay Men’s Domestic Violence Hotline / (800) 832-1901 / http://www.gmdvp.org/ / 18
Girl’s Health / http://www.girlshealth.gov/ / 23
Megan’s Law Hotline / (888) 275-7365 / 18
My Strength Campaign / http://www.mystrength.org / 25
National Center for Victims of Crime / http://www.ncvc.org/ / 26
National Coalition for the Homeless / http://www.nationalhomeless.org/about_us/index.html / 34
National Domestic Violence Hotline / (800) 799-7233 / http://www.ndvh.org/ / 18
National Health Care for the Homeless Council – Oregon Directory / http://www.nhchc.org/hchirc/pdfs/directory/OR.pdf / 31
National Sexual Assault Online Hotline / (800) 656-HOPE / http://www.rainn.org / 18
NSVRC National Sexual Violence Resource Center / http://www.nsvrc.org/ / 16
OASOTN Oregon Adolescent Sex Offender Treatment Network / http://www.oasotn.org / 23
OCADSV Oregon Coalition Against Domestic and Sexual Violence / (503) 230-1951 / http://www.ocadsv.com/ / 16
Oregon DOJ Batterers Intervention / http://www.doj.state.or.us/crimev/pdf/2008_oregon_BIP_directory.pdf / 28
Oregon Food Bank / (800) 777-7427 / http://www.oregonfoodbank.org / 31
Oregon Health Go Local / http://apps.nlm.nih.gov/medlineplus/local/Oregon/homepage.cfm?areaid=44 / 13
Oregon Helps! / http://oregonhelps.org/go / 13
OHRYC Oregon Homeless and Runaway Youth Coalition / http://www.ohryc.org / 33
Oregon Independent Living Program / http://www.oregon.gov/dhs/children/fostercare/ind_living/ilp.shtml / 34
OregonLawHelp.org / http://www.oregonlawhelp.org/OR/index.cfm / 13
Oregon League of Women Voters / http://www.lwvor.org/documents/HomelessYouth2006.pdf / 35
Oregon Partnership / (800) 923-4357 / http://www.orpartnership.org / 19
Oregon SafeNet / (800)723-3638 / www.oregonsafenet.org / 13
Oregon Vital Records / (971) 673-1190 / http://www.oregon.gov/DHS/ph/chs/order/index.shtml / 14
OSU Extension Service / http://extension.oregonstate.edu/emergency/tough_times.php, / 32
Promotetruth.org / www.promotetruth.org / 23
Proyecto UNICA / (503) 232-4448 / http://www.catholiccharitiesoregon.org/latino_services_unica.asp / 19
RAINN Rape, Abuse and Incest National Network / (800) 656-4673 / http://www.rainn.org/ / 19
SAFE Stop Abuse for Everyone™ / (503) 853-8686 / http://wwwsafe4all.org / 20
SATF Oregon Attorney General’s Sexual Assault Task Force / (503) 990-6541 / http://www.oregonsatf.org/ / 17
The Safe Space / http://www.thesafespace.org/ / 23
US Department of Justice - Office of Victims of Crime / http://www.ojp.usdoj.gov/ovc / 21
General Resources
Statewide Resources
2-1-1 in Oregon
www.211info.org
(503) 226-3099
Since October of 2000, a collaboration of organizations has been building an integrated, efficient statewide system to provide 2-1-1 telephone access to trained information and referral specialists. They provide linkages to local health and human services for persons needing assistance.
The 211info three-digit phone number, 2-1-1, is available in seven Oregon counties (Clackamas, Washington, Multnomah, Deschutes, Crook, Jefferson and Yamhill) and four Washington counties (Clark, Cowlitz, Skamania and Wahkiakum).
"For those unfamiliar and intimidated by the social service system, 2-1-1 is an easy way to get connected," said Victor Merced, Director of Oregon Housing and Community Services. “2-1-1 creates opportunities for low-income Oregonians to locate resources and provides troubleshooting assistance many people need to navigate the complex social services in our communities."
Visit the 211info website for current information about Oregon 2-1-1 services expansion, call or send an e-mail to .
