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International Journal of Undergraduate Research and

Creative Activities

Volume 12 Issue 2 Article 1

October 2023

Lessons as a prevention intern: Eliminating sexual violence


through school-based programs
Emily Spalding
spal0292@pacificu.edu

Dawn M. Salgado
dsalgado@pacificu.edu

Follow this and additional works at: https://digitalcommons.cwu.edu/ijurca

Recommended Citation
Spalding, Emily and Salgado, Dawn M. (2023) "Lessons as a prevention intern: Eliminating sexual violence
through school-based programs," International Journal of Undergraduate Research and Creative Activities:
Vol. 12: Iss. 2, Article 1.
DOI: https://doi.org/10.7710/2168-0620.0295
Available at: https://digitalcommons.cwu.edu/ijurca/vol12/iss2/1

This Article is brought to you for free and open access by ScholarWorks@CWU. It has been accepted for inclusion
in International Journal of Undergraduate Research and Creative Activities by an authorized editor of
ScholarWorks@CWU. For more information, please contact scholarworks@cwu.edu.
Lessons as a prevention intern: Eliminating sexual violence through school-based
programs

Abstract
Every 73 seconds another person in America is sexually assaulted. For my senior practicum, I worked at
Sexual Assault Resource Center, which provides advocacy and support services, including crisis
intervention and counseling, for survivors of sexual violence. My goals for my time with SARC included
developing knowledge and skills related to being a trauma therapist, learning about how a nonprofit
operates, and gaining an understanding of sex education and sexual violence prevention programs. As a
Sexual Assault Advocate and Education and Prevention Intern at SARC, my primary responsibilities
involved engaging in community outreach events, delivering educational workshops, and presenting
prevention curriculum in schools. As a result of my participation, I became interested in researching
school-based prevention strategies and programs aimed at reducing sexual violence, as well as their
focus areas, strengths, and limitations. My research and practicum experience reframed the way I viewed
prevention work, provided insight into effective prevention strategies, and reminded me of why I believe so
strongly in early prevention education to reduce sexual violence.

This article is available in International Journal of Undergraduate Research and Creative Activities:
https://digitalcommons.cwu.edu/ijurca/vol12/iss2/1
Spalding and Salgado: Lessons as a prevention intern: Eliminating sexual violence throu

IJURCA: International Journal of


Undergraduate Research & Creative Activities

Volume 12.2 Article 9

September 3, 2020

Lessons as a prevention intern:


Eliminating sexual violence through school-based programs
Emily Spalding
Pacific University, spal0292@pacificu.edu

Dawn M. Salgado, PhD


Pacific University, dsalgado@pacificu.edu

Abstract
Sexual violence is so prevalent that every 73 seconds another person in America is sexually assaulted.
Motivated by this statistic, I chose to complete my senior practicum at the Sexual Assault Resource
Center, which provides advocacy and support services, including crisis intervention and counseling,
for survivors of sexual violence. My goals for my time with SARC included developing knowledge
and skills related to being a trauma therapist, learning about how a nonprofit operates, and gaining an
understanding of sex education and sexual violence prevention programs. As a Sexual Assault
Advocate and Education and Prevention Intern at SARC, my primary responsibilities involved
providing direct advocacy services to survivors, delivering educational workshops, and presenting
prevention curriculum in schools. As a result of my participation, I became interested in researching
school-based prevention strategies and programs aimed at reducing sexual violence, as well as their
focus areas, strengths, and limitations. My research and practicum experience reframed the way I
viewed prevention work, provided insight into effective prevention strategies, and reminded me of
why I believe so strongly in early prevention education to reduce sexual violence.

Keywords
Adolescence, Prevention, Sex education, Sexual violence, School-based

Peer Review
This work has undergone a double-blind review by a minimum of two faculty members from
institutions of higher learning from around the world. The faculty reviewers have expertise in
disciplines closely related to those represented by this work. If possible, the work was also reviewed
by undergraduates in collaboration with the faculty reviewers.

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Lessons as a prevention intern

Over the course of their lifetime, and autonomy, ensuring survivors feel heard,
approximately 16% of men and 33% of women and honoring the survivor s resiliency.
will experience some form of contact sexual SARC offers comprehensive services
violence (Truman & Langton, 2015). Sexual in the areas of crisis intervention, case
violence has significant negative physical and management, and counseling services. The 24-
psychological effects on survivors (Hubach, et hour crisis support line provides resource
al., 2019; Miller, 2017; Shorey, et al., 2017). referrals (e.g., counseling), de-escalation and
Because of the profound effects, prevention grounding techniques, emotional support for
efforts are incredibly important. This thesis will survivors and their friends and family
explore sexual violence and sexual violence members, and arranges advocate
prevention in four sections. Section one will accompaniment to medical exams or law
discuss the Sexual Assault Resource Center enforcement reports. To further support
(SARC), an organization that provides survivors, case managers provide on-going
assistance to survivors and works to prevent emotional support, continued resource
sexual violence in the community. Section two referrals (e.g., housing assistance), and
will discuss my internship at the SARC, assistance through the justice system.
including a description of my roles, Additionally, SARC offers individual and
responsibilities, and learning goals. Section group counseling services. To meet the needs
three will review the existing literature on the of underserved populations who are
topic of reducing sexual violence through disproportionately affected by sexual violence
school-based prevention programs. Finally, and face unique barriers in accessing services,
section four will discuss the work I did at the SARC also offers a Latinx program and a
SARC and my reflections on the experience. program designed to support those who are
incarcerated or justice-involved.
Organization and Population A second way SARC works to
This section discusses the history, mission, and eliminate sexual violence is through
services provided by the SARC where I community education. They do this by offering
completed my year-long practicum. It also will a nine-week Sexual Violence Prevention
discuss the characteristics of the populations Program to schools in Washington and
served by SARC, including the specific needs Multnomah counties that covers topics like
of the individuals and groups that receive features of healthy relationships, oppression,
services from the organization. and rape culture, with the goal of addressing
the root causes of sexual violence. In addition
Organization. The SARC is an advocacy and to school settings, SARC offers workshops,
support center located in Beaverton, Oregon. training, and outreach to a variety of agencies
It was founded in 1977 by two sexual assault (e.g., law enforcement, Planned Parenthood)
survivors with the goal of creating a caring and and settings (e.g., college campus, resource
compassionate space for other survivors. fairs).
SARC s mission is to promote social justice In summary, SARC seeks to provide
by eliminating sexual violence in [the] support and advocacy services to survivors of
community through education, support, and all forms of sexual violence and of all identities,
advocacy (SARC, 2019). They accomplish this while simultaneously working to reduce rates
by providing free and confidential services to of sexual violence through community
survivors of all types of sexual violence, education and prevention work.
regardless of age, gender, race, ethnicity,
economic class, disability, or religion. SARC s Population served. SARC serves an average
philosophy is providing survivors with choice of 2,000 clients a year. Recent data indicates an
increase in the number of clients accessing

