Yeater, E A; O'Donohue, W
1999-11-01
Current problems facing the primary prevention of sexual assault are reviewed. Effective sexual assault prevention programs for both males and females have been slow to develop due to the fact that the etiologies of sexual assault have not been identified. Although dissemination of prevention programs has become increasingly popular in recent years, few programs have evaluated the extent to which the constructs identified in the interventions are effective at decreasing rates of sexual assault. This article discusses previous studies in sexual assault prevention programs, methodological and conceptual problems that currently exist in the field, pragmatic difficulties regarding program implementation and evaluation, and recommendations for future research with an emphasis on interventions with female participants.
Combining Primary Prevention and Risk Reduction Approaches in Sexual Assault Protection Programming.
Menning, Chadwick; Holtzman, Mellisa
2015-01-01
The object of this study is to extend prior evaluations of Elemental, a sexual assault protection program that combines primary prevention and risk reduction strategies within a single program. During 2012 and 2013, program group and control group students completed pretest, posttest, and 6-week and 6-month follow-up surveys assessing sexual attitudes and knowledge as well as experiences with assault. The results reinforce previous findings that Elemental is effective in reducing sexual assault risk. Program effects were both direct, in that participation was associated with lower risk of assault, and mediated, in that participation impacted attitudes and beliefs that are empirically linked to risk of later assault. By combining both primary prevention and risk reduction approaches, Elemental is not only effective at reducing incidences of assault, it is also consistent with a number of recent recommendations for directions in sexual assault prevention programming.
sexual assault « Coast Guard All Hands
accountability Some potentially positive news from the Sexual Assault Prevention and Response (SAPR) program: The . Coast Guard Sexual Assault Prevention and Response program logo. U.S. Coast Guard illustration by Petty Sexual Assault Prevention and Response Office, and U.S. Coast Guard Rear Adm. Erica Schwartz, director of
32 CFR 105.18 - Information collection requirements.
Code of Federal Regulations, 2014 CFR
2014-07-01
..., MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.18 Information... assigned OMB control number 0704-0482. (b) The annual report regarding sexual assaults involving Service members and improvement to sexual assault prevention and response programs referred to in §§ 105.5(f)(22...
32 CFR 105.18 - Information collection requirements.
Code of Federal Regulations, 2013 CFR
2013-07-01
..., MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.18 Information... assigned OMB control number 0704-0482. (b) The annual report regarding sexual assaults involving Service members and improvement to sexual assault prevention and response programs referred to in §§ 105.5(f)(22...
78 FR 20443 - Sexual Assault Prevention and Response (SAPR) Program
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-05
... free of sexual assault by providing an environment of prevention, education and training, response... and unpredictable circumstances in some environments, such as deployed locations, preclude the... free of sexual assault and an environment of prevention may also change over time. Keeping information...
Interdisciplinary action supporting sexual assault prevention efforts in rural elementary schools.
Hayward, K S; Pehrsson, D E
2000-01-01
The purpose of this study was to evaluate if knowledge is gained by rural, elementary school-aged children of sexual assault prevention concepts following implementation of an interdisciplinary prevention program. Rural children (N = 294 pretest and N = 301 posttest) were tested before and after delivery of a theater program developed for teaching sexual assault prevention concepts. The program was delivered to children enrolled in the 3rd and 4th grades of 3 rural elementary schools. Analysis of variance results indicate an increase in knowledge gained in all age groups. Significant difference in knowledge gained occurred in concept areas related to touch by authority figures, secrets, uncomfortable touch by individuals known to them, strangers, and boys' risk of abuse. Results support the need for ongoing interdisciplinary efforts to teach children sexual assault prevention concepts.
An Evaluation of a Mixed-Gender Sexual Assault Prevention Program
ERIC Educational Resources Information Center
Bradley, April R.; Yeater, Elizabeth A.; O'Donohue, William
2009-01-01
This study evaluated the short-term effectiveness of a mixed-gender sexual assault prevention program developed for college students. Program participants (n = 177) were compared to non-program participants (n = 132) prior to the program and during a 2-week follow-up period on measures of rape myths, victim empathy, perceived negative consequences…
Effectiveness of a Social Change Approach to Sexual Assault Prevention
ERIC Educational Resources Information Center
Edwards, Keith E.
2009-01-01
The author examined the impact on resident assistants of a social change approach to sexual assault prevention. The interactive multi-media program focused on engaging men on sexual assault prevention, accurately defining rape for college men and women, identifying aspects of the rape culture in society and on-campus, and empowering college…
Combining Primary Prevention and Risk Reduction Approaches in Sexual Assault Protection Programming
ERIC Educational Resources Information Center
Menning, Chadwick; Holtzman, Mellisa
2015-01-01
Objective: The object of this study is to extend prior evaluations of Elemental, a sexual assault protection program that combines primary prevention and risk reduction strategies within a single program. Participants and Methods: During 2012 and 2013, program group and control group students completed pretest, posttest, and 6-week and 6-month…
An Evaluation of a Sexual Assault Education Program
ERIC Educational Resources Information Center
Hatcher, Angela P.
2009-01-01
Sexually aggressive behavior, especially on college campuses, is an issue of major concern. Previous research has found that 54% of college women report being sexually victimized (Koss, Gidycz, & Wisniewski, 1987). Given the scope of this problem, effective prevention strategies are necessary. Sexual assault prevention programs have included…
2013-12-01
rescheduled to accommodate his attendance. At each meeting, the SAPR program was reviewed, as were upcoming events, and recently closed and open...Assault Forensic Exam SAGR Service Academy Gender Relations SANE Sexual Assault Nurse Examiner SAPR Sexual Assault Prevention and Response
Foubert, John D; Masin, Ryan C
2012-01-01
Noncommissioned male officers in the U.S. Army stationed in Germany were trained to present a 1-hour rape prevention workshop--The Men's Program--to 237 enlisted male soldiers. A comparison group of 244 male soldiers received a briefing focused on reducing the individual's risk for experiencing sexual assault, discussion of myths and facts about sexual assault, and how to avoid being accused of sexual assault. Participants in The Men's Program experienced significant change in the predicted direction for bystander willingness to help, bystander efficacy, rape myth acceptance, likelihood of raping, and likelihood of committing sexual assault with low to medium effect sizes. Comparison group participants experienced no effect on these variables except for a significant decline in rape myth acceptance with a very low effect size. Between-group differences pointed to the efficacy of The Men's Program. Implications of these results for rape prevention programming in the military are discussed.
ERIC Educational Resources Information Center
Specktor, Peggy; Stafford, Rick, Ed.
The Minnesota Program for Victims of Sexual Assault conducted a 9-month training program for racial minority human service professionals from September 1983 through May 1984. The objectives of the project were to improve the identification, intervention, and treatment of sexual assault victims and their families. The project targeted Blacks,…
ERIC Educational Resources Information Center
Elias-Lambert, Nada; Black, Beverly; Sharma, Yasoda
2010-01-01
This study examined how group composition influences students' level of satisfaction with a dating violence and sexual assault prevention program. A 10- to 12-session program was presented to 396 urban African American middle school students in mixed- and same-gender groups. Both males and females were significantly more satisfied with the…
Implications for sexual assault prevention: college students as prosocial bystanders.
Exner, Deinera; Cummings, Nina
2011-01-01
Prosocial bystander interventions are promising approaches to sexual assault prevention on college campuses. To assess bystander attitudes among undergraduate students at a northeastern university. A convenience sample of 188 students from 4 undergraduate classes was surveyed during regularly scheduled class sessions. Participants completed a short survey on bystander efficacy, readiness to change, and barriers to intervention prior to the start of class. The majority of students were not involved in activities or programs focused on sexual assault prevention. Although students agreed that violence could be prevented, they perceived many barriers to their own participation in intervention. There is a need for gender-targeted prevention programming that introduces the idea of prosocial bystander intervention, with a focus on increasing self-efficacy and lowering barriers.
32 CFR 105.17 - Sexual assault offense-investigation disposition descriptions.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 1 2014-07-01 2014-07-01 false Sexual assault offense-investigation disposition... PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.17 Sexual... reporting of the dispositions of subjects in sexual assault investigations conducted by the MCIOs. Services...
32 CFR 105.17 - Sexual assault offense-investigation disposition descriptions.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 1 2013-07-01 2013-07-01 false Sexual assault offense-investigation disposition... PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.17 Sexual... reporting of the dispositions of subjects in sexual assault investigations conducted by the MCIOs. Services...
ERIC Educational Resources Information Center
Black, Beverly M.; Weisz, Arlene N.; Jayasundara, Dheeshana S.
2012-01-01
A dating violence and sexual assault prevention program was presented to 396, predominately African American, middle schoolers in two inner city schools in the United States. In one school the program was offered with a same-gender group composition; in the other school, the same program was offered with mixed-gender group composition. A…
A Comprehensive Prevention Approach to Reducing Assault Offenses and Assault Injuries Among Youth
Heinze, Justin E.; Reischl, Thomas M.; Bai, Mengqiao; Roche, Jessica S.; Morrel-Samuels, Susan; Cunningham, Rebecca M.; Zimmerman, Marc A.
2018-01-01
Since 2011, the CDC-funded Michigan Youth Violence Prevention Center (MI-YVPC), working with community partners, has implemented a comprehensive prevention approach to reducing youth violence in Flint, MI, based on public health principles. MI-YVPC employed an intervention strategy that capitalizes on existing community resources and application of evidence-based programs using a social-ecological approach to change. We evaluated the combined effect of six programs in reducing assaults and injury among 10–24 year olds in the intervention area relative to a matched comparison community. We used generalized linear mixed models to examine change in the intervention area counts of reported assault offenses and assault injury presentation relative to the comparison area over a period six years prior- and two and a half years post-intervention. Results indicated that youth victimization and assault injuries fell in the intervention area subsequent to the initiation of the interventions and that these reductions were sustained over time. Our evaluation demonstrated that a comprehensive multi-level approach can be effective for reducing youth violence and injury. PMID:26572898
ERIC Educational Resources Information Center
Foubert, John D.; Newberry, Johnathan T.
2006-01-01
Fraternity men (N = 261) at a small to midsized public university saw one of two versions of a rape prevention program or were in a control group. Program participants reported significant increases in empathy toward rape survivors and significant declines in rape myth acceptance, likelihood of raping, and likelihood of committing sexual assault.…
The roles of victim and offender substance use in sexual assault outcomes.
Brecklin, Leanne R; Ullman, Sarah E
2010-08-01
The impact of victim and offender preassault substance use on the outcomes of sexual assault incidents was analyzed. Nine hundred and seventy female sexual assault victims were identified from the first wave of a longitudinal study based on a convenience sampling strategy. Multivariate models showed that victim injury was more likely in assaults involving offender substance use (regardless of whether or not the victim was also using substances). Offender use of physical force and verbal threats were also related to greater odds of completed rape and injury, and force was associated with medical attention seeking. Based on this study, rape prevention programs should target men and focus on the role of substance use in sexual assault. These prevention programs should incorporate information on the roles of offender and victim substance use, offender aggression, and other situational factors in sexual assault outcomes. Study limitations and suggestions for future research on the role of victim and offender substance use in rape incidents are presented.
