Categories
Child Abuse DV/IPV Sexual Assault

Inquiry and Response to Recent and Past Trauma in Adult Health Care

A newly published article (hooray for Open Access) that’s worth your attention (do mind, it’s currently in press)–From Treatment to Healing: Inquiry and Response to Recent and Past Trauma in Adult Health Care. With as much conversation as we have about trauma-informed care, it’s often difficult to nail down what it is we mean. If you’re looking for the next article to discuss amongst your team, this might be a good one.

Bonus: here’s the article they reference at the beginning about the trauma-informed framework in primary care (PDF).

_________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Sexual Assault

Transportation Options for Improving Access to Sexual Assault Medical Forensic Exams

EVAWI’s Kris Rose and Kim Day from IAFN will be hosting a webinar, Thinking Outside the Kit: Transportation Options for Improving Access to Sexual Assault Medical Forensic Exams. The session will be held March 7th at 1pm ET. From the announcement:

Survivors of sexual assault face numerous hurdles in the aftermath of the crime, not the least of which is ensuring they can access a medical-forensic exam conducted by a trained medical professional. These trained professionals, often referred to as Sexual Assault Nurse Examiners (SANE), Sexual Assault Forensic Examiners (SAFE), or Forensic Nurses (FN) ensure that victims’ injuries are treated, prophylaxis against infection and pregnancy are administered, and forensic evidence is expertly collected. Using a trauma-informed approach, SANEs treat victims with respect and dignity, while honoring their choices throughout the process. Research indicates that when victims receive services from a SANE, they are more likely to seek help (e.g., counseling, therapy) and participate in the criminal justice process.

But what happens if the victim doesn’t have transportation to the post assault healthcare services they need? What if the crime occurs in a rural area and the only clinic with trained SANEs is located hours away from where the assault occurred? What if the only transportation available is the bus or taxi, but the victim can’t afford to pay the fares? What if the victim lives in a rural community where there are no buses or taxis? Affordable, safe, discrete, and reliable transportation is key to ensuring that victims of sexual assault have access to medical-forensic exams

Register here.

_______________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Last We Spoke, 2-18-19

The girlchild was in town this weekend, so there was a lot of parenting time, and less hanging out and surfing. We entertained at the house, Sasha baked, and we ate, and we just generally enjoyed having the kid home. Still, there was a little time to catch up on some reading, particularly as the evenings wound down. Here’s what caught my eye since last we spoke:

A new tool for documenting elder abuse is in the testing phase. Looking forward to seeing results.

Why being estranged from your family can be the healthy thing. Judge less.

I always enjoy writer Ashley Ford, and her take on asking for help (and self-care) is a good one

No surprise–LGBTQ+ youth are over-represented, have poorer outcomes in the child welfare system

Can you identify all of these humanitarian icons? I could not.

He says you can’t ignore emails, but maybe you can. I’m torn on this. For your own sanity, I could easily argue it’s okay to make your priorities more important than other folks’ priorities (which is generally what emails are)

This was a gut punch, but I understand their point, and who’s to say what I would do in that situation?

Women helping women is good business. This might be a whole post soon. I have a lot to say about this.

How the Justice Department’s definition of IPV could leave victims at risk

North Caroline A&T students fight back against sexual assault

________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Parkland

Today marks one year since the shooting at Marjory Stoneman Douglas High School. This past summer, 200 teen journalists began the work of telling the stories of youth gun deaths in the US–spanning the year between the day of the shooting and this week. The remarkable piece of journalism that resulted puts an incredibly human face on the wholly preventable tragedy that is gun violence in America.

I encourage you to read the stories of those who died, but also get to know the journalists who wrote their stories. Read also how they identified their subjects, and why suicides with firearms didn’t end up being represented in this piece. There’s a lot of insight (and data) there.

Definitely worth your time.