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DOI: 10.7710/2168-0620.0295 2
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Lessons as a prevention intern

services, with 1,629 clients being served in the providing survivors with autonomy; and by
first eight months of 2019. Those most likely providing comprehensive care, through crisis
to seek services at SARC are female (94%), intervention, case management, and counseling
White (37%), and are between the ages of 18 services, SARC is essentially a one stop shop
and 65 (85%). SARC also works with a large for survivors. Research indicates that most
Hispanic/Latinx population (16%) in their women (81%) and about a third of men (35%)
Latinx program. report significant effects associated with sexual
SARC s Education and Prevention violence, including posttraumatic stress
Program works with a variety of organizations disorder (Truman & Langton, 2015). In 2018,
in the community. SARC s prevention over 85% of clients reported feeling safer and
curriculum is taught in high schools. SARC experiencing fewer symptoms of posttraumatic
also teaches prevention workshops and stress after accessing SARC services (SARC,
trainings to law enforcement, school 2019).
personnel, and other social service agencies SARC also works to meet the needs of
(e.g., Planned Parenthood). Three times a year, populations who experience increased risk and
SARC offers a forty-hour advocacy training for increased barriers to care, particularly people of
potential volunteers that trains advocates on color. Emerging research is reporting that
several trauma-related topics. women of color experience higher rates of
sexual violence, face more barriers to accessing
Needs of the population served. Oregon has counseling or medical services, seek services
rates of sexual violence that significantly less, and are less likely to report an assault,
exceed the national average (Smith et al., 2017; compared to white women (National Sexual
Women s Foundation of Oregon, 2015). Violence Resource Center, 2013; Smith, et al.,
According to one report, one million Oregon 2017). Among the barriers identified in the
women and girls, representing nearly half of literature are: cultural or linguistic issues, fear
the state s female population, has experienced of isolation or lack of support from family and
sexual violence (Women s Foundation of community, and lack of awareness about how
Oregon, 2015). Another study reports that to utilize services (National Sexual Violence
47.5% of women in Oregon, the highest rate in Resource Center, 2013). Another barrier is
the nation, have experienced some form of reluctance or fear, primarily due to an agency s
contact sexual violence (Smith, et al., 2017). lack of bilingual or bicultural staff, concerns
In most cases, survivors of sexual about an agency s connection with
assault choose not to pursue any post-assault immigration, or lack of cultural values
care. Even though sexual violence has incorporated into advocacy work (National
significant impacts, only 18% of survivors Sexual Violence Resource Center, 2013;
choose to seek medical attention or help from Women of Color Network, 2006). The
a social service agency following an assault National Center for Cultural Competency
(Kramer, et al., 2017). Cost of services and created a framework for culturally-competent
stigma are two of the biggest reason survivors organizations. Using this information and data
do not seek care (Kramer, et al., 2017). from a study on population needs, The
Research suggests that intervention centers are National Sexual Violence Resource Center
most utilized and beneficial when they offer (2013) identified principles for working in
the following: a culture of caring, one stop culturally-responsive ways. These principles
shop, validation, survivor control and agency, include: offering services and supports in
and confidentiality (Kramer, et al., 2017). clients preferred language and mode of
SARC s philosophy and approach aligns with delivery, translate and adapt written materials,
these principles. All of SARC s services are offer interpretation services, value diversity,
confidential; their philosophy focuses on

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Lessons as a prevention intern

and adapt to cultural contexts of communities direct advocacy services and community
being served. education and prevention services. In my role
In the western U.S., where SARC is as a Sexual Assault Advocate, I was involved in
located, 28.6% of the population identifies as frontline advocacy work with survivors,
Latinx or Hispanic (National Sexual Violence through in-person crisis response via hospital
Resource Center, 2013). SARC works to break and law enforcement accompaniment. In my
down barriers for this population through its role as an Education and Prevention Intern, I
Latinx program. Through the Latinx program, created and delivered educational workshops
survivors have access to advocacy, case for various community organizations,
management, and counseling services with participated in outreach events, and delivered
bilingual and bicultural providers, who are prevention curriculum in a local high school.
extra attuned to the cultural needs and Another part of my role at SARC was attending
strengths of the population. All printed trainings relevant to the work being done by
materials are also offered in English and the organization and collaborating with staff
Spanish, the two most used languages in the and community partners during various
area. Furthermore, all survivors are asked their committee meetings. Additionally, a
preferred language upon initial contact with an requirement of my position was participation
advocate. Translation and interpretation in forty-hours of advocacy training on topics
services are available for all services. SARC like trauma physiology, methods of listening,
services are also completely separate from all medical advocacy, stages of healing, and crisis
other agencies, including government agencies, intervention.
like law enforcement and immigration. Based on my understanding of the
Informing clients of their right to position prior to beginning my internship at
confidentiality and privilege is one of the first SARC, I established learning goals to guide my
conversations that happens when they meet development of professional skills and
with an advocate. Another way SARC attempts knowledge about school-based prevention
to reduce barriers is by doing outreach events work during my practicum.
in settings that feel safe and familiar for
survivors, for example a cultural center or Learning goals. As shown in Figure 1, I
church. outlined three learning goals, which included
While there must be continuous developing professional skills and knowledge
education and work to break down systemic towards becoming a trauma therapist, learning
barriers, SARC attempts to provide support about the history and operation of nonprofits
and advocacy services for all survivors of agencies, and gaining a thorough
sexual assault in a culturally-responsive, understanding of sex education and prevention
trauma-informed way. programs. Each goal was associated with a set
of objectives that I hoped to accomplish
Practicum through specific activities during the year.
In this section, I explain my position as a My first goal was to increase
Sexual Assault Advocate and Education and professional knowledge and skills related to my
Prevention Intern at the SARC, my roles and goal of becoming a trauma therapist. In order
responsibilities, and the learning goals I to accomplish this, I wanted to
developed for my time with the organization. a. research education requirements
and career paths,
Roles and responsibilities. As a Sexual b. gain practical skills necessary to
Assault Advocate and Education and become a professional in the field,
Prevention Intern at SARC, I delivered both c. engage in trauma-related training
and practice towards getting

