S exual Assault Gail Starr RN BS MSCJA Clinical coordinator Albuquerque SANE Collaborative Jen Robinson WHNPBC CNM MS UNM Adolescent Medicine Division Young Childrens Health Center and LARC Mentoring Program ID: 791547
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Slide1
Resources and Referrals for Patients who have Experienced a recent Sexual Assault
Gail Starr, RN, BS, MSCJA
Clinical coordinator, Albuquerque SANE Collaborative
Jen Robinson, WHNP-BC, CNM, MS
UNM Adolescent Medicine Division, Young Children’s Health Center, and LARC Mentoring Program
Jeff Devereaux, BA
Community Education & Outreach Manager, Rape Crisis Center of Central New Mexico
Slide2Conflict of Interest Statement
Gail Starr does not have any conflicts of interest
Jeff
Devereaux does not have any conflicts of
interest
Jen Robinson is a
Nexplanon
trainer for Merck
There is not commercial or sponsorship support for this activity.
Slide3Objectives
Understanding, finding, and referencing resources in your communities
Recognizing the need and effectiveness in advocacy and counseling
Slide4Slide5What are Crisis Services?
Provide direct advocacy to survivors of sexual assault
Support & believe survivors
Connect survivors to
appropriate
resources
Confidential support systems for healing
Trauma-Informed
Slide6Why is advocacy necessary?
Trauma associated with sexual violence is deeply personal and intimate
Sexual violence is rooted in the taking of power and control from the survivor by their perpetrator
Creates a space for tools to be given to facilitate the healing process following an assault
More likely to seek long term counseling and medical services following assault
Slide7Counseling & Healing
People who seek counseling aren’t broken, they simply don’t have the tools to overcome their current trauma response
Therapists are trained to give people the tools to navigate their trauma and keep it manageable
Provides strong identity growth which integrates their experience as part of their identity rather than fixate on it
Provides behaviors that reduce their likelihood of self-harm, such as substance dependency, physical harm to self and others, or self-destructive tendencies
Slide8Confidential services
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Slide9Confidentiality throughout clinic flow
Contact info
Registration
Medical records
Allowing adolescents and parents to talk separately
Private areas for discussion
Staff practices
Billing issues
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Slide10Connecting survivors to additional resources
Longer visits
Referral systems
Train staff to help with navigation
Community organizations
Refer while patient is still in clinic – model and support navigation skills
Slide11Access to confidential EC, STI testing, pregnancy testing, contraception
NM Department of Health Family Planning clinics
https://nmhealth.org/location/public/
Federally qualified health centers
https://npidb.org/organizations/ambulatory_health_care/federally-qualified-health-center-fqhc_261qf0400x/nm/
Slide12Access to confidential EC, STI testing, pregnancy testing, contraception
School based health centers!!
http://www.nmasbhc.org/SBHC_Locator.html
Slide13Slide14Advice to give the youth
Talk about sexual health
If you are not comfortable with the topic, find someone who is.
Please be very careful discussing risk reduction
Make sure you do not victim blame.
Loveisrespect.org
There is no way to prevent sexual assault.
Risk reduction can be helpful but not guaranteed to work:
Be careful when drinking
Have a wingman at a party if possible.
Phone apps to help call for help
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Slide15Safety and psychological help from the medical team
The largest problem with family members that are the offenders is that the blame comes down on the victim.
Denial is real and strong
Safety for the patient is the number one concern of the medical provider.
You may be the only safe contact they have at this time.
Are there more people in harm
’
s way?
Are there resources to help this patient?
You can be a valuable resource for this patient.
Slide16Do patients feel better or worse after a SANE exam?
ALBUQUERQUE SANE COLLABORATIVE
Taking back some
control
Reassurance
Reduced fear re: STI and unplanned pregnancy
A chance to tell their story
A chance to be
BELIEVED
Slide17Local resources
SANE
Rape
Crisis Center peer support:
266-7711
http
://www.rapecrisiscnm.org/
Crime Victims Reparation Commission information and application:
http
://www.cvrc.state.nm.us/
Para Los
Ninos
:
For children 0-18
NM Coalition of Sexual Assault Programs connects all these resources.
http://nmcsap.org
/
505-883-8020 phone
888-883-8020
toll-free
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Slide18National/on-line resources
RAINN
: online, has links to all Rape Crisis Centers.
1in6.org
: online site for male survivors
Loveisrespect.org
is an online teen site
IAFN: International Association of Forensic Nurses
To find all local SANE programs
http://iafn.site-ym.com/search/custom.asp?id=2100
Slide19NM Crisis and Assess Line
1-(855
) NMCRISIS (662-7474
)
Crisis intervention for suicidal and homicidal thoughts
Assistance with non-life-threatening mental health emergencies
Trauma response
Assistance with finding treatment resources
Assistance for those who have family members or loved ones who are experiencing a mental health crisis.
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Slide20Vicarious Trauma (Gail)
How to self care
What are your favorite activities?
Are you a talker or do you prefer alone time?
Curl up and binge watch RHWOC?
Resources
Rape Crisis Center: offers counseling for providers
Peers
Friends
Dog/Cat Videos
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