Sexual Assault

Weekly Wrap-Up @ the Sustainability Blog

There’s been a lot of activity over at the Sustainability site this week, in large part due to the release of our 1st project bulletin, Sustainability 101: Long Range Thinking for Sexual Assault Nurse Examiner Program Managers. Thanks to everyone who’s sent me lovely comments about the report. Stay tuned, because our 2nd one, on writing business plans for SANE programs, will be released in a few weeks. Other happenings this week:

  • A fantastic (and brief) blog post on a few easy ways to make your employees happy
  • More publicity for the IAFN management/leadership session we’re doing in the ATL
  • And we’re back with a new Friday Q&A, this week with Shalotta Sharp from Cuba, AL (BTW, if you’d like to be featured–and bring some nice publicity to your program–please contact me)

Next week, I’ll have some good stuff for you: our monthly Articles of Note, where we look at what’s recently published in the peer-reviewed literature; and a new clinical guide on, well, I’m not giving it away just yet. Let’s say for those of you doing DV/IPV clinical work in particular, this one should pique your interest.

I’m happy to report I’m heading to Colorado tomorrow for a week of decompression. I’ll still be working, of course (although I’m taking a couple days off), but I will be at altitude, surrounded by mountains in the high country, which chills me out like nothing else can. Hope you’ll be finding a similar source of serenity yourselves–MW, I’m talking to you, my friend.

Enjoy your weekend!

Sexual Assault

Upcoming Trainings

I know this is a site dedicated to online education and resources, but I just want to take a minute to point out a few talks I’m giving at some of the upcoming fall conferences that might be of interest. The biggie for me is the IAFN Annual Scientific Assembly, October 21-24 in Atlanta. I’m doing 2 sessions there: Using Today’s Technologies to Deliver Clinical Education: A Guide for Technophobes will be on Friday, October 23rd. That session will examine the variety of opportunities to participate in and create clinical education and should be a great opportunity to hear from participants about what’s being done around the world. And the one I’m even more excited about, the full-day leadership workshop (technically called NSVRC Leadership, though I’m not sure why), is on October 24th.

Sexual Assault

Screening for Sexual Violence

The Pennsylvania Coalition Against Rape has a tutorial available for download on screening for sexual violence in the healthcare setting. This is a topic near and dear to my heart, and probably one we don’t talk about enough. You can download both the implementation guide (PDF) and the contents of the CD-ROM on which the tutorial was originally produced (warning: big file in zip form), free of charge. In addition to the tutorial, there’s a related publication, Put Down the Chart, Pick up the Questions (PDF), which also focuses on screening for sexual violence in the healthcare setting (I saw a similar tool in Illinois from their state health department).

Child Abuse

Is It Injury or Neglect?

The Federal Interagency Workgroup on Child Abuse and Neglect has an archived webinar from August 2008 available for review: Is It Injury or Neglect? Improving Our Knowledge to Better Protect Children. The session discusses “efforts to better define neglect in the context of accidental injury and described models of child death case reviews that will lead to improved understanding, reporting, and prevention strategies.” The presenters represent public health, advocacy and fatality review organizations. A complete transcript of the webinar is also available.


Two New Courses from Witness Justice

Witness Justice has 2 new courses available. The first is Cultural Competency, which “covers how culturally appropriate and effective services can be created and provided by professionals in the domestic violence community and the importance of mastering culturally sensitive attitudes, skills, and behaviors.”

The second course is Working with Undocumented Survivors, which “will address specific issues for undocumented survivors of domestic violence. Special attention will be placed on the unique needs and considerations of immigrants.”

Registration is required, but participation is free.


Funding Alert

A new funding alert is available from VAWNet for those of you interested in the money-end of things. You can read it in full here (PDF):

Featured in this edition:


10 Things Making My Life Better Right Now

I don’t have a wrap-up for you this week: I’ve been with the Army in Orlando all week, and these have been long days. Posts have been tough to get to with internet access only happening after roughly 10pm when I’m back in my hotel room. I’ll bring it back next Friday, don’t worry (maybe even with a few new publications I’ve been waiting patiently to share).

Interestingly enough, several of you have asked me to talk about my own practice a bit. So I figured I’d give you a little something different this Friday as I am winging my way back to the CLE (for a whole 44 hours until I get back on a plane). Here are 10 things making my life better right now. Not all of them are practice-specific, because my professional life is only in part centered on practice. But all of them are necessary as I attempt to keep the chaos under some modicum of control:


Sexting Podcast

The Indiana Youth Institute has a podcast on sexting available on their website. I’m on the road with the Army this week and haven’t had a chance to listen to this one yet. But since there’s been a flurry of searches for “sexting” on the site recently, I figured this would be timely. I don’t even have any background on the speaker (just the sponsoring organization), so let us know if it’s worthwhile, please.


Starting a Family Justice Center

Gael Strack and Casey Gwinn (Family Justice Center Alliance) will be presenting a webinar August 6th at 9am Pacific on starting a family justice center in your community. Participation is free, but preregistration is required.


We have a winner!

Congratulations Felicia Infante! Do email me off the blog and let me know where to send your copy of the Scope & Standards (go to About for my email address).

