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Transcript of HMI Highlights
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Building Lasting Relationships, StrongFamilies, and Community Services
Highlights ofthe Healthy Marriage Initiative
in Oregon: 2006–11
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Acknowledgements and Author Note
This brief Highlights document tells the story of a demonstration project, Greater Portland Healthy
Marriage Initiative, from the viewpoint of the independent evaluator. It will be available online atwww.nwfs.org/couples-a-singles.html. A longer version of this story, with references and appendices,
titled The Story of the Healthy Marriage Initiative in Oregon: 2006—11 will be available on request from
Preparation of this document was sponsored by Northwest Family Services, a nonprot organization
based in Portland, Oregon. Photo credits and credits for information from ofcial documents go to the staff
members and leaders of this project at Northwest Family Services (NWFS). Thanks also are extended to
project team members from the Multnomah County Health Department and Catholic Charities in Portland
and to all the individuals and couples who participated, especially those who voluntarily completed the
questionnaires necessary for the program evaluation. Northwest Family Services (NWFS) was the lead
agency. NWFS worked with the Multnomah County Health Department (MCHD) and Catholic Charities
of Oregon (CC). MCHD was primarily responsible for providing marriage education classes in high
schools and to pregnant and parenting teens. CC was primarily responsible for providing services in the
community to pregnant and parenting teens as well as those considering marriage and married couples.
NWFS, in addition to overall leadership, provided for the majority of marriage education programs for
couples and for individuals in the community considering marriage, through a program called, “Lasting
Relationships.”
This Healthy Marriage Initiative (HMI) demonstration project was made possible and nancially
supported in part by the Administration for Children and Families (ACF) under the Ofce of Population
Affairs (OPA) and the United States Department of Health and Human Services (DHHS), through Grant
No. 90FE0079, awarded to Northwest Family Services. Opinions expressed herein do not necessarily
reect the policies of ACF or of DHHS, and no ofcial endorsement by ACF, OPA, or DHHS should be
inferred. The opinions expressed, and any errors, are entirely the responsibility of the authors.
Suggested Citation:
Tobin, T. J., and Fuller, R. (2011). Highlights of the Healthy Marriage Initiative in Oregon: 2006–11.
Portland, OR: Northwest Family Services & Eugene: University of Oregon, College of Education.
Address correspondence to Tary J. Tobin, PhD, Educational and Community Supports, 1235 University of
Oregon, Eugene OR 97403-1235 USA; or e-mail [email protected] or to Rose Fuller, executive director
of Northwest Family Services, 6200 SE King Rd, Portland OR 97222 USA; or e-mail [email protected].
An equal-opportunity, afrmative-action institution committed to cultural diversity and compliance with
the Americans with Disabilities Act. This publication will be made available in accessible formats upon
request. ©2011 University of Oregon DES1111-123o
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Table o Contents
Preface 4
Moving from Hope to Action 5Allowable Activities Dened 6
The First Year (2006–7) 7
The Second Year (2007–8) 8Best Practices Follow-Up Survey in the Second Year 9
The Third Year (2008–9) 10
The Fourth Year (2009–10) 12
The Fifth Year (2010–11) 13Final Year Ends with Plans for Next Project! 14
Summary of All Five Years and Overall Lessons Learned 15Important and Consistent Changes in Knowledge, Attitudes, and Behavior 15
Looking to the Future 16
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On June 6, 2005, the Federal Register published this
announcement:
The Ofce of Planning, Research and Evaluation
(OPRE), within the Administration for Children and
Families (ACF), announces the availability of funds
to support new research under the Healthy Marriage
Research Initiative. The purpose of this program is
to stimulate and fund short- and long-term studies
focused on healthy marriage in population groups for
which a limited body of research exists. This means,
primarily, lower-income individuals and couples,
including but not limited to those in poverty, as well
as ethnic and racial minority groups. Federal funding
under this announcement will be approved to support
research and evaluation activities only, not program
operation or service provision.
In his book, Audacity of Hope, President Barack
Obama described the reasons for marriage education
programs:
Children living with single mothers are ve
times more likely to be poor than children in
two-parent households. Children in single-parent
homes are also more likely to drop out of school
and become teen parents, even when income is
factored out. And the evidence suggests that onaverage, children who live with their biological
mother and father do better than those who live
in stepfamilies or with cohabiting partners. . .