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certified as an adolescent trauma Eliminating Sexual Violence


therapist. Through School-based Prevention
My second goal was to learn more about how
Programs
nonprofit organizations are structured and the
Sexual violence is defined as any sexual act
services they provide to address sexual
that is committed against someone who does
violence. To achieve this, I planned to (a) learn
not consent or is unable to consent or refuse
about the history of nonprofit agencies, (b)
and can include penetration, unwanted
learn about how nonprofits function to
touching, and noncontact sexual abuse
provide necessary services, and (c) learn about
(Vivolo, Holland, Teten, & Holt, 2010).
SARC s services specifically for sexual assault
According to recent estimates, 1 in 6 men and
survivors. My third learning goal was to gain a
1 in 3 women will experience sexual violence at
thorough understanding of the features of sex
some point in their life (Truman & Langton,
education and prevention programs within
2015). College-aged individuals are at an
school-based settings by learning about (a)
increased risk of experiencing sexual violence,
state and federal requirements for sex
with college women three times as likely and
education and (b) the elements of effective sex
college men 78% more likely to experience
education programs, as well as (c) participating
sexual assault than other women and men
and facilitating education, prevention, and
(Rape, Abuse & Incest National Network,
outreach work.
2015). As a public health issue, reducing sexual
While accomplishing my practicum
violence is focused on preventing associated
hours, I was reminded of the prevalence of
risk factors and promoting protective factors
sexual violence, the significant impact on
(Santelli et al., 2018; Vivolo et al., 2010). One
survivors, and the importance of prevention
way this is accomplished is by focusing on
efforts. Because of this, I chose to conduct a
education within school-based settings.
literature review on how school-based
School-based programs can be effective at
education and prevention programs can
changing attitudes towards sexual violence and
prevent sexual violence.
reducing risk of sexual violence perpetration

Figure 1. Learning goals, objectives, and activities for my practicum at the SARC
Research Gain practical and Engage in trauma-
education and professional skills related training and
career practice
requirements • Collaborate with
Goal 1. Develop a variety of
knowledge and • Complete forty-
• Research professionals hour advocacy
skills useful in graduate
becoming a • Practice training
programs professional
trauma therapist • Work with
• Interview communication survivors via in-
people in the person advocacy
field

Learn about the Learn about how Learn about


history of nonprofits outcomes of
nonprofit SA/DV function nonprofit services
Goal 2. Gain a agencies • Attend
thorough • Research client
• Research history organizational demographics
understanding of meetings
how nonprofit of SARC and • Research barriers
services work other nonprofits • Interview to accessing
SARC staff services
about their
roles

Learn about Learn about Engage in education,


elements of state and prevention, and
effective sex federal outreach work
Goal 3. Gain a education requirements • Teach prevention
thorough programs • Research and education
understanding of requirements workshops within
sex education • Conduct a
literature • Research the community
and prevention • Teach nine-week
programs review options for
fulfilling school program
requirements

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Lessons as a prevention intern

and victimization (Banyard, et al., 2019; In addition to increased likelihood of


Charmaraman, Lee, & Erkut, 2012; Grossman, engaging in risky behaviors, survivors of sexual
et al., 2014; Santelli et al., 2018; Vivolo et al., violence are more likely to experience negative
2010). However, current school-based physical and mental health outcomes (Hubach,
programs have many limitations and must et al., 2019; Miller, 2017; Shorey, et al., 2010;
overcome a number of barriers to become Smith, et al., 2017). Societal costs are associated
effective (Eisenberg, et al., 2013; Fagan & with an increase in emergency department
Catalano, 2012; Santelli et al., 2018). visits and need for ongoing medical services.
Survivors are significant more likely to
Effects of sexual violence. Sexual violence experience chronic pain and chronic illness
has significant short- and long-term effect on (e.g. irritable bowel syndrome, asthma,
both individuals and the larger society. In the migraines; Hubach, et al., 2019; Miller, 2017;
U.S., the lifetime economic burden of rape is Shorey, et al., 2010; Smith, et al., 2017).
$3.1 trillion (Peterson, et al., 2017). That Compared to 14.7% of those without a history
equates to approximately $127 billion annually, of sexual violence, 22.1% of sexual violence
more than any other crime (Krebs, et al., 2007). survivors experience asthma (Smith. et al.,
Cost associated with sexual assault are 2017). Similarly, 27.4% of survivors experience
approximately $240,776, while a robbery costs chronic headaches, compared to 15.6% of
approximately $42,310 (McCollister, et al., non-survivors (Smith, et al., 2017).
2010). These costs stem primarily from medical Additionally, there are trends of sleep and
costs, lost productivity, and criminal justice activity disruption in those who have
activities (Peterson et al., 2017). Victims of experienced sexual violence. Nearly 40% of
violence experience direct costs associated with survivors experience sleep problems and
medical care or lost earnings. However, larger 33.6% report having significant activity
communities also absorb costs from these limitations (Smith, et al., 2017). Because of this,
crimes. When the justice system gets involved, survivor accrue significant amounts of medical
there are costs associated with legal services costs, associated not only with injuries
and incarceration, should a conviction be immediately after the assault, but several
made. There are also costs associated with months or years later. Survivors also report an
addressing survivor mental and physical health increase in symptoms associated with
concern, treating addiction, and compensating emotional distress, including suicidality, panic,
for disparities in education and vocational depression, and posttraumatic stress disorder
abilities (Fagan & Catalano, 2012; Vivolo et al., (Hubach, et al., 2019; Miller, 2017; Shorey, et
2010). al., 2010; Vivolo, et al., 2010).
Survivors of sexual violence are Those who have experienced sexual
significantly more likely to engage in risk-taking violence also tend to have problems in intimate
behaviors such as binge drinking, risky sexual relationships, lower educational attainment,
behaviors, and substance use and abuse and underachievement at work (Fagan &
(Hubach, et al., 2019; Vivolo. et al., 2010). Catalano, 2012; Vivolo, et al., 2010). This is
Substance abuse and addiction has an linked with higher rates of housing instability
increasing societal cost. Alcohol abuse costs and need for assistance programs.
the U.S. $249 billion annually and prescription As a result of the significant impacts,
drug abuse costs $78.5 billion annually (Gans, the Center for Disease Control and Prevention
2020). These costs are associated with lost encourages preemptive rather than
employment, excess medical expenses, and reactionary strategies for addressing sexual
correctional facilities or policing (Birnbaum, et violence (Menning & Holtzman, 2015). With
al., 2011). this is mind, recent research has found a
number of preemptive approaches to