Kamimura, Akiko; Trinh, Ha Ngoc; Nguyen, Hanh; Yamawaki, Niwako; Bhattacharya, Haimanti; Mo, Wenjing; Birkholz, Ryan; Makomenaw, Angie; Olson, Lenora M
2016-01-01
College women are at a high risk of sexual assault. Although programs that aim to change bystander behaviors have been shown to be potentially effective in preventing sexual assault on campuses in the United States, little is known about bystander behaviors outside of the United States. The purpose of this study was to explore and compare factors affecting bystander behaviors regarding sexual assault intervention and prevention among undergraduate students in the United States, Japan, India, Vietnam, and China. A total of 1,136 students participated in a self-reported survey. Results demonstrate substantial variations across countries. Bystander behaviors are associated with multilevel factors, including gender, knowledge of individuals who have experienced a sexual assault, and knowledge about campus or community organizations.
Evaluation of a sexual assault education/prevention program for female U.S. Navy personnel.
Rau, Terri J; Merrill, Lex L; McWhorter, Stephanie K; Stander, Valerie A; Thomsen, Cynthia J; Dyslin, Christopher W; Crouch, Julie L; Rabenhorst, Mandy M; Milner, Joel S
2011-10-01
The U.S. Navy Sexual Assault Intervention Training (SAIT) program for women was evaluated in a randomized clinical trial. The SAIT uses multiple presentation modalities (lecture, slides, discussion, film) to provide information related to sexual assault, including risk factors, consequences, prevention, and relevant military regulations. Female personnel who had completed basic training (N = 550) participated in the SAIT or a Comparison condition, and then completed measures of rape knowledge, empathy for rape victims, and acceptance of rape myths (false beliefs about rape justifying sexual violence). Results showed that the SAIT increased factual knowledge about rape. In addition, the SAIT increased empathy with rape victims in some groups of women. However, the program did not reduce women's rape myth acceptance. Given the enormity of the problem of sexual assault and these promising initial findings, additional research on the efficacy of the SAIT is clearly warranted.
Hust, Stacey J T; Marett, Emily Garrigues; Lei, Ming; Chang, Hua; Ren, Chunbo; McNab, Anna Lazárová; Adams, Paula M
2013-01-01
Popular crime dramas have tackled sensitive issues such as sexual assault with increasing frequency over the past 20 years. These popular programs increasingly demonstrate the emotional and physical effect of sexual assault on its victims, and in some instances they depict individuals being rewarded for intervening to prevent or stop an assault in progress. It is possible that this content could affect attitudes related to sexual assault prevention. However, no previous research has examined this possibility. In the fall 2008 semester, 508 undergraduates at a large northwestern university completed a questionnaire about media use and bystander intervention in a sexual assault situation. Results from hierarchical regressions lend support for the integrative model of behavioral prediction in that instrumentality, rape myth acceptance, perceived social norms, perceived efficacy related to intervening, and exposure to primetime crime dramas were associated with participants' intentions to intervene in a sexual assault. The results suggest that crime dramas may be a useful venue for prevention messages as exposure to crime dramas uniquely contributed to intentions to intervene in a sexual assault.
The Healthy Relationships Program: Preventing Sexual Assault of Youth.
ERIC Educational Resources Information Center
Lutzer, Victoria D.; Day-Vines, Norma
2001-01-01
This article describes an innovative model for supporting high-risk teens, including those in special education, who need social skills to protect them from sexual assault. Suggestions are made for prevention activities and involvement of community agencies with expertise for providing critical transition services to at-risk adolescents. (Author)
Vitale, Elsa
2012-04-01
Sexual assault was a ubiquitous and serious problem in our society. The world's care centers and forensic associations, which were at the forefront of scientific research in sexual assaults, discussed the role of the Forensic Nursing in their early diagnosis and their prevention, but little has been written in literature regarding their appropriate management. This article focuses on the immunochemical laboratory investigation in diagnosis and prevention of its adverse effects in sexual assaults and the role of the Forensic Nursing played in this task. After a careful reading of all the material received from many of the care centers and the associations contacted, a Forensic Nursing Examination Program, with specific immunochemical address, is identified.
32 CFR 105.10 - SARC and SAPR VA procedures.
Code of Federal Regulations, 2014 CFR
2014-07-01
... CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.10 SARC and SAPR VA procedures. (a) SARC procedures. The SARC shall: (1) Serve as the single point of contact to coordinate sexual assault response when a sexual assault is reported. All SARCs shall be authorized to perform VA duties in...
32 CFR 105.10 - SARC and SAPR VA procedures.
Code of Federal Regulations, 2013 CFR
2013-07-01
... CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.10 SARC and SAPR VA procedures. (a) SARC procedures. The SARC shall: (1) Serve as the single point of contact to coordinate sexual assault response when a sexual assault is reported. All SARCs shall be authorized to perform VA duties in...
32 CFR 105.13 - Case management for Unrestricted Reports of sexual assault.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 1 2014-07-01 2014-07-01 false Case management for Unrestricted Reports of sexual assault. 105.13 Section 105.13 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105...
32 CFR 105.13 - Case management for Unrestricted Reports of sexual assault.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 1 2013-07-01 2013-07-01 false Case management for Unrestricted Reports of sexual assault. 105.13 Section 105.13 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105...
Preliminary Evaluation of the "Playing the Game" Sexual Assault Prevention Theatre Program
ERIC Educational Resources Information Center
Thatcher, W. Gregory
2011-01-01
Purpose: To compare the effectiveness of a one-time sexual assault prevention theatre performance against a similar content video performance and a non-intervention control group. Methods: Using the College Date Rape Attitudes and Behaviors Survey, four-hundred ninety-seven students provided matched pairs data for analysis. Results: At a…
Caring sexual assault patients in the military: past, present, and future.
Ferguson, Cynthia T
2008-01-01
Recently instituted sexual assault prevention and response policies and programs within the Department of Defense (DoD) have paved the way for significant improvements in the medical care of sexual assault patients in the military services. Military personnel who suffer assault are now able to choose a method of reporting that either immediately triggers an investigation or allows the incident to remain confidential. This process allows for the development of an enhanced trust in the system and allows military personnel to receive medical and forensic care on the level of their choice. Military medical professionals are continually striving to provide the highest standard of care for military personnel, DoD employees, and beneficiaries. The new policies and programs are continually taking shape; however, there are barriers to education and understanding of the sexual assault prevention and response processes that require increased coordination between military and civilian personnel and their medical services in order to provide optimum care for all patients involved.
Evaluation of a Sexual Assault Education/Prevention Program for Male U.S. Navy Personnel
2010-01-01
MILITARY MEDICINE, 175, 6:429, 2010 Evaluation of a Sexual Assault Education/Prevention Program for Male U.S. Navy Personnel Terri J. Rau, PhD*; Lex...Mandy M. Rabenhorst, PhDf, Joel S. Milner, PhDt ABSTRACT A randomized clinical trial was conducted to evaluate the effectiveness of the Navy Sexual ...reducing rape myth acceptance, and increasing empathy for rape victims. As expected, men who had exhibited previous coercive sexual behavior, compared
A Compendium of Sexual Assault Research
2009-01-01
2007; Klaw et al., 2005; Lonsway et al., 1998). Typically, participants completed a pretest and a posttest evaluation, and studies sometimes included...Determine whether theatrical sexual assault prevention programs induce long-term attitude change Selected Results: Posttest scores were lower than pretest ...more moti- vated the participants were to see the program, the greater the effect of the program. The researchers also found that pretesting
2011-06-01
Coast Guard Academies Have Taken Steps to Address Incidents of Sexual Harassment and Assault, but Greater Federal Oversight Is Needed, GAO-08-296...provided through multiple sources and vary annually relative to other programmatic priorities. According to the Army Sexual Harassment /Assault...2.1 million it received from the Army’s Sexual Harassment /Assault Response and Prevention program in fiscal year 2010 for the improvement of sexual
"Yes Means Yes:" A New Approach to Sexual Assault Prevention and Positive Sexuality Promotion
ERIC Educational Resources Information Center
Lafrance, Dawn E.; Loe, Meika; Brown, Scott C.
2012-01-01
"Yes Means Yes" (YMY) is an interdisciplinary, noncredit, five-week, positive sexuality seminar offered at a small liberal arts college as part of a campus-wide initiative to improve students' relationship skills and behaviors. Most university campuses employ some sort of sexual assault prevention program to help protect students from problematic…
2014 Department of Defense Report of Focus Groups on Sexual Assault Prevention and Response
2014-12-01
views of sexual harassment and sexual assault at their base/ installation, but they do not portray a statistical report on incidence rates or...assaulted them. But not the other way around.” (E1-E4 Male ) – “I believe that a sexist attitude leads to sexual harassment , which leads to sexual ...were designed to better understand howrecent changes in sexual assault policies and programs have impacted military members and their workplace
78 FR 21715 - Sexual Assault Prevention and Response (SAPR) Program Procedures
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-11
... high-risk team to monitor cases where the sexual assault victim's life and safety may be in jeopardy... in Military Rule of Evidence 514. (9) Requires the execution of a high-risk team to monitor cases...
ERIC Educational Resources Information Center
Jozkowski, Kristen N.; Henry, Dayna S.; Sturm, Ashley A.
2015-01-01
Introduction: Sexual assault continues to be a pervasive health issue among college students in the USA. Prevention education initiatives have been implemented to address this concern. However, little is known about college students' perceptions of such programming. The purpose of this study was to assess predictors of college students'…
Melkonian, Alexander J; Ham, Lindsay S; Bridges, Ana J; Fugitt, Jessica L
2017-10-01
High rates of sexual victimization among college students necessitate further study of factors associated with sexual assault risk detection. The present study examined how social information processing relates to sexual assault risk detection as a function of sexual assault victimization history. 225 undergraduates (M age = 19.12, SD = 1.44; 66% women). Participants completed an online questionnaire assessing victimization history, an emotion identification task, and a sexual assault risk detection task between June 2013 and May 2014. Emotion identification moderated the association between victimization history and risk detection such that sexual assault survivors with lower emotion identification accuracy also reported the least risk in a sexual assault vignette. Findings suggest that differences in social information processing, specifically recognition of others' emotions, are associated with sexual assault risk detection. College prevention programs could incorporate emotional awareness strategies, particularly for men and women who are sexual assault survivors.
32 CFR 105.11 - Healthcare provider procedures.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 1 2014-07-01 2014-07-01 false Healthcare provider procedures. 105.11 Section... AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.11 Healthcare provider... standardized, timely, accessible, and comprehensive healthcare for victims of sexual assault, to include the...
32 CFR 105.11 - Healthcare provider procedures.
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 1 2013-07-01 2013-07-01 false Healthcare provider procedures. 105.11 Section... AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.11 Healthcare provider... standardized, timely, accessible, and comprehensive healthcare for victims of sexual assault, to include the...
ERIC Educational Resources Information Center
Johnson, Alycia; Butcher, Melissa; Thomas, Kate H.; Jemsek, Jacqueline; Shields, Margaret M.
2016-01-01
Purpose: Prevention advocates work hard to create and deliver sexual assault awareness programs on college campuses, including Christian universities. To do so requires savvy planning and a high degree of cultural competence, as a review of the literature indicates that some Christian campuses shy away from the topic and refuse to allow needed…
Ahrens, Courtney E; Rich, Marc D; Ullman, Jodie B
2011-06-01
The interACT Sexual Assault Prevention Program is an interactive, skill-building performance based on the pedagogy of Augusto Boal's Theatre of the Oppressed. A longitudinal evaluation of this program compared pretest, posttest, and 3-month follow-up data from 509 university student participants. Results suggested that the interACT performance was successful in increasing participants' beliefs about the effectiveness of bystander interventions and the self-rated likelihood that participants would engage in bystander interventions in the future. Differences in both overall ratings and rates of change were noted. Implications of these results for research and practice are discussed.
