Resources and Referrals for Patients who have Experienced a recent S exual Assault

1. 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

2. Conflict 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.

3. Objectives • Understanding, finding, and referencing resources in your communities • Recognizing the need and effectiveness in advocacy and counseling

5. What 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

6. Why 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

7. Counseling & 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

8. Confidential services

9. Confidentiality throughout clinic flow • Contact info • Registration • Medical records • Allowing adolescents and parents to talk separately • Private areas for discussion • Staff practices • Billing issues

10. Connecting 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

11. Access 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/

12. Access to confidential EC, STI testing, pregnancy testing, contraception School based health centers!! http://www.nmasbhc.org/SBHC_Locator.html

14. Advice 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

15. Safety 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.

16. Do 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

17. Local 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

18. National/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

19. NM 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.

20. Vicarious 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