Since Last We Spoke, 7-31-17

I’m working from CLE for the next couple weeks, so lots of family/kid time. It also means (ideally) plenty of time for writing projects that keep being pushed back. If I can focus. And stay off the interwebs. Traveling back from PDX last week I had plenty of time on airplanes to surf, so here’s what caught my eye since last we spoke:

RV full of lawyers. Too cool.

Interesting article on the history of disguising gender in the military


{Tangentially} related.

Judging poverty

If you read nothing else on this list

Love, love

A fine question

Don’t settle


Sexual Assault

SANE Program Development and Operation: An Introduction

OVC TTAC has a webinar coming up as part of their SANE Program Development and Operation Web Training Series, SANE Program Development and Operation: An Introduction. Not surprisingly, it’s based on the document of essentially the same name. The session will be held August 14th at 2pm ET. Limited descriptor available: Take a look at the new SANE Guide, get an overview of the foundations used to create the guide, and find information on building a sustainable SANE program using a strong nursing foundation to support the SANE role. Register here.


Racial and Ethnic Differences in Homicides of Adult Women and the Role of Intimate Partner Violence

The CDC looked at the issue of homicides in adult women in last week’s MMWR: Racial and Ethnic Differences in Homicides of Adult Women and the Role of Intimate Partner Violence–United States, 2003-2014. I don’t think it requires any explanation, nor do I think it will contain too many surprises. You may have seen press reports on it last week (alternatively). It’s as bleak as you probably expected. It’s also a must read, because although it’s brief, it raises critical discussion points for practice.


Since Last We Spoke, 7-24-17

So we had a super lively discussion today with our friends over at DCFNE, which made for one of the better Mondays I’ve had in a while. Tomorrow it’s off to Portland (OR) for some quality time with the Army JAG Corps, so that’s always a fun gig. Plus, you know–Portland. It was my kiddo’s last weekend in town, so I drowned my sorrows last night in mindless interwebs. Still, there were a few things worth passing along. Here’s what caught my eye since last we spoke:

Cancer is not a war. Seriously.


Guidelines from WHO around HIV resistance

Man, I hate if this is true

Also, sigh.

Guess I’m not surprised

Disappointing (also, come on, DoD)


I believe the last count I saw put this number higher


Updated Clinical Guide: ALS for Subclinical Bruising

Just an alert that the clinical guide that addresses alternate light source use and subclinical bruising has been updated with additional research. So here’s your periodic reminder that ALS to identify subclinical bruising in strangulation patients does not have the evidence yet to support its use. There continue to be issues, particularly related to specificity. 


Clinical Guide: Social Media Use for Forensic Clinicians

So I recently received a comment that my concern about forensic nurses’ social media use is “overblown”, which I confess, made me giggle. It’s not, of course, and my own experiences doing this work have only made it clearer as social media becomes more and more entrenched in our daily lives. But if anyone needs evidence that your social media feeds will be parsed apart (even the ones you believe are “private”) and may be brought up at trial, look no further than expert testimony from the Cosby trial last month: I suggest you check out this, thisthis, or even this.

As someone whose whole life is on social media (basically), I am not suggesting you avoid it, but keep in mind that at any time you may have to answer for what’s there (including things you “like”, or are tagged in, and not just stuff you post). And program managers and trainers, if you aren’t providing education on this topic, I would encourage you to fold it in. I am neither seeing, nor hearing about widespread discussion on this topic, and the concerns and potential problems aren’t going to lessen anytime soon.

To make it easier, I have created a new clinical guide on the subject. Hope this helps move the conversation forward.

Sexual Assault

What Do Schools Need To End Sexual Assault On Campus?

If you didn’t listen to the NPR program 1A on Monday, you missed a good conversation on campus sexual assault. While it had its eye rolling moments, in general, it was a worthwhile listen. If it’s a topical interest of yours (and I think it’s helpful to understand the processes that occur on campus following a sexual assault report), you can hear the entire conversation here.

Elder Abuse/Neglect

Working with Older Survivors of Abuse

NCALL has published an impressive multimedia toolkit, Working with Older Survivors of Abuse: A Framework for Advocates. DO NOT let the 2nd half of that title keep you from doing the deep dive into this resource–1.) there’s healthcare-specific information (although it’s briefer than I’d like); and 2.) seriously, I do not want to have to convince anyone that our colleagues in other disciplines have some wisdom to share with us. My very favorite part of all of this is the Summary Report with Captioned Videos (PDF), which provides links to video clips peppered throughout the document on discrete topics, like safety planning and mandatory reporting. There’s a lot to wade through (I haven’t finished going through the whole thing yet), but make the time. And share with your MDTs and SARTs, because there’s some community response/policy content that is worth the broader discussion. BTW, this is not just about elder abuse, but working with older survivors of many different crimes, so if you’re thinking to yourself, this doesn’t apply because we don’t do elder abuse in our program, you would be incorrect. This is a resource for any forensic clinician caring for older patients in their practice (so essentially anyone who doesn’t have a peds-specific program).