__________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse Sexual Assault

Interpretation of Medical Findings in Suspected Child Sexual Abuse

An email from a defense attorney recently made me realize that I had not ever posted the most recent update from Adams, et al. (published in June). Most of you who do this work probably already have the article, and hopefully, you also took note of the erratum published in December, but just in case you haven’t obtained a copy, links take you to the full text of both (they happily made them Open Access).

_______________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Last We Spoke, 2-11-19

I have a confession: Sasha was at Ft Bragg all weekend doing soldier things, so I did nothing. Seriously, nothing. No work of any variety. I barely got myself fed if we’re going to be honest. I had a weekend of such spectacular sloth, it would be embarrassing if I didn’t know how much I had already worked in 2019, and how much work I will still do this month. That level of laying about lends oneself to a pretty decent amount of web surfing and generally catching up on the news of the day. Here’s what caught my eye since last we spoke:

An idea we should all get behind–a sensible holiday swap.

This investigative series on sexual abuse in the Southern Baptist church–whew (1st of 3 parts)

Lest we forget, the Catholic church is also in the news for some horrific behavior right now...

When teens are smarter than their parents on vaccinations

“Chief Kent spoke a half-dozen Arabic dialects and four other languages. She was one of the first women to complete the rigorous course required for other troops to accompany Navy SEALs on raids. She could run a 3:30 marathon, do a dozen full-arm-hang pull-ups and march for miles with a 50-pound rucksack.” A life lived in service, rest in peace.

Speaking of a life lived in service, we remember former Rep. John Dingell and his many contributions to health policy

Ugh, Virginia, it’s all problematic. Also, this.

BTW, all of this takes a toll

Why so many people ignore LGBTQ+ dating violence

In honor of Black History Month, 5 pioneering nurses you should know

This year’s Gun Law Score Card is now available from the Giffords Law Center

And finally, something to feel good about:

___________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Sexual Assault

DNA Evidence in Groping Sexual Assault Cases

Here’s a topic rarely discussed in webinars: DNA Evidence in Groping Sexual Assault Cases. The always excellent Dr. Julie Valentine will be presenting the session on February 27th at 2pm ET. From the announcement:

Improving the overall response to sexual assault includes understanding how touch DNA evidence impacts groping sexual assault cases. This webinar will illustrate the importance of these cases and highlight proposed guidelines for evidence collection.

Detailed Learning Objectives:

1. Describe background information on touch DNA in sexual assault cases and factors that influence epithelial cell deposition.

2. Explain evidence collection practice implications from groper case study and research findings.

3. Identify possible suggestions and opportunities to expand evidence collection in groping sexual assault cases in their jurisdictions.

Register for the webinar here.

_______________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Note: February 2019 Edition

It’s time once again for Articles of Note, our monthly waltz through the newly published peer-reviewed literature. I have to tell you, it’s a pretty glorious selection this month. Links lead to PubMed abstracts except where indicated.

Thinking about having a journal club for your team (or just looking for the next article to assign)? Here are some suggestions based on this month’s review:

For adult/adolescent SANE programs: Ectopic pregnancy following oral levonorgestrel emergency contraception use. or Vulnerabilities Relevant for Commercial Sexual Exploitation of Children/Domestic Minor Sex Trafficking: A Systematic Review of Risk Factors.

For CAC/peds programs: Barriers and facilitators affecting self-disclosure among male survivors of child sexual abuse: The service providers’ perspective. or Estimating the probability of abusive head trauma after abuse evaluation.

For expanded programs: Acquired Brain Injury in the Context of Family Violence: A Systematic Scoping Review of Incidence, Prevalence, and Contributing Factors. or Childhood maltreatment and intimate partner violence victimization: A meta-analysis.

Loader Loading…
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [111.80 KB]

______________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse

Improve the Care of Pediatric Patients with Mild Traumatic Brain Injury

CDC has a new online course available on improving the care of pediatric patients with mild traumatic brain injury (mTBI). CEs/CMEs are available upon completion (NAPNAP/AAP), so for those of you in need of continuing education credits, this is worth checking out. The corresponding website also has a number of resources for clinicians and patients.

