Categories
Sexual Assault

How to Get a Rape Kit

Perhaps you’ve already listened to the Unladylike podcast featuring Trisha Sheridan’s interview on the episode, How to Get a Rape Kit. If not, you should. Overall, I found it to be pretty delightful to listen to, not just because of Trisha’s centering of the health and well-being of patients over the kit itself, but also because of the excellent interview questions and points made by Cristen and Caroline, the hosts of Unladylike. While there were a few (minor) things I didn’t necessarily agree with, it was just so damn refreshing to hear this healthcare focused explanation of the work we do, I was cheering in my office. The dog was frankly concerned.

 

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

UPDATED: Case Cleared

UPDATED: The Center for Investigative Reporting’s podcast, Reveal, has a recent episode on sexual assault investigations and exceptional clearance: Case Cleared (Part 1). I present it here without comment.

This is lengthy, but a worthwhile use of time. I look forward to listening to the follow-up episode(s). The next one will focus on prosecution. I’ll update this post with the next episode once it’s live.

As promised, here is the follow-on, which addresses prosecution:

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

Effective Telenursing Response to Sexual Assault

OVC is hosting an Expert Q&A session, Effective Telenursing Response to Sexual Assault. It will be held live on November 14th from 2-3pm, but will be posted on their website afterward for review. Susan Chasson, M.S.N., J.D., SANE–A, and Dr. Sheridan Miyamoto will be the featured presenters. From the website:

In this session targeted toward Sexual Assault Nurse Examiners, participants will learn about some of the advantages to telenursing, as well as some of the potential obstacles, such as cross‐state licensure, credentialing for nurses responding to a hospital where they are not employees, provision of medications, and maintenance of medical records. Collaboration with hospital medical and nursing staff is key to an effective telenursing response.

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
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
Sexual Assault

Advancing Research Initiatives and Combatting the Human Trafficking Epidemic

Forensic Technology Center of Excellence has an upcoming webinar: Advancing Research Initiatives and Combatting the Human Trafficking Epidemic. The session will be held on November 1st at 1pm ET. From the website:

Trafficking in persons is a multi-faceted global epidemic which has seen a significant increase in public awareness. However, there is a substantial need to expand capacities and technologies involving representatives from all stakeholders.

During this webinar, recommendations will be discussed addressing general policies and priorities, a need to better protect refugees, immigrants, and other at-risk populations, labor trafficking, and sexual exploitation. With many of these recommendations, key players involved with related research or program activities will be highlighted. In other areas, the recommendations identify the substantial lack of research and activities and are intended as a clarion call for action in a specific identified area associated with human trafficking. A core recommendation to any and all engaged in this work is to maintain a victim-centered approach. 

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

Victim Notification: Safety and Privacy Planning

The SAKI project has a webinar coming up, Victim Notification: Safety and Privacy Planning. It’s an issue we probably don’t give enough consideration, so although it leans a bit more advocacy, I think it’s a great one for any member of a SART. The session will be held October 23rd at 2pm ET. They archive their sessions, so it will be available online if you cannot attend the live event. From the website:

Safety and privacy planning has been recognized as a strong consideration for cold case sexual assault victim notifications in the sexual assault response process. Two presenters from the Salt Lake City, Utah Commission on Criminal and Juvenal Justice will address why safety and privacy planning is an important consideration for sexual assault survivors. Additionally, the presenters from this SAKI site will speak to strategies for implementing this concept, including, but not limited to, physical safety, emotional safety, privacy planning, court privacy, confidentiality, and civil orders of protection.

Learning Objectives

At the conclusion of this presentation, participants will be better able to:

1. Identify and define the need for Safety and Privacy Planning.

2. Discern the difference between Sexual Assault and Domestic Violence victim needs.

3. Gain an understanding of physical safety, emotional safety, privacy planning, court privacy, confidentially, and civil orders of protection.

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

Allowed To Be Angry: Women, Rage And The Way Forward

There’s no way to ignore the amount of rage that women are feeling at this pivotal time in US history. So I was really pleased to hear 3 authors I admire tremendously featured on 1A this morning (all of whom have books out now that happen to be on my current reading list). Rebecca Traister (who was here in DC last night), Soraya Chemaly and Brittney Cooper are brilliant, inciteful, and well worth listening to. And trust me–this isn’t just about politics in this country. This is about the very work that we do, the place in which we are doing that work, and the institutional structures that allow that work to happen (or make it harder for patients to access the care we provide). Take the time to listen.