. In light of these facts, policies that strengthen
marriage for those who choose it and that
discourage unintended births outside of marriage
are sensible goals to pursue. . . . Preliminary
research shows that marriage education
workshops can make a real difference in helping
married couples stay together and in encouraging
unmarried couples who are living together to
form a more lasting bond. Expanding access to
such services to low income couples, perhaps inconcert with job training and placement, medical
coverage, and other services already available,
should be something everybody can agree on.
(Obama, 2006, p. 334).
Fortunately, the lessons learned from the ve-
year project to be described in this document can be
applied to a new project that will be starting soon,
one of the Community-Centered Healthy Marriage and
Relationship Grants that support “healthy marriage
promotion activities” as enacted by The Claims
Resolution Act of 2010 (Pub. L. 111-291), which was
signed into law by President Obama on December 8,
2010. Primary goals are to nd ways to reduce barriers
to economic self-sufciency faced by individuals,
couples, or partners, and families by teaching healthy
marriage and relationship skills designed to change
behaviors of individuals. (See www.acf.hhs.gov/
grants/open/foa/view/HHS-2011-ACF-OFA-FM-0193).
The announcement stated that the new effort will
support programs that have the capacity and proven
track record of providing a broad range of marriage
and relationship skills training to low-income
populations. One such program is Northwest Family
Services’ Lasting Relationships. As we prepare
to move forward as a nation with new efforts to
improve relationship skills and to strengthen healthy
marriages, we should take time to review the lessons
learned from past efforts and to see how these will be
useful as we plan for future efforts.
Preace
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Moving rom Hope to Action
Before the ve-year Healthy Marriage Initiative
(HMI) project started, it was necessary to write a
proposal. Hope had to lead to action! Decisions
had to be made about all aspects of how to provide
programs that might really make a difference. This
meant gathering information through reviewing
literature, searching theInternet, and speaking with
individuals who might be able to contribute. Letters
of support and memorandums of agreement had to be
gathered. Requirements of the federal funder had to
be studied. Technological details related to preparing
and submitting a grant proposal had to be mastered.
Deadlines had to be met.
When the news of the award came, as eager as all
project team members were to get started, additional
work was needed before full implementation could
be achieved. Contracts and agreements had to be
formalized ofcially. Informed consents had to be
developed in English and Spanish and approved
by the University of Oregon’s Institutional Review
Board (IRB). Strategies for marketing the services
to ensure attracting the intended participants had
to be developed, tested, and put in place. Websites
and public service announcements, letters, and
other outreach efforts, such as inviting leaders of faith communities that might provide assistance to
meetings or lunches, all had to be developed and
carried out. Facilitators who would teach and lead
the classes and workshops needed to be hired and
trained. Training also needed to be provided to the
teachers in schools that would be hosting programs
provided by Multnomah County Health Department
personnel and actually teaching some of the lessons
in the eight-hour program to be counted as part
of the HMI in high schools. Methods of ensuring
collaboration and communication across all the
agencies involved—the high schools, the federal
Ofce of Family Assistance under the Administration
for Children and Families, Northwest Family Services,
Multnomah County Health Department, Catholic
Charities, the University of Oregon—had to be
established and many meetings had to be scheduled
and attended. Project staff members needed to travel
to conferences and training programs provided by
the federal funder. Specic details of methods of
tracking participation, documenting activities and
questionnaires, and collecting data for the evaluation
had to be established, including teaching all involved
how to protect condentiality and ensure accuracy.
It was a lot of work, and took time, to roll out this
ambitious, multicomponent project! Yet it was a very
exciting time and a great deal of enthusiasm went into
moving from hope to action.
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Allowable Activities Defned
The ve-year HMI project in Oregon initially, in
2006, included seven of the “allowable activities”(AA) that were dened in the original funding
announcement—and are quite similar to the “Healthy
Marriage Promotion Activities” specied for the new
three-year Community- Centered Healthy Marriage
and Relationship Grants. During the 2006–11 period,
requirements were claried in ways that made it
reasonable for only the rst ve to be maintained
and expanded during the entire ve-year project in
Oregon. Here is a list of those activities:
AA1. Public advertising campaigns on the value of healthy marriages and the skills needed to increase
marital stability and the health of the marriage.