So What's It to Me? Sexual Assault Information for Guys: Activity Guide.
ERIC Educational Resources Information Center
Stringer, Gayle M.; Rants-Rodriguez, Deanna
This document is a group leader activity guide to accompany a sexual assault prevention program focusing on information for male teenagers. Background information, large group activities, comments for small group leaders, extension activities, activity sheets, and transparency masters are included for 15 group activities. These topics are covered…
Evaluation and Management of Female Victims of Sexual Assault.
Vrees, Roxanne A
2017-01-01
Sexual assault is characterized by any sexual contact or behavior that occurs without explicit consent. Classifications vary based on the status of the perpetrator's relationship to the victim (eg, stranger, acquaintance) and characteristics of the victim herself (eg, child, elder adult, mentally disabled adult). Regardless of the classification, sexual assault is a significant individual as well as public health issue affecting women of all ages. While the majority of sexual assault cases are not initially reported to law enforcement, the best available data suggest the lifetime prevalence of sexual assault in the United States is approximately 20% among adult women. With such a significant proportion of women affected by sexual assault, women's health care providers in both ambulatory and emergency care settings play key roles in the evaluation, management, and advocacy of these victims. Establishing standard protocols based on state laws and on victim-centered practices to avoid revictimization of the patient is critical. The primary goals of care include the assessment and treatment of physical injuries, psychological assessment and support, pregnancy assessment and prevention, and therapy for prevention of sexually transmitted infections. In addition, evidentiary collection is a critical component of the sexual assault evaluation and subsequent legal proceedings. This report focuses specifically on the immediate evaluation and management of adult female victims of sexual assault. Best practices include the utility of the Sexual Assault Nurse Examiner and Sexual Assault Forensic Examiner programs, as well as standardized treatment protocols.
The association between sexual assault and suicidal activity in a national sample.
Tomasula, Jessica L; Anderson, Laura M; Littleton, Heather L; Riley-Tillman, T Chris
2012-06-01
Sexual violence is a potential key risk factor for adolescent suicidal behavior but has not been studied extensively. Thus, the current study examined the extent to which sexual assault predicted suicide attempts among adolescent students in the national Youth Risk Behavior Surveillance System survey (2007 data). Gender differences in suicidal behavior overall and among sexual assault victims were examined. The results supported that students with sexual assault histories were significantly more likely (odds ratio [OR]=6.4) to have reported at least one suicide attempt in the past year than students who did not report sexual assault histories. Male students with a sexual assault history reported suicide attempts requiring medical attention more frequently than male attempters without sexual assault histories, as well as both groups of female suicide attempters. Implications of the findings for suicide prevention and intervention programs are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).
77 FR 4239 - Sexual Assault Prevention and Response (SAPR) Program
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-27
.... Affected Public: Federal Government; Individuals or Households; Business or Other For-Profit; Not-For... General of the Military Departments and IG, DoD respectively. (2) Develop strategic program guidance...) Align Service SAPR Strategic Plans with the DoD SAPR Strategic Plan. (5) Align Service prevention...
ERIC Educational Resources Information Center
Foubert, John D.; Tatum, Jerry L.; Godin, Eric E.
2010-01-01
Seven months after seeing The Men's Program, a commonly used rape prevention program, 248 first-year college men responded to four open-ended questions concerning whether or not the program impacted their attitudes or behavior, particularly regarding alcohol related sexual assault. Two thirds of participants reported either attitude or behavior…
28 CFR 90.51 - Program criteria for Indian tribal government discretionary grants.
Code of Federal Regulations, 2010 CFR
2010-07-01
... programs, including sexual assault and domestic violence victim services programs. Indian tribal government...) VIOLENCE AGAINST WOMEN Indian Tribal Governments Discretionary Program § 90.51 Program criteria for Indian... prevention, identification, and response to cases involving violence against women. ...
28 CFR 90.51 - Program criteria for Indian tribal government discretionary grants.
Code of Federal Regulations, 2013 CFR
2013-07-01
... programs, including sexual assault and domestic violence victim services programs. Indian tribal government...) VIOLENCE AGAINST WOMEN Indian Tribal Governments Discretionary Program § 90.51 Program criteria for Indian... prevention, identification, and response to cases involving violence against women. ...
28 CFR 90.51 - Program criteria for Indian tribal government discretionary grants.
Code of Federal Regulations, 2011 CFR
2011-07-01
... programs, including sexual assault and domestic violence victim services programs. Indian tribal government...) VIOLENCE AGAINST WOMEN Indian Tribal Governments Discretionary Program § 90.51 Program criteria for Indian... prevention, identification, and response to cases involving violence against women. ...
28 CFR 90.51 - Program criteria for Indian tribal government discretionary grants.
Code of Federal Regulations, 2012 CFR
2012-07-01
... programs, including sexual assault and domestic violence victim services programs. Indian tribal government...) VIOLENCE AGAINST WOMEN Indian Tribal Governments Discretionary Program § 90.51 Program criteria for Indian... prevention, identification, and response to cases involving violence against women. ...
Unit Support Protects Against Sexual Harassment and Assault among National Guard Soldiers
Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B.; Calabrese, Joseph; Koenen, Karestan C.
2014-01-01
Objective Despite concerns about increased sexual harassment and assault following 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members’ relationships within their unit, protects against sexual harassment and assault during deployment. Methods Participants were 1674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008-2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Results Approximately 13.2% (n=198) of men and 43.5% (n=74) of women reported sexual harassment, and 1.1% (n=17) of men and 18.8% (n=32) of women reported sexual assault during their most recent deployment. Higher unit support was associated with decreased odds of sexual harassment and assault. Conclusions A substantial proportion of men and women reported sexual harassment/assault. Higher unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has potential to reduce sexual harassment and assault. PMID:25442705
Date rape - prevention; Sexual assault - prevention ... Centers for Disease Control and Prevention website. Sexual assault and abuse and STDs. In: 2015 sexually transmitted diseases treatment guidelines 2015. www.cdc.gov/std/tg2015/sexual-assault.htm . Updated June 4, ...
Orchowski, Lindsay M; Berry-Cabán, Cristóbal S; Prisock, Kara; Borsari, Brian; Kazemi, Donna M
2018-03-01
The prevention of sexual assault (SA) in the U.S. military is a significant priority. This study applied the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to a literature search that identified research evaluating SA prevention programs conducted within military settings. Only six studies published between 2005 and 2016 met criteria for inclusion in the review. Studies demonstrated high heterogeneity in the: (1) conceptual framework of the prevention approach; (2) target population and timing of administration; (3) study recruitment methods; (4) methodological design; (5) method of delivery, program dosage and theory of change; and (6) outcome administration and efficacy. Scientific rigor according to the Oxford Center for Evidence-based Medicine was also variable. Several gaps in the research base were identified. Specifically, research evaluating SA prevention programs have only been conducted among U.S. Army and U.S. Navy samples. Most studies did not examine whether program participation was associated with reductions in rates of sexual violence. Studies also lacked utilization of a long-term follow-up period. Additionally, studies did not reflect the types of SA prevention programs currently being implemented in military settings. Taken together, further research is needed to enhance the evidence base for SA prevention in the military, and to evaluate the effectiveness of the approaches currently being conducted with service members.
Sexual Assault Prevention and Response Program Procedures
2008-11-01
5.4.3.2. Sexual Assault Examination Process (see Enclosure 6, Healthcare section) 5.4.3.3. Emergency Contraception /Sexually Transmitted...pregnancy, options for emergency contraception , and any necessary follow-up care and/or referral services. E3.2.7.2.3. Assessment for the need...and listen/engage in quiet support, as needed, and provide the victim appropriate emotional support resources. To the extent practicable, accommodate
Unit support protects against sexual harassment and assault among national guard soldiers.
Walsh, Kate; Galea, Sandro; Cerda, Magdalena; Richards, Catherine; Liberzon, Israel; Tamburrino, Marijo B; Calabrese, Joseph; Koenen, Karestan C
2014-01-01
Despite concerns about increased sexual harassment and assault after the 2013 legislation repealing the ban on women in combat, little research has examined military factors that could prevent sexual harassment and assault during deployment. This study examined whether unit support, which reflects the quality of service members' relationships within their unit, protects against sexual harassment and assault during deployment. Participants were 1,674 Ohio Army National Guard service members who reported at least one deployment during a telephone survey conducted in 2008 and 2009. Participants completed measures of sexual harassment/assault, unit support, and psychosocial support. Logistic regression was used to model odds of sexual harassment/assault. Approximately 13.2% of men (n = 198) and 43.5% of women (n = 74) reported sexual harassment, and 1.1% of men (n = 17) and 18.8% of women (n = 32) reported sexual assault during their most recent deployment. Greater unit support was associated with decreased odds of sexual harassment and assault. A substantial proportion of men and women reported sexual harassment/assault. Greater unit support was associated with diminished odds of sexual harassment/assault during deployment. Programming designed to improve unit cohesion has the potential to reduce sexual harassment and assault. Copyright © 2014 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
Utilizing Peer Education Theater for the Primary Prevention of Sexual Violence on College Campuses
ERIC Educational Resources Information Center
McMahon, Sarah; Postmus, Judy L.; Warrener, Corinne; Koenick, Ruth Anne
2014-01-01
To address the widespread problem of sexual assault, many colleges and universities are providing primary prevention education programs. Although a number of such programs exist and appear in the literature (for review see Vladutiu, Martin, & Macy, 2011), the role of peer education theater offers a unique approach. Peer education has been…
The Role of Institutional Factors on On-Campus Reported Rape Prevalence.
Stotzer, Rebecca L; MacCartney, Danielle
2016-10-01
Sexual assault is a serious concern on college and university campuses across the United States. However, the institutional factors that may make campuses more or less prone to rape are poorly understood. This study utilizes routine activities theory (RAT) to examine campus-related factors across 524 four-year campuses in the United States to determine what features of a campus community are most closely associated with increased reports of sexual assault. Results suggest that the type of athletic program, the number of students who live on campus, and the institution's alcohol policy were all found to be related to reported sexual assaults. Implications for understanding campus communities and prevention of sexual assaults are discussed. © The Author(s) 2015.
Predicting Sexual Assault Perpetration in the US Army Using Administrative Data
Rosellini, Anthony J.; Monahan, John; Street, Amy E.; Petukhova, Maria V.; Sampson, Nancy A.; Benedek, David M.; Bliese, Paul; Stein, Murray B.; Ursano, Robert J.; Kessler, Ronald C.
