Categories
Child Abuse DV/IPV Sexual Assault

Childhood Trauma And Its Lifelong Health Effects More Prevalent Among Minorities

As I was waiting for my flight Monday I happened to catch this story about the fact that (not a surprise) childhood trauma and its health effects were more prevalent among minorities. And I received the research alert in my email from JAMA, upon which this NPR story was based (FULL-TEXT). And also this excellent blog post on the topic from PreventConnect. So suffice it to say, I present all three here for you, because it’s important, and these are our patients, now, and in the future. And because yes, we’ve pretty much suspected all of this, but here is the data.

A healthcare response to violence has to be more than just a medical-forensic response on our end. It has to be partnering with, and participating in prevention programs early on, and following up after the fact, and integrating into other community services that speak to the wide range of needs and experiences of the people for whom we care. But it also has to be the integration of our services into the greater healthcare communities in which we are situated, so it is not a handful of clinicians who understand the connection between the work we do and the health and well being of our patients over a lifetime. There should be a flow of patients between our programs and the clinics and departments of the healthcare agencies with which we are affiliated. And as much as people bristle at the idea, we should be talking about how we can bill for the healthcare services we provide–where plausible and where patient safety isn’t compromised by doing so. It’s the only way we can realistically expand and integrate our services fully, like the consultative healthcare service that we are. Without a steady funding source for the totality of the care we provide, our future is not a sustainable one.

 

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: September 2018 Edition

I had planned to post this yesterday, but I seem to have a gremlin in my Adobe Pro software right now, so apologies for the delay. I’m finally back in DC for a couple days before I head cross country to Fort Huachuca, and I desperately wanted to get this up, if for no other reason than it replenishes my reading stocks for these long flights and days that can often entail lots of sitting and waiting. As always, it’s not an exhaustive list, just what’s caught my attention in the new crop of peer-reviewed research. Several free full-text articles indicated on the list this month, so look out for those. Otherwise, all links lead to PubMed abstracts. Happy reading–lots of good stuff to occupy your time.

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [92.96 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 Sexual Assault

Working Effectively with Muslim Youth and Their Families

Midwest Regional Children’s Advocacy Center has a two-part webinar series coming up next month, Working Effectively with Muslim Youth and Their Families. Part one will be held October 11th at 1pm CT; part two will be held October 25th at at 1pm CT. From the site:

This presentation will discuss how to effectively work with Muslim youth and their families by bringing attention to potential bias, as well as providing a foundational overview of Muslim customs and practices, emphasizing the continuum of diversity of practice within the religion. Participants will leave this session with a greater understanding of Muslim demographics, globally and locally, as well as information regarding how best to engage with Muslim youth and Muslim families.

Register for the sessions here and 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
Child Abuse Sexual Assault

New Edition of SANE Education Guidelines Now Available

Not to be confused with the new SAMFE National Training Standards published by the Department of Justice, IAFN has just released the new edition of the SANE Education Guidelines. Keep in mind, these are two completely separate and distinct documents. If you hope to be SANE-A/P certified, your education must be in line with the IAFN guidelines (although when we were working on the National Training Standards we worked hard to make sure it reflected recommendations consistent with IAFN’s education guidelines so the documents wouldn’t be at odds with one another). According to the announcement, there aren’t a host of substantive changes in the update to the education guidelines. IAFN has provided an overview on the website of the major differences between the old and new edition; they include:

  • Updated reference section
  • Evidence-based resource section
  • Competency Checklists for SANE Clinical Preceptorships
  • Links to updated Educational Planning Tables for SANE didactic courses (reflecting the 2018 Education Guidelines)
  • Addition of clearly stated Gap Analyses and Learning Outcomes (reflecting the most recent continuing nursing education standards of the American Nurses Credentialing Center’s Commission on Accreditation)
  • Addition of concise Learning Objectives per section as stepping stones for reaching Learning Outcomes
  • Addition of Trauma-Informed Care and the Duffy Model of Caring® as foundational concepts

Congratulations to the workgroup on getting this updated. Job well done. Download the complete education guidelines 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
Child Abuse Sexual Assault

Just Released: National Training Standards for Sexual Assault Medical Forensic Examiners (2nd Edition)

I am thrilled this is now available, as I was fortunate to work on this project–the 2nd edition of the National Training Standards for Sexual Assault Medical Forensic Examiners (PDF) is now available. Published by OVW, it updates the original training standards, incorporating pediatric practice and the corresponding national protocols for the 1st time. Of particular importance is a note about its intended audience:

The intended audience for the National Training Standards are clinicians (registered nurses, advanced practice nurses, physician assistants and physicians) who have been specially trained to provide comprehensive, specialized care to patients1 who present with known or suspected sexual assault or abuse, including the medical forensic examination, evidence collection and testimony. Patients who have experienced sexual assault and abuse have a variety of complex concerns at the time of the examination, such as safety; injury; pregnancy and disease risk; legal reporting and evidence collection options and requirements; and both short- and long-term health sequelae. For these reasons it is critically important that healthcare facilities provide specially trained examiners to properly provide care for this patient population. For communities unable to provide specially trained examiners, Appendix C outlines the training all providers should have prior to performing an examination on a patient who has been sexually assaulted or abused.

You can download a copy over at the SAFEta website.

 

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

New Issue of Journal of Forensic Nursing

Don’t know if you saw, but the new issue of the Journal of Forensic Nursing is out and there is a lot in this edition that caught my attention. I was particularly interested in the HPV prevention article and the article looking at stigmatization of overweight/obese patients during medical-forensic exams, but there’s quite a bit that’s worth your time. Free with your IAFN membership (a lovely perk of investing your dollars in organizations with scientific journals), so go through the Member Center to access the full article; the links will only access the publisher’s abstracts.

 

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: August 2018 Edition

It’s time once again for Articles of Note, our mostly monthly romp through the peer-reviewed research. As always, this is not an exhaustive list; simply what has caught my attention upon reviewing what’s new and noteworthy–and relevant to practice. All links lead to PubMed unless otherwise specified. Enjoy!

 

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [105.08 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

The Tale (A True Story of Child Sexual Abuse)

Did you see the HBO film, The Tale? I haven’t, but I was fascinated by this Fresh Air interview with the filmmaker, Jennifer Fox. It’s a pretty thorough examination of many facets of child sexual abuse (for a radio interview), and while it’s obviously not everyone’s experience of abuse, there are some fascinating revelations about other people’s reactions, the grooming behaviors used, and the filmmakers own complicated feelings about her abusers (there were two–a man and a woman, both coaches). She also speaks at length about language: survivor vs victim. If you’re in the headspace for it, it’s worth listening to the full interview:

 

 

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

Pediatric Strangulation Case Review and Assessment

A brand new resource is now available from IAFN: Pediatric Strangulation Case Review and Assessment. Although it’s more expensive than items I normally post, it’s such a fantastic educational opportunity, it’s hard to pass this one up. The cost is $199 for 20 CEUs (IAFN members can obtain a code for $50 off). There are also institutional access options available. From the website:

IAFN Pediatric Strangulation Case Review and Assessment is an accredited e-learning module developed by the International Association of Forensic Nurses. It contains 29 cases of living pediatric strangulation patients evaluated and treated in the medical setting, presented in conjunction with evidence-based knowledge on pediatric strangulation evaluation and treatment. 

Assess your knowledge acquisition through review of:

  • Definitions and terminology
  • Anatomy and physiology
  • Manner and associated signs & symptoms
  • CE post-testing: 20 credits 

 

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: July 2018 Edition

It’s time once again for Articles of Noite, our monthly romp through the new peer-reviewed literature. As usual, it’s not exhaustive–just the articles that have caught my attention and feel relevant to our practice. It feels like there’s a lot of good stuff to be found in this month’s roundup–I encourage you to spend some time wandering around the list. With the exception of a few noted citations, all links lead to PubMed abstracts.

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [105.71 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

Female Genital Mutilation/Cutting Clinical Guide Update

Summer can be kind of slow in the webinar department, so I am trying to take advantage of the lull and get the clinical guides updated. As that happens, I will date them so it’s easy to tell. First up: Female Genital Mutilation/Cutting.

 

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

Toxic Stress and Adverse Childhood Experiences: Letting the Published Evidence Speak for Itself

In response to the crisis at our southern border, the American Academy of Pediatrics has opened up access to all of the articles they have published on the impact of toxic stress and adverse childhood experiences:

“We hope that by opening these articles to everyone, it will become clear that placing children abruptly separated from parents in crowded detention centers is going to not just affect these children while they are kept there, but potentially will affect them for the rest of their lives.  These articles make a compelling argument that these children should be reunited with those who can love and comfort them as soon as possible.

While providing open access to every article on toxic stress we have published in Pediatrics for the past seven years may not bring an immediate end to this tragic situation, perhaps by educating all who are responsible for these immigrant children being separated and detained, the needs of children may be prioritized before the needs of politicians and in turn, this debacle will end and hopefully never occur again at any time for any child and loving family.  Enough is enough!”

You can access the full collection here.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here.  And coming soon–the follow-up research brief on bruising, out at the end of the month!

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

Articles of Note: June 2018 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed literature. I found it to be a particularly fruitful review–there was a lot I bookmarked to read, much for upcoming work I have. Pay attention to the notes for free full-text articles, too, because there are a few in this crop. Otherwise, as always, links lead to abstracts in PubMed. Happy reading!

 

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [99.00 KB]

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here.  And coming soon–the follow-up research brief on bruising, out at the end of the month!

Categories
Child Abuse

Tales from the U.K. of the Trafficking of Men and Boys for Forced Labour

Oh hey, Canada–I promise I know you guys are up there (and my, how particularly lovely your country looks from down here). I also recognize that I don’t do a very good job of sending training your way, mostly because I don’t stumble across it very often. But look! A webinar just for you, with the complicated, if not incredibly specific title, Stories and Signs: Tales from the U.K. of the Trafficking of Men and Boys for Forced Labour, with Questions for Canada. The session is being offered by the Online Training Initiative to Address Human Trafficking on July 26th at 3pm EDT. From the site:

Human trafficking takes many forms, but most of the time people tend to focus on the trafficking of women and girls for sexual exploitation. Particularly within Canada, the emphasis on domestic sex trafficking, while crucial, may detract from identifying, preventing and responding to other forms of exploitation. Drawing on six years of experience in the UK, this webinar will highlight personal stories of encounters with survivors and frontline responders: from a Nigerian boy forced into domestic servitude by his aunt, to an Indian student tricked into working at a restaurant without pay; from Romanian boys coerced into begging and street crime, to Chinese men who drowned picking shellfish on the beach; from a Vietnamese boy trafficked around the world to cultivate cannabis, to homeless young men kept as slaves and forced into construction work. Do these forms of trafficking occur in Canada? Would we notice if they did? Let us know what you think. Bring your questions and insights, and we look forward to having you join us.

Register for the webinar here.

BTW, they have a host of archived webinars, so if you’re in Canada and this is a topic of interest, I suggest checking out their full library.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

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

Insights from the NCVS Data for the Victim Assistance Field: Who Might We Be Missing?

The Center for Victim Research is hosting a webinar, Insights from the NCVS Data for the Victim Assistance Field: Who Might We Be Missing? The session will be held May 30th at 2pm. From the announcement:

A major goal of the Center for Victim Research is to develop a community of victim service providers and researchers to improve practice through the effective use of research and data.  This webinar will focus on how data from the National Crime Victimization Survey (NCVS) can help inform the victim service community about victimization patterns and service needs among different groups in the population.  The NCVS is the nation’s primary source of information on criminal victimization, representing the self-reported victimization experiences of survivors 12 and older across the United States.  Though the NCVS data is publicly available, it is difficult for those without training to do their own analysis, including in pursuit of information not easily answered through annual NCVS reports (e.g., looking at victims and related needs intersectionally, considering multiple characteristics at once).

Presenters will share findings from the NCVS about who is at greatest risk for violence and the use of victim services.  Special emphasis will be placed on issues of race, ethnicity, gender, age, poverty, access to services, and the impact of victimization, especially at a time when historic funding levels and increased flexibility make data-driven strategies for return on investment in victim assistance as critical as ever.

Webinar participants will have the opportunity to ask questions about the data and how they might be used to inform their research and practice.

Register here.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

Categories
Child Abuse

Differential Diagnosis in Pediatric Sexual Assault: Looking for the Zebra

SAFEta and KIDSta have a webinar coming up next month, Differential Diagnosis in Pediatric Sexual Assault: Looking for the Zebra. The session will be held June 19th at 2pm ET. The session will be archived if you cannot attend live. From the registration:

Due to the well-documented acute and long-term negative health consequences associated with child sexual abuse, the medical forensic examination is an integral component of the coordinated community response to child sexual abuse. This webinar presentation will illustrate the differential diagnosis tree the clinician must consider when performing a prepubescent medical forensic exam or consulting when ano-genital injury has been identified. A review of normal pediatric anogenital anatomy, followed by case studies that include normal variants that can be mistaken for abuse, STI’s that may mimic trauma, straddle injury review, and traumatic injuries from sexual abuse.

