Categories
DV/IPV Sexual Assault

Late Notice: Webinars from IAFN and NIWRC

Starting this week off with a couple of late notice webinars for you, rather than our usual Monday offering, since both are good ones that simply ended up on my radar after last week’s posts:

First up: IAFN’s continuing webinar series, Medical-Forensic Evaluation of Asylum Seekers holds its 4th session, The Evaluation of Women Asylum Seekers. It’s live on May 3rd from 1-2:30pm ET. It will also be archived if you can’t make it at that time or it’s full (max registrants is 200). It’s free for IAFN members, and includes 1.5 nursing CEUs. Previous sessions in the series include:

  • Legal Framework for Immigrant Victims & Introduction to the Istanbul Protocol (Completed November 15.  Available in the Online Learning Center)
  • The Clinical Interview & Considerations for Vulnerable Populations (Completed December 11.  Available in the Online Learning Center)
  •  Physical Exam & Utilizing the Istanbul Protocol (Completed April 17.)

Register for the webinar here.

The second webinar is from the National Indigenous Women’s Resource Center (NIWRC). They are holding a session on May 2nd at 3pm ET, Honoring Missing and Murdered Indigenous Women to Guide Our Advocacy for Change. They also archive their webinars if you cannot attend the event live. From the announcement:

During the period of 1979 through 1992, homicide was the third-leading cause of death of Indian females aged 15 to 34, and 75 percent were killed by family members or acquaintances. In 2005, the movement for safety of Native women resulted in the “Safety for Indian Women” being included under the Violence Against Women Act.  A study released by the U.S. Department of Justice has found that in some tribal communities, American Indian women face murder rates that are more than 10 times the national average. Over the last decade awareness of this national issue has increased but more must be done to stop disappearances and save lives.  Please join us on May 5th, 2019, as we honor missing and murdered Indigenous women and together increase our national awareness and demand change at the tribal, federal and state levels.

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
Sexual Assault

Identifying and Protecting Campus Survivors’ Privacy Rights: Schools, SANEs, and Student Survivors

Victim Rights Law Center has a webinar coming up on one of my favorite topics–patient privacy. That will be the focus of the session, Identifying and Protecting Survivors’ Privacy Rights: Schools, SANEs and Student Survivors, which will be held May 16th at 1pm ET. It’s a topic that’s pretty relevant to my work right now, and I know I’m not the only one. The always excellent Kim Day and Jesse Mindlin will be presenting, so try and attend if you can. I imagine it’ll be archived, but I don’t have fidelity on that yet. From the registration page:

During this webinar, Jessica Mindlin and Kim Day will discuss unique privacy issues campus sexual assault survivors face. Objectives include: outlining care-related privacy issues a survivor may confront post-assault; describing SANE privacy obligation when providing care to student survivors; and identifying and anticipating medical forensic exam-related privacy considerations for student survivors and the sexual assault examiner who provides their assault-related care.

You can register 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
Sexual Assault

A Few Updates RE: STDs

A few new updates re: STDs (since April is STD Awareness Month, in addition to Sexual Assault Awareness and Child Abuse Prevention Months)

There’s new surveillance data out from the CDC on extragenital chlamydia and gonorrhea infections in men who have sex with men, and it’s certainly relevant to sexual assault practice, so if you haven’t read the report, you can find it here. The study’s limited in that it only includes samples from 5 cities (and it’s critical you know what the incidence and prevalence rates are in your own service area), but it’s a good reminder that we need to consider more than just potential genital infection.

Not so coincidentally, I noticed IAFN posted this report to their social media pages today–apparently once again we can blame it on the hive mind. I haven’t had the opportunity to read it yet, but I’m about to get on a plane, and nothing says leave me alone like a report with the words syphilis and gonorrhea in the title 🙂

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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
Sexual Assault

Sexual Assault Examiner Skills Sustainability

The Tribal Forensic Healthcare project has a webinar coming up in June that touches on a topic I have yet to see as the subject of a webinar: Sexual Assault Examiner Skills Sustainability. The session will be held June 21st at 1pm ET. All their webinars are archived; the session includes nursing and physician continuing education units (so it’s great for those of you looking at SANE recertification). From the announcement:

It can be difficult to maintain and practice the specific skills required to remain competent and confident in the role of sexual assault nurse examiner. This webinar will discuss the need for assessing competency, a variety of ways to address or measure competency, and review the process of moving from novice to expert in this specialty role.