Thanks to everyone who left comments…


Death Investigation: The Basics

IAFN is hosting a webinar Tuesday, July 28th from 2-3pm ET on the basics of death investigation. Cost for members is $20 ($30 for non-members); 1.0 CEUs will be awarded upon completion. Deputy Coroner Bobbie Jo O’Neal is be the featured presenter.

Sexual Assault

Weekly Wrap-Up @ the Sustainability Blog

What an incredible week we’ve had at both sites. So much traffic, I am frankly a bit stunned. If you haven’t been over to the sustainability site, here’s what you’ll find this week

And of course, don’t forget, we’re having our 1st giveaway on this site. Just leave me a comment here about why you do this work and Monday I’ll choose the winner of the Forensic Nursing Scope &  Standards, hot off the press. If you’re training forensic nurses as part of your job, this is a seriously invaluable tool, folks.


Rate This

Starting today, I am finally able to add a ratings feature to the site. From now on, you’ll see this at the bottom of each entry:

Picture 1

Although I get a sense of how much you’re interested in the various things I post based on the traffic, this will help me tailor the content even further. Please note that you have to actually click on the title of the entry and view it as a stand-alone page in order to see the ratings bar.



An FHO Giveaway!

Well, now, lookie here. Courtesy of IAFN, I have in my sticky little hands one copy of the brand new Forensic Nursing Scope and Standards of Practice:


Sexual Assault

Sexual Violence Against Individuals With Disabilities

On July 22nd, from 2-3pm ET, OVC will be hosting a web forum on addressing sexual violence against individuals with disabilities. If you’ve been a regular reader of this blog, you know how the web forums work; if you’re a new reader (welcome!), you can read about how to participate here. Heather Kamper from Austin, TX will be facilitating the session. Participation is free and no registration is required.

For previous web forums, visit their archives list on the main page.


An FHO Extra: Legistalker

So over at Lifehacker today I discovered a new site that might be of interest to all you policy wonks out there. Trying to keep up with specific members of Congress? Legistalker allows you to follow the online goings on of your favorite (for whatever reason) elected official.

Sexual Assault

nPEP Update

If you weren’t one of almost 300 people who attended the HIV nPEP webinar described here, have no fear: the spectacular Kim Day has made sure you can still check it out at your leisure. You can access the archived offering over at the SAFE TA site. Thanks for making that happen, Kim!

DV/IPV Sexual Assault

The (Economic) Cost of Violence

Everything can be looked at in economic terms, including violence. It’s important info to have at your disposal, because it can strengthen a grant proposal or negotiations with your healthcare system for an FTE or program. Enough’s been written on the subject that I figured it would be good to review the literature. I’ve chosen to focus mainly on the costs of violence against women. [UPDATE: You can find financial cost of child abuse here.] Unless otherwise indicated, everything listed is full text (if it wasn’t available free online, you’ll have a link to free abstracts). I’m organizing these by pub date, with most recent at the beginning:


Overview of Studies on the Costs of Violence Against Women and Domestic Violence (PDF) (Council of Europe, Gender Equality and Violence Against Women Division, Directorate General of Human Rights and Rule of Law)

An Estimation of the Economic Impact of Spousal Violence in Canada, 2009 (PDF) (Department of Justice Canada)

Cost of Injury Reports Application from the CDC has been updated. Using the WISQARS database, the applications allows you to “find cost of injury estimates for fatal or nonfatal injuries classified either by intent and mechanism or by body region and nature of injury”. From the site:

Important Updates: In addition to allowing user-provided data to be integrated into the cost estimation process, this new version of Cost of Injury Reports incorporates three basic changes, effective 04/25/2012:

Updated unit (per person) work loss cost estimates: These updated unit work loss cost estimates affect total and average work loss cost estimates for both fatal and nonfatal injuries. For further details regarding this update, click here.

Corrected unit medical cost estimates: These corrected unit medical cost estimates affect total and average medical cost estimates for nonfatal emergency department treated-and-released injuries. Cost estimates for fatal injuries and for nonfatal hospitalized injuries are not affected by this correction. For further details regarding this update, click here.

Average costs: For reports involving injury deaths classified by body region and/or nature of injury, average costs are now expressed per person (similar to the averages for all other types of injury outcomes and classification schemes). Such averages were previously expressed in terms of apportioned cases. For further details regarding this update, click here.

Violence Containment Spending in the United States (FULL TEXT)

Institute for Economics and Peace

The Economic Costs of Partner Violence and the Cost-Benefit of Civil Protection Orders.

Logan, T.K., Walker, R., and Hoyt, W. Journal of Interpersonal Violence 2012 Apr;27(6): 1137-54


Costs and Consequences of Sexual Violence and Cost-Effective Solutions

National Alliance to End Sexual Violence

Social and economic costs of violence–workshop summary

Deepali M. Patel and Rachel M. Taylor, Rapporteurs; Forum on Global Violence Prevention; Institute of Medicine

Attributing Selected Costs to Intimate Partner Violence in a Sample of Women Who Have Left Abusive Partners: A Social Determinants of Health Approach (PDF)

Varcoe, C., et al. (Canadian study)


The healthcare costs of domestic and sexual violence (fact sheet).