AA2. Education in high schools on the value of
healthy marriages, healthy relationship skills, and
budgeting.
AA3 Marriage education, marriage skills, and
relationship skills programs, that may include
parenting skills, nancial management, conict
resolution, and job and career advancement, fornonmarried pregnant women and nonmarried
expectant fathers.
AA4. Premarital education and marriage skills training
for engaged couples and for couples or individuals
interested in marriage.
AA5. Marriage enhancement and marriage skills
training programs for married couples. From www.
acf.hhs.gov/healthymarriage/about/mission
.html#activities.
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The Greater Portland Healthy Marriage Initiative
was a multiple-tiered project using a collaborative
approach. Northwest Family Services (NWFS) was the
lead agency. NWFS was working with two partners:
Multnomah County Health Department (MCHD)
and Catholic Charities of Oregon (CC). Together,
they provided relationship and marriage education
services to pregnant and parenting teens, high school
and college students, low-income couples, and the
public at large.
Marriage educators leading this program were
trained in the Prevention and Relationship
Enhancement Program (PREP, Stanley, Blumberg, andMarkman, 1999), which has a substantial research and
literature base (e.g., Halford, Markman, Stanley, and
Kline, 2003; Markman, Renick, Floyd, Stanley, and
Clements, 1993; Stanley et al., 2005; Stanley, Amato,
Johnson, and Markman, 2006, see also www
.smartmarriages.com/directory/29.
Objectives That Were Maintained All
Five Years
The over-arching goal of this program was to
support the formation and maintenance of two-parent
families. Each year, specic objectives related to eachof the allowable activities were set. For example, the
objectives for the rst year of the project, ones that
were maintained throughout all years of the project,
are described below, as these initial objectives set
the tone for the entire ve years, and although minor
modications were made as appropriate for changing
situations, the goals remained in essence the same
every year:
Objective 1: To implement culturally specic
community campaigns on the value of marriage and
the skills needed to increase marital stability andhealth in the four target counties, by (a) developing
public service announcements (PSAs) highlighting
marriage skills and values by September of 2007
(with new ones by February 2008) reaching 1,000,000
viewers in the Portland metropolitan area; (b) by
working with Spanish-language radio to produce
regular talk shows on marriage and marriage skills
at least four times each year; (c) development of
a website of local and national resources related
to healthy marriage; and (d) making 150 to 200
presentations, reaching 3,500 to 5,000 people in
colleges, businesses, faith-based communities, and
neighborhood apartment complexes.
Objective 2: Each year, to educate 4,000 to 5,000
high school students on (a) the value of marriage;
(b) relationship skills, particularly in the areas
of communication, conict resolution, safe
relationships, and commitment; and (c) budgeting andnancial responsibility, by providing healthy marriage
classes in eighteen to twenty high schools using the
FACTS-Datos and Connections relationship curricula.
(Allowable Activity 2, AA2)
Objective 3: To provide marriage education (including
parenting skills; nancial management and career
advancement, and relationship skills, particularly
in the areas of communication, conict resolution,
safe relationships, and commitment to the stability
of marriage) to 175 nonmarried pregnant women
and nonmarried expectant fathers each year, using
the Connections and Within Our Reach relationship
curricula and, when needed, more intensive education
and referral. (Allowable Activity 3, AA3)
Objective 4: Each year, to provide premarital
education and marriage skills training for 800 to
1,200 engaged people and for persons interested in
marriage, including couples who have applied to
receive a marriage license. (Allowable Activity 4,
AA4)
Objective 5: Each year, to provide healthy marriage
and relationship education to 1,000 couples.
(Allowable Activity 5, AA5)
The First Year (2006–7)
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The Greater Portland Healthy Marriage Initiative
succeeded in establishing the programs and
activities needed to meet its objectives. Initial results
from the rst-year surveys of couples and teens
indicate that statistically signicant (p < .05) pre- to
postintervention changes occurred in almost all
areas targeted. In fact, gains were highly statistically
signicant (p < .001) for many items.
