Categories
Child Abuse Sexual Assault

Human Trafficking: Shooting Our Wounded and How to Stop

IPSCAN has its lasted webinar posted for viewing, Human Trafficking: Shooting Our Wounded and How to Stop. From the website:

Human trafficking is modern-day slavery and the human rights issue of our lifetime, affecting the vulnerable, poor, and oppressed around the world. In this FREE webinar, Dr. Celia Williamson, director of the Human Trafficking and Social Justice Institute at the University of Toledo, will give an overview of trafficking in the U.S. and around the world, including the process of trafficking, indicators to identify victims and traffickers, and how to report it. Rather than continuing to “shoot the wounded” with quick fixes or less-than-best practices, Dr. Williamson advocates for meaningful interventions at the individual and system levels. These can interrupt this practice, create collective change, and transform the way we think about trafficking, from a “Rescue and Restore” mission to a matter of Human Rights.

This is definitely a more introductory webinar, so if you have new members of your team (clinical or MDT) who haven’t had much continuing education on issues of trafficking, particularly trafficking of children and teens, this is a decent option. Nothing revolutionary, but solid info.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault

Five Lies We Tell Ourselves About Trauma

Jason Kander and his wife Diana published an excellent article over at Crooked Media today, Five Lies We Tell Ourselves About Trauma. It’s 100% relevant to the work we all do because it applies equally to the issue of secondary trauma, which is something we should be discussing far more in our field. It would be a great topic for an upcoming staff meeting–particularly as a way to check in with the team.

There’s a lot that resonates, but one thing in particular:

I made the mistake of trying to rank—and therefore disregard—my own trauma for many years, and that only made things worse. If something happened and you haven’t felt right since, then you should address it. To quote a friend, “Somewhere there’s a vet who was in the first wave at the D-Day invasion telling himself to get over it because he was all the way in the back of the landing craft.” 

Thinking “other people have it worse” doesn’t actually diminish your own trauma, it just diminishes your power to heal, because your brain only knows what you experienced. Whether it’s combat, a serious accident, or an assault, there are many possible sources of trauma. Telling yourself to get over it, or thinking “I shouldn’t let this bother me,” will get you nowhere. 

Read the whole article here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse

Burns in Pediatric Abuse

An FHO reader sent me a request looking for an educational session focused on burns in child abuse. I got you–the National Children’s Advocacy Center has an archived webinar, Burns in Pediatric Abuse. Dr. Jonathan Thackeray is the featured speaker.

It’s free–you just need a one-time registration to log-in. And FYI, their complete list of medical webinars includes:

All of them are available to view once you’ve registered on the site.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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

Articles of Note: August 2019 Edition

It’s time once again for Articles of Note, our regular romp through the peer-reviewed science. Check it: we have not one, but two scientific papers this month on physicians committing misconduct, so that’s fascinating. We also get a look at how a clinician’s personal history of domestic violence impacts clinical care. Needless to say, there’s some good reading to be done in this edition (as always). Most links go to PubMed abstracts except where otherwise indicated.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse Sexual Assault

Child Sexual Abuse, Disclosure, and PTSD: Safer Responses to Disclosure

ISPCAN’s August Journal Club webinar will be Child Sexual Abuse, Disclosure, and PTSD: Safer Responses to Disclosure. The session will be held August 8th at 12pm ET. From the registration page:

This webinar will discuss the relationship between child sexual abuse, disclosure, and post-traumatic stress disorder. Given the importance of safe responses to disclosure of child sexual abuse, this webinar will also discuss VEGA (Violence, Evidence, Guidance, Action), a Canadian public health response to family violence. VEGA includes a handbook for recognizing and responding safely to family violence, as well as scripts and ‘how-to’ videos showing providers examples of how to safely respond to family violence, including child sexual abuse.

You can read the article on which this webinar will focus here (FULL TEXT).