Futures Without Violence, updated March 2010

Changes in health care costs over time following the cessation of intimate partner violence.

Fishman PA, Bonomi AE, Anderson ML, Reid RJ, Rivara FP.

J Gen Intern Med. 2010 Sep;25(9):920-5. Epub 2010 Apr 23.

A review of cost measures for the economic impact of domestic violence.

Chan KL, Cho EY.

Trauma Violence Abuse. 2010 Jul;11(3):129-43.


Health care utilization and costs associated with physical

and nonphysical-only intimate partner violence.

Bonomi AE, Anderson ML, Rivara FP, Thompson RS.                             Health Serv Res. 2009 Jun;44(3):1052-67. Epub 2009 Mar 17.

Hidden Costs in Health Care: The Economic Impact of Violence and Abuse

Dolezal, al. Academy on Violence & Abuse

Intimate Partner Violence: High Costs to Households and Communities

International Center for Research on Women

See also: Bonomi & Corso’s presentation at AVA, 2009


Methods for estimating medical expenditures attributable to intimate partner violence.

Brown DS, et al.

J Interpers Violence. 2008 Dec;23(12):1747-66


Cost of Sexual Violence in Minnesota

Minnesota Department of Health

The Effects and Costs of Intimate Partner Violence for Work Organizations

Reeves, C. & O’Leary-Kelly, A.M.

Journal of Interpersonal Violence, Vol. 22, No. 3, 327-344

The effect of intimate partner violence on health care costs and utilization for children living in the home. (FULL TEXT)

Rivara FP, Anderson ML, Fishman P, Bonomi AE et al.

Pediatrics 2007;120(6):1270-7.

Medical Costs and Productivity Losses Due to Interpersonal and Self-Directed Violence in the United States

Phaedra S. Corso, et al.

Am J Prev Med 2007;32(6)


Making the Case for Domestic Violence Prevention Through the Lens of Cost-Benefit: A Manual for Domestic Violence Prevention Practitioners

Browne-Miller, A., Transforming Communities: Technical Assistance, Training and Resource Center (TC-TAT)

The welfare cost of violence across countries

Soares, R.R.

Journal of Health Economics, 25(5), September 2006, Pages 821-846

Long-term costs of intimate partner violence in a sample of female HMO enrollees.

Jones AS, et al.

Womens Health Issues. 2006 Sep-Oct;16(5):252-61.


A Considerable Sacrifice: The Costs of Sexual Violence in the U. S. Armed Forces

Hansen, C. The Miles Foundation

The costs of interpersonal violence—an international review

Waters, H.R., et al.

Health Policy, 73(3) 8 September 2005, pp 303-315

Gender-Based Violence: A Price Too High

From: UNFPA State of World Population 2005

United Nations Population Fund


The Economic Dimensions of Interpersonal Violence

Waters, H., et al., World Health Organization

The economic toll of intimate partner violence against women in the United States.

Max, W. et al.

Violence Vict. 2004 Jun;19(3):259-72.


Economic Costs of Domestic Violence

Laing, L. & Bobic, N., Australian Domestic and Family Violence Clearinghouse, University of New South Wales

The Rape Tax: Tangible and Intangible Costs of Sexual Violence

Post, L.A., et al.

Journal of Interpersonal Violence, Vol. 17, No. 7, 773-782 (2002)


Intimate partner violence against women: do victims cost health plans more?

Wisner, C.L., et al.

J Fam Pract. 1999 Jun;48(6):439-43

Costs of health care use by women HMO members with a history of childhood abuse and neglect.

Arch Gen Psychiatry. 1999 Jul;56(7):609-13.

Walker EA, Unutzer J, Rutter C, Gelfand A, Saunders K,

VonKorff M, Koss MP, Katon W.


The Cost of Violence/Stress at Work and the Benefits of a Violence/Stress-Free Work Environment

Hoel, H., et al. International Labour Organization

BONUS TOOL (I can’t speak to validity or reliability, but it’s a cool concept)

Texas Health Resources DV Costs Calculator

See also: Financial Cost of Child Abuse


Nursing Misconduct & State Boards of Nursing

I never just post a news item on this site, but this one is so fascinating to me, I thought it was worthy of space. In California this weekend, the Governor fired 2/3rds of the state Board of Nursing for failing to discipline nurses accused of serious misconduct. It all came out after a lengthy joint investigation between the LA Times and ProPublica.

“Reporters found nurses who continued to work unrestricted for years despite documented histories of incompetence, violence, criminal convictions and drug theft or abuse. In dozens of cases, nurses maintained clean records in California even though they had been suspended or fired by employers, disciplined by another California licensing board or restricted from practice by other states.”


Compassion Fatigue Podcast

One of the most commonly searched terms on this site is “compassion fatigue” (or alternately  “secondary trauma” or “burnout”). Enough of you have been searching the term lately that I’m compelled to give you a new offering on the subject. This one‘s from PESI, and while it’s not free (cost is $29), it nets nurses 1.5 CEUs in a convenient audio package.