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Child Abuse Sexual Assault

2018 STD Surveillance Report

(1st week of Journal Club is live, so feel free to jump in; we’ll pose new questions each Tuesday.)

The CDC just released its 2018 STD Surveillance Report and it is grim. They’re reporting increases in chlamydia, gonorrhea, and syphilis (including congenital syphilis, which is up 185% since 2014). Helpful to know as you are considering what services to provide, including testing vs presumptive treating, medication choices, etc. As always, consult your local health department as well to get an accurate picture of the incidence and prevalence in your own community.

Read the full report here.

Table of contents if you want to jump around or are interested in specific data.

Here are your state ranking tables.

And for those of you looking for PPT slides, you can find the full downloadable list 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 DV/IPV Sexual Assault

What We Know About the Polyvictimization of Youth

The Center for Victim Research has a webinar coming up next week, What We Know About the Polyvictimization of Youth. The session will be held on September 30th at 2pm ET. From the site:

This webinar will focus on poly-victims, the subgroup of youth that endure the highest burden of victimization. We will cover how it has been studied, how often it occurs, what we know about its adverse effects and what we can do to respond to the needs of this highly victimized group of children. 

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
DV/IPV Sexual Assault

Succession Planning within Domestic Violence and Sexual Assault Organizations, Part 2

Futures Without Violence has a great management session coming up, a follow-on to its original session on this topic last year. Succession Planning within Domestic Violence and Sexual Assault Organizations, Part 2 will be held October 3rd at 2pm ET. From the website:

Leadership transitions can be challenging.  For non-profit organizations to succeed, it is essential to think critically about the long-term leadership needs of the organization and to prepare for leadership transitions.  Presenters will discuss key elements of a departure defined (planned) succession plan, and describe a process to plan for leadership transition within a domestic violence/sexual assault organization.  The webinar will also showcase the experience of succession planning and on boarding process of an executive director in an organization that serves survivors of gender-based violence.  We will share planning tools and resources and provide a question-answer period.

As a result of this webinar, participants will be better able to:

  • Identify key elements of a departure defined (planned) leadership succession.
  • Apply lessons learned from a real life example of succession planning to your own organizational decision-making.
  • Utilize critical tools and resources for succession planning.

Register here.

Succession planning is more important than we typically discuss in forensic healthcare. Many clinical programs tend to hinge on the energy and vision of a single person, and when that person leaves, there is significant peril that the program can fail or end up diminished in a variety of ways. Thinking about the transition of leadership, both as someone comes on board and as someone leaves, is critical. This is a great topic for anyone interested in management or sustainability of clinical programs.

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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: September 2019 Edition

It’s time once again for Articles of Note, our monthly romp through the peer-reviewed literature. Nothing free this month, but plenty worth tracking down, so I encourage you to spend some time with the list. It’s particularly fitting that I get a new edition up since I am sandwiching it between two weeks of teaching testimony, this week at Ft. Hood and next week at the annual IAFN conference, where we discuss at length the importance of fidelity to the science.

All links lead to PubMed abstracts. Happy reading!

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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

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
Sexual Assault

Virginity Testing: A Mini Clinical Guide For a Thing That Doesn’t Exist

This post on Reddit’s Relationship Advice forum from a young woman whose fiance wanted her to have her hymen checked before their wedding (by his dad!) has been making its way around my Twitter feed, so I thought it would be a good time to re-up a few resources here. (BTW, here’s her update for all of you wondering.) Of course, virginity testing isn’t an actual thing, but we know that sometimes patients are brought in for that very purpose, so you can consider this a mini clinical guide:

Virginity and Hymen Testing: No Factual, Scientific or Medical Basis (Physicians for Human Rights)

Myths Surrounding Virginity: A Guide for Service Providers (International Rescue Committee)

Virginity Testing: A Systematic Review (Olson & Garcia-Moreno, 2017. Reproductive Health; FULL TEXT)

Eliminating Virginity Testing: An Interagency Statement (World Health Organization)

As always, I encourage you to follow the footnotes in these documents because there is a treasure trove of related readings that are relevant to practice.

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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
Sexual Assault Testimony

Going Beyond Rape Kits

I am in Hawaii this week and while I will try and get posts up with some regularity, it will be a long week and the hours here are not my own. So, we’ll see how it goes. In the meantime, I’d like to draw your attention to this excellent article by IAFN CEO, Jennifer Pierce-Weeks, Going Beyond the Breakthrough Means Going Beyond Rape Kits. It beautifully encapsulates why the sexual assault medical-forensic exam is so much more than just collecting samples for a kit. Trying to figure out how to articulate in court why it’s important that patients come in and see us, even if they don’t want evidence collected? Well, Jen just helped you out by putting it down on paper. And she did it in less than a thousand words. Do yourself a favor–read it and then share it with your team.