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countering sexual violence. Because the years accounted for to increase the likelihood of
15 to 25, from adolescence through emerging improvement or change on the desired
adulthood, present the greatest risk for sexual outcome (Banyard, et al., 2019; Fagan &
violence among peers (Miller, 2017; Shorey, et Catalano, 2012). Prevention programs focused
al., 2017) and prevention efforts are most on eliminating sexual violence must take into
effective prior to initial exposure to violence account the developmental stage of the youth
(Degue, et al., 2014; Miller, 2017; Shorey, et al., in order to reduce risk factors associated with
2017; Vivolo, et al., 2010), school-based increased sexual violence and increase
prevention programs are one effective protective factors that serve to reduce the
preemptive approach. prevalence of sexual violence. One way this is
accomplished is by modifying the topics, goals,
Components of Effective School- and approaches for elementary, middle, and
based Prevention Programming high school students.
Effective prevention programs require a
number of key features to successfully create Elementary school. Primary prevention
change, mitigate risk factors, increase programs in elementary schools have the goal
protective factors, reduce the likelihood of of reducing Adverse Childhood Experiences
negative outcomes, and enhance the likelihood (ACEs), which are associated with sexual
of positive outcomes (Nation, et al., 2003). violence and perpetration later in life
Prevention programs should be (Lundgren & Amin, 2015), and providing a
a. theory-driven, relying on empirical foundational understanding of respect and
evidence to offer safety. Given the age of the youth, topics at this
b. comprehensive topics and developmental level focus on increasing
c. affect outcomes as predicted. knowledge about body safety and autonomy by
Programs must also be using curriculum that addresses topics like
d. socio-culturally relevant to the safe and unsafe touch, identifying private
population that is being addressed, parts of the body, introducing the concept of
e. offer sufficient dosage/duration to your body is your own, and what to do when
implement change immediately or feeling unsafe (Walsh, et al., 2018).
long-term, and Elementary-school-aged children learn these
f. be offered at appropriate times to concepts best when they involve different
effect predictors associated with methods, typically a combination of verbal
specific outcomes, including risk and instruction and play (Nation, et al., 2003;
protective factors. Walsh, et al., 2018). Comprehensive
Programs that are successful will also have prevention strategies recognize that preventing
g. emphasize positive relationships, childhood trauma is an effective strategy for
h. provide many ways of disseminating preventing violence later in life (Smith, et al.,
the information, and 2017). For this reason, community programs
i. offered by well-trained staff. that increase safety and stability for youth can
As stated above appropriate messaging, dramatically reduce future sexual violence
duration, and timing are key to the perpetration and victimization (Smith, et al.,
development and implementation of 2017). One way of doing this is offering
prevention programs (Nation et al., 2003). programming, support, and interventions for
Characteristics of the intended parents and caretakers for youth who have
population, including cognitive abilities, been identified as at-risk (Lundgren & Amin,
developmental stage, sociocultural factors, and 2015). Programs that emphasize the creation of
unique risk and protective factors, must be positive, healthy relationships and stability
within homes, communities, and schools are

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Lessons as a prevention intern

also effective in reducing sexual violence later Department of Health and Human Services,
in life (Smith, et al., 2017). 2019). Because of the importance of peer
In summary, prevention work at the acceptance, adolescents are strongly influenced
elementary school level is primarily about by their perception of peer behaviors.
reducing future perpetration and victimization Programs that dispel myths about sexual
through decreasing childhood trauma, neglect, behaviors (e.g., that everyone is having sex) and
and disruption, and increasing stability, safety, beliefs (e.g., that it is okay to pressure your
and healthy relationships. partner into sex) among students can be
effective in changing overall behaviors and
Middle school. Prevention programs in beliefs (Miller, et al., 2012; U.S. Department of
middle school emphasize relevant and accurate Health and Human Services, 2019). Bystander
medical information, consent, assertive intervention training is used to promote
communication, and delaying onset of first accountability among peers, intervene when
sexual encounters (Grossman, et al., 2014; harmful or inappropriate behaviors, and
Santelli, et al., 2018). Prevention programs at change attitudes towards violence in general
this developmental stage are rooted in social within schools (Menning & Holtzman, 2015;
norms theory, highlighting the role of Miller, 2017; Miller, et al., 2012). This type of
relationships with family members and peers as intervention gives students specific skills to
key factors that influence the knowledge, intervene when they see something
attitudes, and behaviors of youth (Miller, et al., problematic and functions to shift what is seen
2012; Santelli, et al., 2018; Vivolo, et al., 2010). as acceptable within a community.
While research indicates the In summary, middle school prevention
importance of parental communication on programs highlight the importance of peers,
topics related to sexual education and wellness, social influences and larger school culture, as
parents report feeling ill-equipped to have well as the protective factor of parents and
these conversations (Grossman, et al., 2014; family ability to communicate about sex,
Santelli, et al., 2018; Vivolo, et al., 2010). relationships, and consent.
Programs, such as the nine-week Get Real
developed by Planned Parenthood, offer High school. Prevention programs for high
information and resources to students, as well school students educate, provide skills, and
as activities aimed at facilitating conversations change attitudes and behaviors associated with
between youth and parents, on topics such as sexual violence. Effective efforts at the high
healthy and unhealthy relationships, sexuality, school level utilize components such as
consent, and sexually transmitted diseases comprehensive sex education, gender
(Grossman, et al., 2014). An evaluation of the transformative programming, and the
program reported the addition of a family combination of primary prevention and risk
component to the school-based sex education reduction strategies (Charmaraman, et al.,
program reduced the likelihood of sexual 2012; Grossman, et al., 2014; Menning &
violence later in life, by delaying initial sexual Holtzman, 2015; Santelli, et al., 2018).
experience, reducing engagement in risky Comprehensive sex education includes
sexual behaviors, and promoting the not only accurate medical information and
development of skills needed for healthy resources, but also components related to
intimate relationships (Grossman, et al., 2014; developing refusal skills, exploring gender
Santelli, et al., 2018; Vivolo, et al., 2010). dynamics, and discussing features of sexual
Social acceptance among peers at this pleasure (Charmaraman, et al., 2012;
developmental stage is key and offers some Grossman, et al., 2014; Santelli, et al., 2018).
important ways to reduce risk factors The implementation of comprehensive sex
associated with sexual violence (U.S. education programs, when compared to other