A nal highlight from the rst year was the
following report from one of the facilitators about one
couple’s positive experience: At a couple’s workshop,
a couple who sat in the back seemed very conicted.
They barely spoke to each other and seemed as if they
did not want to be sitting next to each other. At the
end of the rst session, our presenter spoke with themto see how they were doing. They said this was a “last
ditch” effort for them. They had been feeling very
distant from each other for a long time and were not
sure if they were going to stay together. After the last
sessions, they seemed energized and excited about
the skills they had learned, and they stayed afterward
to talk. They said that the Speaker-Listener technique
made a tremendous difference in their ability to
communicate. They also mentioned the phrase, “I
choose us,” had stuck with them. The wife said we
should put that on a T-shirt.
The Second Year (2007–8)
From the basic Lasting Relationships classes during
the 2007–8 academic year, a total of 663 individuals’
anonymous retrospective pre- and postintervention
questionnaires were received. The greatest changes,
all statistically signicant (p < .01), were on the
following items:
• I know warning signs of danger in relationships.
• I know the names of two local agencies where
someone could get help and support if they needed
it because of a physically dangerous relationship.
• I can speak assertively about my own needs without
being inconsiderate of my partner’s needs.
• My partner can speak assertively about his or her
needs without being inconsiderate of my needs.
• Everything considered, I am happy in my present
relationship.
• My partner and I usually agree on demonstrations of
affection.
• When disagreements arise, usually we come to an
agreement by mutual give and take.
• I believe we can handle whatever conicts will arise
in the future.
• My partner condes in me.
• I want this relationship to stay strong no matter
what rough times we may encounter.
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Results for key questions are shown below, and
results for other items were similar:
I like to think of my partner and me more in termsof “us” and “we” than “me” and “him or her.”
I want this relationship to stay strong no matter
what rough times we may encounter.
The brightest highlight of the second year was the
“Best Practices Follow-Up Survey.” We started to use
follow-up surveys in December of the second year of
the project. After that, they were used systematically
six months after a Lasting Relationships class
or workshop was completed. Although all
questionnaires were anonymous, and we did not
have a system for linking respondents to follow upsurveys with the questionnaires they completed
at the last class to measure changes for specic
individuals, the responses to the follow up surveys
were quite interesting, especially when disaggregated
by language (i.e., was the questionnaire in Spanish or
English?)
Best Practices Follow-Up Surveyin the Second Year
Findings that stand out from the results of the
follow-up survey included:
• The pattern of responses was similar to the
pattern of responses seen on the immediate
postintervention survey. This suggests that positive
attitudes and skills were maintained.
• For the most part, response patterns were similar
on the Spanish and the English questionnaires and
both generally were quite positive.
• The program could be improved by increasing
efforts to make participants aware of services and
opportunities available after the classes.
• A more powerful incentive appears to be needed to
ensure a stronger response rate.
• The program could be improved by encouraging
facilitators to plan time for the survey and ways to
increase motivation to complete surveys.
• Those who responded to the follow-up survey
appear to have excellent attitudes and skills and
may be good candidates for future mentors or
facilitators. This was indicated by the items with
the most positive scores:
I want this relationship to stay strong no matter what rough times we may encounter.
I like to think of my partner and me more in termsof “us” and “we” than “me” and “him or her.”
Everything considered, I am happy in my present relationship.
My relationship with my partner is more important to me than almost anything else in my life.
I believe we can handle whatever conicts will arisein the future.
My partner can speak assertively about his or her needs without being inconsiderate of my needs.
I can speak assertively about my own needs without
being inconsiderate of my partner’s needs.When disagreements arise, usually we come to anagreement by mutual give and take.
I conde in my partner.
I feel good about making sacrices or doing things for my partner.
50
40
30
20
10
0Stronglydisagree
D isag re e No t sure Agree S trong ly a gree
English
Spanish
C o u n t
60
40
20
0Stronglydisagree
D isag re e No t sure Agree S tron gl y a gree
English
Spanish
C o u n t
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The follow-up survey was worthwhile because it
provided some indication of the lasting effects of the
program for those who responded and it indicated
ways to improve Healthy Marriage Initiative programs
and to improve future follow-up surveys.