Register here.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

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

Articles of Note: May 2018 Edition

It’s time once again for Articles of Note, our (almost) monthly romp through the peer-reviewed literature. Somehow I missed April–sorry about that. Keep in mind this is not an exhaustive overview; simply a list of what is particularly interesting and relevant to my practice that I thought you might also find useful. There’s some really interesting stuff here–I hope you’ll spend time sorting through the abstracts and grabbing articles that speak to you. Active links lead to PubMed (no free full-text articles this month):

 

Loader Loading...
EAD Logo Taking too long?

Reload Reload document
| Open Open in new tab

Download [89.96 KB]

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

Categories
Child Abuse

Normal Variants in Pediatric Exams

More peds webinars coming up: the Tribal Forensic Healthcare Project is presenting Normal Variants in Pediatric Exams. The session will be held June 27th at 2pm ET. Diane Daiber and Kim Nash, both IAFN staff, will present the content. As with all webinars from this project, CEUs/CMEs are available. It will be archived if you cannot attend live. From the website:

This webinar presentation will illustrate the differential diagnosis tree the clinician must consider when performing a prepubescent medical forensic exam or consulting when ano-genital injury has been identified.  A review of normal pediatric anogenital anatomy, followed by case studies that include normal variants that can be mistaken for abuse, STI’s that may mimic trauma, straddle injury review, and traumatic injuries from sexual abuse.

Register here.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

Categories
Child Abuse

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

Midwest Regional Children’s Advocacy Center has a webinar coming in June, It Really Is “Normal to be Normal” in Child Sexual Abuse. The session will be held June 28th at 1pm CT. I’m posting this pretty early, so hopefully, people will be able to make it, but they archive their sessions, so no worries if you have a conflict. From the website:

Brief Overview: A child abuse pediatrician will describe the medical evaluation for a child suspected of having been sexually abused with emphasis on why physical and laboratory findings are often absent. Reasons why children typically delay disclosure will be presented with accompany published references. Strategies and techniques for court preparation when a case of suspected child sexual abuse with a normal€ exam is being presented for civil hearing or criminal trial will also be discussed. Resources and literature references will be provided for the attendees.

Expert Presenter: Karen Farst, MD, MPH, is a child abuse pediatrician at Arkansas Children’s Hospital. She is an associate professor in the College of Medicine, Department of Pediatrics, at the University of Arkansas for Medical Sciences (UAMS) and director for the university’s Center for Children at Risk. She is a past president of the National Children’s Alliance Board of Directors. She earned her B.A. and M.D. from Texas Tech University and then completed a residency in internal medicine and pediatrics at UAMS. Following a child abuse fellowship at Cincinnati Children’s Hospital, she completed a Masters of Public Health from Fay Boozman College of Public Health at UAMS.

Register here.

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here

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

Navigating the Ethical Maze: Storytelling for Organizations Working With Vulnerable Populations

In the latest issue of Free Range Thinking (PDF), Andy Goodman references a recent issue brief from the Hollywood Homeless Youth Partnership, Navigating the Ethical Maze: Storytelling for Organizations Working with Vulnerable Populations (PDF). I post about it here because many of us include survivor stories in the work we do–as a way to help funders see the real world impact of our work as we attempt to garner program support, or as a component of trainings and educational opportunities so that clinicians understand the consequences of our interactions with patients. While this piece doesn’t focus completely on our issue (there is a great deal of overlap), there is much to be considered in the brief. Worth your time.

BTW, NSVRC has a storytelling series that starts next week–if you’re interested in this subject and want to explore it in greater depth, I encourage you to check out their 4 webinars (space is limited, but they will all be archived):

Session One: Thursday April 12, 2018 @ 1-2pm Eastern
Introduction to the Value of Personal Storytelling for Sexual Violence Intervention

Session Two: Thursday May 10, 2018 @ 1-2pm Eastern
Understanding a Trauma-Sensitive Approach to Storytelling

Session Three: Thursday June 14, 2018 @ 1-2pm Eastern
A Review of Ethics Guidelines for Working with Sexual Violence Stories

Session Four: Thursday July 12, 2018 @ 1-2pm Eastern
Publicly Sharing Stories to Effect Change

(Register for the webinars here)

 

Our first offering in the FHO store, Injury Following Consensual Sex is now available. If you haven’t ordered a copy yet, you can find it here