Presenters: Virginia Plummer, MSW, LCSW, Emory University And Adrienne Slaughter, MSW, LCSW

1. Wearing two hats: A case study of psychosis trauma and academic progress following a sexual assault. Presenters: Virginia Plummer, MSW, LCSW, Emory University And Adrienne Slaughter, MSW, LCSW Emory University

2. Who are we? Virginia Plummer, MSW, LCSW Psychotherapist, EUSHCS Psychiatry Services Adrienne Slaughter, MSW, LCSW Director of Student Success Programs and Services Case Manager, Student Health Services

3. Objectives  Describe how social workers within student health and counseling clinics can contribute specialized and diverse services in support of college students who were sexually assaulted utilizing a collaborative care model. Understanding the benefits of having a multi –layer access and a clinical and student affairs collaborative lens Assisting student in connecting to on and off campus services Explore how to educate student on the dangers of social media “Hook-Ups” and how to reduce risk

4. The Case Study For confidentiality the student will be named “Joanne.” Joanne is a 20 year old female student She identifies as heterosexual She identifies as a Jehovah Witness She identifies as an African Woman Diagnosis- Depression, anxiety, body image, and trauma Middle Class SES Family in another state.

5. Joanne’s Story Joanne is seen in Student health services receiving therapy and meeting weekly with her psychiatrist due to her diagnosis of Depression and Anxiety. Student has low self esteem and feels she has limited friends. ( Isolates at times) One particular night she felt alone and wanted company. She went on to the social networking site Tinder.

6. Virginia’s role with Joanne ESTABLISHED THERAPEUTIC AND TRUST RELATIONSHIP IMMEDIATE CONCERNS NEEDING TO BE ADDRESSED WHEN JOANNE INFORMED THERAPIST OF SEXUAL ASSAULT TEAM APPROACH: THERAPIST, CASE MANAGER, AND PRIMARY CARE PHYSICIAN

7. Challenges working with the student • A Previous medical withdrawal set her back a semester • High anxiety • Trust issues • Fear of authority figures • Low self esteem and body image issues • Limited social systems on campus; social anxiety • Family dynamics and conflicts • Oldest of three • The “good girl” role and model to siblings • Strict background and expectations • Mixed conflictual and supportive experiences with family • Reluctance to ask for help • Shame issues

8. Joanne’s Story Continued: Joanne invited one man over to her home. Two men arrived and assaulted her 4 hours in her apartment. She reported the sexual assault to her therapist ( during her scheduled appointment), who then contacted the Case Manager The student was afraid of the procedure associated with sexual assault forensic evidence (SAFE) kit completed as she identified as a virgin.

9. Joanne Strengths that have Impacted OngoingRecovery Strengths: [Specialized Social Work Training in Strengths Model] • Goal of attending medical school • Deep care for others, including having done mission work • Engagement in church activities • Increasing sense of autonomy and individuation (supported in therapy) • Increased social circle of friends • Increased involvement in campus activities • Including leadership positions • Added to sense of self esteem and worth • Resilience and determination • Ongoing engagement in therapy, case management, and psychiatric services and support

10. On-going therapeutic and Psychiatric Support • Joanne continued with regularly schedule therapy sessions • Built on strengths and resiliency • Trust relationship became increasingly important • Monitored for PTSD symptoms, anxiety, depression, and possible suicidal ideation • Encouraged increased social connections and bonding • Encouraged increased family bonding • She continued to choose not to share sexual assault information with family • Enabled her self-advocacy for academic engagement • Supported medical follow-up • Collaborated with case manager • Psychiatrist part of team • Continued with medication management

11. Adrienne’s Role with Joanne What was the case Managers Role once Informed?

12. Joanne and Case Management Joanne was not doing well in school after the assault She was isolating She shared it retriggered a previous assault when she was a child ( which was unknown prior to CM meeting) Fearful of returning home because she would be seeing the man who first raped her and not sure if she wanted to tell her parents. Felt she deserved the assault because she had invited him over.

13. Some Reasons she did not want to report: Afraid of her parents disappointment Afraid of pap smear/ first time at an OBGYN Didn't’t think she as worth reporting to the police. Stigma is still very real and a lived experience for our students.

14. What did we do? Accommodations Lets Eliminate the Shame and protect privacy! Inform the Title IX Coordinator Get her connected to ADSR for accommodations relating to sexual assault not her mental health diagnosis Work with OUE ( Title IX specified Dean) to assist with accommodations and care around the issue. Connecting student with Emory Nutritionist to work on body Image and eating habits

15. Educating and Reducing Risk when using Social Media • Inform student of the pro’s and cons to social media • Using U-tube and other internet examples can be helpful to educate. • Reducing Risk: • Bring a friend on the first date/ or tell a friend where you are going. • Always go to a public place when you first meet a person • Speak with the person on the phone ( not just text and computer communication) • Ask questions. Don’t be afraid to ask questions

16. Closing We wanted to make sure the student was not without support. We needed to be culturally attentive to her needs as it related to her parents and cultural view on sexual assault Connecting her to resources on campus. Student was successful and completed all the classes she remained in.

17. Questions? Thank You