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
Testimony

Experts

Something to consider when it comes to evaluating experts:

One can be an expert in treating the injuries caused by a mechanism of injury…

…and not necessarily be an expert in the mechanism of injury itself.

We probably don’t talk about that nearly enough.

 

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
Uncategorized

Since Last We Spoke, Rosh Hashanah Edition

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:

Just in time for the holiday: Repentance is hard, take note abusers

Aspire to live a life of enough integrity that Ronan Farrow never feels compelled to write about you

Last week’s Kavanaugh hearings sadly required this reminder about contraception from ACOG (PDF)

50 States of Queer: a midterm voter’s guide

Delores Huerta! (this is a great, brief, monologue, but if you have time, check out the extended audio below it)

I was sexually assaulted by another Marine. The Corps didn’t believe me.

#MeToo at the ballet 

One of the better takes on the US Open women’s finals

This video of Elizabeth Gilbert talking about hobbies vs jobs vs careers vs vocations was so spot on. Even though it’s geared towards artists, it felt incredibly relevant for many of us in our work, as well.

“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:

 

 

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

The Economic Cost of Intimate Partner Violence: Implications for Prevention

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.

 

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.

 

Categories
Uncategorized

Since Last We Spoke, 8-27-18

I thought I would be heading straight from Camp Pendleton to Ft Drum, but as these things do, that work went away, so I am unexpectedly home for a few days before I head to the CLE for a family wedding over the Labor Day weekend. I don’t hate this–I can catch up on much-needed admin time, and get a head start on planning for my sessions at IAFN that have many moving parts that require careful mapping (I am still looking for a few more folks to facilitate, BTW, so please get in touch if you’re interested in the gig). Aside from indulging my wife’s folly this weekend of some camping (if you follow either of us on Facebook you know of what I speak), I had some downtime to catch up with the interwebs. Here’s what caught my eye since last we spoke:

Nothing about these findings are surprising

Well, this is–not good

Male entitlement to women’s attention and affection is a public health issue

Powerful.

A new bill has been introduced to fight black maternal health disparities.

This is next up on our collective watch list here in our household–have you seen it?

Many of you know I don’t work on planes–I took advantage of about 12 travel hours this past week and polished off Educated. Highly. Recommend.

 

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
Testimony

Looking for Volunteers to Help Facilitate at My Workshop

If you are planning on attending the IAFN conference this year in Reno AND you are not committed to teaching or meetings on that Wednesday the 24th, please consider the following request–I am looking for volunteer facilitators for a new day-long testimony workshop we are doing that day. It will begin immediately after the keynote speaker that morning and go until 5pm. I need about 4 additional people (I have already compiled a great crew of facilitators, thus far, but it’s a large session, so I need a few more) with the following qualifications:

  • Minimum 5 years working in forensic nursing
  • Must have testified or provided expert consultation at trial 10 or more times
  • Must be able to easily discuss the evidence base that supports forensic nursing practice and ethical testimony

I have nothing but my eternal gratitude to offer for your participation (plus a cocktail or two in Reno)–you will not receive any discounts or compensation of any sort for assisting. I would love to be able to do that, but this site does not generate that kind of scratch. Sorry. But you will get to participate in a terrific day or learning, mentoring new(er) forensic nurses and teaching alongside other experienced colleagues. If this sounds remotely interesting, please contact me and include a copy of your CV with your email. I will get back with folks shortly after the Labor Day holiday. Facilitators will receive details for the workshop by the end of September.

Thanks for considering it!