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sexual education strategies, resulted in delayed combination of primary prevention and risk
onset of initial sexual experiences, higher rates reduction strategies.
of accurate knowledge about sexual health, and
reduced rates of sexual violence Limitations of School-based
(Charmaraman, et al., 2012; Grossman, et al.,
Prevention Programming
2014; Santelli, et al., 2018).
While there are school-based programs that are
Gender transformative programs, such
effective at reducing sexual violence, many
as Coaching Boys into Men, address risk
limitations related to implementation and
factors associated with sexual violence by
content remain. Primary limitations at this time
challenging traditional gender roles, addressing
are: timing of program implementation, lack of
the detrimental effects of toxic masculinity,
consistency in programming, treatment of the
and combatting acceptance of violence
issue of sexual violence, and barriers specific to
perpetrated by men towards women (Banyard,
implementing school-based programs
et al., 2019; Miller, et al., 2012; Santelli, et al.,
(Banyard, et al., 2019; Eisenberg, et al., 2013;
2018; Vivolo, et al., 2010). In the program
Menning & Holtzman, 2015; Santelli, et al.,
mentioned above, male high-school athletes
2018; Vivolo, et al., 2010).
have discussions facilitated by their coach on
violence against women, respect, dating and
Timing prevention programs. For most
sexual violence, and bystander behaviors
individuals, their first exposure to a sexual
(Miller, et al., 2012). Programs such as this one
violence prevention program is when they
not only increase the recognition of abusive
enter college and, while rates of sexual violence
words and actions, but also result in less
increase in college, research shows that initial
support of violence and assertion of male
incidents of victimization and perpetration
power, and an increase in gender equitable
begin well before college (Miller, 2017; Shorey,
attitudes (Banyard, et al., 2019; Miller, et al.,
et al., 2017; Vivolo, et al., 2010). According to
2012).
Shorey and colleagues (2017), 10% to 20% of
The most effective prevention
adolescents perpetrate sexual violence each
programs for reducing sexual violence at the
year. Additionally, in a survey of middle school
high school level include not only primary
students, 50% reported perpetrating sexual
prevention efforts (e.g., communication skills,
harassment against a peer (Charmaraman, et
social norms, peer attitudes) but also risk
al., 2012). Because prevention curriculum is
reduction strategies (e.g., self-defense, refusal
most effective when received prior to initial
skills; DeGue, et al., 2014; Menning &
experiences of perpetration or victimization,
Holtzman, 2015). The Elemental program is a
middle or high school are more beneficial times
6-hour training that includes both of these
to implement such a program. (Banyard, et al.,
strategies. Completion of the program resulted
2019; DeGue, et al., 2014; Miller, 2017; Shorey,
in students feeling more prepared about how
et al., 2017).
to handle threatening situations, fewer
Adolescence is a critical period for
attitudes associated with sexual violence, and
emotional, social, and sexual development, and
lowered risk for future sexual violence
characterized by an increase in sexual
victimization or perpetration (Menning &
experiences, intimacy, and romantic
Holtzman, 2015).
relationships (Miller, 2017; Shorey, et al., 2017;
In summary, high school prevention
Vivolo, et al., 2010). This development period
programs are primarily focused on changing
is also key for regulation skills and building the
attitudes and behaviors around sexual violence,
capacity for empathy making it an important
with the most effective programs including
time to provide prevention programs that
elements of comprehensive sex education,
cover the effects of peer influences, social
gender transformative programming, and the

