Learning Collaborative Application

Please watch our Welcome Video here: https://youtu.be/t3eYkJSmmlw (Click through for audio transcript).

Futures Without Violence and The National Health Care for the Homeless Council are excited to present a Learning Collaborative (LC) addressing the intersections of gender and homelessness. This four-session LC focuses on a constellation of intersecting issues including substance use disorder, mental health, homelessness, human trafficking (HT) and interpersonal violence (IPV).

We will work together to strengthen the connections between health centers and the community partners who provide supportive services to IPV and HT survivors and build providers' skills on providing universal education about healthy relationships. We also recognize that this work is challenging, powerful, and at times overwhelming, so we hope to build an LC community where participants feel supported as they navigate toward healing centered engagement.

Eligibility: Applicants must be representatives of a Health Center Program grantee (or potential Health Center grantee) and open to developing a partnership with a local Domestic Violence Program (DVP).

Fee: No Cost/Free

Commitment: Accepted Learning Collaborative applicants are asked to attend a total of four learning sessions from May to June 2021.

-Learning Collaborative Cohort Meeting Part 1, Thursday, May 27th at 12pm CT (40 min)
-Learning Collaborative Cohort Meeting Part 2, Thursday, May 27th at 12:45pm CT (40 min)
-Learning Lab: CUES and Healing Centered Engagement, Wednesday, June 9th at 11am CT (60 min)
-Learning Lab: Developing Community Partnerships to Support Inclusive Behavioral Health Services, Thursday, June 24th at 12pm CT (60 min)

Please complete the following application by May 21, 2021 at 11:59pm Pacific Time to participate in this Learning Collaborative.

Question Title

* 1. Email address

Question Title

* 2. Community Health Center (CHC) Organization Name

Question Title

* 3. Please select if your organization receives any of the following funding streams? (select all that apply)

Question Title

* 4. CHC Team Member #1

Question Title

* 5. CHC Team Member #2

Question Title

* 6. CHC Team Member #3

Question Title

* 7. Do you currently screen for intimate partner violence (IPV)?

Question Title

* 8. What are your team's biggest challenges in screening for IPV?

Question Title

* 9. Do you provide substance use treatment at your health center? If so, describe your program offerings

Question Title

* 10. Do you have a mental health/behavioral health team in your health center?

Question Title

* 11. Do you have an existing community partner who provides supportive services to IPV survivors?

Question Title

* 12. Please provide the information for the Domestic Violence Program (DVP) you may be partnering with for this Learning Collaborative:

Question Title

* 13. If you have already established a partnership with a DVP program by the time of application, please upload a copy of the MOU outlining your partnership:

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

Question Title

* 14. If you were not able to establish a DVP partner by the time of application, please provide a description of the efforts made to establish a partnership thus far:

Question Title

* 15. Do you need technical assistance (TA) for identifying and establishing a domestic violence program partnership? (If yes, please contact ipvhealthpartners@futureswithoutviolence.org)

Question Title

* 16. What are you hoping to get out of the Learning Collaborative?

Question Title

* 17. Would your organization be interested in presenting your organization’s story and/or successes during this Learning Collaborative?

Question Title

* 18. Please make your best guess of how you will be comfortable in participating:

Question Title

* 19. By clicking submit, you agree to the commitment and have received support of your leadership for you (or secondary representatives) to attend the sessions of this Learning Collaborative. Please click yes to be eligible for this application.

T