2017-01-01
Introduction The Department of Defense uses a universal prevention framework for sexual assault prevention, with each branch implementing their own branch-wide programs. Intensive interventions exist, but would be cost-effective only if targeted at high-risk personnel. This study developed actuarial models to identify male U.S. Army soldiers at high risk of administratively-recorded sexual assault perpetration. Methods This study investigated administratively-recorded sexual assault perpetration among the 821,807 male Army soldiers serving 2004–2009. Other temporally prior administrative data were used as predictors. Penalized discrete-time (person-month) survival analysis (conducted in 2016) was used to select the smallest possible number of stable predictors to maximize number of sexual assaults among the 5% of soldiers with highest predicted risk of perpetration (top-ventile concentration of risk [COR]). Separate models were developed for assaults against non-family and intra-family adults and minors. Results 4,640 male soldiers were found to be perpetrators against non-family adults, 1,384 against non-family minors, 380 against intra-family adults, and 335 against intra-family minors. Top-ventile COR was 16.2–20.2% predicting perpetration against non-family adults and minors and 34.2–65.1% against intra-family adults and minors. Final predictors consisted largely of measures of prior crime involvement and the presence-treatment of mental disorders. Conclusions Administrative data can be used to develop actuarial models that identify a high proportion of sexual assault perpetrators. If a system is developed to routinely consolidate administrative predictors, predictions could be generated periodically to identify those in need of preventive intervention. Whether this would be cost-effective, though, would depend on intervention costs, effectiveness, and competing risks. PMID:28818420
ERIC Educational Resources Information Center
Edelman, Andrew J.
The martial art of Aikido was used as an intervention with 15 middle and high school students with severe emotional disturbances in an alternative educational setting. Students with an extensive history of violently disruptive and assaultive behaviors were trained for 12 weeks in this nonviolent Japanese martial art in order to achieve the…
Baiocchi, Michael; Omondi, Benjamin; Langat, Nickson; Boothroyd, Derek B; Sinclair, Jake; Pavia, Lee; Mulinge, Munyae; Githua, Oscar; Golden, Neville H; Sarnquist, Clea
2017-10-01
The study's design was a cluster-randomized, matched-pairs, parallel trial of a behavior-based sexual assault prevention intervention in the informal settlements. The participants were primary school girls aged 10-16. Classroom-based interventions for girls and boys were delivered by instructors from the same settlements, at the same time, over six 2-h sessions. The girls' program had components of empowerment, gender relations, and self-defense. The boys' program promotes healthy gender norms. The control arm of the study received a health and hygiene curriculum. The primary outcome was the rate of sexual assault in the prior 12 months at the cluster level (school level). Secondary outcomes included the generalized self-efficacy scale, the distribution of number of times victims were sexually assaulted in the prior period, skills used, disclosure rates, and distribution of perpetrators. Difference-in-differences estimates are reported with bootstrapped confidence intervals. Fourteen schools with 3147 girls from the intervention group and 14 schools with 2539 girls from the control group were included in the analysis. We estimate a 3.7 % decrease, p = 0.03 and 95 % CI = (0.4, 8.0), in risk of sexual assault in the intervention group due to the intervention (initially 7.3 % at baseline). We estimate an increase in mean generalized self-efficacy score of 0.19 (baseline average 3.1, on a 1-4 scale), p = 0.0004 and 95 % CI = (0.08, 0.39). This innovative intervention that combined parallel training for young adolescent girls and boys in school settings showed significant reduction in the rate of sexual assault among girls in this population.
76 FR 55653 - Meeting of the Defense Advisory Committee on Women in the Services (DACOWITS)
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-08
... briefings from the Sexual Assault Prevention and Response Office on sexual assault and harassment... Committee to receive a follow-up briefing from the Sexual Assault Prevention and Response Office and the Services on the Committee's requests for information concerning sexual assault and sexual harassment...
Abbey, Antonia; Zawacki, Tina; Buck, Philip O.; Clinton, A. Monique; McAuslan, Pam
2015-01-01
Approximately half of all sexual assaults are associated with either the perpetrator’s alcohol consumption, the victim’s alcohol consumption, or both. Although the emphasis of this review is on alcohol-involved sexual assaults, their unique aspects can only be evaluated by comparing them to other types of sexual assault. Theoretical perspectives on sexual assault that focus on characteristics of the perpetrator, the victim, and the situation are described. A number of personality traits, attitudes, and past experiences have been systematically linked to sexual assault perpetration, including beliefs about alcohol and heavy drinking. In contrast, only a few experiences have been significantly related to sexual assault victimization, including childhood sexual abuse and heavy drinking. There is support for both psychological and pharmacological mechanisms linking alcohol and sexual assault. Beliefs about alcohol’s effects reinforce stereotypes about gender roles and can exacerbate their influence on perpetrators’ actions. Alcohol’s effects on cognitive and motor skills also contribute to sexual assault through their effects on perpetrators’ and victims’ ability to process and react to each other’s verbal and nonverbal behavior. Limitations with existing research and methodological challenges associated with conducting research on this topic are described. Suggestions are made for future research which can inform prevention and treatment programs. PMID:26500424
Code of Federal Regulations, 2014 CFR
2014-07-01
... assault. (2) The FAP, consistent with DoDD 6400.1 and DoDI 6400.06, covers adult military dependent sexual... program (FAP) and domestic violence intervention and prevention staff shall direct coordination when a...
Code of Federal Regulations, 2013 CFR
2013-07-01
... assault. (2) The FAP, consistent with DoDD 6400.1 and DoDI 6400.06, covers adult military dependent sexual... program (FAP) and domestic violence intervention and prevention staff shall direct coordination when a...
An Application of the Reasoned Action Approach to Bystander Intervention for Sexual Assault.
Lukacena, Kaylee M; Reynolds-Tylus, Tobias; Quick, Brian L
2017-10-25
The high prevalence of sexual assault in US college campuses has led to a widespread implementation of bystander intervention programs aimed at preventing sexual assault. The current study examines predictors of college students' intentions to engage in bystander intervention through the theoretical lens of the reasoned action approach. An online survey with college students (N = 186) was conducted at a large Midwestern university. Our results indicated experiential attitudes, instrumental attitudes, descriptive norms, autonomy, and capacity, each positively associated with participants' intentions to intervene to stop a sexual assault. Against expectations, injunctive norms were unrelated to bystander intervention intentions. Finally, in addition to these main effects, an experiential attitude by autonomy interaction was also observed. The results are discussed with a focus on the theoretical and practical implications of our findings.
77 FR 32601 - Meeting of the Defense Advisory Committee on Women in the Services (DACOWITS)
Federal Register 2010, 2011, 2012, 2013, 2014
2012-06-01
... Sexual Assault Prevention and Response Office (SAPRO) on sexual assault prevention measures. Additionally...:30 p.m.; June 27, 2012, 8:30 a.m.-12 p.m. ADDRESSES: 300 Army Navy Drive, Arlington, VA 22202. FOR...--Summary of Installation Visits. --Briefing--Sexual Assault Prevention Measures, SAPRO. Wednesday, June 27...
ERIC Educational Resources Information Center
Barger, Erin; Wacker, Julia; Macy, Rebecca; Parish, Susan
2009-01-01
Although research has indicated that women with intellectual disabilities are significantly burdened with sexual violence, there is a dearth of sexual assault prevention research for them. To help address this serious knowledge gap, the authors summarize the findings of general sexual assault prevention research and discuss its implications for…
Resident Aggression Toward Staff at a Center for the Developmentally Disabled
West, Christine A.; Galloway, Ellen; Niemeier, Maureen T.
2015-01-01
Few studies have examined factors contributing to nonfatal assaults to staff working in residential care facilities. The authors evaluated resident assaults toward direct care/nursing staff at an Intermediate Care Facility for Individuals with Mental Retardation (ICF/MR), which included observations of work areas, employee interviews, calculation of injury and assault rates for 2004 to 2007 from Occupational Safety and Health Administration Logs, and review of state ICF/MR guidelines. Most staff interviewed reported having been injured during physical restraint of a resident and the average rate of injury from assault at the center evaluated was higher than the average national rates for the health care and social assistance sector for the same time period. The center lacked policies for a safe workplace. The authors recommended review and maintenance of workplace violence prevention policies and developing a post-incident response and evaluation program to assist staff in coping with the consequences of assault and/or occupational injury. PMID:24571051
A Sexual Assault Primary Prevention Model with Diverse Urban Youth
ERIC Educational Resources Information Center
Smothers, Melissa Kraemer; Smothers, D. Brian
2011-01-01
In this study, a nonprofit community mental health clinic developed a socioecological model of sexual abuse prevention that was implemented in a public school. The goal of the program was to promote and create community change within individuals and the school community by reducing tolerance of sexual violence and sexual harassment. Participants…
ERIC Educational Resources Information Center
Scopes, Jack
1990-01-01
Some approaches to dealing with contemporary issues on campus include Acquired Immune Deficiency Syndrome awareness--safe sex parties; crime prevention--students helping students, legislation, workshops and conferences; alcohol awareness--designated driver program and starting a nonalcoholic bar; cults on campus; sexual assault--"Hours Til…
Activating College Men to Prevent Sexual Violence: A Qualitative Investigation
ERIC Educational Resources Information Center
Christensen, M. Candace
2015-01-01
This study explores the experiences of male college students who participated in a theatre-based, peer-education, sexual assault prevention presentation. The program was established through the use of Pedagogy of the Oppressed and Theatre of the Oppressed, as well as multicultural feminist theory and approaches. These models emphasize subverting…
McCaughey, Martha; Cermele, Jill
2015-10-16
Recent activist, policy, and government efforts to engage in campus rape prevention education (RPE), culminating in the 2014 White House Task Force recommendations to combat campus sexual assault, prompt a need to examine the concept of "prevention" in the context of sexual assault on U.S. college campuses and their surrounding community service agencies. This article reviews previous research on effective resistance to sexual assault, showing that self-defense is a well-established protective factor in a public health model of sexual assault prevention. The article goes on to show, through an examination of campus rape prevention efforts framed as "primary prevention," that self-defense is routinely excluded. This creates a hidden curriculum that preserves a gender status quo even while it strives for change. The article concludes with recommendations for how administrators, educators, facilitators, funding agencies, and others can incorporate self-defense into campus RPE for a more effective, data-driven set of sexual assault prevention efforts. © The Author(s) 2015.
Scott, K M; Koenen, K C; King, A; Petukhova, M V; Alonso, J; Bromet, E J; Bruffaerts, R; Bunting, B; de Jonge, P; Haro, J M; Karam, E G; Lee, S; Medina-Mora, M E; Navarro-Mateu, F; Sampson, N A; Shahly, V; Stein, D J; Torres, Y; Zaslavsky, A M; Kessler, R C
2018-01-01
Sexual assault is a global concern with post-traumatic stress disorder (PTSD), one of the common sequelae. Early intervention can help prevent PTSD, making identification of those at high risk for the disorder a priority. Lack of representative sampling of both sexual assault survivors and sexual assaults in prior studies might have reduced the ability to develop accurate prediction models for early identification of high-risk sexual assault survivors. Data come from 12 face-to-face, cross-sectional surveys of community-dwelling adults conducted in 11 countries. Analysis was based on the data from the 411 women from these surveys for whom sexual assault was the randomly selected lifetime traumatic event (TE). Seven classes of predictors were assessed: socio-demographics, characteristics of the assault, the respondent's retrospective perception that she could have prevented the assault, other prior lifetime TEs, exposure to childhood family adversities and prior mental disorders. Prevalence of Diagnostic and Statistical Manual of Mental Disorders IV (DSM-IV) PTSD associated with randomly selected sexual assaults was 20.2%. PTSD was more common for repeated than single-occurrence victimization and positively associated with prior TEs and childhood adversities. Respondent's perception that she could have prevented the assault interacted with history of mental disorder such that it reduced odds of PTSD, but only among women without prior disorders (odds ratio 0.2, 95% confidence interval 0.1-0.9). The final model estimated that 40.3% of women with PTSD would be found among the 10% with the highest predicted risk. Whether counterfactual preventability cognitions are adaptive may depend on mental health history. Predictive modelling may be useful in targeting high-risk women for preventive interventions.
