Proposal Integral care model for women victims of violence in the Tijuana area Special Committee on Migration Issues April 20, 2010.

ProposalProposal

Integral care model for women Integral care model for women victims of violence in the victims of violence in the

Tijuana areaTijuana area

Special Committee on Migration Issues Special Committee on Migration Issues April 20, 2010April 20, 2010

Sobre la iniciativa• This document has been formulated within the framework of initiatives of the Migration and This document has been formulated within the framework of initiatives of the Migration and

Development Program of the Department of Social Development and Employment of the Development Program of the Department of Social Development and Employment of the Executive Secretariat for Integral Development (SEDI) of the Organization of American States Executive Secretariat for Integral Development (SEDI) of the Organization of American States with the support of the Canadian International Development Agency (CIDA).with the support of the Canadian International Development Agency (CIDA).

• It offers a proposal for an integral care model for migrant women victims of violence in the It offers a proposal for an integral care model for migrant women victims of violence in the Tijuana area.Tijuana area.

• It is an effort to guide actions and move forward in guaranteeing efficient and integral care – It is an effort to guide actions and move forward in guaranteeing efficient and integral care – integrating a human rights approach and a gender perspective – that will make it possible to integrating a human rights approach and a gender perspective – that will make it possible to respond to the various situations these women confront with regard to violence.respond to the various situations these women confront with regard to violence.

• The presentation covers the Tijuana area. The presentation covers the Tijuana area.

About the initiative

Table of contents

I.I. IntroductionIntroduction

II.II. Information gathering methodsInformation gathering methods

III.III. Socioeconomic contextSocioeconomic context

IV.IV. Care models currently available to migrant women victims of violence in the Care models currently available to migrant women victims of violence in the Tijuana areaTijuana area

V.V. Proposed care model for migrant women victims of violence in the Tijuana Proposed care model for migrant women victims of violence in the Tijuana areaarea

VI.VI. Final considerations and recommendationsFinal considerations and recommendations

Bibliographic referencesBibliographic references

Annexes (Flow chart, organizational diagram of model, applied questionnaire)Annexes (Flow chart, organizational diagram of model, applied questionnaire)

• Migration Migration is an inevitable phenomenon in today’s world and it is driven by various is an inevitable phenomenon in today’s world and it is driven by various economic, political, or social factors; it is a multidimensional phenomenon spanning economic, political, or social factors; it is a multidimensional phenomenon spanning a spectrum of interdependent areas including social and economic development, a spectrum of interdependent areas including social and economic development, health, security, family, employment, human rights, gender, legislation, public policy, health, security, family, employment, human rights, gender, legislation, public policy, and international relations. and international relations.

• The development of a migratory process The development of a migratory process is complex, it does not always unfold in an is complex, it does not always unfold in an orderly and controlled manner, and it presents problems with regard to the orderly and controlled manner, and it presents problems with regard to the protection of the human rights of migrants while in transit, at the reception point protection of the human rights of migrants while in transit, at the reception point and during repatriation. and during repatriation.

• The migrant population is especially The migrant population is especially vulnerable since it lacks adequate resources, vulnerable since it lacks adequate resources, information, is victimized by smuggling networks and is far from its social support information, is victimized by smuggling networks and is far from its social support network. network.

• In the northern border region of In the northern border region of Mexico,Mexico, the intensity of migratory flows, the the intensity of migratory flows, the disparity between the economies and overall development of the countries, as well disparity between the economies and overall development of the countries, as well as the internal migration and the presence of migrants in transit from Central as the internal migration and the presence of migrants in transit from Central America and from other regions make this a complex and problematic territory. America and from other regions make this a complex and problematic territory.

Introduction

• Increase in the number of women who migrate independently. Increase in the number of women who migrate independently.

• Continuing replication of gender inequalities within the framework of Continuing replication of gender inequalities within the framework of globalization, both in the migratory process (itinerary of travel and crossing) and in globalization, both in the migratory process (itinerary of travel and crossing) and in the insertion into the labor market in destination countries. the insertion into the labor market in destination countries.