Since Last We Spoke, 7-17-17

So about last week–what a fantastic crew we had at the NAC for our testimony workshop. I had a great time meeting so many new colleagues, and participants were really on point. A very impressive group (and thanks for all the new subscriptions, folks–please remember to verify your email via the Feedburner link you should have received, which went to your spam folder if you didn’t see it). Of course, you may have noticed I was MIA from the site after Monday’s post–it really is too much to keep up with everything during that course, so FHO was quiet for the week. However, I had plenty of time to surf these weekend, being in airports and such. Here’s what caught my eye since last we spoke:

I had to giggle at the title of this–do we use The Clap anymore?

Another day, another story like this

This is a long, but good read about addiction and lawyers



Oh, hell no, American Airlines

If you didn’t catch the piece on SANEs, read about it here (also embedded audio)

Finally, in movie news, two upcoming releases I can’t wait to see– Incredibles 2 and a Wrinkle in Time:


Since Last We Spoke, 7-10-17

I’ll be at the NAC most of the week, so postings may be spotty. Hopefully, you caught the updates to a couple clinical guides (and I’m taking suggestions for new ones). We had a pretty social weekend here, so I was unplugged for much of it. But here’s what caught my eye since last we spoke:

There will always be more work

Even in Canada…

I can’t even wrap my head around this posture

How Medicaid helps trafficking victims

Love this

Apparently, North Carolina has some work to do

This whole piece was fascinating

For all my nonprofit peeps

Important reminder that we are only a small sliver of the response to trauma victims–and that much work will keep happening long after our involvement


Updated Clinical Guides: Testimony and Peer Review

As we head into one of my favorite weeks of the year (the testimony course at the NAC–can’t wait to see some of my FHO readers there!), I’ve updated a couple of the most popular clinical guides: Testimony and Peer Review. Enjoy!


Legislative Advocacy for Nonprofit Organizations

As the Chair of IAFN’s Government Affairs Committee, one of my favorite opportunities is being on the Hill, talking with legislators and staffers about the issues important to clinicians, our patients, and the profession in general. This year’s Lobby Day saw its biggest draw (thanks, in part, to the inaugural Leadership Day that preceded it), so I know I’m not alone in enjoying the process. However, we have fielded questions about lobbying for people who work for nonprofit agencies and/or receive federal grant dollars, and saw a few people not come because of concerns. So I was really pleased to see VAWnet has a new special collection on legislative advocacy for nonprofit organizations that target these specific issues. If you are considering joining us for the 2018 Leadership and Lobby Days here in DC (dates to be announced), or thinking about participating in another lobbying opportunity, I would encourage you to check out the information to make sure you (and your organization’s leadership) understand the left and right limits of your advocacy.


Addressing the Impact of Trauma When a Mass Violence Incident Occurs

The Office for Victims of Crime Training and Technical Assistance Center has a webinar coming up, Addressing the Impact of Trauma When a Mass Violence Incident Occurs. The session will be held July 26th at 2pm ET. From the announcement:

Incidents of mass violence and terrorism present unique challenges to the communities in which they occur. These incidents require a coordinated, cross-sector approach among federal, state, local, and tribal governments; private entities; and nonprofit organizations to drive an effective response. This session will address how to create and maintain partnerships, address resource gaps, develop victim assistance protocols, and use the protocols after an incident of mass violence or terrorism.

Register here.


Since Last We Spoke, 7-3-17

Hope all of my Canadian readers had a lovely Canada Day; and a happy 4th to US FHO readers! We will be eating (and drinking) with our Army friends and possibly finishing the evening watching fireworks on the docks where our neighbors keep their sailboat. While today was meant to be a work day, turns out, not so much. But I did spend time surfing the web; here’s what caught my eye since last we spoke:

The voices of genderqueer and nonbinary survivors

The title of this article could be enough

Marine Corps, trying to find a way past their toxic masculinity issues

Save free speech from the trolls

You know I love me a good packing guide

I can’t recall why I initially clicked on this, but I”m glad I did

Thinking about all the 1st responders in the Bronx last week

Related: no surprise his past includes violence against women

#Seriously (aka, the view from DC right now)

Bookmarked for my nights on the road when jetlag is kicking my ass