Scott, Kate M.; Koenen, Karestan C.; King, Andrew; Petukhova, Maria V.; Alonso, Jordi; Bromet, Evelyn J.; Bruffaerts, Ronny; Bunting, Brendan; de Jonge, Peter; Haro, Josep Maria; Karam, Elie G.; Lee, Sing; Medina-Mora, Maria Elena; Navarro-Mateu, Fernando; Sampson, Nancy A.; Shahly, Victoria; Stein, Dan J.; Torres, Yolanda; Zaslavsky, Alan M.; Kessler, Ronald C.
2018-01-01
Background Sexual assault is a global concern with PTSD one of the common sequelae. Early intervention can help prevent PTSD, making identification of those at high risk for the disorder a priority. Lack of representative sampling of both sexual assault survivors and sexual assaults in prior studies might have reduced the ability to develop accurate prediction models for early identification of high-risk sexual assault survivors. Methods Data come from 12 face-to-face, cross-sectional surveys of community-dwelling adults conducted in 11 countries. Analysis was based on the data from the 411 women from these surveys for whom sexual assault was the randomly selected lifetime traumatic event (TE). Seven classes of predictors were assessed: socio-demographics, characteristics of the assault, the respondent’s retrospective perception that she could have prevented the assault, other prior lifetime TEs, exposure to childhood family adversities and prior mental disorders. Results Prevalence of DSM-IV PTSD associated with randomly-selected sexual assaults was 20.2%. PTSD was more common for repeated than single-occurrence victimization and positively associated with prior TEs and childhood adversities. Respondent perception that she could have prevented the assault interacted with history of mental disorder such that it reduced odds of PTSD but only among women without prior disorders (OR 0.2, 95% CI 0.1-0.9). The final model estimated that 40.3% of women with PTSD would be found among the 10% with the highest predicted risk. Conclusions Whether counterfactual preventability cognitions are adaptive may depend on mental health history. Predictive modelling may be useful in targeting high-risk women for preventive interventions. PMID:28625214
Enhancing Women's Resistance to Sexual Coercion: A Randomized Controlled Trial of the DATE Program
ERIC Educational Resources Information Center
Simpson Rowe, Lorelei; Jouriles, Ernest N.; McDonald, Renee; Platt, Cora G.; Gomez, Gabriella S.
2012-01-01
Objective: Despite extensive efforts to develop sexual assault prevention programs for college women, few have been rigorously evaluated, and fewer have demonstrable effects on victimization. This study pilots the Dating Assertiveness Training Experience (DATE), designed to train young women in assertiveness skills for responding to sexual…
Melkonian, Alexander J; Ham, Lindsay S
2018-03-01
Alcohol-related sexual assault among young adult women continues to present a public health concern. Social information-processing theory provides an organizing framework for understanding how alcohol intoxication can impair the processing of sexual assault risk cues and behavioral responding in sexual assault scenarios. The aim of the present article was to systematically review the extant research on the effects of alcohol intoxication on sexual assault risk information processing among young adult women. We selected relevant research through a systematic search of scientific databases, using key words related to young adult women, alcohol intoxication, and risk recognition, resulting in 14 independent research samples meeting all criteria. Studies used a variety of methods and dependent measures, precluding quantitative analysis of results. Thirteen of the 14 studies identified report at least partial support for intoxication impairing the attention to cues, interpretation of social information, or intended behavioral response in a hypothetical sexual assault scenario. Given some mixed findings, further research is warranted to identify contextual and individual differences related to risk detection and intended responding and to fully test other aspects of social information processing. Results have implications for improving alcohol-related sexual assault prevention programs by addressing the impact of alcohol intoxication on processing sexual assault risk information. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
The sexual assault of undergraduate women at historically Black colleges and universities (HBCUs).
Krebs, Christopher P; Barrick, Kelle; Lindquist, Christine H; Crosby, Carmen M; Boyd, Chimi; Bogan, Yolanda
2011-12-01
Although research has shown that undergraduate women are at high risk for experiencing sexual assault, little research has been conducted with undergraduate women who are attending a historically Black college or university (HBCU). The purpose of this research is to document the prevalence of different types of sexual assault among undergraduate women at HBCUs and make comparisons to data collected from undergraduate women at non-HBCUs. Data on sexual assault victimization were collected from 3,951 undergraduate women at HBCUs using a cross-sectional, web-based survey. These data are compared to data collected from 5,446 undergraduate women at non-HBCUs using the same research methods. Findings indicate that approximately 9.7% of undergraduate women at HBCUs report experiencing a completed sexual assault since entering college. This rate is considerably lower than the comparable rate obtained from undergraduate women at non-HBCUs (13.7%). This difference seems to be associated with differences in alcohol-use frequency. Perhaps undergraduate women at HBCUs drink alcohol much less frequently and are thus less likely to be sexually assaulted when they are incapacitated and unable to provide consent. Alcohol use frequency, while controlling for other factors, seems to have an independent association with the likelihood of an undergraduate woman being sexually assaulted. Implications for the creation and delivery of sexual assault risk reduction and prevention policies and programs are discussed.
Testing a Violence-Prevention Intervention for Incarcerated Women Using a Randomized Control Trial
ERIC Educational Resources Information Center
Kubiak, Sheryl Pimlott; Kim, Woo Jong; Fedock, Gina; Bybee, Deborah
2015-01-01
Objective: Beyond Violence (BV), a new prevention program for women with assaultive offenses, demonstrated feasibility in previous studies. This study's purpose is to assess the efficacy of BV using a randomized control trial. Method: Eligible women were randomly assigned to treatment as usual (TAU) and the experimental condition (BV). Measures of…
77 FR 52316 - U.S. Air Force Academy Board of Visitors; Notice of Meeting
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-29
...; Superintendent's Update; Character Update; USAFA Sexual Assault Prevention and Response Program; Critical Thinking Assessment Tool; and the Diversity in the Dean's Faculty brief. In accordance with 5 U.S.C. 552b...
An acute post-sexual assault intervention to prevent drug abuse: updated findings.
Resnick, Heidi S; Acierno, Ron; Amstadter, Ananda B; Self-Brown, Shannon; Kilpatrick, Dean G
2007-10-01
Sexual assault and rape routinely produce extreme distress and negative psychological reactions in victims. Further, past research suggests that victims are at increased risk of developing substance use or abuse post-rape. The post-rape forensic medical exam may itself exacerbate peritraumatic distress because it includes cues that may serve as reminders of the assault, thereby potentiating post-assault negative sequelae. To address these problems, a two-part video intervention was developed to take advantage of the existing sexual assault forensic exam infrastructure, and to specifically (a) minimize anxiety/discomfort during forensic examinations, thereby reducing risk of future emotional problems, and (b) prevent increased substance use and abuse following sexual assault. Updated findings with a sample of 268 sexual assault victims participating in the forensic medical exam and completing one or more follow-up assessments at: (1)<3 months post-assault; (2) 3 to 6 months post-assault; or (3) 6 months or longer post-assault indicated that the video was associated with significantly lower frequency of marijuana use at each time point, among women who reported use prior to the assault.
Evaluation of a sexual assault education/prevention program for male U.S. Navy personnel.
Rau, Terri J; Merrill, Lex L; McWhorter, Stephanie K; Stander, Valerie A; Thomsen, Cynthia J; Dyslin, Christopher W; Crouch, Julie L; Rabenhorst, Mandy M; Milner, Joel S
2010-06-01
A randomized clinical trial was conducted to evaluate the effectiveness of the Navy Sexual Assault Intervention Training (SAIT) program for men. A four-group Solomon design was used to control for possible pretest sensitization effects. Male Navy personnel (N = 1,505) were assessed for rape knowledge, rape myth acceptance (two scales), and rape empathy after participating in the SAIT program or viewing an educational video about HIV/AIDS (comparison condition). The SAIT program was found to be effective in increasing rape knowledge, reducing rape myth acceptance, and increasing empathy for rape victims. As expected, men who had exhibited previous coercive sexual behavior, compared with those who had not, reported lower levels of knowledge, higher levels of rape myth acceptance, and less rape empathy. However, the SAIT program was generally effective in changing men's knowledge, beliefs, and feelings on the key measures, regardless of participants' histories of coercive sexual behavior.
An acute post-sexual assault intervention to prevent drug abuse: Updated Findings
Resnick, Heidi S.; Acierno, Ron; Amstadter, Ananda B.; Self-Brown, Shannon
2007-01-01
Sexual assault and rape routinely produce extreme distress and negative psychological reactions in victims. Further, past research suggests that victims are at increased risk of developing substance use or abuse post-rape in efforts to ameliorate post assault distress. The post-rape forensic medical exam may itself exacerbate peritraumatic distress because it includes cues that may serve as reminders of the assault, thereby potentiating post-assault negative sequelae. To address this problem, a two-part video intervention was developed to take advantage of the existing sexual assault forensic exam infrastructure, and to specifically (a) minimize anxiety/discomfort during forensic examinations, thereby reducing risk of future emotional problems, and (b) prevent increased substance use and abuse following sexual assault. Updated findings with a sample of 268 sexual assault victims participating in the forensic medical exam and completing one or more follow-up assessments at: (1) < 3 months post-assault; (2) 3 to 6 months post-assault; or (3) 6 months or longer post-assault indicated that the video was associated with significantly lower frequency of marijuana use at each time point, among women who reported use prior to the assault. PMID:17275198
Pointing, Shane; Hayes-Jonkers, Charmaine; Bohanna, India; Clough, Alan
2012-02-01
Closed circuit television (CCTV) systems which incorporate real-time communication links between camera room operators and on-the-ground security may limit injuries resulting from alcohol-related assault. This pilot study examined CCTV footage and operator records of security responses for two periods totalling 22 days in 2010-2011 when 30 alcohol-related assaults were recorded. Semistructured discussions were conducted with camera room operators during 18 h of observation. Camera operators were proactive, efficiently directing street security to assault incidents. The system intervened in 40% (n=12) of alcohol-related assaults, limiting possible injury. This included three incidents judged as potentially preventable. A further five (17%) assault incidents were also judged as potentially preventable, while 43% (n=13) happened too quickly for intervention. Case studies describe security intervention in each category. Further research is recommended, particularly to evaluate the effects on preventing injuries through targeted awareness training to improve responsiveness and enhance the preventative capacity of similar CCTV systems.
Mabry, Amanda; Turner, Monique Mitchell
2016-01-01
The high prevalence of sexual assault on college campuses has led to the implementation of health communication programs to prevent sexual assault. A few novel programs focus on primary prevention by targeting social norms related to gender and masculinity among men through bystander intervention. Guided by the theory of normative social behavior, this study sought to examine the relative effect of campaigns communicating positive versus negative injunctive norms and the interaction between exposure to such campaign messages and perceived descriptive norms and relevant cognitive moderators (e.g., outcome expectations, injunctive norms, group identity, ego involvement) among men. A 2 (high/low descriptive norms) × 2 (high/low moderator) × 3 (public service announcement) independent groups quasi-experimental design (N = 332) was used. Results indicated that messages communicating positive injunctive norms were most effective among men who were least likely to engage in bystander intervention. Furthermore, descriptive norms played a significant role in behavioral intentions, such that those with stronger norms were more likely to report intentions to engage in bystander behaviors in the future. Similarly, the moderators of aspiration, injunctive norms, social approval, and ego involvement had a significant positive effect on behavioral intentions. These findings have important implications for future message design strategy and audience segmentation.