Description of the online course:

HEADS UP to Healthcare Providers is a free online training developed by CDC and the American Academy of Pediatrics. The goal of the training is to provide an overview of the evidence-based recommendations outlined in the CDC Pediatric mTBI Guideline and to equip healthcare providers with practical strategies to integrate these recommendations into clinical practice.

By the end of the training, you will be prepared to:

  • Discuss what happens to the brain during and after an mTBI.
  • Identify at least three best practices related to diagnosis of mTBI.
  • Devise an appropriate management plan for pediatric patients with mTBI.
  • Describe prevention strategies for pediatric mTBI.

______________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Last We Spoke, 2-4-19

I cannot describe how happy I am to look at my calendar and see no travel for 3 weeks. I’m delirious at the prospect of being home that long. I spent most of the weekend doing mundane things like grocery shopping, catching up on bad tv, and reminding my wife I live here, so I have nothing profound to report. But I did get a chance to read a bit. Here’s what caught my eye since last we spoke:

A new blog post from NSVRC that’s an important read

This survey out of the military academies…”a cultural rot”

We’re just beginning to fully understand the impact of witnessing domestic violence

How Planned Parenthood became a safe haven for queer women

Women: how to be the perfect victim of sexual violence

We don’t know the entire Lorena Bobbitt story

Humanity at its best

And finally 🙂 She ran 19 miles of a marathon carrying a lost puppy

__________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

And the Winner Is…

Drumroll please…

Our winner is #33

Aimee Falkenberg you are our winner! I am super pleased to offer you one registration to this year’s IAFN conference in New Orleans. And your resolution: My professional goal for 2019 is to push for and assist in the creation of a strangulation protocol that can be used within our emergency departments. I also aspire to find a wee bit of wellness time for me-maybe explore some restorative yoga…I say this every year but 2019 is the year 

Perhaps some of that time for yourself will be spent in the Big Easy this Fall? Email me so we can chat details. Congratulations, Aimee! And for all FHO readers, don’t forget there’s still a few days left to take advantage of the 10% code (FHOIS10) for the research digests in the store. It will be good through January 31st.

Categories
Uncategorized

Since Last We Spoke, 1-28-18

First, thanks to everyone who participated in the giveaway. I randomized the responses and had the generator choose a winner for me. Come back tomorrow for the big announcement.

I’m at Ft. Bragg this week and then [carefully looks around to make sure no one is listening] I am home for 3 entire, glorious weeks. I am beyond thrilled and am very much looking forward to seeing many of you for the IAFN Advocacy Day.

I worked most of the weekend after sneaking back to the CLE to see the girlchild, so I haven’t had much time to read. But there were a few things that caught my eye since last we spoke:

Her school banned her from writing about a classmate’s sexual assault arrest

Turns out, if you love research, academia might not be the place for you

Yoga mats in the squad room

Speaking black dialect in courtrooms can have dire consequences: “Beyond negative stereotypes or lack of familiarity, a court reporter’s own discomfort with some of the terminology used in black dialect could also lead to incorrect transcriptions…”

How to manage your fear of public speaking–some good tips in here, some of which I employ myself

______________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse

Child Physical Abuse: A Guide to the CAC Response

(Have you entered our giveaway yet for IAFN conference registration?)

Midwest Regional Children’s Advocacy Center is offering a webinar next month, Child Physical Abuse: A Guide to the CAC Response. The session will be held February 7th at 1pm CT. Like all of their webinars, this one will be archived. From the website:

Brief Overview: A child abuse pediatrician will review the considerations for the MDT, medical, mental health, forensic interview and victim advocate response that a CAC-MDT should consider when evaluating expansion of service to include child physical abuse. The presentation will discuss the role of the medical provider on the MDT, and will present an overview on the specifics of the medical response to suspected physical abuse including recognition of red flag indicators of physical abuse (such as patterned and sentinel injuries) and evaluation of potentially abusive injuries.