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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
Sexual Assault

STI Update

After testimony, FHO readers like a good STI update best, and that’s what we have today. The National Network of STD Clinical Prevention Training Centers is offering a one-hour webinar providing an update of the info presented at this summer’s National Sexual Health Conference. It’s free and has 1.0 CEU/CME attached, so it’s good for all your board certifications/licensures. The session will be held September 3rd at 12pm MST. I do not know that it will be archived–you would need to contact the site directly to find out. From the site:

This one hour webinar will cover national clinical highlights of the 2019 National Sexual Health Conference originally presented in Chicago, IL, July 10-12, 2019. 

(Sorry–not a whole lot of info to go on, I know.) 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
DV/IPV Sexual Assault

Collaborative Strategies and Tools to Meet the Needs of Survivors of Human Trafficking

Futures Without Violence has a good SART/MDT/CCR* flavored webinar coming up for those of you looking for something for your local teams: Collaborative Strategies to Meet the Needs of Survivors of Human Trafficking. The session will take place on August 22nd at 2pm ET; it will also be archived. From the website:

This webinar will highlight collaborative work undertaken by multi-disciplinary teams across the U.S. to support domestic and sexual violence and human trafficking (DV/SA/HT) survivors.  Presenters will share how their partnerships or task forces were initiated; strategies to enhance client services and case coordination; and tools and training opportunities to build or expand collaborative responses for HT survivors across communities and states.  The webinar will share lessons learned from a community-based DV/SA/HT advocacy program, a law enforcement-led program, and a statewide task force operated by the Attorney General’s Office. It will also feature technical assistance and training resources offered by Futures Without Violence.  Time will be included for audience question/answer and discussion.

After the webinar, participants will be better able to:

  • Define the unique service needs HT victims that differ from domestic violence and sexual assault.
  • Identify community and state-wide strategies to develop new collaborations or expand existing networks to support survivors of HT.
  • Clarify multidisciplinary professional and organizational roles in coordinating services for trafficked survivors.
  • Utilize resources to help build or expand multi-disciplinary teams and task forces to support survivors of HT.

Register here.

*Sexual Assault Response Team/Multidisciplinary Response Team/ Coordinated Community Response because, acronyms 🙂

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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
DV/IPV Elder Abuse/Neglect Sexual Assault

New Clinical Guide: Caring for Transgender, Gender Non-Conforming and Non-Binary Patients in the Forensic Setting

In doing some writing this week for one of my projects I realized I had a decent collection of resources for a much-needed clinical guide: Caring for Transgender, Gender Non-Conforming and Non-Binary Patients in the Forensic Setting. It’s long overdue, and while I know it is not exhaustive, it’s a good starting place for everyone who hasn’t given this enough (or any) attention in their programs. To be clear, most of the guidance is focused more on general care issues than forensic setting-specific issues, which means it would be ideal to take one (or a few) of the resources listed here and have a robust discussion with your team about how to apply the recommendations to your own policies, documentation, and general approaches to patient communication. It’s a great topic for your next staff meeting.

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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
Sexual Assault

A Campus-Wide Response to Sexual Misconduct: Best Practices

The Forensic Center of Excellence is hosting a webinar, A Campus-Wide Response to Sexual Misconduct: Best Practices. The session will be held August 7th at 1pm ET. I want to caveat this post by saying that I am *extremely* leary of almost anything claiming to be a best practice because it’s an almost meaningless phrase that people often declare of their own work without much evidence to support it (this isn’t specific to this webinar or this presenter, but much of what is presented in the forensic healthcare and -adjacent space). That being said, there are some interesting topics here, and it’s probably worth the 90 minutes. From the website:

This webinar highlights the dynamics of campus sexual assault that may be specific to, or heightened in the context of, a college or university setting. Additionally, the presenter discusses best practices in three areas of response to sexual misconduct on campus – encouraging reporting and use of supportive resources; resolution practices (including investigative/adjudicatory processes, adaptable resolution processes, and coordination with law enforcement); and interim and post-resolution measures. The webinar integrates information about the legal framework within which institutions must operate (e.g., Title IX, VAWA, Clery, case law, state laws, etc) with the nuances of supporting students and creating a safe and respectful campus climate.

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

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
Sexual Assault

Updated Clinical Guide: Toluidine Blue Dye

Our 2nd update for the week is now available: the updated clinical guide on the use of toluidine blue dye in the examination of sexual assault patients. New research articles, new books, and links to the National Protocols all can be found in this update, so it’s worth perusing if you haven’t been by in a while.

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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
Sexual Assault

Sexual Violence and Opioids Annotated Bibliography

I wanted to point your attention to a recently published annotated bibliography by NSVRC on sexual violence and opioids (PDF). I’m such a huge fan of these types of compilations (obviously), and this is a topic that hasn’t been well covered. There’s some ACEs stuff in here, some IPV, and of course, adult sexual violence, so it spans age ranges. Worth adding to your library and distributing among your teams.

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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.