Reducing Sexual Assault on Campus: Lessons From the Movement to Prevent Drunk Driving
2016-01-01
I examined similarities and differences between the movement to prevent drunk driving of the 1980s, and current efforts to prevent and address campus sexual assault. As college and university administrators design policies and initiatives to reduce campus sexual assault in response to new federal legislation and regulation, they can apply lessons from successful public health initiatives to reduce drunk driving initiated more than 3 decades ago. I illustrate how interventions at the 5 levels of the social–ecological model, and messages that address entrenched cultural attitudes condoning sexual assault and blaming its victims can be used to combat campus sexual assault as a crime and a public health problem. I also show how efforts to promote community engagement can change behavioral norms and reduce offenses. PMID:26985614
ERIC Educational Resources Information Center
Truckenmiller, James L.
The former HEW National Strategy for Youth Development Model was a community-based planning and procedural tool designed to enhance positive youth development and prevent delinquency through a process of youth needs assessment, development of targeted programs, and program impact evaluation. A series of 12 Impact Scales most directly reflect the…
Sexual Harassment and Assault in the U.S. Military: A Review of Policy and Research Trends.
Stander, Valerie A; Thomsen, Cynthia J
2016-01-01
Recently, there has been increasing concern regarding the problem of sexual violence in the military. Because sexual harassment and assault are more closely intertwined in the military than in most civilian contexts, the military context affords a unique opportunity to study the interrelationships between these two types of sexual violence. In this review, we briefly summarize existing research on military sexual trauma prevalence rates, effects on victims, and risk factors, as well as prevention and response programs in the military context. In each of these topic areas, we emphasize issues unique to the complex interplay between sexual harassment and assault in the military and make recommendations for future research. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.
Nonfatal Assaults Among Persons Aged 10-24 Years - United States, 2001-2015.
David-Ferdon, Corinne F; Haileyesus, Tadesse; Liu, Yang; Simon, Thomas R; Kresnow, Marcie-Jo
2018-02-09
In 2015, persons aged 10-24 years who were treated for nonfatal assault injuries in emergency departments (EDs) in the United States accounted for 32% of the approximately 1.5 million patients of all ages that EDs treated for nonfatal assault injuries (1). CDC analyzed data from the National Electronic Injury Surveillance System-All Injury Program (NEISS-AIP) to examine 2001-2015 trends in nonfatal assault injuries among youths treated in EDs, by sex and age group, and to assess current rates by sex, age group, mechanism of injury, and disposition (1). Rates for 2001-2015 were significantly higher among males than among females and among young adults aged 20-24 years than among youths aged 10-14 and 15-19 years. During 2011-2015, rates declined for all groups. The 2015 rate among persons aged 10-24 years was 753.2 per 100,000 population, the lowest in the 15-year study period. Despite encouraging trends, the assault rate among young persons remains high. Rates in 2015 were higher among males, persons aged 20-24 years, and those who incurred intentional strike or hit injuries. Nearly one in 10 patients were admitted to the hospital, transferred to another hospital, or held for observation. Youth violence prevention strategies, including primary prevention approaches that build individual skills, strengthen family relationships, or connect young persons treated in EDs to immediate and ongoing support, can be implemented to decrease injuries and fatalities (2).
Code of Federal Regulations, 2011 CFR
2011-07-01
... family violence and sexual assault prosecution, prevention, treatment, education, and research activities... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.19 State office. (a...
Code of Federal Regulations, 2014 CFR
2014-07-01
... family violence and sexual assault prosecution, prevention, treatment, education, and research activities... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.19 State office. (a...
Code of Federal Regulations, 2012 CFR
2012-07-01
... family violence and sexual assault prosecution, prevention, treatment, education, and research activities... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.19 State office. (a...
Code of Federal Regulations, 2013 CFR
2013-07-01
... family violence and sexual assault prosecution, prevention, treatment, education, and research activities... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.19 State office. (a...
Violence and sexual harassment: impact on registered nurses in the workplace.
Williams, M F
1996-02-01
This study sought to determine the prevalence and impact of violence and sexual harassment experienced by registered nurses (RNs) in their workplaces in Illinois. A random sample of 1,130 RNs were selected to participate in the mail survey. The instrument used was the Nurse Assault Survey originally developed by the Nurse Assault Project Team in Ontario, Canada, and modified by the author. Three hundred forty-five subjects completed the survey (response rate: 30%). Fifty-seven percent of those responding reported personal experience with some aspect of sexual harassment, and 26% reported being victimized by physical assault while on the job. About one third of those who indicated they had been sexually harassed also had been physically assaulted. Patients/clients were the most frequent perpetrators of sexual harassment and physical assault, while physicians committed over half of the sexual assaults. Bivariate analysis showed a significant relationship between physical assault and levels of job satisfaction. A significant relationship also was found between sexual harassment and levels of job satisfaction. Results demonstrate that nurses need to take and active role in fostering a work environment free from violence and sexual harassment. They should be knowledgeable about institutional policies and, where none exist, they should work with administrators to develop them. Prevention and intervention programs should be developed for both student and registered nurses.
Relationships between sexual violence and chronic disease: a cross-sectional study.
Santaularia, Jeanie; Johnson, Monica; Hart, Laurie; Haskett, Lori; Welsh, Ericka; Faseru, Babalola
2014-12-16
Sexual assault is a traumatic event with potentially devastating lifelong effects on physical and mental health. Research has demonstrated that individuals who experience sexual assault during childhood are more likely to engage in risky behaviors later in life, such as smoking, alcohol and drug use, and disordered eating habits, which may increase the risk of developing a chronic disease. Despite the high prevalence and economic burden of sexual assault, few studies have investigated the associations between sexual violence and chronic health conditions in the US. The purpose of this study is to identify associations between sexual violence and health risk behaviors, chronic health conditions and mental health conditions utilizing population based data in Kansas. Secondary analysis was done using data from the 2011 Kansas Behavioral Risk Factor Surveillance System sexual violence module (N = 4,886). Crude and adjusted prevalence rate ratios were computed to examine associations between sexual assault and health risk behaviors, chronic health conditions and mental health conditions, overall and after adjusting for social demographic characteristics. Additional logistic regression models were implemented to examine the association between sexual assault and health risk behaviors with further adjustment for history of anxiety or depression. There was a significantly higher prevalence of health risk behaviors (heavy drinking, binge drinking and current smoking), chronic health conditions (disability, and current asthma) and mental health conditions (depression, anxiety, and suicidal ideation) among women who ever experienced sexual assault compared to women who did not, even after adjustment for potential confounders. Study findings highlight the need for chronic disease prevention services for victims of sexual violence. There are important implications for policies and practices related to primary, secondary, and tertiary prevention, as well as collaborations between sexual violence, chronic disease, and health risk behavior programs.
Powers, Ráchael A; Leili, Jennifer
2016-01-01
This study is an exploratory analysis of how bar staff perceive their role in preventing sexual harassment and assault. In particular, through qualitative focus group interviews, this study explores bar staff's attitudes surrounding sexual harassment/assault, how they currently handle these situations, and their opinions regarding programs and policies that currently mandate responsibility. Six major themes emerged including their hesitation to discuss sexual violence, their unique position as a service provider, their lack of knowledge (but eagerness to learn), and their reliance on stereotypical scenarios of sexual violence and interventions. These findings are situated in a framework for understanding barriers to bystander intervention and implications for community-based bystander programs are discussed.
Needs of Sexual Assault Advocates in Campus-Based Sexual Assault Centers
ERIC Educational Resources Information Center
Carmody, Dianne; Ekhomu, Jessica; Payne, Brian K.
2009-01-01
Most campuses have sexual assault crisis centers that are designed to assist victims and educate the college community about this crime. While much is known about sexual assault victimization patterns on college campuses, there is still a lack of understanding about the needs of those working to prevent sexual assault. In the current study, campus…
Sexual assault in the workplace.
Garrett, Linda H
2011-01-01
Women are sexually assaulted at an alarming rate, and the workplace is a frequent arena for assault. However, in recent decades, attention has been given to improving responses to sexual assault. Sexual assault is a frequent cause of injury and death for women in the United States. One in five American women admit they have experienced a completed rape during their lifetime. These estimates are conservative because sexual assault and sexual violence are both underreported and underprosecuted. Fear of job loss and discrimination are frequent reasons women do not report sexual assault in the workplace. Women are entering the workplace in greater numbers due in part to more single parent families and the depressed economy. Also, women are entering work environments that have traditionally been the domain of male workers: corporate headquarters, semi trucks, health care providers' offices, rural farms, and rural factories. Employers must have a plan to protect female employees and effectively address any incidents of sexual assault or violence. Occupational health nurses and nurse practitioners can assist both employees and employers to prevent sexual assault and resolve the aftermath of sexual assault. However, to accomplish this goal, occupational health nurses and nurse practitioners must be trained in sexual assault and violence response as well as preventive interventions. 2011, SLACK Incorporated.
Common ground, not a battle ground. Violence prevention at a detoxification facility.
Adamson, Mary A; Vincent, Audrey A; Cundiff, Jeff
2009-08-01
This article evaluates the results of a workplace violence prevention program implemented in a Colorado detoxification facility. The program interventions are modeled after federal Occupational Safety and Health Administration guidelines and use theories from both nursing and criminology for philosophy and direction. Serving as its own control, the detoxification facility shares data measured over a 4-year period, demonstrating a sharp decline in assault rates after program implementation. The importance of administrative controls, environmental adjustments, recordkeeping and evaluation, and education and training are emphasized as key components of success. Copyright (c) 2009, SLACK Incorporated.
77 FR 70781 - Agency Forms Undergoing Paperwork Reduction Act Review
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-27
... states have enacted laws to reduce violence against healthcare workers by requiring workplace violence prevention programs. However, little is understood about how effective these laws are in reducing violence... the effectiveness of the regulations in this Act in reducing assault injuries to workers. Our central...
The Phantom Epidemic of Sexual Assault.
ERIC Educational Resources Information Center
Gilbert, Neil
1991-01-01
Discusses definitions and reporting of sexual assault. Concludes that the epidemic of sexual assault suggested by the media reflects a radical feminist attitude which prevents objective analysis and trivializes cases of real abuse. (DM)
Sexual assault in the military.
Castro, Carl Andrew; Kintzle, Sara; Schuyler, Ashley C; Lucas, Carrie L; Warner, Christopher H
2015-07-01
Military sexual assault is a pervasive problem throughout the military services, despite numerous initiatives to end it. No doubt the military's lack of progress stems from the complexity of sexual assaults, yet in order to develop effective strategies and programs to end sexual assault, deep understanding and appreciation of these complexities are needed. In this paper, we describe the root causes and numerous myths surrounding sexual assault, the military cultural factors that may unintentionally contribute to sexual assault, and the uncomfortable issues surrounding sexual assault that are often ignored (such as the prevalence of male sexual assault within the military). We conclude by offering a broad, yet comprehensive set of recommendations that considers all of these factors for developing effective strategies and programs for ending sexual assault within in the military.