• The element of The element of violence is present throughout the migratory process. violence is present throughout the migratory process. For For women, their sex is an important variable in terms of the violence they women, their sex is an important variable in terms of the violence they experience. experience.

• Urgent action is required with regard to prevention and also with regard to the Urgent action is required with regard to prevention and also with regard to the integral care provided to these women which should be aimed at integral care provided to these women which should be aimed at empoweringempowering them. them.

The feminization of migration

• The complexity of the situation feeds on the economic gulf that exists between both The complexity of the situation feeds on the economic gulf that exists between both countries and on the political, social, and cultural differences of their populations. countries and on the political, social, and cultural differences of their populations.

• Tijuana: important economic and production activity (industrial, commercial, and Tijuana: important economic and production activity (industrial, commercial, and services).services).

• This area presents the complex environment created by international migration and This area presents the complex environment created by international migration and its effects (positive and negative) reflecting the contradictions in an interdependent its effects (positive and negative) reflecting the contradictions in an interdependent but unequal world. but unequal world.

• Data from 2008 reveals that the number of migrants from southern Mexico and Data from 2008 reveals that the number of migrants from southern Mexico and from Central America that arrive to the northern border region of Mexico raised to from Central America that arrive to the northern border region of Mexico raised to 962,616; 860,195 of those were Mexicans. Approximately 38% of those migrants 962,616; 860,195 of those were Mexicans. Approximately 38% of those migrants were concentrated in Tijuana.were concentrated in Tijuana.

Context

Models of care in the area available to migrant women victims of violence

• Inventory was taken of the most relevant care models and programs in the area. Inventory was taken of the most relevant care models and programs in the area.

• Descriptions of the most important care models and programs in the area were Descriptions of the most important care models and programs in the area were prepared. prepared.

• Based on this analysis a proposal for a care model was developed. Based on this analysis a proposal for a care model was developed.

• TijuanaTijuana

– Cavit Alejandro Home, A.C.Cavit Alejandro Home, A.C.– Eudes Home Promoting Women, A.C.Eudes Home Promoting Women, A.C.– Elvira ShelterElvira Shelter– Madre Assunta Institute, A.C. Madre Assunta Institute, A.C. – YMCA Home for Migrant Children YMCA Home for Migrant Children – Pro Migrant Defense Coalition, A.C.Pro Migrant Defense Coalition, A.C.– Leave healthy and return healthy and domestic violence assistance, Leave healthy and return healthy and domestic violence assistance,

Department of HealthDepartment of Health– Care modules for women victims of violence of the Women’s Institute of the Care modules for women victims of violence of the Women’s Institute of the

State of Baja CaliforniaState of Baja California– National Integral Family Development System (D.I.F.)National Integral Family Development System (D.I.F.)– Crime Victims Assistance Office, Office of the Baja California State Attorney Crime Victims Assistance Office, Office of the Baja California State Attorney

General (P.G.J.E.) General (P.G.J.E.)

Models and programs

• The analysis took into consideration the following factors:The analysis took into consideration the following factors:

– Human resourcesHuman resources– Organization and operationOrganization and operation– Vocation for service Vocation for service – Mother-child relation Mother-child relation – Inter-institutional links and support networksInter-institutional links and support networks– Infrastructure Infrastructure – FinancingFinancing

• There are significant differences between the resources available to the various There are significant differences between the resources available to the various organizations which translate into differences in the operation of the models. organizations which translate into differences in the operation of the models.

Analysis of the models

Integral care model for women Integral care model for women victims of violence in the victims of violence in the

Tijuana areaTijuana area

Proposal

a.a. Respect for the human rights of Respect for the human rights of victims victims

b.b. The empowerment The empowerment of women victims of violence must be aimed at of women victims of violence must be aimed at building skills in order to make them active agents in their own lives.building skills in order to make them active agents in their own lives.

c.c. General ethical principles General ethical principles that staff must follow during all stages in the care that staff must follow during all stages in the care process. process.

d.d. State participationState participation

Basic criteria

To promote the protection of the human rights of migrant women by To promote the protection of the human rights of migrant women by

providing fast and effective integral care to migrant women victims of providing fast and effective integral care to migrant women victims of

violence in the Tijuana area that takes into account their integral violence in the Tijuana area that takes into account their integral

recuperation and, in the long term, their empowerment, in order to recuperation and, in the long term, their empowerment, in order to

allow them to embark on a life free of violence. allow them to embark on a life free of violence.

