I'm interested in finding if there has been research, audit or any sort of examination of new referrals to MH services and these people's experience of sexual violence (either historic or acute). Is this a question routinely asked as part of an initial assessment, for example? If so, what are the findings?
Dear Charlie,
Check these out:
ASSESSING PATIENTS FOR SEXUAL VIOLENCE
A GUIDE FOR HEALTH CARE PROVIDERS
© National Sexual Violence Resource Center 2011.
Florida Council Against Sexual Violence. (2003). SAVE: Screening Your Patients for Sexual Assault. Tallahassee, FL: Author.
KimerlingR.,Street,A.E.,Gima,K.,&Smith,M.W.(2008).Evaluationofuniversalscreeningformilitary-relatedsexual trauma. Psychiatric Services, 59, 635-40. doi:10.1176/appi.ps.59.6.635
Littleton, H. L., Berenson, A. B., & Breitkopf, C. R. (2007). An evaluation of health care providers’ sexual violence screening practices. American Journal of Obstetrics & Gynecology, 196, 564e1-564e7
Pittsburgh Action Against Rape. (2007). Screening patients for sexual violence: An accredited curriculum for nurses in Pennsylvania.Enola,PA:PennsylvaniaCoalitionAgainstRape.Retrievedfromhttp://www.pcar.org/sites/default/files/ file/healthcare/Screening-Patients-for-Sexual-Violence.pdf
Stevens, L. (2007). Screening for sexual violence: Gaps in research and recommendations for change. Harrisburg, PA: National Online Resource Center on Violence Against Women. Retrieved from http://new.vawnet.org/Assoc_Files_ VAWnet/AR_ScreeningforSV.pdf.
Tjaden P., & Thoennes, N. (1998). Prevalence, incidence and consequences of violence against women: Findings from the National Violence Against Women Survey.Washington,DC:U.S.DepartmentofJustice,NationalInstituteofJustice. Retrieved from http://www.ncjrs.gov/pdffiles/172837.pdf
Professor Liz Hughes has been working on a related topic which may have crossover Charlie, not sure if you have her details, if not I can pass them on, best wishes Ian
Hi Ian I have worked with Liz at CCAWI but lost track of her recently, yes, up to date contact details would be great, thanks Charlie
By violence, do you mean any form of assault or abuse? I can help answer this from a child psychiatry perspective. Clinically, this question often gets overlooked because it gets "lumped" into PTSD or generic abuse questions that are quickly asked during the first visit. It is rare for youth to want to answer such personal questions in the first visit, especially if no one else knows yet. However, abuse or violence questions are rarely asked in follow-up visits, unless there is suspicion or the patient outright tells us. We have a nice article in the Winter 2015 JAACAP Connect that overviews Adverse Childhood Experiences (ACEs), which is a method for screening for trauma that would include some reference to sexual abuse. http://www.jaacap.com/content/connect (the article freely available). I'm not sure if that is directly relevant to your question, but perhaps it can provide some leads. Good luck!
In the US the national agency funding Medicaid and Medicare (CMC) requires psychiatric hospitals to assess for trauma on admission. The quality of that assessment may vary but the rate of assessment gets reported nationally.
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