Considerable progress was made in reaching
couples in the second year of the project.
A nal highlight of the second year was a report
from a Lasting Relationship class instructor who got
to know one of the couples who attended a class
series. They later conded to the instructor that at
the start, they were close to getting divorced. The
husband had an affair in the past. They did not
want to come, but were persuaded after the wife’s
mother-in-law talked to them several times and the
instructor talked to them separately on the phone
as well. Finally, they decided to come and complete
a workshop. The instructor stayed in touch with
this couple and reports that a year after of attending
the series, the couple remain together and became
involved helping other struggling couples.
Example of typical chart indicating positive
program impact for couples in Year Two.
Percent of responses to “Everything considered,I am happy in my present relationship.”
50
40
30
20
10
0Stronglydisagree
D is agr ee N ot su re A gr ee S tr ongl y a gr ee
Before
60
After
C o u n t
The Third Year (2008–9)
Year Three, starting in the autumn of 2008 and
lasting through September of 2009, was an exciting
time for the Healthy Marriage Initiative. New
expectations revolved around the development of
new “performance measures” for the federal ofce to
report to Congress about data to be collected for these
demonstration projects across the nation. Additional
training sessions on data collection were provided
by the ofce of Administration for Children and
Families.
We expected to see (and did see) improvements
in both program content and in data collectionprocedures because of the new emphasis on the
performance measures. These improvements include
the following changes, already being implemented:
• Increased emphasis on budgeting and nance skills.
• A more efcient process for the surveys that
includes (a) consistent and systematic use of the
same basic questions for the performance measures
across programs instead of having multiple versions
of questionnaires and (b) increased supervision and
monitoring of surveying.
• Improved focus and precision in attention to the
goals of the program, based on the topics addressed
by the performance measures, with more energy
being concentrated on the specic objectives of the
project.
• Semiannual rather than annual performance reports,
making it possible to bring the project staff together
to use data for decision-making more often.
The federal ofce highlighted the NWFS program
in a booklet on programs they considered to be
providing examples of promising practices, using the
following report from a Lasting Relationships class
instructor about a couple’s positive experience: Ben
and Jenna (not their real names) are married and in
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their mid-twenties with a two-year-old son and a
newborn daughter. This family was under a lot of
stress and was involved with the child welfare and
social services system. The child welfare services
agency was concerned whether to keep the children
in the home and referred Ben and Jenna to classes
offered by NWFS. After they completed the series,
their situation was reassessed by a case manager and
was much improved. In fact, this improvement was
a main factor enabling them to keep the children in
the home. The couple explained that they learned
skills for coping with anger. The husband commented,
“We now take walks if we start to yell at each other.
Our instructor told us to nd something that helps us
calm down and do it when we take a time out. I am
really excited about what I did the other day. Instead
of getting angry and yelling in front of the kids, I went
for a walk.”
For couples and individuals in Allowable Activities
4 and 5, the areas of greatest improvement were in
communication skills and skills related to conict
resolution and to the prevention of abuse and
domestic violence. We were invited to present on ourevaluation process at the national conference (Tobin,
Johnson, and Fuller, 2009).
Highlights from a Report on High School
Students’ Responses in Year Three
The top questionnaire items by percent of high school
students who improved, were:
• No one will meet all your expectations in a
relationship; the key to your happiness is not in
another person.
• I know the names of two local agencies where
someone could get help and support if they
needed it because of a physically dangerous
relationship.
• Married people earn more money than do single
people with similar education and job histories
• Being the right person (myself) is more important
to building a lasting relationship than nding the
“right” person.
• My strengths could become weaknesses if pushed
to extremes.
• My way of communicating affects my
relationships with others.
Examples of typical charts indicating positive
program impact in high schools:
“I know the names of two local agencies where
someone could get help and support if they needed
it because of a physically dangerous relationship.”