Objective

A. A. CharacteristicsCharacteristics

a.a. Target populationTarget population

b.b. Conceptual framework and violent acts included in this model Conceptual framework and violent acts included in this model

c.c. Cross-cutting approachesCross-cutting approaches

a.a. Implications and operationImplications and operation

Characteristics of the model

Components of the model

a. a. Target populationTarget population

• The model is aimed at two groups of women:The model is aimed at two groups of women: – Foreign migrant women in Tijuana, B.C., MexicoForeign migrant women in Tijuana, B.C., Mexico

– Mexican migrant women in Tijuana, B.C., MexicoMexican migrant women in Tijuana, B.C., Mexico

• With regard to children and adolescents of both sexes, the model follows the principle With regard to children and adolescents of both sexes, the model follows the principle established in the article of the Convention on the Rights of the Child which refers to the established in the article of the Convention on the Rights of the Child which refers to the right of children to remain with their parents. right of children to remain with their parents.



• Violence, multidimensional phenomenon encompassing individual, family, Violence, multidimensional phenomenon encompassing individual, family, community, social, cultural, economic, and other factors. community, social, cultural, economic, and other factors.

• Definition of violence Definition of violence – Domestic violenceDomestic violence– Social violenceSocial violence

• Legal aspectsLegal aspects– Inter-American Convention to Prevent, Punish and Eradicate Violence Against Inter-American Convention to Prevent, Punish and Eradicate Violence Against

WomenWomen- Domestic legislation - Domestic legislation


b. Conceptual b. Conceptual framework framework



a.a. Human rights Human rights

b.b. Women rightsWomen rights

c.c. Children rightsChildren rights

d.d. Migrant rights Migrant rights

e.e. Gender perspectiveGender perspective

a.a. Multiculturalism Multiculturalism


c. c. Cross-cutting approaches Cross-cutting approaches

a.a. Political willPolitical will

b.b. Political and institutional agreementsPolitical and institutional agreements

c.c. Budget allocation Budget allocation

d.d. Defining operational responsibility Defining operational responsibility

e.e. Cross-institutional approachCross-institutional approach

f.f. Defined leadershipDefined leadership

g.g. Other aspectsOther aspects



d. d. Implications and operation Implications and operation

B. Integral B. Integral carecare

• Refers to services provided for the protection, care, recuperation and Refers to services provided for the protection, care, recuperation and empowerment of the victim, in accordance with their needs and within the empowerment of the victim, in accordance with their needs and within the framework of the full exercise of their rights. framework of the full exercise of their rights.

• Intervention pathsIntervention paths

1.1. Immediate response: certification, assessment and migratory protection of the Immediate response: certification, assessment and migratory protection of the victimvictim

2.2. Diagnosis and channelingDiagnosis and channeling

3.3. Basic needsBasic needs

4.4. Integral healthIntegral health

5.5. Legal advice and assistanceLegal advice and assistance

6.6. Migratory advice and options Migratory advice and options

7.7. Integral recuperation and empowermentIntegral recuperation and empowerment

Integral Care Intervention paths


Integral care Flow chart

Migrant Woman

Immediate response

Migratory Protection

Diagnosis

Access to victim

Identifying risks

Minors

Shelter

Integral Care

Assessment of risks

Counseling and legal assistance

Basic needs

Integral health Migratory options

Integral recuperation

Empowerment

Lodging w/children

Permanence

Try again

Repatriation with dignity

To other countries

Binational links

Certification

Channeling Urgent medical care

Integral care Intervention paths

ObjectiveObjective• Respond immediately to the violent situation experienced by the Respond immediately to the violent situation experienced by the

victim by rapidly diagnosing whether the victim has indeed suffered victim by rapidly diagnosing whether the victim has indeed suffered violence and, if that is the case, assess the risks. violence and, if that is the case, assess the risks.