 

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

Domestic Violence Related Mass and Spree Killings

Battered Women’s Justice Project is hosting an upcoming webinar, Domestic Violence Related Mass and Spree Killings. The session will be held September 17th at 2pm CT. From the website:

Dr. Neil Websdale will define mass and spree killing and explain the differences between familicidal, felonious, and non-felony related forms of these offenses. The Webinar will concentrate on two forms of “public” mass and spree killings. The first form consists of those cases where the complex dynamics of domestic violence are of central significance and appear to be the principal precipitant of the killings. These cases involve offenders killing former or current spouses/partners and/or those such as family law attorneys, allied professionals, and/or friends who may have supported the spouse or partner. The second form involves those public mass killings, usually shootings, where domestic violence forms but one aspect of the case but may nevertheless be central to developing an understanding of the killings. Dr. Websdale will use case illustrations to flesh out themes across case types, examining, for example, the gendering of these offenses, the signaling of offenses, histories of intimate terrorism, planning and preparation, the possible role of mental illness, the social isolation of offenders, fascination and proficiency with weaponry, threatening changes in the life circumstances of offenders, and the role of suicidal feelings, depression, rage, extreme hatred, and vengefulness.

BWJP archives their webinars, so if you can’t attend live, you can check their site later for the recording. 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
Testimony

Research Article Review Template

Oh hey–I made you a thing! Actually, I built you a thing out of some solid, already crafted parts and few original ideas, so let’s not get carried away here. An FHO reader asked if I had a concrete way for people to sit down with a research article and analyze it for its relevance for practice and testimony, so here you go. It’s a mash-up of some of the best of what I have found online from a variety of sources (that I have used) for journal clubs (part I, Research Outline), plus some of my personal perspective regarding analysis (part II, Reader Synthesis). Good for a step-by-step through a research article solo, or as part of a collective discussion. Hope it’s helpful.

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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: August 2018 Edition

It’s time once again for Articles of Note, our mostly monthly romp through the peer-reviewed research. As always, this is not an exhaustive list; simply what has caught my attention upon reviewing what’s new and noteworthy–and relevant to practice. All links lead to PubMed unless otherwise specified. Enjoy!

 

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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

The National TeleNursing Center: Transforming Care for Sexual Assault Patients, Providers and Communities

IAFN has a webinar coming up, The National TeleNursing Center: Transforming Care for Sexual Assault Patients, Providers, and Communities. The session will be held September 5th at 1pm ET. It’s free for IAFN members and includes 1.5 CEUs ($35 non-members).  From the site:

Join us to learn how the National TeleNursing Center (NTC) piloted the use of Video Conferencing Technology (VCT) to support SANE/SAFE and emergency department clinicians caring for sexual assault patients across 3 states with diverse communities (tribal, rural, Military). Presenters will discuss the NTC teleSANE practice model based on Duffy’s Quality Care Framework. In addition, presenters will discuss evaluation findings from this 5-year pilot project in relation to its impact on patients, clinicians, and the broader community. Presenters will share important lessons learned that can help other agencies looking to implement this innovative teleSANE practice model to increase access to SANE/SAFE expertise.

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
DV/IPV

Handling Strangulation Cases at the Front Lines

The Strangulation Prevention Institute has a webinar coming up with Drs. Ralph Riviello and Jacquelyn Campbell, Handling Strangulation Cases at the Front Lines (Part I). The session will be held August 28th at 10am PT. Note: this is a two-hour webinar. It appears nursing CEs are available for a cost of $25. Hopefully, this will be archived on their site. From the announcement:

Part 1 – “He choked me.  I thought I was going to die.” will cover:

  • Updates on the Danger Assessment Tool and new research on Traumatic Brain Injury
  • Understanding the impact of an of anoxic injury, traumatic brain injuries and delayed consequences
  • How to explain the medical aspects of strangulation and suffocation to victims
  • What to do when the victim answers YES to question about being “choked”
  • Tools from the Institute to help front-line workers
  • Emerging practices at Family Justice Centers and DOVE
  • How to support a survivor who has been strangled and potentially suffering from the long-term consequences of strangulation such as traumatic brain injury
  • Practical tips from the panel, the field and survivors

Objectives:

  • Improve our understanding of the immediate, delayed, and long-term health consequences of non-fatal strangulation
  • Discuss promising practices emerging at Family Justice Centers, hospitals, and/or multi-agency organizations
  • Review the Danger Assessment Tool and new research
  • Provide practical approaches for front-line staff at Centers on how to best provide services and support for survivors of strangulation

Register for the session here.

[photo credit]

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.