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norms around gender, sexual attitudes, and information and increase risky sexual
environments that tolerate violence (Banyard, behaviors. (Santelli, et al., 2018). The adoption
et al., 2019; Miller, et al., 2012). Implementing of medically accurate, comprehensive sex
prevention programs while brain pathways are education has mitigating effects on sexual
still malleable and at a time when peer violence. Comprehensive sex education in
influence is strong, increases the likelihood that middle school and high school has an overall
the program will shape collective attitudes, and, negative association with sexual violence
as a result, shift individual values and behaviors (Grossman, et al., 2014; Santelli, et al., 2018).
(Banyard, et al., 2019; Miller, et al., 2012; Additionally, participation in comprehensive
Vivolo, et al., 2010). sex education programs was related with
Given trends indicating sexual violence decreased involvement in risky sexual
is being perpetrated at younger and younger, behaviors, delayed onset of initial sexual
prevention programs also need to be presented experiences, and built skills needed for healthy
at earlier ages in order to be effective (DeGue, intimate relationships, all factors associated
et al., 2014; Miller, 2017; Shorey, et al., 2017; with a decrease in future sexual violence
Vivolo, et al., 2010). (Grossman, et al., 2014).
While middle and high school students
Lack of accurate, consistent, and are currently unlikely to receive comprehensive
comprehensive sex education. Studies on sexual education that also includes topics
the availability and accessibility of school- relating to sexual violence and consent, the
based sexual education and sexual violence incorporation of such education offers a
prevention programs indicated that the promising means of reducing sexual violence.
majority are poorly delivered, fear-based, or do
not exist at all (Hubach, et al., 2019; Santelli, et Sexual violence as an individual–versus–
al., 2018). When sexual violence is discussed in societal issue. Many prevention programs
schools, it is often incorporated into the focus on individual level factors that contribute
school s general sex education teachings. These to sexual violence such as behaviors, thoughts,
programs vary widely by state, in terms of and attitudes of the perpetrator, and predictors
content, duration, and scope. Currently only 24 of sexual violence among survivors. Looking at
states and the District of Columbia require any sexual violence on only an individual level is
form of sexual education be provided to problematic because it promotes victim
students in schools (Planned Parenthood, blaming, perpetuates misconceptions around
2019). Of those, only 17 states require that the sexual violence, and ignores the larger
program content be medically accurate environments that support it.
(Guttmacher Institute, 2019; Planned The Social-Ecological Model takes the
Parenthood, 2019). The CDC (2019) reports focus away from individuals to shed light on
less than 50% of high schools and only around the ways that sexual violence is maintained,
20% of middle schools cover essential directly or indirectly, by larger systems
components of sex education, which include (Menning & Holtzman, 2015).While
topics like communication and decision- individual-level factors focus on personal
making skills (Planned Parenthood, 2019). history or beliefs leading to sexual violence,
Issues related to sexual violence such as community-level factors (e.g., school climate,
consent, are only mandated by 8 states sense of community, neighborhood influences)
nationwide (Guttmacher Institute, 2019). and societal-level factors (e.g., sexism,
The lack of adequate information heterosexism, gender pay gap, gender
about sexual education and violence results in stereotypes as biologically driven) are also
adolescents relying on ad hoc solutions that major elements of sexual violence perpetration
are more likely to lead to inaccurate

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and victimization (Menning & Holtzman, comprehensive, accurate education and


2015). prevention programming within school
Research suggests that the most settings (Fagan & Catalano, 2012; Menning &
effective prevention program discuss and Holtzman, 2015).
intervene at multiple levels (Menning & This empirical review discussed the
Holtzman, 2015; Santelli, et al., 2018; Vivolo, prevalence of sexual violence, the
et al., 2010). In addition to addressing implementation of school-based prevention
individual factors, through confronting programs, and the limitations of school-based
individual attitudes and beliefs, program that programming. Studies indicate that sexual
addresses multiple levels of influence will violence is happening to students before they
incorporate elements relating to relationship- ever receive sexual violence prevention
level factors (e.g., helping parents identify and education (Miller, 2017; Shorey, et al., 2017;
address violent behaviors, bystander Vivolo, et al., 2010). Effective school-based
intervention training) and community-level prevention programs address risk factors
factors (e.g., addressing school norms and associated with sexual violence, while offering
attitudes related to sexual violence; Menning & developmentally appropriate topics and
Holtzman; Vivolo, et al., 2010). Effective strategies (Banyard, et al., 2019; Fagan &
primary prevention will also identify Catalano, 2012). Properly implemented
opportunities for structural changes that will programs are associated with an increase in
help decrease community and societal level bystander behaviors, increases in gender
factors that contribute to sexual violence; equitable attitudes, decrease in support of
evaluate and change policies that create a violence, increase of healthy behaviors within
culture of consent and respect; and, search for intimate relationships, and an overall decrease
early intervention strategies (Santelli, et al., in sexual violence perpetration and
2018). victimization (Grossman, et al., 2014; Miller, et
al., 2012; Santelli, et al., 2018; Shorey, et al.,
Barriers to implementing programs within 2017; Vivolo, et al., 2010). Unfortunately, there
schools. When comprehensive and effective are a number of limitations that currently exist
prevention programs have been identified, in offering effective, evidence-based sexual
there are barriers towards adoption and violence prevention programs in school. Some
implementation. As mentioned previously, of these limitations are associated with timing
only 24 states mandate sexual education and of of program implementation, lack of
those, only 8 also require topics related to consistency in programming, treatment of the
sexual violence be included. There are also issue of sexual violence, and structural barriers
additional barriers that include, denial of sexual (Banyard, et al., 2019; Eisenberg, et al., 2013;
behaviors and violence among youth, parental Menning & Holtzman, 2015; Santelli, et al.,
and administrative restrictions on the content 2018; Vivolo, et al., 2010). Still, the findings
of programming, structural barriers that make that support school-based prevention
it difficult for teachers to cover topics related programs are effective in reducing sexual
to comprehensive sex education, and violence, along with the push from national
restrictive policies at the district or state level organizations, like the CDC, to combat sexual
(Eisenberg et al., 2013). violence, suggest that there is movement
School-based prevention programs towards resolution of those limitations.
decrease sexual violence by increasing
knowledge, building skills, and shifting Progress, Program, and Reflections
attitudes, but can only be accomplished within As a Sexual Assault Advocate and Education
a larger community that is knowledgeable, and Prevention Intern, I completed 40 hours
educated, and supports the implementation of