ActionsActionsa.a. RegistrationRegistration

b.b. Risk assessmentRisk assessment

c.c. Migratory protectionMigratory protection

Aspects to considerAspects to consider• Telephone assistanceTelephone assistance• TransportTransport• Personnel with awareness and skillPersonnel with awareness and skill

SheltersShelters Possible responsible individualsPossible responsible individuals

1. Immediate response

2. Diagnostic and channeling


ObjectiveObjective• Identify the specific needs of each victim in order to be able to Identify the specific needs of each victim in order to be able to

provide individualized integral care and regulate services according provide individualized integral care and regulate services according to the situation.to the situation.

ActionsActionsa.a. Exhaustive dialogue-interview with the victim Exhaustive dialogue-interview with the victim

b.b. ChannelingChanneling

c.c. Medical servicesMedical services

Aspects to considerAspects to consider• Clear and understandable format for diagnosis and medical record Clear and understandable format for diagnosis and medical record • Medical record is essential to channelingMedical record is essential to channeling

Possible responsible individualsPossible responsible individuals

3. Basic needs


ObjectiveObjective• Guarantee the basic needs for lodging, food, personal hygiene and Guarantee the basic needs for lodging, food, personal hygiene and

clothing that women who are victims of violence may require during clothing that women who are victims of violence may require during the process of care and recuperation. the process of care and recuperation.

ActionsActionsa.a. Cover the basic needs mentioned in the diagnosis of the victim Cover the basic needs mentioned in the diagnosis of the victim

whether she is a national or foreign national. whether she is a national or foreign national.

b.b. Guarantee that the needs of the children are also covered. Guarantee that the needs of the children are also covered.

Aspects to consider Aspects to consider • Personnel responsible for providing victims an answer must assess Personnel responsible for providing victims an answer must assess

the urgency of those needs. the urgency of those needs. • It is a component of both immediate care as well as of integral care. It is a component of both immediate care as well as of integral care.


4. Integral Health


ObjectiveObjective• Assess and care for the physical and psychological health of the victim based Assess and care for the physical and psychological health of the victim based

on the specific situation and corresponding diagnostic. on the specific situation and corresponding diagnostic.

ActionsActionsa.a. Assess the needs of the victim and determine if the situation is urgent. Assess the needs of the victim and determine if the situation is urgent.

b.b. Conduct physical examinationConduct physical examination

c.c. Assess the mental and emotional condition of the victim Assess the mental and emotional condition of the victim

d.d. Inform the victim of her condition/ailment and explain the situationInform the victim of her condition/ailment and explain the situation

e.e. Channel the victim to the appropriate institutions Channel the victim to the appropriate institutions

f.f. Take care of the victim’s needsTake care of the victim’s needs

g.g. Follow up and regularly review casesFollow up and regularly review cases

Aspects to considerAspects to consider• Mechanisms to provide care to nationals and to foreign nationalsMechanisms to provide care to nationals and to foreign nationals• Sexual violenceSexual violence


5. Legal counseling and assistance


Objective• Ensure that the victim is provided legal advice and follow up of her case as

needed.

Actionsa. Provide clear advice to ensure that the victim understands her rights and

the legal process that will follow. b. Assistance c. Inform the victim of outcomes and future actions

Aspects to consider• Assessment of migratory status and options.• Always take into account the opinions and decisions of the victim.

Possible responsible individuals

6. Migratory advice and options


Objective• Ensure the migratory option that better suits the well being and the needs

and interests of migrant women victims of violence.

Actions to be carried out in all casesa. Provide clear advice so that victims understand their rights and the legal

process to follow.b. Together with the victim analyze and select the most convenient option.c. Obtain consent in writingd. Assistancee. Inform victim of outcomes and future actions.

