Madam Chair, honourable members of the committee, thank you for the invitation to address this committee regarding its study on violence against young women and girls in Canada.
The Public Health Agency of Canada has a mandate to address family violence, which includes intimate partner violence and child maltreatment. We see family violence as a serious public health issue, and I would like to provide this important context to you as you undertake your study.
I am here today to speak with you about the significant and long-term physical and mental health impacts of violence on women and girls, and the role of the health system in preventing and addressing them.
Research clearly shows that women who have experienced intimate partner violence face high rates of injury, chronic pain, sleep disorders, post-traumatic stress disorder, and substance use problems.
Children who have been abused or witnessed abuse in the family have a higher risk of developing chronic illnesses such as heart disease, and mental health problems such as depression, anxiety, and self-harm, both immediately and throughout their lives. Boys who have been victimized or raised in violent homes are at an increased risk of becoming perpetrators of violence as adults. Girls exposed to violence in the home are at increased risk of being victimized as adults, thus continuing the cycle of violence.
The Public Health Agency of Canada's focus on family violence is very closely aligned with the subject of your study, because women and girls represent the majority, almost 70%, of victims of family violence.
Considering intimate partner violence specifically, including dating violence, 80% of this form of violence is against women, according to police-reported data. Looked at another way, the most common perpetrators of police-reported violence against women are their intimate partners.
As you have heard, intimate partner violence affects many women and girls in Canada. One in five women experience intimate partner violence in their lifetime. Certain populations, again as you've heard, are more affected. Aboriginal women, for example, experience intimate partner violence at a rate three times higher than non-aboriginal women.
The way women experience family violence differs from the experience of men. Female victims of intimate partner violence are twice as likely as male victims to be sexually assaulted, beaten, choked, or threatened with a weapon, three times more likely to experience disruptions in their daily life, and almost seven times more likely to fear for their life. Men are more likely than women to be kicked, bitten, or hit with something. Importantly, intimate partner violence that involves high levels of coercion, degradation, and control is perpetrated almost exclusively by men toward their female partners.
At the Public Health Agency, we address family violence clearly from a public health perspective, which means our focus is on encouraging collaboration across sectors to bring together expertise, knowledge, and experience to help prevent violence, and also to help survivors improve their mental and physical well-being.
We do this in four areas: we coordinate the federal family violence initiative, which has been mentioned by both my colleagues who spoke previously; we conduct surveillance and research; we support community-based maternal and child health programs that promote healthy relationships and positive parenting; and we invest in initiatives that are designed to support the health of survivors of intimate partner violence and child maltreatment.
Let me briefly expand on each of those areas.
The first area of agency action is our coordination of the federal family violence initiative, with our 15 colleague departments across the Government of Canada.
This approach addresses violence from multiple perspectives, including healthy relationships and empowering women and girls, supporting survivors, ensuring that the justice response is appropriate to deter offenders and is sensitive to the needs of victims, enhancing the availability of shelter beds and services, and tracking and analyzing data on the nature and extent of family violence. This just gives you a flavour of the scope.
The federal family violence initiative is the forum that ensures our federal activities complement each other. Through the federal family violence initiative, we meet regularly; share new research and evaluation findings; discuss new program design and project ideas, policy initiatives, and stakeholder networks; and ensure that knowledge is applied across sectors. Working together in this way helps improve both the relevance and the impact of our collective federal work.
As an example, we support a one-stop knowledge exchange initiative through the Stop Family Violence web pages, which serve as a source of information for both professionals and the public.
The second area of agency action is surveillance and analysis. We conduct national surveillance of child abuse and neglect, including children's exposure to intimate-partner violence. This work provides important information on the characteristics of child maltreatment, including neglect and exposure to intimate-partner violence, the circumstances that accompany it, and the physical and mental harm that can result.
Third, we make an important contribution to reducing risk factors for family violence through our community-based maternal and child health programs. We recognize the importance of creating supportive, healthy family environments at the earliest age. Positive parenting, parental involvement, attachment, resilience, and healthy relationships are all protective factors that are associated with a reduced risk of family violence.
These programs—the community action program for children, the Canada prenatal nutrition program, and aboriginal head start in urban and northern communities—reaches 278,000 at-risk children and parents in over 3,000 communities across the country each year.
Many women served by our programs are currently exposed to violence or have had exposure to violence in the past. In fact, 75 projects are currently delivered out of shelters for women and children leaving abusive situations. The programs also serve as important points of access, places where women living in situations of abuse and violence may be referred to more specialized intervention services.
As we all know, supporting victims and survivors of family violence is complex and requires collaboration across sectors. That's why, in February of last year, the agency launched a new investment of $7 million per year to address the needs of survivors of violence. This investment is supporting community-based projects that are developing and testing health promotion approaches to improve the physical and mental health of those who have experienced child maltreatment or intimate-partner violence.
Health promotion that is specifically geared to the needs of survivors of violence is a new and innovative field of practice. To help build the evidence base for these types of interventions and share them widely, we have invested in a knowledge hub led by the Centre for Research and Education on Violence Against Women and Children at the University of Western Ontario. This research and knowledge hub is connecting experts working in the field and developing common ways to measure progress and share emerging findings with researchers and professionals.
Our support for front-line professionals and other service providers with the skills and knowledge required to support survivors of violence safely and effectively is a priority. Right now, a major project is under way, working with national health and social service professional organizations to develop guidance and education that will help health professionals work in a sensitive and trauma-informed way to better support the needs of victims of violence.
In addition to work in Canada, there is growing momentum internationally that recognizes violence as a health issue as well as the important role the health system should play in addressing it. Canada is part of the World Health Organization's development of a global plan of action that is focused on strengthening the role of the health system to address violence against women and girls.
The action plan provides evidence-based direction on how the system can respond to violence against women and girls through leadership, capacity-building, prevention, programming, and improved health on a national and international basis.
This plan will be endorsed at the World Health Assembly this May.
When violence occurs in families, it has far-reaching and tragic effects. Communities and community organizations across the country are doing impressive work, and the investment we are making aims to increase the reach and impacts of these efforts.
Thank you for your attention. I would be pleased to answer any questions you have.