Categories
DV/IPV

Revictimization After Adolescent Dating Violence

There’s an interesting new study looking at the rates of revictimization for adults who experienced teen dating violence. The study, Revictimization After Adolescent Dating Violence in a Matched, National Sample of Youth, found that “…heterosexual victims of teen dating violence were significantly more likely to be re-victimized five years later compared to their non-victim counterparts with other similar risk factors. Those who were victims again, by the five-year mark, were also more likely to be re-victimized by romantic partners 12 years later.” (source)

Anytime you entertain the idea that forensic healthcare is limited to response and has no place in the prevention world, or you think to yourself, prevention work is for other folks, read studies like this that really drive home how important it is that we all are reaching beyond documenting injuries. Prevention is a key pillar in all aspects of healthcare, ours included.

Read more about the study over at the Washington Post.

Categories
Sexual Assault

Sexually Transmitted Infections: Epidemiology in Indian Country (CE Opportunity)

Understanding the landscape of sexually transmitted infections in your community is a critical part of effectively caring for sexual assault patients. National treatment guidelines are well and good, but if the clinical picture is different where you are, then adapting those guidelines becomes a necessity. To that end, Indian Health Services has an upcoming webinar that should be helpful for those providing care in Indian Country–Sexually Transmitted Infections: Epidemiology in Indian Country and Screening and Treatment Recommendations. The session will be held April 14th at 3pm ET. CEs are available for nurses.

Outcomes:

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

  1. Summarize the epidemiology of STIs in Indian Country.
  2. Apply appropriate standard screening and treatment recommendations for STIs to help increase screening rates in Indian Country.
  3. Identify the special populations and their different STI testing needs to increase case finding in those populations and in turn reduce total STI burden.
Categories
Uncategorized

Since Last We Spoke, 3-20-17

Ok, stop me if you’ve heard this (from me) before (this month)–on the road this week at (fill in name of military installation here), time isn’t my own, inconsistent posting possible, oh look, I was in several airports and had an opportunity to surf for a few. You have? Great– here’s what caught my eye since last we spoke:

And Jesus Said Unto Paul Ryan…

One way to fund kit testing

What you need to know about the anti-racism movement

Love this new entry into the doll market

This was satirical; the President missed that memo when he endorsed it as a must read

Best story about grammar ever.

This is me 🙁

Categories
Sexual Assault

Best Practices in Communicating with Survivors of Sex Trafficking

The National Criminal Justice Training Center has a webinar coming up, Best Practices in Communicating with Survivors of Sex Trafficking. The session will be held March 23rd at 2pm ET. The session will:

…[provide] an overview of trauma-informed techniques for communicating with victims and survivors of sex trafficking. Gather strategies for building rapport and fostering open communication for the various professionals that victims of sex trafficking interact with in justice, advocacy, and recovery.

Register for the webinar here.

Categories
Uncategorized

How Trauma Lodges in the Body

I’m pretty interested in the impact of trauma on health, as so many of us are in this field. So when I saw that Krista Tippit (Do you tune in to the On Being podcast? You should.) had interviewed Dr. Bessel van der Kolk about the issue of trauma and its effects on the body, I bookmarked it to listen to during my travel. I haven’t finished listening to the whole program, but I thought what I had heard was interesting enough to post it here. It’s a bit woo-woo, and yet, the longer I do this work, the more comfortable I get with the whole idea of woo-woo, so…

Dr. van der Kolk is Medical Director of the Trauma Center at the Justice Resource Institute in Brookline, Massachusetts. He’s also a professor of psychiatry at Boston University Medical School. His books include Traumatic Stress: The Effects of Overwhelming Experience on the Mind, Body and Society and The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma.

Categories
Child Abuse

Joint Position on Care of Prepubescent Pediatric Sexual Abuse Patients

ENA and IAFN have released a joint position paper on the care of prepubescent pediatric sexual abuse patients in the emergency care setting. You can release the full statement here. The website also has a variety of relevant resources.