Aspects to consider• There are specific actions for each option

Possible responsible individuals

7. Integral recuperation and empowerment


Integral recuperation is a planned and orderly process that the victim agrees to Integral recuperation is a planned and orderly process that the victim agrees to pursue after her basic needs have been met in order to, in the long run, achieve pursue after her basic needs have been met in order to, in the long run, achieve her integral recuperation and the full exercise of her human rights. her integral recuperation and the full exercise of her human rights.

ObjectiveObjective

• To provide appropriate services and care commensurate with the needs of To provide appropriate services and care commensurate with the needs of migrant women victims of violence in order to empower them, support migrant women victims of violence in order to empower them, support their integral recuperation and ensure the full exercise of their human their integral recuperation and ensure the full exercise of their human rights. rights.


• ActionsActionsa.a. General informationGeneral informationb.b. Individual recuperation plan Individual recuperation plan c.c. Access to services Access to services d.d. Follow up Follow up

• Aspects to considerAspects to consider– Care must be individualized based on the particular needs of each case. Care must be individualized based on the particular needs of each case. – Take into consideration organizations with experience in implementing care. Take into consideration organizations with experience in implementing care.

• Ultimate objective of this process: EMPOWERMENTUltimate objective of this process: EMPOWERMENT– Building of skills and development of tools (tangible and intangible) to allow Building of skills and development of tools (tangible and intangible) to allow

women to take control of their lives and to live freely and without violence. women to take control of their lives and to live freely and without violence. • Possible responsible individualsPossible responsible individuals

• Types of services to consider

– Therapies Therapies – Human rights and violence prevention workshops targeted at children Human rights and violence prevention workshops targeted at children

and adolescents and adolescents – Educational development (literacy and basic education)Educational development (literacy and basic education)– Work training Work training – Schools for parents, making violence prevention a priority. Schools for parents, making violence prevention a priority. – Access to financial resources such as micro loansAccess to financial resources such as micro loans– Violence prevention courses Violence prevention courses – Cultural and sports activities for women and their childrenCultural and sports activities for women and their children– Channeling women into services Channeling women into services


Migrant Woman

Immediate response

Migratory Protection

Diagnosis

Access to victim

Identifying risks

Minors

Shelter

Integral Care

Assessment of risks

Counseling and legal assistance

Basic needs

Integral health Migratory options

Integral recuperation

Empowerment

Lodging w/children

Permanence

Try again

Repatriation with dignity

To other countries

Binational links

Certification

Channeling Urgent medical care

Integral care Flow chart

C. Cross-cutting areasa.a. Awareness and trainingAwareness and training

b.b. Inter-institutional operation and coordinationInter-institutional operation and coordination– Authorities in chargeAuthorities in charge– Improvement mechanismsImprovement mechanisms– Support organizationsSupport organizations

a.a. Planning and managementPlanning and management

b.b. Monitoring and evaluationMonitoring and evaluation

c.c. ResearchResearch

d.d. Data systematization Data systematization

e.e. DisseminationDissemination Cross-cutting areas

Esquema de organización del modelo

External Supervisory

Entity

Advisory Council

Central Themes

Inter-institucional

board Tijuana

Inter-institucional coordination

Tijuana

Integral care Planning and managment

Data systematization

Awareness andtraining

Monitoring and evaluation

Research

Dissemination

Final considerations

• The complex implementation The complex implementation depends on the will of the depends on the will of the parties involved and the following factors need to be taken parties involved and the following factors need to be taken into consideration, both in the planning and in the execution: into consideration, both in the planning and in the execution: different contexts, history, forms of violence and violent different contexts, history, forms of violence and violent situations faced, as well as ethical questions with regard to situations faced, as well as ethical questions with regard to care and to the skill and awareness training of the staff. care and to the skill and awareness training of the staff.

• A A designated budgetdesignated budget is a necessity. is a necessity.

• The problems of migrant women with regard to violence The problems of migrant women with regard to violence present a great challenge and it is a subject that must be present a great challenge and it is a subject that must be addressed without delay. addressed without delay.

CP24199E

Proposal Integral care model for women victims of violence in the Tijuana area Special Committee on Migration Issues April 20, 2010.

Documents

economic development

development program

overall development

integral development

number of women

element of violence

proposal integral care

human rights of migrants