Register 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
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
Sexual Assault Testimony

SANE Expert Witness Training Update

I recently posted about the live SANE Expert Witness Training we hold annually at the NAC. The application for that training is now available for those interested in applying. Here is the updated information:

The U.S. Department of Justice’s National Indian Country Training Initiative, in partnership with the International Association of Forensic Nurses, is pleased to announce the Sexual Assault Nurse Examiners’ Expert Witness Training.  The seminar will be held July 9-11, 2019, at the National Advocacy Center in Columbia, South Carolina.  Travel related expenses will be covered by the U.S. Department of Justice.  There is no tuition charge for this training.

Sexual Assault Nurse Examiners (SANEs) are specialists in one of the most well-known fields within the field of forensic nursing.  Many prosecutors are comfortable using forensic nurses to testify to the facts of a case.  However, forensic nurses are often overlooked as accessible expert witnesses.  Prosecutors can use forensic nursing expert testimony to educate the jury on the characteristics of battered individuals (to include minimizing and recanting, mechanisms of injury and wounds) and to inform the jury why there may be an absence of injury.  Forensic nurses can also assist prosecutors by reviewing medical records prior to trial and identifying relevant portions of the documentation.

This training is designed for SANEs interested in providing expert testimony and for prosecutors assigned to sexual assault and domestic violence cases who want to learn more about the effective use of a SANE as an expert witness in their cases.  Priority consideration will go to SANEs and prosecutors working on cases arising in Indian Country. 

This class has a mock trial component, and prosecutors and a SANE(s) who work cases together are encouraged to register as a team.

Please complete and submit the nomination form at the following link for each of your nominees:

https://survey.ole.justice.gov/snapwebhost/s.asp?k=155421728776

Nomination forms are due by May 3, 2019.

The NICTI will review all nominations and the NICTI will send an e-mail advising nominees of their selection on or about May 13, 2019. Selected nominees will also receive information on how to book travel and lodging.

In order to ensure that our records are correct, please type in the required information when completing the nomination forms.  Illegible and/or incomplete forms will not be considered.

Due to the increasing number of last minute cancellations, we must ask that only nominations for those who are certain to attend be submitted.

The Executive Office for United States Attorneys will provide reasonable accommodations to people with disabilities.  Requests should be made to Delores Johnson as early as possible, preferably at least two weeks in advance of the seminar.  No nominee will be excluded from a course on the basis of a disability-related accommodations request.

This training is authorized under the Government Employees Training Act. 

Any questions regarding this training seminar should be directed to Delores McCarter Johnson at

(803) 705-5123 or Leslie A. Hagen at Leslie.Hagen3@usdoj.gov  

Here is a bit of inside baseball: priority really is given to SANEs and prosecutors whose cases arise in Indian Country. Also, if you as a SANE apply along with a prosecutor from your area, that will also increase your chances. There is always a significant wait list for this course, so I encourage you to try and put together a nurse-prosecutor team if you are able.

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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
Sexual Assault

New ACOG Opinion on Sexual Assault

Ahead of this month’s Articles of Note, I wanted to highlight the newly published American College of Obstetrics and Gynecology (ACOG) committee opinion on sexual assault. You can read the full text here for free. However, the bottom line for those who just want to know are, of course the recommendations:

The American College of Obstetricians and Gynecologists makes the following recommendations and conclusions regarding sexual violence:

  • Sexual assault and rape are pervasive problems in the United States, creating a major effect on public health.
  • Obstetrician–gynecologists and other women’s health care providers should screen all women for a history of sexual assault.
  • Clinicians who evaluate survivors of sexual assault in the acute phase must comply with certain medical and legal requirements.
  • Clinicians should recognize the short-term and long-term health consequences of sexual assault, such as infection, pregnancy, and mental health conditions and manage them appropriately.
  • Clinicians should incorporate a trauma-informed care framework when assessing the needs of sexual assault survivors.

Pleased to see a shout out to forensic nurses and links to IAFN resources in the full opinion.

Full opinion here.

Summary 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 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
Sexual Assault Testimony

SANE Expert Witness Training Course

First off, sorry for being absent this week. It’s an involved week, and you know how it is sometimes. Secondly, I know that normally I only post online events, but this is our (almost always) annual testimony course at the National Advocacy Center, and it’s one of the most fun courses I get to teach, so if you’ve got the space on your calendar, and you’re eligible, you should think about joining us this year–it is free. We have a great time, it’s a fantastic networking opportunity, and very hands on. Details:

The U.S. Department of Justice’s National Indian Country Training Initiative, in partnership with the International Association of Forensic Nurses and the SAFEta Project, are pleased to announce the Sexual Assault Nurse Examiners’ Expert Witness Training.  The seminar will be held July 9-11, 2019, at the National Advocacy Center in Columbia, South Carolina.  Travel and lodging accommodations will be provided by the Office of Legal Education. There is no tuition charged for this class.