Register for the session here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse Sexual Assault

It Really is “Normal to be Normal” in Child Sexual Abuse

SAFEta has a webinar coming up on a popular topic, It Really is “Normal to be Normal” in Child Sexual Abuse. Dr. Karen Farst will be the speaker. The session will be held September 26th at 2pm ET. Like all their webinars, it will be archived. From the registration page:

The majority of children who have been sexually abused do not have residual findings of physical injury on the medical examination. Case based scenarios will be used to discuss how the anatomy of pre and post pubertal children and the dynamics of child sexual abuse (including disclosure dynamics) play into this fact. Key literature references will be provided and summarized for use in court preparation on “normal” cases.

Register here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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

Articles of Note: July 2019 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed literature. This month there’s quite a bit that’s freely downloadable, so look for the FREE FULL TEXT notations for immediate gratification. Otherwise, links lead to PubMed abstracts and you can take it from there. Plenty here to keep you occupied…

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Using Expert Eyes and Ears to Document What We See and Hear

SAFEta has a webinar coming up, On Looking and Writing: A Guide to Using Expert Eyes and Ears to Document What We See and Hear. The session will be held August 15th at 2pm ET. From the registration:

This webinar will help participants unlock their ability to see and write; to document their patient’s physical state and behaviors in an accurate manner. You will learn how to “paint a picture” with your words and accurately describe outward appearance, visible behavior, speech and eye contact using instantly understandable language.

Register for the webinar here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.


Categories
Child Abuse Sexual Assault

Pediatric Sexually Transmitted Infection Update

SAFEta has a webinar coming up featuring Dr. Lori Frasier, Pediatric Sexually Transmitted Infection Update. The session will be held July 25th at 2pm ET. It will be archived so no worries if you can’t attend live. From the announcement:

Dr. Lori Frasier, professor of pediatrics chief of the division of child abuse pediatrics at Penn State Hershey Children’s Hospital will discuss pediatric STI’s and HIV testing updates, when to test for STI’s, the implications of positive tests and transmission of these infections.

Register here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse Sexual Assault

And…We’re Back! Plus, Pediatric Case Studies

I hope everyone had a wonderful June. Our family had an amazing time in Japan, and now I am down in Charlottesville with the girlchild for college orientation for a few days. The vacation was a wonderful reset, and I am ready to get back to work. Let’s not waste any time, shall we?

Jumping right back into education with one of my very favorite presenters: Dr. Sharon Cooper is doing a session on pediatric case studies for the Tribal Forensic Healthcare project. The webinar will be held August 2nd at 11am (sorry Alaska and Hawaii, but take heart, all their sessions are archived, so listening live isn’t the only option). CEs are available for both nurses and physicians. From the announcement:

Forensic nurses provide specialized care for the pediatric patient who is presenting for health care related to known or suspected child maltreatment. A variety of case studies will be reviewed including parental opioid use, sexual assault, exploitation and children exposed to violence.

Register here.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse

A Meta-Analysis of the Prevalence of Child Sexual Abuse Disclosure in Forensic Settings

IPSCAN (in conjunction with APSAC) has a video journal club now available for viewing. A Meta-Analysis of the Prevalence of Child Sexual Abuse Disclosure in Forensic Settings (FULL TEXT) was APSAC’s outstanding research article of the year and is the focus of this video session:

Authors Sheri Madigan, Corry Azzopardi, and Rachel Eirich discuss their comprehensive meta-analysis of the research on sexual abuse disclosure during forensic interviews with children. Using a large sample of 45 studies and more than 31,000 children, the researchers found that about a third of suspected victims do not report abuse when asked, with those who are younger and male being most at risk for nondisclosure.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

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

Articles of Note: May/June 2019 Edition

Time once again for Articles of Note, our (almost) monthly romp through the peer-reviewed literature in search of all things new and/or useful to clinical practice, public policy, and testimony. As you may have noticed, I didn’t make one happen in May, so this month’s combined is pretty lengthy. There’s *a lot* here to work through, but I think it’s worth it. Some familiar faces in the bunch, too. Hope you enjoy.