Categories
Uncategorized

Since Last We Spoke, 3-13-17

Good morning from Ft. Bragg, NC. As is the case for weeks like this, my time is not my own, so we’ll see how regular posts are. I worked all weekend, but managed to peruse the interwebs during some down time last night. Here’s what’s caught my eye since last we spoke:

It never ends

There’s no time limit on the impact of a tragedy

You must have a life

Brainstorm like a Googler

Misogyny from the left is just as awful

The fight for transgender rights goes on

Death by PowerPoint

Telehealth may not be as cost effective as we hoped

I literally LOL’d

Categories
Articles of Note Uncategorized

Articles of Note, March 2017 Edition

Time once again for Articles of Note, our (mostly) monthly walk through the peer-reviewed literature. As always, here are some of the notable new publications related to forensic healthcare. It was actually a somewhat scant offering this go-round, but what was there (and a lot of it is peds-related) is certainly worth perusing. As always, please provide appropriate attribution if you reproduce any of this:

 

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Categories
Sexual Assault

Informed Consent for Sexual Assault Exams

SAFEta has a webinar coming up in May (bless you, Kim for your advanced planning and scheduling)–Informed Consent for Sexual Assault Exams: It Is Not Just a Signature, It’s a Process. The session will be held May 2nd at 2pm ET. From the announcement:

Sexual assault victims must provide informed consent for a medical forensic exam. Although the concept of informed consent is a term that healthcare providers are very familiar with, there are additional legal implications associated with consent for the exam that providers need to understand. Victims need relevant information on the impact of participating in or declining each component of the exam.

Register here.

 

Categories
Sexual Assault

Public Health Approach to Preventing Human Trafficking

PreventConnect has a webinar coming up, Public Health Approach to Preventing Human Trafficking. The session will be held 23 March from 2-3:30 pm ET. Their webinars tend to fill, so if you’re interested I would encourage you to register quickly.  From their site:

A recently published book, Human Trafficking Is a Public Health Issue: A Paradigm Expansion in the United States, is the first book of its kind, with a comprehensive look – from a public health perspective – at human trafficking in the US. This web conference will explore the problematic nature of human trafficking in our communities through the public health lens and how it is linked to sexual violence and domestic violence. We will identify fundamental types and essential elements of human trafficking to consider and incorporate while developing primary prevention programs. We will also highlight examples of anti-human trafficking prevention work being pursued by community health organizations and discuss strategies and actionable goals to create programs to prevent human trafficking in your communities.

You can register here.

Categories
Uncategorized

Since Last We Spoke, 3-6-17

Headed to San Antonio this morning to teach–it was great to get home a day early last week, but that still gave me exactly 2 days before having to repack and head out. As it stands now, I’ll have another 2 days once I return before I head out again, so everything feels like a sprint, including my social media consumption. Confession: I’ve been really trying to limit perusing my twitter feed as an act of self-care. But sometimes a girl just can’t help herself–so here’s what’s caught my eye since last we spoke:

Mourning Norma McCorvey

Jane Fonda discusses the sexual violence in her life (among other things)

Ugh–how is this still going on?

Not a fan (at all) of this site, but I did find this piece about conflict fascinating

I’ll be working/traveling on a Day Without A Womanhere are some good tips for what to do if you are in the same boat

Maybe you could just ask your partner what’s working (and what’s not) instead?

What a great idea

See what’s happened in your lifetime

The unintended consequences of the rise in deportations

On my reading list

Yep, got it: predict your future

Categories
Elder Abuse/Neglect

Polyvictimization in Later Life

OVCTTAC has a web series now available on polyvictimization in later life. It’s a series of 5 modules totaling 6 hours:

  1. Context of Polyvictimization
  2. Older Adults Affected by Polyvictimization
  3. Perpetrators of Late Life Polyvictimization
  4. Working With Older Adults Affected by Polyvictimization
  5. Lessons Learned from the Polyvictimization in Later Life Project

“The purpose of the training is to strengthen awareness of polyvictimization in later life and to provide knowledge and skills of professionals to address the needs of victims. The training addresses the context of polyvictimization; victims and perpetrators of polyvictimization; best practices to work with older adults affected by polyvictimization using trauma-informed, ethical, and culturally appropriate practices; and the latest research and best practices to serve this population.”

Categories
Uncategorized

Since Last We Spoke, 2-27-17

I was having some trouble with my site yesterday, apologies for the late post. It’s a trial week for me, so we’ll see how consistent I am this week anyway. Although this was a working weekend, it also included some travel; here’s what caught my eye (in planes, airport clubs and long rides to post) since last we spoke:

I’ve said this before and I’ll say it again: Merriam-Webster is the twitter account to follow right now

Related: can you even tell what’s normal?

Also related: the Handmade’s Tale, revisited

What a cool opportunity to broaden your knowledge

This is appalling and all too familiar to us

The rise of these crimes: also appalling

Holding famous men accountable (or not): here, here and here

The casualties of women’s war on body hair

Categories
Uncategorized

Historical Trauma: The Beginning of a Conversation

I debated the best way to approach this post, as I knew there were several points to include, but no clear path for laying it all out. Perhaps it begins with the occasions in which people have asked me why we should discuss historical trauma as a component of medical-forensic education. Or maybe it goes much farther back, to the early years of my career when one of the big dogs in our professional circles confronted me, without a trace of irony, about why we needed to tailor training to meet the needs of individual communities, since the body parts were all the same, regardless of the community in which we were training. Ultimately it didn’t matter–I just knew this was going to need to be the focus of a post when I clicked on the daily email I receive from TED yesterday, and watched the featured talk.

I’m a fan of Dr. Brittney Cooper‘s; I follow her on Twitter, enjoy her regular column at Salon. In watching her TED talk, The Racial Politics of Time, I was struck by how closely connected her premise was to the concept of historical trauma. Historical trauma is defined as “the cumulative, multigenerational, collective experience of emotional and psychological injury in communities and in descendants.” She wasn’t talking about historical trauma by name–she was calling out one of the clear underpinnings of historical trauma, racism, and how it impacts whole communities. But as I listened to her speak, I was struck [again] by how important it is for us to have these deeper conversations about oppression in all its forms, to visit (and re-visit) the concept of historical trauma as one type of trauma our patients may experience; and to incorporate these concepts into baseline and continuing education in our field. It’s a good idea simply at face value, but when you add to that the reality that a significant percentage of clinicians staffing forensic programs do not reflect the racial or cultural makeup of the patients they serve, well, this becomes an even more important conversation to have. Want to serve your patients more effectively? Take the time to watch talks like this and others (have you seen 13th yet?). Discuss them and dive deeper (here’s Dr. Cooper’s reading list, for instance)–on your own and with your team. Trying to decide what topics you want to cover at your advanced forensic education course this year, or your annual SART retreat? This is a good one to add into the mix. This point she makes early in her talk alone reinforces why we need to have these conversations in our professional circles:

Now, when Barack Obama became President of the US in 2008, many Americans declared that we were post-racial. I’m from the academy where we’re enamored with being post-everything. We’re postmodern, we’re post-structural, we’re post-feminist. “Post” has become a simple academic appendage that we apply to a range of terms to mark the way we were. But prefixes alone don’t have the power to make race and racism a thing of the past. The US was never “pre-race.” So to claim that we’re post-race when we have yet to grapple with the impact of race on black people, Latinos or the indigenous is disingenuous. Just about the moment we were preparing to celebrate our post-racial future, our political conditions became the most racial they’ve been in the last 50 years.