Stronglydisagree
Disagree Not sure Agree Strongly agree
Before Program
25%
20%
15%
10%
5%
0
After Program30%
35%
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The Fourth Year (2009–10)
In the fourth year of the project, the new
performance measures to be used for all activities
were nalized:
New Performance Measures Finalized
For each semiannual report, we reported the
number of participants who completed eight hours of
marriage education and the number who improved on
the ve performance measure topics:
Communication skills (ability to listen to and
speak with another person with whom one has a
close relationship, such as a family member, friend,
partner, or spouse).Conict resolution skills (ability to problem solve
with another person with whom one has a close
relationship, such as a family member, friend,
partner, or spouse).
Abuse prevention skills (ability to recognize danger
signs in potential partners and take steps to develop
safe and healthy relationships and ability to prevent
physical or emotional abuse from or to another
person with whom one has a close relationship,
such as a family member, friend, partner,
or spouse).
Budgeting and nancial skills (ability to
understand how your habits and attitudes affect
your money and relationships and ability to handle
money wisely, either your own money or money
you share with another person with whom you
have a close relationship, such as a family member,
friend, partner, or spouse).
Attitudes toward marriage have become more
favorable (greater understanding of the benets of a
healthy committed relationship and opinion about
marriage in general or feelings about own marriage
or possible future marriage have become morepositive).
In addition to reporting the number who improved
for each topic, the funder asked that the total number
who improved on any of the topics (i.e., at least one of
the ve) be reported.
Following the marriage education classes, 96
percent of participants improved on at least one of the
performance measures. Many improved on more than
one measure.
A highlight in the fourth year was the following
report of a dramatic change for a woman who
participated in one of the AA3 classes. Although
the change was not immediate, the woman took the
time to contact her class instructor later to express
gratitude, saying that she had left Portland to pursue
her previous life (before becoming pregnant) of
making money as a prostitute in another area. Shestated that after she arrived and started to go into
that lifestyle she stopped herself because of what she
learned in the classes. She remembered she learned
about values in life and the importance of getting
to know the other person, and building trust and
reliance before going to “touch” and it was with all
this thinking that she decided she could not go back
to that type of life.
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The fth year was particularly challenging for
this program, as for the nation as a whole, due to
the nancial recession dragging on, as it has been
particularly severe in Oregon. However, NWFS
from the beginning was aware of, and conscientious
about, the need to take steps toward sustainability.
An important step was to establish the marriage
education workshops for couples as valuable and
to expect couples to pay at least a small fee to
participate. When couples pay at the time they
register, even if it is a small amount, they are
much more likely to follow through and attend
the workshops than if they are free. Nevertheless,
results for participants continued to be excellent.Overall, 96 percent of participants improved on at
least one measure and many improved on three or
four measures, if not all measures. The table below
presents data on performance measures from the nal
semiannual report and shows results that were typical
throughout the project. The percent is calculated as
the number improved divided by the number who
answered the question (shown below the percent).
The Fith Year (2010–11)
AllowableActivity
Q1
Communication% Improved
Q2
ConictResolution
% Improved
Q3
AbusePrevention
% Improved
Q4
Budgets% Improved
Q5
MarriageAttitude
% Improved
% Improvedon at least 1
performancemeasure and
answered at least 1
question
AA599.7% 99.4% 98.8% 86.6% 97.5% 99.4%
326 324 320 313 319 328
AA496.2% 95.2% 96.1% 84.8% 90.1% 98.0%
397 396 389 368 384 400
AA395.1% 95.1% 95.1% 95.1% 95.2% 95.1%
41 41 41 41 40 41
AA2
86.8% 85.1% 80.9% 53.5% 68.1% 94.0%
1,024 1,029 1,022 1,014 1,014 992
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Although the Lasting Relationship classes were
intended primarily to prevent serious difculties,
sometimes couples were already quite distressed
when they signed up for the classes. One Lasting
Relationship class instructor reported the following
example: “Miguel and Berta [not their real names]
had been married for six years and were parents of
two preschool children. At the time they attended our
couple’s class, they had been separated for several
months and had divorce papers ready to sign. They
decided they were going to go to our classes as a last
ditch attempt to save their marriage. It worked!
They learned new skills, reconciled, and are back
together.”
Final Year Ends with Plans orNext Project!