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Have you checked out the FHO store lately? You can find the newest research brief, Applying The Strangulation Research To Expert Testimony In Cases With Adult Victims. Or purchase the complete set of three (Strangulation, Aging Bruises, and Consensual Sex Injury) for a special price.

Categories
Child Abuse DV/IPV Elder Abuse/Neglect Sexual Assault Testimony

Updated Clinical Guide: Use of ALS to Identify Bruising

In anticipation of the next research compilation, I have updated one of the most popular clinical guides on the site, Use of ALS to Identify Bruising. There have been a number of research articles published since the guide was last updated, so those have been added.

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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, April 2019 Edition

Time once again for Articles of Note, our monthly frolic through the peer-reviewed literature. I assure you, this month’s is *full* of science you’re going to want to read, some of which is freely available through the links posted below. Everything else takes you to PubMed abstracts, which should take you down some excellent rabbit holes of their own. Happy reading!

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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

Child Sex Trafficking Webinar Series

Children’s Healthcare Of Atlanta has a webinar series on child sex trafficking available for professionals looking for more education on the topic. The fundamentals webinar will be held April 9th at 1pm ET. It looks like they archive, so if you can’t attend live, you should be able to listen in at your convenience. Although they will be talking state-specific info (Georgia), it also appears federal research and legislation will also be covered. And there are CEUs, so [jazz hands].

If you don’t need the fundamentals, or are just interested in what else the series is offering:

Talking to Children About Child Sex Abuse Prevention (4/16)

Human Trafficking Around the World: A Global View of Labor and Sex Trafficking (4/18)

Hidden Victim of Trafficking: Male and LGBT Victims (4/25)

Medical Feature: Pediatric Strangulation Cases (5/7)

Technology and CSEC (5/14)

Supply and Demand: The Role of Traffickers, Buyers and Gangs in CSEC (5/23)

The Medical Evaluation of Victims of Child Sex Trafficking (6/11)

Moving Forward After Victimization: Helping Victims Survive and Thrive (6/20)

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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 DV/IPV Elder Abuse/Neglect Sexual Assault

New HIV Data from CDC

A few things of which to be aware from CDC on HIV in the US that may impact your forensic practice:

Understanding the Impact of HIV: Diagnoses, Incidence and Prevalence (PDF)

HIV Among Women Fact Sheet (PDF)

HIV Infection Risk, Prevention, and Testing Behaviors Among Men Who
Have Sex With Men—National HIV Behavioral Surveillance, 23 U.S. Cities, 2017
(PDF)

Transmission Patterns in a Low HIV-Morbidity State — Wisconsin, 2014–2017

*And your reminder for assessing risk for HIV following sexual assault:

Recommendations for postexposure HIV risk assessment of adolescent and adult survivors within 72 hours of sexual assault

  • Assess risk for HIV infection in the assailant, and test that person for HIV whenever possible.
  • Use the algorithm to evaluate the survivor for the need for HIV nPEP (Figure) (312).
  • Consult with a specialist in HIV treatment if nPEP is being considered.
  • If the survivor appears to be at risk for acquiring HIV from the assault, discuss nPEP, including benefits and risks.
  • If the survivor chooses to start nPEP (312), provide enough medication to last until the follow-up visit at 3–7 days after initial assessment and assess tolerance to medications.
  • If nPEP is started, perform CBC and serum chemistry at baseline.
  • Perform an HIV antibody test at original assessment; repeat at 6 weeks, 3 months, and 6 months.

Assistance with nPEP-related decisions can be obtained by calling the National Clinician’s Post Exposure Prophylaxis Hotline (PEP Line) (telephone: 888–448–4911).

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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

Articles of Note, March 2019 Edition

Since we’re in a research frame of mind, I figured I might as well go ahead with this month’s Articles of Note, and there’s a lot to work through. I don’t want to completely nerd out on everyone, but man, there is some good reading to be done. As always, links generally take you to PubMed abstracts except where indicated.

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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 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).

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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).

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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.

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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.