Preparing Your Program To Meet the Unique Needs of Survivors
As stated earlier, it is impossible to anticipate every situation that might arise due to the unique needs of each patient. Unique needs can arise based on age, cultural identity, sexual orientation, gender identity, disability, language, religion, social status, occupation, and many other factors that ultimately define who we are as humans. Programs should be aware that some survivors may have experienced multiple types of victimization or have witnessed violence in their home, at school, or in the community. Using a patient-centered approach, patients should be given the opportunity to determine which factors are important to their care. By using the Duffy Caring Factors49 of human respect and mutual problem solving , the medical forensic examination and other aspects of care can be adapted to meet the specific needs of each patient. Many sources for information and advocacy address the unique needs that specific populations may have during a medical forensic examination. A list of patient populations, and some of the specific resources for providing patient-centered and trauma-informed care to them, follows.
Table A: Populations With Unique Needs
Populations With Unique Needs
Resources
Adolescents
Adolescent Sexual Assault Victims’ Experiences with SANE-SARTs and the Criminal Justice System
Sexual Violence Against Youth and Young People - NSVRC
Linking the Roads: Working with Youth Who Experience Homelessness & Sexual Violence - NSVRC
Adults Molested as Children
Rape, Abuse & Incest National Network (RAINN)
African-American Resources
Sexual Violence in the Lives of African American Women
Sexual Violence in the Lives of African American Women (includes health impacts section) an online forum archive
American Indian/Alaska Native
Maze of Injustice from Amnesty International
Southwest Center for Law and Policy
Mending the Sacred Hoop
National Sexual Violence Resource Center: Sexual Assault in Indian Country: Confronting Sexual Violence
Tribal Law and Policy Institute: Sexual Assault Response Teams: A Resource Guide for the Development of a SART in Tribal Communities
Americans Overseas
Pathways to Safety International Crisis Center
Help for U.S. Citizen Victims of Crime Overseas
Addressing Sexual Assault While Abroad
Asian and Pacific Islander Resources
Asian Pacific Institute on Gender-Based Violence
National Organization of Asians and Pacific Islanders Ending Sexual Violence
College Students
Addressing Sexual Assault While Abroad
Not Alone
Culture of Respect
Alcohol-Related Sexual Assault: A Common Problem among College Students
Overview: Campus Sexual Violence Prevention - NSVRC
Help for U.S. Citizen Victims of Crime Overseas
Deaf and Hard-of-Hearing Resources
Special Collection: Violence in the Lives of the Deaf or Hard-of-Hearing
Culture, Language, and Access: Key Considerations for Serving Deaf Survivors of Domestic and Sexual Violence
Understanding the Needs of the Victims of Sexual Assault in the Deaf Community
Eight Step Advocacy Plan for Deaf and Hard-of-Hearing Survivors of Sexual Assault
Elder Adult Resources
Responding to Elder Abuse: What Community Corrections Should Know (August 2010)
Responding to Elder Abuse: What Law Enforcement Should Know (August 2010)
Sexual Violence in Later Life Research Brief, NSVRC
NSVRC Sexual Violence in Later Life Resources
Homeless Persons
Housing and Sexual Violence
Housing and Sexual Violence Collection NSVRC
Human Trafficking
Assisting Trafficking Victims Information Packet - NSVRC
Toolkit to Combat Trafficking in Persons - United Nations
Human Trafficking Task Force e-Guide
National Human Trafficking Hotline
Services Available to Victims of Human Trafficking: A Resource Guide for Social Service Providers
Screening for Human Trafficking: Guidelines for Administering the Trafficking Victim Identification Tool (TVIT)
Resource Guide for health care practitioners (identifying and communicating with victims of human trafficking)
Immigrants
Dynamics of Sexual Assault and the Implications for Immigrant Women
Domestic Violence, Sexual Assault & Work: Issues for Undocumented Workers Your Legal Rights
Catholic Legal Immigration Network, INC
Immigration Options for Victims of Crimes
Immigration Relief for Crime Victims: The U Visa Manual
Incarcerated Survivors
National PREA Resource Center
PREA Data Collection Activities, 2015
Understanding Rape in Prison - PCAR
Mental Illness and Sexual Abuse Behind Bars
Latino/Spanish Language Resources
