DVIP Example Assignment: Intimidation

DVIP Assignment
Name __________________
Date____________________
Intimidation
WHAT IS INTIMIDATION?
Intimidation is the use of actions, words and sometimes looks that are meant to frighten, scare and/or bully a person. (Past use of physical violence increases the impact of intimidation on her).
WHAT ARE SOME EXAMPLES OF INTIMIDATION?
– Giving angry looks and stares that mean, “You’re going to be sorry for this.”
– Slamming doors, throwing things, punching or kicking walls or furniture.
– Standing in a way to crowd her or stand over her in an intimidating way.
– Yelling and screaming.
– Walking around like you are about to blow up so everyone has to walk on eggshells around you.
– Tearing up or ruining things she gave you or you gave her.
IN THE SPACE PROVIDED, WRITE OUT 4 EXAMPLES OF HOW YOU HAVE INTIMIDATED YOUR PARTNER:
1.
2.

3.

4.

Contract for Participation in DVIP

Contract for Participation in DVIP
Name__________________________ date__________
Court Ordered______ Volunteer ____
______I understand I am enrolling in the DVIP______ or the Ace_____ Program.
______I agree to attend group sessions on _______ from at the YWCA. I will begin groups on _______________ and agree to attend ______ groups.
______I understand that I cannot miss more than ______ group sessions. The only excused absences are a death in the family or a health emergency. The absence must be verified by the proper authorities. If I miss more I will be terminated, have to start over, will not get credit for classes attended up to my termination, and pay any outstanding fees I may owe.
______I understand I will not be allowed into group if I am more than 5 minutes late
______I understand I will not be allowed into group if it is suspected I have been drinking or using drugs 24 hours before group, and I will not get credit for the group.
_____I understand DVIP will report to referring agencies, if any, my attendance or my termination.
______I agree not to be violent with anyone during my participation in group sessions. Any violent acts, verbal or physical will be reported and I will be terminated from the program.
______I will refer to my partner or victim by their first name. I will respect the facilitator and others in the group. If I disrespect anyone while in group, I will be asked to leave and not receive credit for that group.
I understand I must pay $________ each week and will not get behind. If I am behind in my payments, I will not be allowed to stay in group. I must call Janet Boudreau at 810-238-7621 ext. 309 before I am allowed back into group.

_____I understand if I leave class early, am out of the room for an extended period of time, or sleep through class, I will not be given credit for the class.
_____I understand NO guns, knives, or any type of weapons will be allowed in the YWCA building. Any violation of this rule is grounds for immediate termination.
_____I understand cell phones must be turned off during group sessions. I will be asked to leave if it goes off during group sessions and will not get credit for the class.
______I agree I will not wear any offensive clothing in groupsessions. I will cover up any offensive tattoos.
______I understand if I have any questions or concerns, I can contact:
Janet Boudreau
DVIP Coordinator
Domestic Violence/Sexual Assault Services
810-238-1621 ext 309
CONT’IDENTIALITY
Confidentiality is Limited
A. Client agrees to have limited confidentiality while attending DVIP/ACE groups. Release öf ihformation will aIlo contact between the program and anyone listed on the release of information
B. Client recognizes and agrees that whatever is discussed in group sessions by other group members will remain confidential with other client identities.
I have read this contract and understand and agree with the requirements of the program
Participant Signature___________________________________Date____________________
Witness Signature ______________________________________Date____________________

Rules for Participation in DVIP

RULES FOR PARTICIPATION IN DVIP
1. You are not excused if you have: car problems, childcare problems, are working, or just cannot attend group that night. The only absences excused would be a death in the family or a health emergency with documentation.
2. You will not be allowed to make up a class unless you talk with Janet. If you sit in on another group without permission, no credit will be given for that group.
3. If you are more than five minutes late you will not be allowed to stay in group. You must remain in group for the entire two hours to receive credit for the group.
4. You must remain current with your weekly fees. If you are behind and do not pay, you will be asked to leave and will need to contact Janet before the next group.
5. Cell phones must be turned off while in group. If you answer them you will be asked to leave the group and no credit will be given for that group.
6. You will need to bring a pen and paper (or folder) each week you attend class. Also, include the packet of information you were given at intake. You will need to turn in any homework assigned by the facilitator.
7. It is your responsibility to keep track of your attendance and payment, The facilitators will not go over this every week. You will also need to keep all of your receipts.
8. Children are not allowed in group.
9. If you have any questions, it is your responsibility to be the one to call. We cannot talk to your partner to make any arrangements.
10. You can only make up class within the same week. if you would like to sit in on another group you will need to call and make arrangements. In order to make up a class you will need permission from Janet.
11. No food of any kind will he allowed into group. Beverages are allowed.
12. Sunglasses are not permitted in group unless they are prescription.
13. All hats with “bills” must be turned upward and not covering the eyes.
14. Police Reports must be provided by the third week of group. ‘They may be obtained from the police department or your attorney, however, not your probation officer.

Intro to Domestic Violence Intervention Program

Domestic Violence Intervention Program

DVIP IS:
1. The Domestic Violence Intervention Program is committed to the confrontation and elimination of intimate violence.
2. We believe partner battery and abuse is a choice made by batterers and ONLY they are responsible for these actions.
3. The DVIP uses educational groups as the primary tool for increasing awareness of and accountability for abuse on the part of the batterer.
DVIP IS NOT:
1. A tool to increase a batterer’s chances of gaining custody of his children
2. A form of marital or relationship counseling.
3. A tool to get someone to take you back.
4. A means of avoiding consequences for behavior such as jail, probation or other sanctions.
5. A resource for you to find a way to “fix” your partner or your relationship.
DVIP GROUP MEMBER EXPECTATIONS:
1. You will participate in group. This involves your talking about your own behavior, confronting other group members, and giving and receiving appropriate feedback.
2. You will complete assignments. If you do not have your homework for the week, you will not stay in group and will receive an absence.
3. You will hav specific goals and a written action plan completed by your fifth group. You will update the group on your progress weekly.
4. You will not use group time to whine, discuss, debate or vent about any issue not currently being addressed in group. You are free to start a discussion group of your own to meet at your convenience and discuss whatever you like. This group is not a civics class, a support group, a legal clinic or law class. Our goal is specific.
5. You will not violate the privacy of any group member by discussing them in any way outside of group.
6. You will not violate the privacy of any person outside of group by discussing them in group.
7. You will need to bring a notebook, paper and pen to group.
8. You will not be allowed in group if you are more than five minutes late.
9. You must have a written copy of the police report of you offense by the second group.
10. You must contact Janet Boudreau (810) 238-7621 ext. 309 if you have any problems with the record of your group attendance or payments fees, or any other group issues.
11. You will not be allowed into any group other than your regularly scheduled group without special permission from Janet Boudreau.

In general, we expect that you will be working hard in group. You, as a group member are responsible for what you get out of this experience. At no time should you be sitting back and waiting for something to happen. You are expected to work individually and encourage each other toward positive change. The facilitators cannot change you and your partner cannot change YOU. We absolutel3i believe in your ability to change and know you can if you choose to. This also means that we accept no excuses; if you don’t work at change, only you are to blame. You are expected to work daily at increasing your level of ownership, learning and practicing new skills and applying group concepts to your own life. if you have a problem with group or need information you don’t feel you are getting, you are responsible for bringing it to our attention in an appropriate manner.

REMEMBER- You are lucky to be in group! Rarely are persons guilty or criminal activity allowed the choice of learning to change their behavior. Our perspective is that being in group is a privilege. We do not have to keep you in group if you are not working.