Hoxmeier, Jill C; McMahon, Sarah; O'Connor, Julia
2017-08-01
The White House Task Force to Protect Students From Sexual Assault recommends bystander engagement programming as part of campus sexual assault prevention efforts. Measuring students' bystander behavior, and thus, assessing the effectiveness of such programming, is a challenging endeavor due to the range of risk situations students may witness, as well as the nuances in potential barriers students may face in these situations. Currently, many studies include dichotomous measures of bystander behavior without gathering further information about students' opportunities to intervene, barriers to intervening, and intervention strategies. The current study sought to implement a more comprehensive approach to understanding the types of sexual assault risk situations students report to witness, as well as their response in those situations, reasons for not intervening, and any gender differences therein. In 2014, undergraduate students ( n = 9,358) at a large, public university in the Northeast completed a web-based survey to assess bystander opportunities and responses for six different risk situations. Results show that prosocial bystander responses varied depending on the risk situation. Of those students with opportunities to intervene, noninterveners reported the situation was "none of their business" or that they were "unsure of what to do." Interveners reported to have either "confronted the situation directly" or "went and got assistance." We also observed significant gender differences in students' reported intervention opportunities and bystander responses. The findings of this study have several important implications for bystander engagement programming and future research.
Friends, strangers, and bystanders: Informal practices of sexual assault intervention.
Wamboldt, Alexander; Khan, Shamus R; Mellins, Claude Ann; Hirsch, Jennifer S
2018-05-07
Sexual assault is a part of many students' experiences in higher education. In U.S. universities, one in four women and one in ten men report being sexually assaulted before graduation. Bystander training programmes have been shown to modestly reduce campus sexual assault. Like all public health interventions, however, they have unintended social consequences; this research examines how undergraduate men on one campus understand bystander interventions and how those understandings shape their actual practices. We draw on ethnographic data collected between August 2015 and January 2017 at Columbia University and Barnard College. Our findings show that university training and an earnest desire to be responsible lead many men to intervene in possible sexual assaults. However, students' gendered methods target more socially vulnerable and socially distant men while protecting popular men and those to whom they are socially connected. Students' actual bystander practices thus reproduce social hierarchies in which low prestige may or may not be connected to actual risks of sexual assault. These results suggest that understanding intragroup dynamics and social hierarchies is essential to assault prevention in universities and that students' actions as bystanders may be effective at preventing assaults in some circumstances but may lead to new risks of sexual assault.
Code of Federal Regulations, 2014 CFR
2014-07-01
... 32 National Defense 1 2014-07-01 2014-07-01 false Procedures. 105.6 Section 105.6 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.6 Procedures. See § 105.7 through § 105.16 of this part. ...
Code of Federal Regulations, 2013 CFR
2013-07-01
... 32 National Defense 1 2013-07-01 2013-07-01 false Procedures. 105.6 Section 105.6 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM PROCEDURES § 105.6 Procedures. See § 105.7 through § 105.16 of this part. ...
34 CFR 668.46 - Institutional security policies and crime statistics.
Code of Federal Regulations, 2011 CFR
2011-07-01
.... (11) A statement of policy regarding the institution's campus sexual assault programs to prevent sex offenses, and procedures to follow when a sex offense occurs. The statement must include— (i) A description... nonforcible sex offenses; (ii) Procedures students should follow if a sex offense occurs, including procedures...
24 CFR 903.7 - What information must a PHA provide in the Annual Plan?
Code of Federal Regulations, 2011 CFR
2011-04-01
... furthering fair housing, such as reasonable marketing activities to attract applicants regardless of race or... of any domestic violence, dating violence, sexual assault, and stalking prevention programs: (i) A... partnership with other service providers, to child or adult victims of domestic violence, dating violence...
24 CFR 903.7 - What information must a PHA provide in the Annual Plan?
Code of Federal Regulations, 2014 CFR
2014-04-01
... furthering fair housing, such as reasonable marketing activities to attract applicants regardless of race or... of any domestic violence, dating violence, sexual assault, and stalking prevention programs: (i) A... partnership with other service providers, to child or adult victims of domestic violence, dating violence...
24 CFR 903.7 - What information must a PHA provide in the Annual Plan?
Code of Federal Regulations, 2010 CFR
2010-04-01
... furthering fair housing, such as reasonable marketing activities to attract applicants regardless of race or... of any domestic violence, dating violence, sexual assault, and stalking prevention programs: (i) A... partnership with other service providers, to child or adult victims of domestic violence, dating violence...
24 CFR 903.7 - What information must a PHA provide in the Annual Plan?
Code of Federal Regulations, 2013 CFR
2013-04-01
... furthering fair housing, such as reasonable marketing activities to attract applicants regardless of race or... of any domestic violence, dating violence, sexual assault, and stalking prevention programs: (i) A... partnership with other service providers, to child or adult victims of domestic violence, dating violence...
24 CFR 903.7 - What information must a PHA provide in the Annual Plan?
Code of Federal Regulations, 2012 CFR
2012-04-01
... furthering fair housing, such as reasonable marketing activities to attract applicants regardless of race or... of any domestic violence, dating violence, sexual assault, and stalking prevention programs: (i) A... partnership with other service providers, to child or adult victims of domestic violence, dating violence...
Characteristics of Youth Seeking Emergency Care for Assault Injuries
Ranney, Megan; Newton, Manya; Woodhull, Whitney; Zimmerman, Marc; Walton, Maureen A.
2014-01-01
OBJECTIVE: To characterize youth seeking care for assault injuries, the context of violence, and previous emergency department (ED) service utilization to inform ED-based injury prevention. METHODS: A consecutive sample of youth (14–24) presenting to an urban ED with an assault injury completed a survey of partner violence, gun/knife victimization, gang membership, and context of the fight. RESULTS: A total of 925 youth entered the ED with an assault injury; 718 completed the survey (15.4% refused); 730 comparison youth were sampled. The fights leading to the ED visit occurred at home (37.6%) or on streets (30.4%), and were commonly with a known person (68.3%). Fights were caused by issues of territory (23.3%) and retaliation (8.9%); 20.8% of youth reported substance use before the fight. The assault-injured group reported more peer/partner violence and more gun experiences. Assault-injured youth reported higher past ED utilization for assault (odds ratio [OR]: 2.16) or mental health reasons (OR: 7.98). Regression analysis found the assault-injured youth had more frequent weapon use (OR: 1.25) and substance misuse (OR: 1.41). CONCLUSIONS: Assault-injured youth seeking ED care report higher levels of previous violence, weapon experience, and substance use compared with a comparison group seeking care for other complaints. Almost 10% of assault-injured youth had another fight-related ED visit in the previous year, and ∼5% had an ED visit for mental health. Most fights were with people known to them and for well-defined reasons, and were therefore likely preventable. The ED is a critical time to interact with youth to prevent future morbidity. PMID:24323994
Wegner, Rhiana; Pierce, Jennifer; Abbey, Antonia
2015-01-01
Although most sexual assaults are committed by men who know their victims, few researchers have considered how characteristics of perpetrators and incidents differ depending on the victim–perpetrator relationship. This study addresses this gap with a community sample of 204 men who reported committing a sexually aggressive act in an audio computer-assisted self-interview. 2 (Relationship Type: Committed vs. Casual) × 2 (Sexual Precedence: Yes vs. No) ANOVAs revealed significant main effects of relationship type and sexual precedence associated with individual difference and incident characteristics. These findings demonstrate the importance of developing theories and prevention programs tailored for different relationship contexts. PMID:25288595
ERIC Educational Resources Information Center
O'Day, Bonnie
Part of a curriculum unit on preventing sexual abuse of persons with disabilities, the manual is intended to help instructors present the material to hearing impaired students. Illustrations of sign language are presented for such terms as sexual contact, sexual assault, incest, same sex assault (man/woman), rape (acquaintance/marital), exposer,…
Gilmore, Amanda K; Lewis, Melissa A; George, William H
2015-11-01
Sexual assault risk reduction programs do not target alcohol use despite the widespread knowledge that alcohol use is a risk factor for being victimized. The current study assessed the effectiveness of a web-based combined sexual assault risk and alcohol use reduction program using a randomized control trial. A total of 207 college women between the ages of 18 and 20 who engaged in heavy episodic drinking were randomized to one of five conditions: full assessment only control condition, sexual assault risk reduction condition, alcohol use reduction condition, combined sexual assault risk and alcohol use reduction condition, and a minimal assessment only condition. Participants completed a 3-month follow-up survey on alcohol-related sexual assault outcomes, sexual assault outcomes, and alcohol use outcomes. Significant interactions revealed that women with higher severity of sexual assault at baseline experienced less incapacitated attempted or completed rapes, less severity of sexual assaults, and engaged in less heavy episodic drinking compared to the control condition at the 3-month follow-up. Web-based risk reduction programs targeting both sexual assault and alcohol use may be the most effective way to target the highest risk sample of college students for sexual assault: those with a sexual assault history and those who engage in heavy episodic drinking. Copyright © 2015 Elsevier Ltd. All rights reserved.
Gilmore, Amanda K.; Lewis, Melissa A.; George, William H.
2015-01-01
Current sexual assault risk reduction programs do not target alcohol use despite the widespread knowledge that alcohol use is a risk factor for being victimized. The current study assessed the effectiveness of a web-based combined sexual assault risk and alcohol use reduction program using a randomized control trial. A total of 207 college women between the ages of 18 and 20 who engaged in heavy episodic drinking were randomized to one of five conditions: full assessment only control condition, sexual assault risk reduction condition, alcohol use reduction condition, combined sexual assault risk and alcohol use reduction condition, and a minimal assessment only condition. Participants completed a 3-month follow-up survey on alcohol-related sexual assault outcomes, sexual assault outcomes, and alcohol use outcomes. Significant interactions revealed that women with higher incidence and severity of sexual assault at baseline experienced less incapacitated attempted or completed rapes, less incidence/severity of sexual assaults, and engaged in less heavy episodic drinking compared to the control condition at the 3-month follow-up. Web-based risk reduction programs targeting both sexual assault and alcohol use may be the most effective way to target the highest risk sample of college students for sexual assault: those with a sexual assault history and those who engage in heavy episodic drinking. PMID:26408290
2016-03-01
experience ethical dilemmas in conducting the program. SARCs As shown in Table 5, the most frequently performed duty of SARCs, to a large extent...to indicate they experience ethical dilemmas in conducting the program, whereas SARCs in the Air Force (23%) were less likely. VAs As shown in...the Navy (41%) were more likely to indicate they experience ethical dilemmas in conducting the program, whereas VAs in the Air Force (31%) were less
Quigg, Zara; Hughes, Karen; Bellis, Mark A
2013-06-01
We explore the impact of the 2010 World Cup, held in South Africa, on levels of assault attendances to 15 emergency departments in England. The majority (70.1%) of assault attendees during the 2010 World Cup was male and aged 18-34 years (52.5%). Assault attendances increased by 37.5% on the days that England played (P 001). Preparation for major sporting events in non-host countries should include violence prevention activity. Emergency department data can be used to identify violence associated with such events and thus inform both the targeting of prevention efforts and assessments of their effectiveness.
The Sacramento Neighborhood Alcohol Prevention Project: Outcomes From a Community Prevention Trial*
Treno, Andrew J.; Gruenewald, Paul J.; Lee, Juliet P.; Remer, Lillian G.