Spanish Language Resources for Sexual Assault Patients
Reaching Latino Victims of Sexual Violence : A Marketing Toolkit
Key Findings from 'Sexual Violence Victimization and Association with Health in a Community Sample of Hispanic Women
NSVRC online forum archive on Multilingual Access and the National Needs Assessment
Lesbian, Gay, Bisexual, Queer, and Two-Spirit
Sexual Violence and Individuals Who Identify as LGBTQ Information Packet - NSVRC
Top Health Issues for LGBT Populations Information and Resource Kit
Shades of Change: A Guide for Domestic Violence and Sexual Assault Service Providers Working with LGBT People of Color
Limited English Proficiency (LEP)
National Council on Interpreting in Health Care
Think Cultural Health Language Guide
HHS resource on culturally and linguistically appropriate health care
Male Survivors
Male Survivors
Female Perpetrators and Male Victims of Sexual Assault: Why They are so Invisible
Mental Illness
40% of women with severe mental illness are victims of rape or attempted rape
Mental Illness and Sexual Abuse Behind Bars
Military Resources
Department of Defense Sexual Assault Prevention and Response Office (SAPRO)
The Sexual Assault Prevention and Response Office (SAPRO) works with each of the Services and local communities to develop and implement sexual assault prevention and response programs.
Department of Defense Safe Helpline: Sexual Assault Support for the DoD Community
The Department of Defense contracted with RAINN to provide independent and anonymous services for this hotline.
Strengthening Military Civilian Partnerships to Respond to Sexual Assault Training
Strengthening Military-Civilian Community Partnerships to Respond to Sexual Assault is an interactive 2-day training that will help participants establish partnerships with local military installations in order to respond effectively to the needs of sexual assault victims in the military.
Patients With Physical and Cognitive Disabilities/ Disability Resources
Victims with Disabilities: The Forensic Interview—Techniques for Interviewing Victims with Communication and/or Cognitive Disabilities (January 2012)
A Law Enforcement Guide for Working with Children with Autism, Intellectual and Communication Disabilities
Supporting Crime Victims With Disabilities Curriculum – OVC TTAC
Considerations for Victims with Cognitive and Communication Disabilities - NSVRC
This presentation will help advocates and allied victim service professionals identify some of the ways in which people with communication disabilities may relay messages, both verbally and nonverbally, and highlights some techniques and technologies that can help bridge the language gap in order to provide quality sexual violence services. (27 minutes)
Pediatrics
Through Our Eyes: Children, Violence, and Trauma (Last Updated April 2014)
Sexual Violence Against Children - NSVRC
From Approach to Practice: Improving outcomes for children after sexual abuse - NSVRC
Refugees
The Advocates for Human Rights – Sexual Assault Against Refugees
Religious Resources
Violence Against Women and the Role of Religion
Sexuality and Sexual Violence in Religious Texts : An Annotated Bibliography
Runaway Youth
National Center for Missing and Exploited Children
Unaccompanied Youth Fast Facts
Homeless Youth and Sexual Violence
Homeless Youth National Conference of State Legislatures
Homeless, Runaway & Throwaway Youth: Sexual Victimization and the Consequences of Life on the Streets
Cultural Considerations When Working with Homeless, Runaway and Sexually Exploited Youth
Linking the Roads: Working with Youth Who Experience Homelessness & Sexual Violence by the NSVRC (2014)
Rural Resources
Stopping the Stigma: Public Perceptions of Sexual Assault in Rural Communities
Unspoken Crimes: Sexual Assault in Rural America
Sexual Assault in Rural Communities
Rural Domestic and Sexual Abuse Program Advocates: Making a Difference in the Lives of Older Survivors of Abuse
Sexual Violence in Rural Communities NSVRC
Implementing SANE Programs in Rural Communities: The West Virginia Regional Mobile SANE Project
Stalking Resources
Stalking Resource Center
Torture Survivors
Heal Torture.org – Provider Resources
Transgender Resources
Responding to Transgender Victims of Sexual Assault
Transgender Sexual Violence Survivors A Self Help Guide to Healing and Understanding
Pronouns and Trans People
Creating a Trans-Welcoming Environment
Veterans
U.S. Department of Veterans Affairs Military Sexual Trauma