TURNING POINT PROGRAM APPLICATION PROCESS

Thank you for your interest in the Turning Point Program. This packet contains information that will guide you through the application process.

In this packet you will find:

·  Guidelines to help you determine your own eligibility

·  A description of the program

·  An application form

The application process:

1.  Read the program description and fill out the application.

2.  Mail the application to:

The Turning Point Program

PO Box 50127

Eugene, OR 97405

OR

Email application to

OR

Bring in printed application to 1577 Pearl Street in Eugene during business hours.

3.  You will be contacted when an opening is available, and will be scheduled for an initial meeting.

WOMENSPACE TURNING POINT PROGRAM

The Turning Point Program supports women in overcoming the effects of intimate partner violence. A significant aspect of the program is the process of self-discovery. All participants are encouraged to deepen their understanding of themselves and of their abilities. Each woman is also encouraged to explore her thoughts and feelings regarding the relationship she has recently ended.

The program offers advocacy, information, and support to aid you in reaching your individual goals. There may be a small amount of financial assistance to help you remove barriers to reaching your goals. The advocate and you will assess each request for assistance and decide how it can best meet your needs and goals.

The Turning Point program is divided into two phases. The first phase is the intensive stage; the second phase is the maintenance stage.

PHASE ONE: INTENSIVE

Your case manager will meet with you weekly during the intensive stage of the program. These meetings will take place in your home, or at our office if you prefer. The program also offers support groups with other survivors from the community.

Home Meetings

During the individual meetings, your advocate will assist you in overcoming the effects of the abusive relationship. This may include domestic violence education, problem solving and information, working on personal issues such as assertiveness or self-esteem, and/or advocacy and referrals.

Goals are developed and evaluated every 3 months. You may also write up a weekly task sheet to work on between meetings. You can discuss with your advocate the obstacles that prevent you from reaching your goals, and what you can do to overcome those obstacles.

Support and Education Groups

Two-hour group sessions are held three times per week. One of these is a parenting group and the remaining two are drop-in groups open to Turning Point Program clients as well as survivors in the community. Childcare is provided for all groups. These groups provide a setting for sharing information and experiences and an atmosphere in which women can support each other. Occasionally, we may invite individuals from the community that can offer training and information of interest to the group.

PHASE TWO: MAINTENANCE

Individual Contact

After you have reached several of your main goals and have achieved a significant amount of stability, you will enter phase two of the program. The maintenance phase begins approximately

6 to 9 months after beginning the program. You will meet with your advocate once a month (more often, if needed) to check in, get information and referrals as needed, and receive advocacy services if you experience problems with agencies or systems.

Education/Support Groups

The weekly two-hour support groups will continue. Topics might address parenting issues, personal growth issues, assertiveness, self-esteem, the effects of domestic violence, etc.

ELIGIBILITY GUIDELINES

Below are some guidelines for deciding whether the Turning Point Program will work for you.

DO YOU...

·  Want to stay out of the relationship with your abusive partner?

·  Want support?

·  Want to make life changes toward independence?

·  Want help in setting and attaining your personal goals?

·  Have the willingness to participate in the weekly support group, meet regularly with your case manager, and work toward achieving your goals?

If you answered "yes" to most of the above questions, Turning Point may benefit you. The staff will be using the same guidelines in considering you for the program.

WOMENSPACE TURNING POINT PROGRAM APPLICATION

DATE: ______REFERRED BY: ______

PERSONAL INFORMATION:

NAME AGE: ______

ADDRESS

CITY STATE ZIP

PHONE E-MAIL______

CHILDREN’S INFORMATION (Children under 18)

NAME AGE M/F

NAME AGE M/F

NAME AGE M/F

NAME AGE M/F

NAME AGE M/F

NAME AGE M/F

Do you have legal custody of your children? Y / N

If “no”, who has legal custody?

Is Child Welfare involved?______

RELATIONSHIP HISTORY

Please give a brief history of your former relationship/s with the abusive partner/s. Include relationship length and abuse history.

INCOME: Write in the amount you are receiving from each source:

Employment $______Unemployment $______TANF $______Child Support $ ______Spousal Support $______SSI $______Other______

If employed, where? ______Part/Full ______

TOTAL MONTHLY INCOME: $______

CURRENT HOUSING SITUATION

Rent/Own? ______How much do you pay in rent or mortgage? ______

Do you share housing? ______If “yes”, who do you share housing with? ______

Homeless?______Staying at a Shelter?______Name of Shelter______

How long do you plan to stay in your current home/situation?

SCHOOL:

Are you attending school? ______If “yes”, where? ______

Do you receive financial aid? ______

SPECIAL NEEDS/MEDICAL/EMOTIONAL

Please describe any special needs or problems that you or your children have. Include any medication you or your children need. Please be as thorough as you can.

Have drugs or alcohol been a problem for you? ______

If “yes”, please describe:

Are you pregnant? ______Due date______

PROGRAM GOALS:

Please list some goals that you may already have you would like to accomplish by participating in the Turning Point Program. You do not need to have goals in every area. If you do not have specific goals, please write in needs you may have in these areas.

CHILDCARE

LEGAL

COUNSELING

EDUCATION

PARENTING

EMPLOYMENT

FINANCIAL

OTHER

Thank you for filling out the application. Please send the application to the following address:

Womenspace Turning Point Program

P.O. Box 50127

Eugene, OR 97405