Fortunately, NWFS recently was awarded a three-
year grant through the Ofce of Family Assistance
to continue and expand these services in the
new Community-Centered Healthy Marriage and
Relationship Grant . NWFS also received a three-year
grant from a local foundation to create partnerships
with the faith community that will train leaders in
evidence-based strategies.
In addition, NWFS is seeking some additional funds
for abuse and violence prevention services, such as
“Safe Dates” (Foshee et al., 1998; Foshee, Bauman,
Linder, Rice, and Wilcher, 2007; Simon, Miller,
Gorman-Smith, Opinas, and Sullivan, 2010). Great
care was taken in the development of the plans for
the Healthy Marriage Initiative to protect individuals
seeking to escape abusive relationships from any
effort to prevent them from leaving a situation where
domestic violence may occur. When spousal abuse
occurs, often children also are abused. A child
who views a parent suffering from intimate partner
violence may be severely traumatized even when the
child is not abused. The co-occurrence of child abuse
and witnessing a parent involved in intimate partner
violence (IPV) has a greater impact than either child
abuse or witnessing IPV alone. NWFS collaborated
with dedicated staff members from Catholic Charities
and the Multnomah County Health Departmentwho work in the domestic violence eld. All project
partners established a common denition, protocol,
and training for staff members and volunteers. This
included a discreet brochure that all participants
received (available in English, Spanish, and Russian)
with local referral sources. Over the course of
several meetings, our project partners and staff
members reviewed the de-escalating protocol for
angry participants. Staff members were trained and
re-trained at least once per year by the professional
counseling staff at NWFS.
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Summary o All Five Years and Lessons Learned
The ve-year HMI project in Oregon provided
services in the Greater Portland Metropolitan area
comprised of four counties (Clackamas, Multnomah,
Washington, and Marion) that represent the largest
population of Oregon. These counties represent 51
percent of Oregon’s population and are comprised
of urban, suburban, and rural communities. The
project was directed to serve low-income individuals,
especially the Latino community, with evidence-
based healthy relationship and marriage education.
One county that has received a large portion of the
Lasting Relationships classes was Clackamas County.
In Clackamas County, NWFS worked with the county
clerk (where people obtain a marriage license) toprovide all people with information about our classes.
The divorce rate in Clackamas County dropped 6
percent during the ve years of the project. Of course,
it is not possible to assume that the project was the
cause of that drop; it is possible that the project was
one factor facilitating the drop.
Over the course of this ve-year project, NWFS,
MCHD, and CC were able to reach almost 28,500
individuals with evidence-based, skill-based
programs. They focused on serving low-income
individuals and accomplished this by focusing onschools with higher levels of low-income students
and community areas that generally have more
low-income individuals. The project also targeted
low-income Latino families who otherwise might not
have been able to attend such classes. It is reasonable
to assume that through this project, individuals
considering marriage made better partner choices,
thus possibly averting future divorces and all the
subsequent fall out. Those already in marriages
typically reported experiencing enrichment with
improved communication and less conict. Indirectly,
for couples who are parents, this would be expected
to lead to improved child well-being. Program
participants who became better parents and better
partners would be less likely to behave violently.
Participants might be more successful at work if
their personal and family problems decrease. Even as
Oregon continues to experience economic stagnation,
couples in Oregon are developing internal resources
to endure hardships that come their way and together
to seek a better future. The HMI program truly
addressed foundational issues. When individuals
marry well, almost every societal indicator is
improved. Investing in a program such as this is an
investment in the future. A document was released
a few years ago, Marriage and Family Wellness:
Corporate America’s Business? This document(Turvey and Olson, 2006) highlights the rising cost
to business when relationships fail. Documents from
schools and juvenile justice could also highlight the
high price society pays with the children of the failed
unions.
Important and ConsistentChanges in Knowledge,Attitudes, and Behavior
The follow key changes in knowledge, attitudes, and
behavior were consistently found throughout theproject:
Knowledge. Every year, knowledge of ways to
prevent domestic violence increased. Indications
of changes in knowledge were shown by increasing
levels of agreement, pre- to postintervention, with
the following statements, by youths, by single
individuals, and by married and unmarried couples:
• I know warning signs of danger in relationships.
