Healing Forward - Spring Intake Form

About the Program

The Healing Forward program supports parents and caregivers impacted by intimate partner and family violence navigating BC's family law system by providing evidence-based coping practices and fostering long-term social connections for participants.

The support program is offered online and consists of six online workshops every other week over a three-month period followed by three months of online bi-weekly peer support meetings led by a designated peer facilitator.

The program provides strategies for coping, growth, and recovery that can be integrated into daily life between and after the workshop series. Healing Forward offers a consistent, structured program where participants feel safe to attend as they are. Particpants will be supported to share, heal and grow within the structure of a compassionate, nonjudgmental group setting with peers who are experiencing similar challenges. Workshops will honour the experiences of all participants while respecting differences and protecting the mental health of all members of the group. We will focus on the collective goals of growth, recovery, and the rebuilding of self-worth and hope. Please note that the program requires screens to be on during all workshops and meeting unless a formal accessibility accommodation is requested. Child Care Reimbursement is provided to those who complete each workshop after the workshop is completed and sent via auto deposit for those in the program.

The therapeutic workshops will cover the following topics:

Emotional regulation and nervous system grounding with concrete exercises.
Coping and communication strategies in high-conflict situations.
Building social connections to support intimate partner and family violence recovery.
Strategies and skills for parenting in challenging transitions.
Self-empowerment and self-advocacy.
Goal-setting and future focus.

All workshops are mandatory. Please check the times and dates listed below to ensure you can attend all six workshops. The spring Healing Forward initial six workshops will take place on the following dates and times:

Wednesday, May 14th: 10 am to 12:30 pm
Wednesday, May 28th: 10 am to 12:30 pm
Wednesday, June 11th: 10 am to 12:30 pm
Wednesday, June 25th: 10 am to 12: 30 pm
Wednesday, July 9th: 10 am to 12:30 pm
Session TBD in July.

The facilitated peer support meetings will provide:

On-going healing and support in a supportive peer-based setting.
Social connectivity and connection through difficult times.

Online peer support meetings will take place bi-weekly on a weekday evening after dinnertime from (for example) 6:30 pm to 8:30 pm. The peer support meetings are an optional extension to the workshops however we encourage all participants to participate fully to experience the full benefit of the entire program.

Information About the Application Process

The program has space for 12 participants. The Centre for Family Equity will meet with the first 12 who apply for an initial 30-minute intake session by Zoom led by the program facilitator.

Filling in this registration form and/or attending an intake session does not guarantee a space in the program. The selection of participants is at the full discretion of the Centre for Family Equity and program facilitors. Applicants will be considered generally but not exclusively on a first-come first served basis. All intake sessions will be held in confidence with the program facilitator and no data will be collected and stored from the intake session.

We are so glad you have come forward. Thank you for your interest in the Healing Forward program and we look forward to connecting with you!

Name*

First NameLast Name

Email*

example@example.com

Your phone number:*

Please name your location in British Columbia:*

Thank you for letting us know your gender identity and/or pronouns:*

Are you impacted by low-income?

YesNoSometimes

Have you been impacted by intimate partner violence (IPV) and/or family violence?*

YesNo

Have you experienced barriers to accessing the mental health support you need as an IPV/family violence survivor?

YesNoSometimes

Are you currently experiencing imminent safety concerns that impact your safety and that of your children/youth and family?*

Yes, we are at risk. Please reach out with resources and referrals.I feel our safety is still somewhat at risk.No, we are not at risk.

Thank you for letting us know about your general situation right now.*

I am in crisis and I need help. Please connect me to resources and support ASAP.My situation is somewhat stable but challenging on a weekly basis.My situation is stable now but I need support to get by and start moving forward.My situation is somewhat/very stable now and I want to focus on healing and my future.

How long have you been living away from your unsafe living situation? *

Are you currently accessing legal aid and/or BC's family law system to resolve your family legal matters post-separation?*

Yes, I am currently accessing legal aid and BC's family law system.I am accessing BC's family law system and working with other lawyers (not legal aid).I am accessing BC's family law system without lawyers or legal aid.I was recently accessing BC's family law system but not right now.I accessed BC's family law system in the past.No, I have never accessed BC's family law system.

Are you currently accessing legal aid through Legal Aid BC (LABC)?

Yes.No.I have applied for legal aid.I have legal representation other than legal aid which I secure myself.I am going through BC's family law system 'unrepresented'.

How many children/youth are you raising in BC?*

Thank you for sharing the ages of your children/youth. Please pick as many as apply to your family:*

O-55-1313-18

Are you seeking to find out about more supports and resources for your children/youth impacted by IPV/family violence?

Yes, my children/youth need more support. Please share resources.No, my children/youth are ok right now.I have children/youth in crisis. Please reach out to me ASAP for referrals and support.

If selected to participate in the program, are you able to commit to attending the mandatory six workshops on the dates listed above?*

YesNo

Are you interested in attending the peer support meetings offered for a three month period following the workshop series?*

Yes, I am interested in attending the peer support meetings.No, I just want to take the six workshops.I am not sure.

Confidentiality and safety are important. Will you consent to keeping your participation and the group confidential to avoid potential risk? (We will provide a safety list, but for example - no other adults present, wearing headphones, not attending from public spaces where screens can be viewed by others, etc.)*

YesNoI agree to the above but I need to receive more support to find a safe and secure way to participate.

This program employs a “greater good” approach to group emotional safety. Participants will not be censored but there will be an expectation of respect for others’ triggers. Will you consent to follow a "greater good" group safety approach?*

YesNoI need to know more about this before I can answer.

The Healing Forward program is a pro-social program fostering community, connections, and group mental health support. Are you ready and willing to positively impact the development of a collaborative community of support at this time?

Yes I am.I am hesitant about this.I am not sure.

If you wish to speak to the CFE about accommodations you need to ensure your successful program attendance please note any brief details below you wish to share. We will speak to you further about this during the intake session with the program facilitator: