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A subset of children referred due to suspected sexual abuse require more than one interview for professionals to reach an opinion about the veracity of allegations. The National Children's Advocacy Center's forensic evaluation model was designed for that specific group of children. The multisite study of the model reported here followed a 2-year pilot study. Professionals in 12 states adopted the model and collected data for 2 years on a total of 147 participants. In 44.5% of the cases, a credible disclosure was obtained, with 73% of these cases supported in the legal system. The forensic evaluation procedure yielded clear information to be used in child protection and prosecutory decisions in 64% of the cases (combining cases with credible disclosures and abuse unlikely findings). Finally, the study examined the effects of the length of the evaluation and of the case and child characteristics on evaluation outcomes.

This article describes an extended forensic evaluation model, designed and piloted at the National Children's Advocacy Center (NCAC). The design and rationale of the NCAC forensic evaluation model are described. Outcomes achieved by using the model for 2 years are documented. Also described is a multisite research project, which is currently under way, that involves more than 30 Children's Advocacy Centers across the United States. This project will further test the efficacy of the model and refine its practice.

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This article describes the state of knowledge about extended assessments/forensic evaluations in situations of possible sexual abuse. It provides a critical review of the modest body of relevant research, describes two models for extended assessments, and presents descriptive survey findings of 62 professionals conducting extended assessments, most of whom conduct extended assessments intermittently as part of their other work on sexual abuse cases. Agencies should consider conducting extended assessments with young or traumatized children whose sexual abuse allegations are not resolved with a single interview as well as in complex child sexual abuse cases.

This qualitative study used data from interviews with 18 African American breast cancer survivors in the southeast regarding the women’s live experiences of spiritual support during the process of breast cancer diagnosis and treatment. Through a thematic content analysis, four primary sources of spiritual support were identified: God, members of religious communities, family members and friends, and health care professionals. Some participants reported negative experiences associated with the reactions of religious community members to their breast cancer. Those who received spiritual support from their health care providers reported welcoming such support.

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