This training is designed for SANEs who are going to be providing court testimony and for prosecutors assigned to sexual assault and domestic violence cases who want to learn more about the effective use of the SANE as an expert witness in their cases.  Priority admission will go to those medical providers working on cases arising in Indian Country

This class has a mock trial component, and prosecutors and SANE(s) who work cases together are encouraged to register as a team. Training Officers/SACs/SSRAs are invited to nominate individuals from their division or department who would benefit from this training opportunity. 

If interested in attending the class you will be required to fill out a Preregistration survey. The preregistration survey will be forthcoming, please check back for further instructions. The point of contact for the training is Leslie Hagen, who can be reached via email at leslie.hagen3@usdoj.gov or Kim Day here.

More information 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 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
Sexual Assault

DNA Evidence Collection in Groping Sexual Assault Cases: Practice Implications for SANEs

If you missed Julie Valentine’s webinar last month on DNA in groping cases, you’re in luck–aside from listening to the archived version of *that* presentation, Dr. Valentine is presenting a SANE-specific talk for SAFEta. The webinar will be held April 11th at 2pm ET. From the registration page:

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

Register here.

___________________________

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

Categories
Sexual Assault

Buried Abuse

Last week, Latino USA (in conjunction with Rewire. News) reported on this story of sexual abuse in US immigration detention centers. It is powerful and raw, and much of what you’ll hear is sadly familiar:

“There’s a long and extensive pattern of sexual abuse and harassment in immigration detention facilities, even though the Prison Rape Elimination Act (PREA) was introduced in DHS facilities in 2014. Over a ten-month period, Latino USA partnered with Rewire.Newsand dug into one specific case: that of Laura Monterrosa’s sexual abuse allegations at the T. Don Hutto Detention Center. What we learned after reviewing documents obtained through a Freedom of Information Act (FOIA) request raised questions about the efficacy of internal investigations at immigration facilities across the country and the safety of thousands of people detained there.”

It’s an important news story, and incredibly well reported. Take the time to listen if you are able.

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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
Sexual Assault

Addressing Alcohol’s Role in Campus Sexual Assault

Futures Without Violence has a webinar coming up–Addressing Alcohol’s Role in Campus Sexual Assault. The session will be held March 25th at 3pm ET. IT will be recorded and archived. From the website:

Alcohol use plays a role in 50 to 70% of campus sexual assaults, which has generated heightened consideration of the intersections of sexual assault and alcohol use on campus. This webinar will focus on evidence-based strategies for prevention and response, both in the campus health center and the wider campus community. Current NIAAA research on the intersection of violence and disabilities, and trauma-informed clinical interventions that address both alcohol use and sexual violence will be presented.  The new resource Addressing Alcohol’s Role in Campus Sexual Assault: A Toolkit by and for Prevention Specialists will also be reviewed, with special attention to how to operationalize key prevention strategies.

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

  • Describe student with disabilities’ experiences of campus sexual violence and alcohol prevention programming
  • Implement an evidence-based clinical intervention to prevent and respond to sexual violence in their campus health center
  • Identify at least two prevention strategies to address alcohol’s role in sexual assault
  • Identify next steps for their prevention work on their campus

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
DV/IPV Sexual Assault

Drugs and the Forensic Patient

The Tribal Forensic Healthcare project has an upcoming webinar, Drugs and the Forensic Patient. The session will be held March 28th at 1pm ET. Like all of their sessions, free CEs are available for physicians and nurses. And yes, it will be archived. From the announcement:

This presentation will include discussions on how to recognize effects of drug exposure on patients seeking forensic care, considerations for forensic exam administration, such as consent and sample collection, as well as a review of additional best practices related to drug-facilitated sexual assault. At the conclusion of this webinar, participants will have increased knowledge of expected effects of various drugs and specific intervention that will assist with adjusting their approach to a forensic exam.

Register for the webinar 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
DV/IPV Sexual Assault

Relationship Dynamics And Teen Dating Violence

A newly published research brief from NIJ: Relationship Dynamics And Teen Dating Violence (PDF). It addresses the following research questions:

  1. Which relationship dynamics increase the risk for TDV or protect against abuse?
  2. How does the experience of TDV in one relationship influence the dynamics in subsequent relationships?
  3. How does the association between relationship dynamics and TDV change during the transition from early teen years into young adulthood?

As is often the case, this is a pretty superficial overview of the issue, so let this give you a sense of where you want to explore further. And of course, the Endnotes are valuable in and of themselves. Worth a download.

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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
Sexual Assault

Transportation Options for Improving Access to Sexual Assault Medical Forensic Exams

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

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

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

Register here.

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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
Sexual Assault

DNA Evidence in Groping Sexual Assault Cases

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

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

Detailed Learning Objectives:

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

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

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

Register for the webinar here.

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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.