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
Federally qualified health centers
ealth_care/federally-qualified-health-center- fqhc_261qf0400x/nm/

12. Access to confidential EC, STI testing, pregnancy testing, contraception
School based health centers!!

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?
Taking back some control
Reassurance
Reduced fear re: STI and unplanned pregnancy
A chance to tell their story
A chance to be BELIEVED
ALBUQUERQUE SANE COLLABORATIVE

17. Local resources
SANE
Rape Crisis Center peer support:
Crime Victims Reparation Commission information and application:
Para Los Ninos: For children 0-18
NM Coalition of Sexual Assault Programs connects all these resources.
 phone
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
ym.com/search/custom.asp?id=2100

19. NM Crisis and Assess Line
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