Expert Presenter: Karen Farst, MD, MPH, has worked as a child abuse pediatrician with the University of Arkansas for Medical Sciences, Center for Children at Risk and Arkansas Children’s Hospital since 2004. After an internal medicine/pediatrics residency, she was in primary care private practice for 3 years before completing a fellowship in child abuse pediatrics at Cincinnati Children’s Hospital. Her work duties at Arkansas Children’s Hospital include medical evaluations and court testimony for cases of abuse and neglect, education of medical and non-medical professionals on the medical aspects of child maltreatment, and administrative leadership of the Center for Children at Risk located in the Clark Center for Safe and Healthy Children on the campus of Arkansas Children’s Hospital.

Register for the session here.

_________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

How to Get Started in Quality Improvement

(Have you entered our giveaway yet for IAFN conference registration?)

BMJ has a new full-text article available, How to get started in quality improvement. If you’ve spent any time on this site you know I’m a big fan of any type of programming that affirmatively identifies issues and ideally, makes system-level changes to reduce or eliminate those issues (as opposed to catching the same problems over and over and correcting them once they’ve already been made on a case by case, clinician by clinician basis). It’s the difference between quality assurance (QA) programs and quality improvement (QI) ones. Jen Pierce-Weeks and I tackled that issue in the Sustainability app, here. Since launching the Sustainability app, OVC published the SANE Program Development and Operation Guide, and they addressed the issue of quality improvement, as well.

This BMJ piece is a good follow-on. It’s obviously not tailored to forensic clinical programs, but there’s no reason the information wouldn’t apply to a variety of programs, regardless of location or structure. And this provides much more instruction for taking the plunge into QI. Program managers, in particular, should consider spending some time with this article, especially as you consider the major challenges you may have in providing the best possible care to patients in your community.

_________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Last We Spoke, 1-21-19

(Have you entered our giveaway yet for IAFN conference registration?)

The windchill in the DC area is -3, but it’s better than the ground temp of -14 in E Lansing where I’m headed later today. I finally made it home after 15 days on the road, so it was a glorious weekend here. We did nothing but cook, watch old episodes of British Bakeoff and keep the fireplace going around the clock–heaven. However, that’s done, and now I will be gone the remainder of the month. Particularly with the shutdown appearing to have no end in sight, I am not complaining. If ever there was a time to be (extra) grateful for work it is when your spouse is not getting paid to go to the job that she shows up at daily.

Here’s what’s caught my eye since last we spoke:

I didn’t go to the women’s march this year since I had just gotten back to town, but this was an excellent take on why we shouldn’t give up on it

A powerful look at mental illness: Yale will not save you

If you didn’t see this UCLA gymnast’s floor routine a few weeks back, it’s a must watch. You can check it out and her inspiring plans post-graduation here.

Kill or be killed shouldn’t be the only option for battered women

Also: how the shutdown is impacting domestic violence shelters

No surprise sex ed fails teens regularly, but particularly around the issue of sexting

An aspirational online list for 2019

The gay penguins of Australia–this is delightful

Finally: I’ve been lucky enough to see Kamala Harris in action during Judiciary Committee hearings, so I am very interested to watch her campaign unfold. As with all the candidates, there are some things about her that concern me, but she is one of a few Dems that has a clear track record on issues important to me as both a woman and as a forensic clinician.

___________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Child Abuse

Shining Light on the Response to Child Sexual Abuse & Exploitation

(Have you entered our giveaway yet for IAFN conference registration?)

Out of the shadows: Shining light on the response to child sexual abuse and exploitation is a 40-country benchmarking index examining how countries are responding to the threat of sexual violence against children. “It explores the environment in which the issue occurs and is addressed; the degree to which a country’s legal framework provides protections for children from sexual violence; whether government commitment and capacity is being deployed to equip institutions and personnel to respond appropriately; and the engagement of industry, civil society and media in efforts to tackle the problem.” You can check out the website that contains a host of resources, including the complete white paper, a recorded webinar, and what will be of interest to most of you, a significant number of links to other resources on these issues. Even if you are not interested in the macro-level policy issues set forth here, there’s quite a bit that can ultimately inform practice issues at the local level.