• I know the names of two local agencies where
someone could get help and support if they needed
it because of a physically dangerous relationship.
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Attitudes. Every year, attitudes toward marriage
became more favorable. For couples, this was
demonstrated by increasing levels of agreement,
pre- to postintervention, with statements such as the
following:
• Everything considered, I am happy in my present
relationship.
• I want this relationship to stay strong no matter
what rough times we may encounter.
• I feel good about making sacrices or doing things
for my partner.
For high school youths and other single individuals,
this was demonstrated by increasing levels of
agreement, pre- to postintervention, with statementssuch as the following:
• Married people earn more money than do single
people with similar education and job histories.
• Marriage has important benets for couples,
families, and society in general.
Behavior. Every year, behaviors relevant to the goals
of the project became more skillful, as reported
by couples who demonstrated increasing levels of
agreement, pre- to postintervention, with statements
such as the following:
• I can speak assertively about my own needs without
being inconsiderate of my partner’s needs.
• When disagreements arise, usually we come to an
agreement by mutual give and take.
• I know how to express sincere appreciation to my
partner.
For high school youths and other single individuals,
this was demonstrated by increasing levels of
agreement, pre- to postintervention, with statements
such as the following:
• I know how to speak assertively about my ownneeds without being inconsiderate of other’s needs.
• Becoming aware of my strengths, and of skills I can
use, has helped me increase my self condence.
Looking to the Future
In looking to the future and to preparing to begin
new projects, NWFS plans to take time to use thelessons learned from the HMI ve-year project just
completed. One important lesson learned was that,
in spite of promising results and many success
stories, continuing efforts to nd even better ways to
provide marriage and relationship education in the
community are needed, perhaps particularly with
regard to assisting unmarried pregnant and parenting
youths, couples with nancial difculties, and
individuals at risk for domestic violence. In addition
to reviewing its own “lessons learned,” NWFS leaders
and staff members, as well as their community
partners, are interested in new evidence on effectivestrategies being provided by others.
From the programs for married and unmarried
couples and single individuals in the community,
we learned about the great need for this type of
program—even beyond what the current HMI
demonstration project was designed to provide.
Participants often commented on how valuable the
program was for them and very often said that they
would like to participate in more programs like this
in the future. Fortunately, Northwest Family Services
(www.nwfs.org ) was able to meet this interest in
many cases because they offer a variety of programs
and many individuals who started with one Healthy
Marriage Initiative workshop did participate later in
other types of workshops and resources. However,
when services are being provided to low-income
couples who actually are not able to pay the full
cost of the services they need, even if they show
responsibility by paying something, a lesson learned
about implementing this type of program was to think
ahead about what the participants really need over
time.
As NWFS prepares for new projects, lessons learnedfrom completed projects in Oregon and across the
nation will be studied. Longitudinal research of
interest that addresses levels of marital happiness
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and discord, and of stability and disruption in
marriages, indicates that time spent together in
shared activities is a protective factor, while marital
problems (e.g., indelity, arguments about nances,
jealousy, moodiness) and to a lesser degree, economic
hardship, are risk factors (Anderson, Van Ryzin, and
Doherty, 2010). Anderson et al. (2010) concluded that
“These results also highlight the need for a greater
understanding of why some individuals remain in
long-term low-quality marriages. Expanding our
study of constructs related to marriage to include
more emphasis on love, affection, forgiveness, and
sacrice (Caughlin and Huston, 2006; Fincham,
Stanley, and Beach, 2007) could prove to be fruitfulin understanding the contrasting paths of marital
happiness” (Anderson et al., 2010, p. 594). A new
book by John Gottman (2011) summarizes years of
research on relationships with the goal of preventing
divorce and indicates that specic strategies can be
taught that will strengthen relationships.
NWFS leaders will be keeping up with the latest
research on evidence-based practices in preparation
for and throughout the course of new projects.
Combining lessons learned rsthand in the Oregon
project with research of others is bound to lead toeven greater success in the future.1
1 References and additional information will be
available on request from [email protected] in the
longer version of this report, with the title, The Story
of the Healthy Marriage Initiative in Oregon: 2006–11.