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of advocacy training and approximately 90 professional development webinars on


experiential hours with the SARC. To prepare topics like preventing human trafficking
for this experience, I developed three learning and preventing violence in the Latinx
goals that focused on developing knowledge youth population.
and skills related to being a professional in the 2. My second learning goal was to gain an
psychology field; observing the way a violence understanding of nonprofit work. The
prevention nonprofit organization functions; objectives associated with this goal were
researching the components of effective to learn about the history of nonprofit
school-based sexual violence prevention domestic violence and sexual assault
programs; and participating in outreach, agencies, learn about how nonprofits
education, and prevention events within the function and operate, and learn about
community. In this section, I share my outcomes of nonprofits. To accomplish
progress, the objectives I was able to these objectives, I attended weekly staff
accomplish; provide a brief overview of meetings and monthly volunteer
SARC s education program and how it aligns meetings. These meetings provided me
with the previously discussed principles for with an understanding of the structure
effective prevention work; and provide overall and function of nonprofit organizations.
reflections on my experience. I also attended an intraorganizational
Equity, Diversity, and Inclusion (EDI)
Progress and outcomes. During my time at committee meeting. This committee
SARC, I was able to engage in a variety of functions to ensure organizational
educational experiences and prevention practices are inclusive and equitable. This
activities to meet a number of my learning meeting allowed me to learn about the
goals. way nonprofits, especially those that
1. My first learning goal was to develop serve vulnerable populations, work to
knowledge and skills necessary to meet the various needs of their clients. I
become a trauma therapist. The learned about the purpose and
objectives associated with this goal were importance of nonprofits and the roles
to research educational requirements and different members play through staff
career paths, gain practical and interviews. I learned about client
professional skills, and engage in trauma- demographics, outcomes, and barriers;
related training and practice. To sources of organization funding; the
accomplish these objectives, I completed organization history; and the structure of
a forty-hour advocacy training in order to the organization through research,
get certified as a Sexual Assault evaluation of statistics, and information
Advocate. In this training, I learned from the director of the organization.
about crisis intervention, medical 3. My third learning goal was to gain a
advocacy, trauma stewardship, and the thorough understanding of sex education
interplay of trauma and other oppressive and sexual violence prevention
systems. I also researched a number of programs. The objectives associated with
graduate psychology programs and this goal were to learn about the elements
degrees and talked with multiple of effective programs, learn about state
providers in psychology and social work and federal sex education requirements,
fields. Finally, I gained professional skills and engage in education, prevention, and
through practicing professional outreach work with SARC. To
communication, professionalism in the accomplish these objectives, I conducted
workplace, and collaborative work, as thorough research and participated in a
well as through participation in multiple number of activities with SARC. I

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attended community engagement and improve participant outcomes. SARC s high


outreach events, with the purpose of school curriculum is nine weeks long and is
connecting people with SARC resources taught by SARC staff or interns during the
and educating people about the services students health period. Lessons are interactive
available to them. I created handouts and and incorporate skill-based activities. The nine
resource sheets for these events (For topics are: sexual violence, anti-oppression,
example handouts, see Figure 2). I was gender and sexual orientation, healthy relations
also able to observe, present, and and sexuality (two weeks), media,
develop education and prevention pornography, victim blaming and victim
workshops within the community. These empathy, and bystander interventions.
trainings were directed at health agencies, As an organization, SARC recognizes
college students, and high schoolers, and that there are multiple levels of intervention
covered topics like teen dating violence, (primary, secondary, and tertiary). However,
oppression, consent culture, and their education and prevention program
handling disclosures. I worked in one focuses on primary prevention strategies.
local high school presenting their sexual Primary prevention work is designed to
violence prevention curriculum. These prevent first-time perpetration and
weekly lessons involved advocate-led victimization. At SARC, this is done primarily
instruction, classroom discussions, and through addressing attitudes, beliefs, and
group activities on topics like behaviors as they relate to relationships and
communication, healthy relationships, sexual violence. SARC also recognizes the
and pornography. I was also able to multiple levels of influence and considers risk
conduct a thorough literature review on and protective factors across all levels. On the
sexual violence and the effectiveness of a individual level, SARC s program works to
variety of school-based prevention build healthy relationship skills and establish
programs. positive norms. On the relationship level,
SARC teaches bystander intervention skills.
SARC’s prevention program. After On the community and societal level, SARC
completing my research and practicum, I am works with the school to promote a culture of
able to connect the elements of effective safety and implementing policy changes.
school-based prevention work to SARC s There are many elements of SARC s
youth education and prevention program. In prevention program that aligns with the
many ways, SARC s program utilizes principles principles for effective prevention work.
of effective prevention work. At the same time, Unlike many programs, SARC provides
SARC faces some of the barriers seen in other comprehensive education, looks at sexual
prevention programs. violence as a holistic problem, and delivers
SARC s prevention curriculum was timely curriculum. SARC teaches prevention
designed with the goal of addressing the root curriculum in high schools. While sexual
causes of sexual violence, through an analysis violence certainly can and does occur earlier
of healthy and unhealthy norms. Their than this, providing education in high school
curriculum is linked with state and federal (as opposed to college) is a step towards more
standards, based on literature reviews and best effective prevention work. As explained above,
practices, and meets Oregon s requirements SARC uses the Social-Ecological Model to
stemming from Erin s Law and Healthy Teen address the multiple facets of sexual violence.
Relationship Act (legislature regarding Through addressing root causes at multiple
education on sexual abuse and teen dating levels, SARC is able to create larger system
violence). SARC also regularly updates their change and shift cultural norms. Additionally,
lessons to stay relevant and timely, and SARC s curriculum is designed to provide

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Figure 2. Sample handout

comprehensive sex education. One limitation way SARC promotes comprehensive


of prevention work is the lack of education is through the use of an anonymous
comprehensive education, especially around question box. Students are able to
topics like violence and pleasure. A primary