______________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Articles of Note Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Articles of Notes: January 2019 Edition

(Have you entered our giveaway yet for IAFN conference registration?)

It’s time once again for Articles of Note, our monthly romp through the newly published peer-reviewed literature. I hope you’ve made room on your nightstands and your e-readers, my friends, because there’s plenty to keep your brain occupied for a good long while. Links take you to PubMed abstracts except where indicated. Be a dear and cite back to FHO if you use our compilation 🙂

Loader Loading…
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [100.85 KB]

____________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV Sexual Assault

What Domestic Violence and Sexual Assault Organizations Can Do to Address Human Trafficking

(Have you entered our giveaway yet for IAFN conference registration?)

Futures Without Violence has a webinar coming up at the end of the month, What Domestic Violence and Sexual Assault Organizations Can Do to Address Human Trafficking. The session will be held on January 31st at 2pm ET. From the website:

Webinar Description:

Many victims/survivors of human trafficking have also been sexually assaulted or battered by an intimate partner. Domestic violence and sexual assault service providers provide assistance to survivors of human trafficking as well, sometimes unknowingly and without adequate training to address the unique needs of human trafficking survivors. Presenters will highlight ten things that domestic violence and sexual assault service organizations can do to better support survivors of human trafficking, and will share tools and resources to assist OVW grantees in enhancing their assistance to human trafficking survivors.

After the webinar, participants will be better able to:

-Describe the intersections of human trafficking with domestic violence and sexual assault, and the unique needs of survivors of human trafficking.

-Identify strategies to address human trafficking within domestic and sexual assault organizations, and in collaboration with others in your community.

-Utilize tools and resources available to support service providers in enhancing services through the OVW-sponsored  Building Collaborative Responses to Human Trafficking Project.

Register for the session here. (Futures archives their webinars so if you can’t attend live check their site for all past webinar offerings.)

_________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
Uncategorized

Since Last We Spoke, 1-14-19

(Have you entered our giveaway yet for IAFN conference registration?)

Well, I have to tell you, 2019 has started out with a bang. Last week was Hawaii, this week is Tacoma, and I still have E. Lansing, Cleveland and Ft. Bragg before January is over. Never have I been so happy to see holes open up in my calendar–February is going to be bliss since it looks like I have only one trip scheduled now for the entire month. Whew–I need to get reacquainted with the other human in my household before March hits and we get right back at it.

Like last week, my time won’t be my own this week. I’ll try and keep posts as regular as possible, but it may be tricky. I did have some downtime over the weekend to catch up on some reading, though. Here’s what caught my eye since last we spoke:

A little news about me 🙂

The end of likability politics

“Their strength comes from collaborative, generational efforts to move toward the good.”

This incredible interactive site mapping violence against black women

Related

Currently one of my favorite Insta accounts

Traditional masculinity is officially labeled harmful by the APA

A Dreamer and a Rhodes scholar

____________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.

Categories
DV/IPV Sexual Assault

Gender-Related Killing of Women and Girls

(Have you entered our giveaway yet for IAFN conference registration?)

Late last year the United Nations Office on Drugs and Crime published the Global Study on Violence: Gender-Related Killing of Women and Girls (PDF). It’s taken me a bit to work my way through it, so I am only now getting around to posting it here. If you haven’t checked it out yet, it’s definitely worth your time for the 10,000 foot view of gender-based violence, particularly as it relates to intimate partner violence and homicides.

(Image p. 8)

I particularly love these reports for the wealth of citations–I got sidetracked in a significant way going down those rabbit holes. The report takes a relatively nuanced view of violence, examining both lethal and non-lethal forms of GBV, even though it specifically centers on homicides, so plenty to be gleaned for forensic practitioners who work solely with living patients.

____________________________________________________

Have you checked out the FHO store lately? You can find our newest research brief, Aging Bruises Based On Color, plus our original guide, Injury Following Consensual Sex. Both available now for electronic download.