Coordinated Community Efforts to Respond to Sexual Assault

Greeson, Megan R.; Campbell, Rebecca

doi:10.1177/0886260514553119

Cited by 45 publications

(20 citation statements)

References 11 publications

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“…While physicians will continue to be pulled away due to competing demands, especially in the emergency setting, hospital systems could use SA Response Teams (SART) or SANE programs staffed with nurses who have special training in completing a rape kit and providing support (Campbell, Patterson, & Lichty, 2005). Studies have shown that use of SARTs and SANEs helps survivors’ experiences in seeking care after SA (Greeson & Campbell, 2013, 2015). …”

Section: Discussionmentioning

confidence: 99%

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Amin

Buranosky

Chang

2017

Women's Health Issues

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Background Sexual assault (SA) affects about 40% of women in the US and has many mental and physical health sequelae. Physicians often do not address SA with patients although SA survivors describe a desire to talk to physicians to obtain additional help. Little information exists on how providers perceive their roles regarding caring for women SA survivors and what barriers they face in providing this care. Methods We performed a qualitative study using semi-structured one-on-one interviews with sixteen faculty physicians from five specialties: obstetrics and gynecology (four), internal medicine (four), family medicine (one), emergency medicine (three), and psychiatry (four). Interviews were conducted between July 2011 and July 2012, transcribed verbatim, and coded using a constant comparative approach. Once a final coding scheme was applied to all transcripts, we identified patterns and themes related to perceived roles and barriers to caring for SA survivors. Results Physicians described two main categories of roles: clinical tasks (e.g. testing and treating for sexually transmitted infections, managing associated mental health sequelae) and interpersonal roles (e.g. providing support, acting as patient advocate). Physician barriers fell into three main categories: (1) internal barriers (e.g. discomfort with the topic of SA); (2) physician-patient communication; and (3) system obstacles (e.g. competing priorities for time). Conclusions Although physicians describe key roles in caring for SA survivors, several barriers hinder their ability to fulfill these roles. Training interventions are needed to reduce the barriers that would ultimately improve clinical care for SA survivors.

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Section: Discussionmentioning

confidence: 99%

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Amin

Buranosky

Chang

2017

Women's Health Issues

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“…Keywords sexual assault, prosecution, biological evidence, injury, forensic evidence Many victims of sexual assault undergo forensic medical examinations that can be long and grueling with the belief that injury evidence and biological evidence can help hold offenders accountable (Du Mont, White, & McGregor, 2009). Our society has invested in developing systems for collecting and assessing these forms of evidence with the same belief (see, for example, Greeson & Campbell, 2015). Research has not examined in any depth, however, how prosecutors perceive injury evidence and biological evidence in sexual assault cases and how they use these forms of evidence to pursue cases (see Briody, 2002).…”

mentioning

confidence: 99%

Prosecutors’ Perspectives on Biological Evidence and Injury Evidence in Sexual Assault Cases

Alderden¹,

Cross

Vlajnic

et al. 2018

J Interpers Violence

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Little prior research has explored how prosecutors perceive and utilize biological and injury evidences in sexual assault cases. In this qualitative study, semistructured interviews were conducted with assistant district attorneys (ADAs) working in an urban district attorney's office in the northeastern United States. ADAs were asked to describe how biological and injury evidences could be probative and their strategies for using this evidence. The interviews suggest that prosecutors perceive the probative value of biological and injury evidences on a continuum, varying based on case characteristics. Prosecutors felt that undergoing a forensic medical examination in itself supported victims' credibility. Biological evidence bolstered victims' credibility if it matched the victim's account better than the defendant's. They perceived DNA evidence as helpful when it identified unknown suspects, confirmed identification of suspects by other means, or rebutted defendants' denial of sexual contact. DNA evidence was also helpful when victims were incapacitated, too traumatized to recall or talk about the assault, or too young to identify assailants, and when police used the information in interrogating suspects. The biggest limitation to biological evidence prosecutors cited was overcoming the consent defense. The ADAs reported they used DNA evidence even when it was not particularly probative, because it confirms the correct person is being prosecuted, it communicates the victim's and prosecution's seriousness, and it meets jury expectations in trials. Prosecutors found injury evidence useful because it corroborated victims' accounts and helped refute defendant claims of consensual sex. The findings may assist in educating others about biological and injury evidences in these cases, and could inspire professionals and advocates to work to develop and support a broad range of investigative methods.

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“…We will describe the CSFVN according to the organisational levels that are used in American studies about SARTs. 29 …”

Section: Methods and Analysismentioning

confidence: 99%

Improving care for victims: a study protocol of the evaluation of a centre for sexual and family violence

et al. 2016

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IntroductionWorldwide, sexual and family violence are highly prevalent problems. Victims of sexual and family violence often do not seek formal help in the acute phase. When they do seek help, they encounter a system of scattered care. For this reason, a centre for sexual and family violence was launched in Nijmegen, the Netherlands. The centre provides multidisciplinary care for victims of acute sexual and/or family violence. With the study described in this study protocol, we want to evaluate the implementation process and the reach of the Center for Sexual and Family Violence Nijmegen (CSFVN).Methods and analysisWe will conduct a mixed-methods study including quantitative and qualitative methods of data collection and analysis. Data about the implementation process will be obtained via semistructured interviews and focus group discussions. Content analysis will be done in software program Atlas.ti. Analysis of file data will be undertaken to assess the reach of the CSFVN (patient characteristics and characteristics of the care they received). The data will be analysed in SPSS.Ethics and disseminationThe Medical Ethics Committee of the Radboud University Nijmegen Medical Center approved the study protocol under file number 2012–1218. Dissemination will be done by submitting scientific articles to academic peer-reviewed journals. We will present the results at relevant international, national and local conferences and meetings. We will send press releases to relevant media. We will share the results with the network of assault centres in the Netherlands.

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Coordinated Community Efforts to Respond to Sexual Assault

Cited by 45 publications

References 11 publications

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Physicians' Perceived Roles, as Well as Barriers, Toward Caring for Women Sex Assault Survivors

Prosecutors’ Perspectives on Biological Evidence and Injury Evidence in Sexual Assault Cases

Improving care for victims: a study protocol of the evaluation of a centre for sexual and family violence

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