1. Medical Follow Up for Victims of Sexual Violence Dr. Cheung Man Kuen Medical Officer Department of Family Medicine New Territories East Cluster

2. Objectives To provide follow-up medical care to victims of sexual violence after they have received initial treatment at AED To provide follow-up medical care to victims of sexual violence after they have received initial treatment at AED To provide medical care to victims of sexual violence who presented within 6 months of the assault and is referred by a registered medical practitioner to be in need of further medical care related to the sexual assult To provide medical care to victims of sexual violence who presented within 6 months of the assault and is referred by a registered medical practitioner to be in need of further medical care related to the sexual assult

3. Sexual Violence Incident Victim attending AED in isolationPre-attendance call from case worker Police statement and forensic examination in an appropriate setting Inform case worker to come while attended by experienced nurse Victim attending AED accompanied by case worker Acute medical treatment Referral to designated follow-up clinics Appointment booked by case worker Victim attending follow up clinic accompanied by case worker

4. Scenario 1: Victim presented at AED within 14 days of sexual assault Victim attended AED and received referral letter (sample letter) Victim attended AED and received referral letter (sample letter) Case worker/Victim calls at the contact phone number of the designated clinic and make appointment Case worker/Victim calls at the contact phone number of the designated clinic and make appointment Victim (  accompanied by case worker) to attend the designated clinic on the appointment date Victim (  accompanied by case worker) to attend the designated clinic on the appointment date

5. Scenario 2: Victim presented later than 14 days but within 6 months of sexual assault Victim should visit a registered medical practitioner for assessment Victim should visit a registered medical practitioner for assessment Obtain a referral letter to designated clinic if appropriate Obtain a referral letter to designated clinic if appropriate Victim/Case worker calls at the contact phone number of the designated clinic and make appointment Victim/Case worker calls at the contact phone number of the designated clinic and make appointment Victim (  accompanied by case worker) to attend the designated clinic on the appointment date Victim (  accompanied by case worker) to attend the designated clinic on the appointment date

6. HA AEDs and Designated Clinics Cluster Hospitals with AED within the Cluster Designated Clinic/ Department Providing medical after-care service HK PYNEH, QMH, RHTSK, SJH Gynaecology Clinic of PYNEH (female victims) Chai Wan Health Centre (male victims) Kln KWH, UCH, QEH, PMH, CMC, YCH, TKOH Gynaecology Clinic of QEH (female victims) Family Medicine Specialist Clinic of QEH (male victims) NTE PWH, NDH, AHMLNH Family Medicine Specialist Clinic of PWH NTWTMH Family Medicine Specialist Clinic of TMH

7. Medical service provided at designated clinics First visit 10-14 days after AED attendance Second visit at 6 weeks Third visit at 3 months Fourth visit at 6 months Scheduled visit may be adjusted according to clinical need.

8. First visit 10-14 days after AED attendance Review A&E records and case summary from case worker Review A&E records and case summary from case worker Trace A&E Ix results +/- further action Trace A&E Ix results +/- further action Hx, P/E, Ix as appropriate Hx, P/E, Ix as appropriate Screening for STDs +/- treatment or referral Screening for STDs +/- treatment or referral Rule out pregnancy in female victims +/- further action ( e.g. refer for TOP ) Rule out pregnancy in female victims +/- further action ( e.g. refer for TOP ) Advice on safety of sexual activities Advice on safety of sexual activities Assess psychosocial wellbeing +/- referral Assess psychosocial wellbeing +/- referral

9. Second visit at 6 weeks screen for STDs as appropriate screen for STDs as appropriate rule out pregnancy for female victims rule out pregnancy for female victims

10. Third visit at 3 months screen for STDs as appropriate screen for STDs as appropriate

11. Fourth visit at 6 months screen for STDs as appropriate screen for STDs as appropriate

12. Q&A