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.
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.
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.
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.
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.
Heading to Orlando tomorrow to teach with the Army, and like many of you, I’ll be keeping an eye on Florence (because like many of you we are in her projected path at this point–re-upped on a few hurricane supplies yesterday just in case). Being an Ohio girl I really didn’t have a full appreciation of this nonsense until I started living down here. Stay safe, y’all.
Last night began Rosh Hashanah and the start of the holiest time of the year for us. I thought my wife said it best, so I am going to simply repeat for you here what she posted on social media because it really captures where we are personally and culturally at this time and place in the US: Shana Tova to my friends and family who celebrate. I wish you a sweet new year. I wish you time, peace, and solitude for the hard work of self-reflection in these coming days, as we all consider how we will live differently in the new year. I hope your intention includes loving more, including more, and fighting more. Let MORE be our kavanah (intention) this year.
Amen to that. Here’s what caught my eye since last we spoke:
“And understanding that this ideal of rugged individualism and self-reliance — rugged individualism didn’t map the human genome. Rugged individualism didn’t get us to the moon, and you can’t love your country without loving your countrymen and women. When we manifest that kind of patriotism, that kind of civic love, that’s when we do things that light up the world, that light up the planet Earth.” This whole interview with Cory Booker on civic spiritual evolution is a delight. Actually, all of Krista Tippet’s interviews are a delight, but I really enjoyed this one. Read the transcript or listen to the audio.
Finally, here’s a video that feels like something many of us can relate to:
I’m heading out to the National Advocacy Center down in South Carolina for a couple days, but before I go, an excellent educational opportunity. PreventConnect has a webinar coming up, the Economic Cost of Intimate Partner Violence: Implications for Prevention. The session will be held on September 13th at 2pm ET. I’m particularly interested in the economics of the work we do. And so are many of your institutions and organizations, so perhaps that’s the thing that hooks you here (for those of you who may still be holding on to the belief that prevention is not the work of forensic clinicians). Traditionally their webinars fill, so it’s possible by the time this posts it’s closed–however, it will be archived, so if you cannot attend live, consider listening to it at a later date. From the announcement:
The American Journal of Preventive Medicine has released new research from the Centers for Disease Control and Prevention (CDC) on the lifetime economic burden of intimate partner violence among adults in the United States. Following CDC’s “Lifetime Economic Burden of Rape Among U.S. Adults,” this new study takes into account medical costs, lost productivity, criminal justice activities, and other costs such as victim property loss or damage. Understanding the costs of violence can help build the case for prevention. Join PreventConnect, the National Resource Center on Domestic Violence (NRCDV), and CDC researchers to learn more about the long-term economic cost of intimate partner violence and implications for prevention policy and practice.
Register for the session here. And seriously, if you do nothing else, download the articles linked in the description above. Both are excellent resources. Particularly for those of you doing policy work, making a case for new and/or expanded clinical programming, etc.
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.
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.