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.

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.

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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

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.

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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

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.

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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 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 🙂

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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: December 2018 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed science. There’s a lot to work through here, but that’s a good thing, right? I have a ridiculously long reading list myself. So in the spirit of the holidays, here’s to chewy stats, lit reviews that make your pulse race (no? just me?) and topics that hit that sweet spot between I just saw this in clinic last week and holy crap there’s a subpoena waiting for me on my desk. Cheers everyone!

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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

Preventing Adverse Childhood Experiences

New from VetoViolence, a project of the Centers for Disease Control and Prevention: online training modules on preventing adverse childhood experiences (ACEs). The initial introductory modules are now available–module 1 is an overview of ACEs; module 2 focuses on public health approaches to preventing ACEs. Next up will be profession-specific modules on ACEs, so check back on the site for those.  You can also access their ACEs resource center for links to current literature, media, and relevant projects on the topic.

 

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: October/November 2018 Edition

It’s time once again for Articles of Note, our mostly-monthly romp through the newly published peer-reviewed literature. This edition is a whopper. Almost six pages of science for you to peruse, and it’s worth going through the whole list because there’s so. much. good. stuff. there. Seriously. Links take you to PubMed abstracts except where noted otherwise. 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

Healthcare Needs of Trafficking Victims

An FHO reader asked if I would do a review of the literature on the healthcare needs of trafficking victims and the answer is no, because it’s already out there. Allow me to point your attention to the library over at HEAL Trafficking. No need to reinvent that wheel–they’ve got you covered, plus they make it super easy to stay current with their RSS feeds. Aside from the peer-reviewed literature, they also have a variety of reports and assorted media, making it a pretty decent place to start your lit reviews. See also: their toolkit for developing a protocol for responding to victims of human trafficking in healthcare settings.

 

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

A National Training Standard for Sexual Assault Medical Forensic Examiners 2nd Edition: A Training Blueprint

SAFEta has a webinar coming up on the new edition of the National Training Standards for Sexual Assault Medical Forensic Examiners. The session will be held October 3rd at 3:30pm ET (and it will be archived). Obviously, it is in support of this. From the site:

Since 2006, there has been an update to the National SAFE Protocol in 2013 (SAFE Protocol 2nd Ed), which reflected changes in science and practice that had occurred over the 7 years since the original document had been written. In 2016, OVW spearheaded the development of a National Protocol for Sexual Abuse Medical Forensic Examinations: Pediatric (Pediatric SAFE Protocol) to meet the unique healthcare and response needs of the prepubertal pediatric population. In addition to these 2 sentinel document updates, there were also new releases and updates of documents reflecting changes in healthcare response to violence from the Centers for Disease Control and Prevention (CDC), laws and evidence collection. As a result of these developments OVW sponsored efforts to revise and update the Training Standards and on August 29, 2018 the Training Standards 2nd Ed. were released. Presented by: Marnie Shiels, Attorney Advisor, Office on Violence Against Women & Kim Day, RN, SANE-A, SANE-P, Forensic Nursing Director at the International Association of Forensic Nurses (IAFN).

Keep in mind, this educational offering counts toward renewal of both SANE-A and SANE-P (not to mention many of your state SANE requirements), so if you’re looking at renewal, this is an obvious one.

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.