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anonymously ask questions (on any topic) for was this a barrier to understanding the
the SARC staff to answer the following week. discussions, I feel like it was a barrier to
During my experience, students asked connecting and rapport building.
questions about anatomy and bodily functions, While SARC faces barriers in
sexual terminology, aspects of sexual pleasure, effectively delivering prevention curriculum,
and clarification on violent acts. Because there SARC also follows many of the principles of
were no rules or limitations on the question effective prevention programs. It is evident
box, and the questions were never met with that they really do base their program in
shame, students were able to ask about evidence-based practices and literature reviews.
anything and receive medically accurate and As a facilitator, I noticed that the students were
stigma-free information. Comprehensive sex really engaged with the material and actively
education was one of the most effective means participated in the curriculum. Overall, the
of decreasing sexual violence and related program appeared to be effective in shifting
beliefs among high school students student beliefs about sexual violence,
(Charmaraman, et al., 2012; Grossman, et al., relationships, communication, and consent.
2014; Santelli, et al., 2018). Another specific
method SARC employs is the use of gender Reflections. Throughout my internship, I
transformative and social norms strategies. learned about the importance of self-care when
Their curriculum does this by challenging working in the trauma field; deepened my
existing beliefs, exploring the origins of those understanding of my own privilege and biases
beliefs, and working to form new, healthier and what that means for working with
norms. Finally, SARC uses a variety of survivors; and, strengthened my passion for
methods (e.g., videos, group activities) in the sexual violence prevention.
curriculum, as well as uses skills training to One of my major takeaways from my
teach bystander intervention and time with SARC was the importance of self-
communication skills. Both of these strategies care within helping professions. SARC
are effective in reducing sexual violence intentionally creates an environment that
(Menning & Holtzman, 2015; Miller, 2017; promotes self-care by having staff check-ins,
Miller, et al., 2012). doing group self-care activities during staff
A main limitation of SARC s program meetings, training advocates on trauma
is difficulties in building rapport with students. stewardship, and encouraging mental health
When students get to know SARC staff, they days when needed. Working within this
tend to open up more. However, because of environment was useful in helping me
the school schedule and number of SARC acknowledge the potential emotional toll of
staff, students do not work with the same staff participating in the crisis and healing of others,
member every week. Continued change in particularly if it activates my own trauma. My
facilitator hinders the ability to strengthen work with SARC supported me in becoming
relationships, which is one of the factors of aware of the way this type of work impacts me
effective programs (Nation, et al., 2003). and becoming more intentional about taking
Another limitation of the program is the fact steps to prevent burnout, compassion fatigue,
that the facilitators are not completely and being triggered. Throughout my
representative of those they are teaching. There internship, I learned to set boundaries around
were no male-identified facilitators or my time and energy; create my own self-care
facilitators of color. I feel like this decreased practice, which included my own therapy;
student comfort in participating in some recognize when I when I was being activated
conversations. Many students at the school by the work I was doing; and, seek support
were also English-language learners and there from others. As I continue on my journey to
were not always translators available. Not only become a trauma therapist, continued

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development of these skills and awareness are with lived experience and remaining aware of
crucial to ensuring that I am able to be effective how my privilege, especially as it relates to
in my role. personal biases or historical structures of
I also learned the importance of oppression, affects interactions with others.
considering personal privilege when working Acknowledgement that others may experience
to treat or prevent trauma. Historically, many the same situations or events differently
institutions and systems, including social because of different lived experiences is also
services agencies, have been based in necessary to be able to hold space for those
oppressive values, such as white supremacy. experiencing trauma. Additionally, these
For those who have experienced experiences taught me that connection-seeking
marginalization or oppression may face in trauma work involves meeting others where
increased barriers to accessing services or they are at by stepping towards their culture,
experiencing fear or distrust towards those rather than continually asking them to come
systems, because of their historical inequality. towards me. As a future mental health
It is important to find ways to reduce barriers professional, I hope to remain mindful of my
to access and increase safety within these privilege, active in reducing barriers, and
domains. As the provider, I hold the position intentional in how I hold space for others.
of power in the relationship. It is important to Finally, my internship and research
work to fix that imbalance because the client is reminded me of why I believe so strongly in
the expert on their own life. I must early prevention work. Society, in general, has
acknowledge that I do not understand their the perception that students, particularly
lived experience and remain humble and younger students, are not engaged in sex, much
teachable, particularly in areas that I am less less engaged in sexual violence. Because of this,
familiar work. I also hold multiple privileged most people tend to avoid conversations about
identities. It is crucial that I am cognizant of sex and violence with adolescents. However,
that fact and the way that influences the way I research indicates that sexual violence is
interact with those I work with. Creating a safe occurring in these young populations and both
and accessible space might mean adjusting my research and internship experience would
things within myself. Understanding my also indicate that students are actively seeking
privilege is also important because it makes me out these types of conversations. Student-led
aware of the biases that I bring into a therapy groups were the ones seeking presentations by
or prevention practice. One lesson I learned at SARC and the high school students I worked
SARC was that my perception of others with were actively engaged in conversations
experiences may not be their reality. For about sexual violence, healthy relationships,
example, as we were discussing barriers for and consent. Young people showed a genuine
service for a particular population, I learned interest in being a part of these discussions and
that my beliefs were not accurate at all. I was learning how to apply these concepts to their
informed by someone who identified with that lives. From this, I took away the fact that there
identity that that belief was actually a really is a need and a desire for information at
common misconception held by a lot of white younger and younger ages, and that I have a
individuals, but that it really does not represent responsibility to provide that when I am able.
their community. I also had an experience in Sexual violence prevention can begin with a
the high school where a student of color simple conversation—and young people are
pointed out that all of the instructors (who seeking out those conversations. While doing
were teaching a lesson on oppression) were direct advocacy work with survivors, I saw
white. He didn t think that it was fair for us to firsthand the physical and psychological impact
teach about his experience. These experiences of sexual violence. These experiences affirmed
taught me the importance of listening to those my desire to become a trauma therapist, as I

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learned providing support to survivors in a of my work at SARC, I became interested in


survivor-led, shame-free way is critical to prevention efforts for sexual violence and
healing. At the same time, my simultaneous wanted to research the features of effective
prevention work and research showed me that sexual violence prevention programs within
early intervention can have profound impacts schools, including their limitations and issues
on reducing the number of sexual violence with their implementation. Through research, I
incidents that occur. While my internship found that while there are limitations within
strengthened my desire to be a trauma our current sex education and violence
therapist, it also reminded me that primary prevention systems, there are a number of
prevention work is an important aspect of my effective school-based prevention components
role, as well. Seeing the ways advocacy work and programs that are linked with a reduction
promoted healing and prevention work in sexual violence. My research and internship
promoted change, I was encouraged that this is experiences highlighted the importance of
the field for me. having conversations about sex, consent, and
In summary, during my internship at healthy relationships at an early age; instilled
SARC I achieved many of the learning goals I hope that we can shift the prevalence and
set for myself by developing knowledge and dynamics around sexual violence; and
skills related to becoming a trauma therapist, reinforced my goal of becoming a trauma
through engaging in trauma-related practice therapist.
and trainings; learning about the structure and
functions of nonprofits, through attending References
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