Oh, and as a bonus? This excellent Katha Pollitt essay in The Nation referencing all three of these feminist giants…

 

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

Why Don’t They Tell? Teens and Sexual Assault Disclosure

Since this seems pretty timely, I figured I’d go ahead and post the National Child Traumatic Stress Network‘s recently published fact sheet, Why Don’t They Tell? Teens and Sexual Assault Disclosure.  Obviously, it’s bigger than this moment in history, but the way folks are talking right now (e.g. on cable news, any social media platform), it’s clear not everyone understands the underlying issue.

 

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

Since Last We Spoke, 10-1-18

An FHO reader sent me an email asking where the regular Monday posts have been, and here’s the thing–I don’t have much to tell you about what I’ve been looking at since last we spoke because it’s all kind of awful. I know you all are reading the same stuff, and honestly, it’s grinding me down. To protect my psyche a bit, I’ve been trying not to read much at all these last few weekends because the weeks have been so full of terrible news. I know many of you watched, as I did, the Kavanaugh hearings last week, and by Friday, Sasha had enacted a news grayout (we weren’t fully able to commit to a blackout, but we tried pretty hard for the weekend), so weighed down were we by all of it. Bottom line–I’ve stayed off a lot of social media as of late. In fact, this weekend I took advantage of a completely last minute opportunity, hopped a flight to Chicago with my kid, caught a performance of Hamilton, and toured the University of Chicago as the ultimate act of self-care.

That being said, I point your attention toward a couple things worth your attention, particularly in light of current events and the work we do. The first is this solid overview on trauma and memory published by NPR.

The second is a TEDx talk (h/t JPW) on campus sexual assault, given last month by the excellent Dr. Sharyn Potter (acquaint yourself with a selection of her publications here). It specifically looks at one of the less-discussed aspects of campus assaults, the economic consequences. Worth your 15 minutes:

 

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.

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
Sexual Assault

Sexual Assault Response Team (SART) Toolkit: 2018 Edition

NSVRC has just published the 2018 edition of the SART Toolkit, and while I haven’t had a chance to peruse it in its entirety, what I have seen looks great. There’s a lot of content for your healthcare team and your community. The Sexual Assault Response section is a great example of just how much new content is in here (e.g. body-worn cameras), but my nerdy heart beats loudest (so far) for the Meeting Logistics section that has so many good resources for the managers among you. Definitely worth spending some time here. Kudos to everyone involved in this project.

 

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.

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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

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
Sexual Assault

Policies and Procedures for Non-Occupational Post-Exposure Prophylaxis

Kim Day posted this on the IAFN community site last week, so some of you may have already seen it, but in case you didn’t, the national nPEP toolkit project continues to add resources to their site (I posted about the project when it 1st published here). Their newest tool is a policies and procedure template for nPEP (PDF), which I think is extraordinarily useful. IAFN is a partner on this project, so it’s worth checking out the webinar archived over on the SAFEta site if you haven’t already–it complements the toolkit and is a great update for your veteran clinicians or adjunct for new team members.

 

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
Sexual Assault

Rising STD Rates in US

CDC is reporting rising rates of STDs in the US, which is of concern for many of our practices. Now is a good time to be touching base with your local health departments to see what the clinical picture is in your own community. Of particular concern from the recent report:

  • Gonorrhea diagnoses increased 67 percent overall (from 333,004 to 555,608 cases according to preliminary 2017 data) and nearly doubled among men (from 169,130 to 322,169). Increases in diagnoses among women — and the speed with which they are increasing — are also concerning, with cases going up for the third year in a row (from 197,499 to 232,587). CDC continues to be concerned about resistance, as well, although there have not yet been any confirmed cases of resistance to the recommended dual therapy in the US.
  • Primary and secondary syphilis diagnoses increased 76 percent (from 17,375 to 30,644 cases). Gay, bisexual and other men who have sex with men (MSM) made up almost 70 percent of primary and secondary syphilis cases where the gender of the sex partner is known in 2017.

The full surveillance report is expected to be released at the end of next month; I’ll post it when it comes out.

 

 

 

 

 

 

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.