The Racial Politics of Time
is twelve and a half minutes; there’s a lot of learning packed in there. Take the time to hear the lesson:
 

Categories
Sexual Assault

New Research Translation on Sexual Identity and Health-Related Behaviors of High School Students

NSVRC has a new research translation available (PDF) that summarizes a CDC study on sexual identity and health-related behaviors of high school students. The report found that students who identify as gay, lesbian, or bisexual face significant health disparities. This is a critical issue in our work, as we evaluate the healthcare needs of our patients at the time of the exam and as part of the discharge and referral process. And NSVRC has made it easier to understand and apply the research–here are some other research translations if you’re interested:

Key Findings from Sexual Violence Victimization and Associations with Health in a Community Sample of African American Women

Key Findings on Sexual Violence from the “Global status report on violence prevention 2014”

And while this isn’t a research translation, it is a research brief to which I still refer folks (even though it’s from 2012) since the information is still relevant:

Sexual Violence and Health: Research Brief (PDF)

{Related: new JAMA Pediatrics article, Difference-in-Differences Analysis of the Association Between State Same-Sex Marriage Policies and Adolescent Suicide Attempts (Full-Text)}

Categories
Uncategorized

Since Last We Spoke, 2-20-17

I have to tell you, it’s been a glorious weekend here in the 703. We took the pup down to Shenandoah for his 1st big hike and the car read 73 degrees when we were heading home. Unbelievable. Today is a holiday of sorts here in the US, so it’s only a kind-of work day. So I leave you with a kind-of list to peruse–a few things that have caught my eye since last we spoke:

A brilliant editorial in response to the attacks on the press

This is everything we need right now

Love the idea of this

The aftermath of an assault can take so many shapes

ICYMI:

 

Categories
Child Abuse

Child Interviewing 2017: Update on Research and Practice

For those of you peds folks with an interest in the state of the science around forensic interviewing, Midwest Regional Children’s Advocacy Center has a webinar coming up, Child Interviewing 2017: Update on Research and Practice. The session will be held 9 March at 1pm CT. The faculty for this session will be Dr. Tom Lyon.

Description of the webinar:

Dr. Lyon will discuss the major research advances in 2016 that help interviewers to do a better job when they question children, and whenever possible, provide videotaped examples of the novel procedures.

Register here.

Categories
Sexual Assault

STD Risk and Oral Sex

A reader recently asked about the risk of STDs in cases where the patient reported only oral penetration. She wanted to know what the recommendations were around counseling patients, and which infections, in particular, were concerning. The CDC actually has a fact sheet on this issue (that includes where the research is lacking), and while the information is meant for the lay public, it does a nice job of providing an overview of the issue that would certainly be useful to clinicians, as well. And you know I do love me a good references section, which this one has. So if nothing else, check it out for a deep dive on the STD literature. Recently updated, too.

Categories
Uncategorized

Since Last We Spoke, 2-13-17

Oh, hey, a last minute resolution to my trial this week means I’m unexpectedly at home. It’s like a snow day, but without the paycheck snow. Since I didn’t have to get on a plane on Saturday, it left me some time to goof off, and plenty of time to surf the interwebs. Here’s what’s caught my eye since last we spoke:

I feel like this should be helpful for Leadership/Lobby Days (in all seriousness, have you registered yet?)

Buzzfeed did a nice job profiling the ED of SurvJustice

#Truth

More and more, online exploitation

Confronting your rapist

Every time someone recognizes sexual assault as the public health issue it is, I do a little happy dance

I feel so sad for this family–I hope it was cathartic

A terrific mini-interview with Dr. Willie Parker about his particular journey. (Apropos of not much–we listen to the same podcasts.)

Related

Trump’s travel ban and its impact on human trafficking

Speaking of crap things happening with this administration…(also can we spend a second talking about how “women’s” mags like Cosmo and Teen Vogue are killing it in the political realm right now?)

Finally, this is so spectacularly NOT suitable for work (or people who don’t appreciate cussing); I laughed out loud reading it.

Categories
DV/IPV

National Survey Shines Light on Teen Dating Violence

There’s new research available on the teen dating violence. NIJ has an overview of the study, the National Survey of Teen Relationships and Intimate Violence (STRiV), on their site. The study is wide-ranging, looking at sexual harassment, physical and sexual violence, and psychological abuse. It also examines perpetration, as well as victimization. Worth checking out.