DHS Safety Net Clinics
http://oregon.gov/DHS/ph/hsp/safetynet
Oregon’s health care safety net is comprised of a broad range of local non-profit organizations, government agencies, and individual providers who share the common mission of delivering health care to persons who experience barriers to accessing the health care services they need. Health care safety net clinics are staffed by physicians, nurse practitioners, physician assistants, nurses, dentists, social workers, community health workers, other health care providers and volunteers. The DHS Health Systems Planning website has lists of safety net providers and hospitals and maps of safety net providers; including Federally Qualified Health Clinics (FQHCs), Indian/Tribal Clinics, Rural Health Clinics, School-Based Health Clinics, and Community-Sponsored & Other Safety Net Clinics in Oregon.
DHS Women’s and Reproductive Health
http://www.healthoregon.org/fp
(971) 673-0355
Family Planning Agency Strategies
Developing Partnerships to Serve
Violence Survivors and Homeless Clients
The following outline suggests local organizations and meeting agenda items to begin or strengthen family planning agency community partnerships to support the local homeless population and domestic and sexual violence survivors.
1. Identify community partners in the Oregon Reproductive Health Client Homelessness and Violence Guide.
Ø Community, migrant, and homeless health centers
Ø School based health centers
Ø Community action agencies serving the homeless
Ø Oregon Independent Living Program providers
Ø Runaway and homeless youth organizations
Ø School district homeless liaisons
Ø Safety net clinic health care providers
Ø National Health Care for the Homeless Directory for Portland, Eugene, Medford, and Salem
Ø Domestic violence and sexual assault agencies
Ø Oregon Department of Human Services (DHS) Children, Adults and Families (food stamps, housing, financial assistance, domestic and sexual violence programs)
Ø Organizations serving communities of color
Ø Adolescent Sex Offender Treatment Network agencies
2. Invite organizations to meet with family planning agency staff.
Agenda item suggestions:
Ø A description of family planning services
Ø A description of community agency services
Ø Client and staff needs and barriers
Ø Communication strategies
Ø Technical assistance
Ø Sharing educational and resource materials
Ø Training staff and the community
Ø Collaboration strategies to support clients.
In 2009 needs assessment responses, Oregon family planning agencies shared many strategies they use to address client homelessness and violence:
Ø Use the 211 database or the HELP directory to refer homeless clients to local organizations.
Ø Developed a client safety plan.
Ø Refer clients to a 24 hour crisis line for confidential and anonymous help in a rural community.
Ø Know people who work at local agencies by name and call them directly for client referral.
Ø Arrange meetings with staff at local agencies to describe services and how we can work together.
Ø Invited a local agency to provide an educational presentation for our staff.
Ø Make available community resource information for clients to pick up confidentially.
Ø Refer homeless clients to a domestic violence shelter, churches, school counselors and school based health centers.
Ø Refer clients to the Salvation Army, St. Vincent de Paul, Oregon Department of Human Services, Children, Adult and Family Services.
Ø Ask health educators to find client resources.
Ø Have local referral materials available in the clinic for domestic violence, food banks, shelters and other resources.
Ø Try to see clients in the family planning clinic as soon as possible. Frequently same day appointments work for clients without a regular schedule or telephone or transportation to get to a clinic appointment.
Ø Offer walk in clients referrals from front office staff when appointments are scheduled out two weeks or longer.
Ø Have a specific program to provide care to homeless clients with limits to the number of clients seen.
Ø Routinely give the 211 phone number to clients for current and future needs.
Ø Refer clients to the Portland Women’s Crisis Line for confidential counseling and support.
Ø Give clients who do not have immediate access to clinics other community resources through our central appointment phone number until an appointment is available.
Ø Collaborate with the faith community to find shelter for the homeless because there is no homeless shelter in the community.
Ø Work in partnership with social workers and field nurses to increase access to emergency contraception.
Ø Calls SafeNet for directing clients to services.
Ø Collaborates well with local agencies because there is no homeless shelter.
Ø Give clients referrals and allow them to use the phone.
Ø Offer empathy and help for homeless clients.
Ø Works directly with hospitals to make sure sexual assault victims have immediate access to emergency contraception.
Oregon Health Go Local
http://apps.nlm.nih.gov/medlineplus/local/Oregon/homepage.cfm?areaid=44
Oregon Health Go Local, a joint project of the National Library of Medicine and Oregon Health and Science University Library, is a free directory of health resources, services, and providers throughout the state of Oregon. Entries include government agencies, hospitals, health clinics, support groups, non-profit service organizations, and more.
Oregon Helps!
http://oregonhelps.org/go