2014-01-01
Objective This article reports the results of the Sacramento Neighborhood Alcohol Prevention Project (SNAPP). SNAPP set as its goal the reduction of alcohol access, drinking, and related problems in two low-income, predominantly ethnic minority neighborhoods, focusing on individuals between the ages 15 and 29, an age group identified with high rates of alcohol-involved problems. Method Two neighborhoods in Sacramento were selected to be the intervention sites because they were economically and ethnically diverse and had high rates of crime and other drinking-related problems. The quasi-experimental design of the study took a “phased” approach to program implementation and statistical examination of outcome data. Outcome-related data were collected in the intervention sites as well as in the Sacramento community at large. Five project interventions included a mobilization component to support the overall project, a community awareness component, a responsible beverage-service component, an underage-access law enforcement component, and an intoxicated-patron law enforcement component. Archival data were collected to measure and evaluate study outcomes and to provide background and demographic information for the study. Results Overall, we found significant (p < .05) reductions in assaults as reported by police, aggregate emergency medical services (EMS) outcomes, EMS assaults, and EMS motor vehicle accidents. Conclusions Results from the Sacramento Neighborhood Alcohol Prevention Project demonstrate the effectiveness of neighborhood-based interventions in the reduction of alcohol-related problems such as assaults, motor vehicle crashes, and sale of alcohol to minors. PMID:17286338
Hatzenbuehler, Mark L.
2014-01-01
Objectives. We examined whether past-year suicidality among sexual-minority adolescents was more common in neighborhoods with a higher prevalence of hate crimes targeting lesbian, gay, bisexual, and transgender (LGBT) individuals. Methods. Participants’ data came from a racially/ethnically diverse population-based sample of 9th- through 12th-grade public school students in Boston, Massachusetts (n = 1292). Of these, 108 (8.36%) reported a minority sexual orientation. We obtained data on LGBT hate crimes involving assaults or assaults with battery between 2005 and 2008 from the Boston Police Department and linked the data to the adolescent’s residential address. Results. Sexual-minority youths residing in neighborhoods with higher rates of LGBT assault hate crimes were significantly more likely to report suicidal ideation (P = .013) and suicide attempts (P = .006), than were those residing in neighborhoods with lower LGBT assault hate crime rates. We observed no relationships between overall neighborhood-level violent and property crimes and suicidality among sexual-minority adolescents (P > .05), providing evidence for specificity of the results to LGBT assault hate crimes. Conclusions. Neighborhood context (i.e., LGBT hate crimes) may contribute to sexual-orientation disparities in adolescent suicidality, highlighting potential targets for community-level suicide-prevention programs. PMID:24328619
ERIC Educational Resources Information Center
Smith, Diane Dani
2013-01-01
College students are at high risk of experiencing serious problems related to physical and social health issues that include binge drinking, sexual assault, and contracting a sexually transmitted disease. Despite research reporting that many of these incidents co-occur on campuses, university prevention programs have failed to present the…
3 CFR 8804 - Proclamation 8804 of April 23, 2012. National Crime Victims’ Rights Week, 2012
Code of Federal Regulations, 2013 CFR
2013-01-01
... suffer the vast majority of intimate partner violence, sexual assault, and rape. These outcomes are... continue to combat sexual violence and expand support for survivors. From disrupting human trafficking... Department of Justice, we are investing in programs to prevent crime, drug abuse, and violence in communities...
Navy Family Advocacy Program. Appendix. Analysis of Central Registry Reports.
1983-12-01
2/76) 2 Suspected Abuzso/Malect/Sexua1 Assault an ae2404 65.) "Suspected Abuso /Neglect/ Sexual Assault and Rape Report" 2226 60.5 NAVMED 6320/15A...ANALYSIS OF SEXUAL ASSAULT REPORTS ........... 50 HAPTER V: SUMAY ANALYSIS Or rAMILY ADVOCACY PROGRAM REPORTS . 56 APPENDIX...cont’d)I PAGE CHAPTER IV: SEXUAL ASSAULT TV-1 Fore . . . . . . . . . . . . . . . . . . . . . 51 IV-2 Type of Maltreatment ............... 53 IV-3
2010-03-01
2008), 1–362. 22 Susan Carney, "Sexual Assault Awareness: Prevention Activities to Get Teens Aware and Involved," suite101.com, April 2, 2007...there were nude pictures of women hung at each workstation (this was acceptable back then). This only stopped when I hung my own pictures of naked ...January 2010: 193–222. 164 Carney, Susan. "Sexual Assault Awareness: Prevention Activities to Get Teens Aware and Involved." suite101.com. April 2
Federal Register 2010, 2011, 2012, 2013, 2014
2012-10-15
... DEPARTMENT OF JUSTICE Federal Bureau of Investigation [OMB Number 1110-0009] Agency Information...: Law Enforcement Officers Killed and Assaulted Program; Analysis of Officer Feloniously Killed and Assaulted Law Enforcement Officers Killed and Assaulted Program; Analysis of Officers Accidentally Killed...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-18
... DEPARTMENT OF JUSTICE Federal Bureau of Investigation [OMB Number 1110-0009] Agency Information...; Law Enforcement Officers Killed and Assaulted Program, Analysis of Officers; Feloniously Killed and Assaulted; and Law Enforcement Officers Killed and Assaulted Program, Analysis of Officers Accidentally...
Contextualization of Physical and Sexual Assault in Male Prisons: Incidents and Their Aftermath
Wolff, Nancy; Shi, Jing
2010-01-01
Physical and sexual assault are part of the prison experience. Approximately 21% of male inmates are physically assaulted during a 6-month period. Sexual assault is estimated at between 2% and 5%. Although prevalence evidence is growing, less is known about circumstances surrounding and resulting from these incidents. This article presents an analysis of approximately 2,200 physical and 200 sexual victimizations reported by a random sample of 6,964 male inmates. Physical injury occurred in 40% of physical assaults and 70% of sexual assaults between inmates and in 50% of assaults perpetrated by staff. Emotional reactions to assaults were experienced by virtually all victims. Context information is vital in the development and implementation of prevention and therapeutic interventions. PMID:19477812
Contextualization of physical and sexual assault in male prisons: incidents and their aftermath.
Wolff, Nancy; Jing Shi
2009-01-01
Physical and sexual assault are part of the prison experience. Approximately 21% of male inmates are physically assaulted during a 6-month period. Sexual assault is estimated at between 2% and 5%. Although prevalence evidence is growing, less is known about circumstances surrounding and resulting from these incidents. This article presents an analysis of approximately 2,200 physical and 200 sexual victimizations reported by a random sample of 6,964 male inmates. Physical injury occurred in 40% of physical assaults and 70% of sexual assaults between inmates and in 50% of assaults perpetrated by staff. Emotional reactions to assaults were experienced by virtually all victims. Context information is vital in the development and implementation of prevention and therapeutic interventions.
Sexual trauma in the military: Exploring PTSD and mental health care utilization in female veterans.
Kintzle, Sara; Schuyler, Ashley C; Ray-Letourneau, Diana; Ozuna, Sara M; Munch, Christopher; Xintarianos, Elizabeth; Hasson, Anthony M; Castro, Carl A
2015-11-01
Sexual trauma remains a pervasive problem in the military. The deleterious mental health outcomes related to incidents of sexual assault have been well-documented in the literature, with particular attention given to the development of posttraumatic stress disorder (PTSD) and utilization of mental health services. Much effort has focused on addressing issues of sexual trauma in the military. The purpose of this study was to examine the incidences of sexual assault in female veterans, the relationship to PTSD and mental health care utilization. The research explored differences in pre- and post-9/11 veterans. Data were collected using a 6-prong recruitment strategy to reach veterans living in Southern California. A total of 2,583 veterans completed online and in-person surveys, of which 325 female veterans were identified for inclusion in the analysis. Forty percent of the sample reported experiencing sexual assault during their military service. A history of military sexual trauma was found to be a substantial contributor to symptoms of PTSD. A majority of female veterans who indicated being sexually assaulted during their military service met the cutoff for a diagnosis of PTSD. Although only a minority of participants who indicated being a victim of sexual assault reported receiving immediate care after the incident, most had received mental health counseling within the past 12 months. Findings point to the need for additional prevention programs within the military and opportunities for care for victims of military sexual assault. (c) 2015 APA, all rights reserved).
Code of Federal Regulations, 2012 CFR
2012-01-01
... recommit to building a society where no woman, man, or child endures the fear of assault or the pain of an... developed highly trained, coordinated teams who understand the nature of sexual assault and can respond with...
Wegner, Rhiana; Pierce, Jennifer; Abbey, Antonia
2014-11-01
Although most sexual assaults are committed by men who know their victims, few researchers have considered how characteristics of perpetrators and incidents differ depending on the victim-perpetrator relationship. This study addresses this gap with a community sample of 204 men who reported committing a sexually aggressive act in an audio computer-assisted self-interview. 2 (Relationship Type: Committed vs. Casual) × 2 (Sexual Precedence: Yes vs. No) ANOVAs revealed significant main effects of relationship type and sexual precedence associated with individual difference and incident characteristics. These findings demonstrate the importance of developing theories and prevention programs tailored for different relationship contexts. © The Author(s) 2014.
Implications for Sexual Assault Prevention: College Students as Prosocial Bystanders
ERIC Educational Resources Information Center
Exner, Deinera; Cummings, Nina
2011-01-01
Prosocial bystander interventions are promising approaches to sexual assault prevention on college campuses. Objective: To assess bystander attitudes among undergraduate students at a northeastern university. Participants: A convenience sample of 188 students from 4 undergraduate classes was surveyed during regularly scheduled class sessions.…
"Campus Craft": A Game for Sexual Assault Prevention in Universities.
Jozkowski, Kristen N; Ekbia, Hamid R
2015-04-01
Sexual assault is prevalent among college students. In response, universities have implemented prevention education initiatives. These interventions, however, often ignore the broader sociocultural context in which sexual violence occurs. This calls for innovative approaches in prevention education, which address the broader context. Computer games provide such an opportunity by providing simulated real-life scenarios, nonlinear narratives, and an interactive medium. We report the development and pilot testing of "Campus Craft," a game prototype that focuses, among other things, on sexual assault prevention. The prototype was developed through a participatory design process; students, educators, and subject matter experts helped design and develop scenarios, game mechanics, and learning objectives. The prototype was evaluated by college students (n=141) in a multi-method approach. The evaluation encompassed issues of usability, game mechanics, attitudes, and learning outcomes. Findings indicated that participants rated various aspects of the game positively. Additionally, use of "Campus Craft" contributed to differences in student learning of prevention concepts between the pre- and post-test such that students scored higher on the post-test. Findings demonstrate that, on average, students learned several core concepts related to sexual consent and rape culture through gameplay. Results suggest that computer-based gaming may be a viable avenue for sexual assault prevention education. Findings demonstrate that this approach could be effective in increasing student knowledge and understanding of factors that contribute to sexual assault in college. Future research is needed to corroborate findings and better understand the feasibility of using this approach among larger samples of college students.
28 CFR 90.101 - What definitions apply for the grant program?
Code of Federal Regulations, 2013 CFR
2013-07-01
... reasonable time. Section 101, Public Law 105-244, 20 U.S.C. 1001. (c) Sexual assault means any conduct... organization that assists domestic violence or sexual assault victims, including campus women's centers, rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs...
28 CFR 90.101 - What definitions apply for the grant program?
Code of Federal Regulations, 2012 CFR
2012-07-01
... reasonable time. Section 101, Public Law 105-244, 20 U.S.C. 1001. (c) Sexual assault means any conduct... organization that assists domestic violence or sexual assault victims, including campus women's centers, rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs...
28 CFR 90.101 - What definitions apply for the grant program?
Code of Federal Regulations, 2011 CFR
2011-07-01
... reasonable time. Section 101, Public Law 105-244, 20 U.S.C. 1001. (c) Sexual assault means any conduct... organization that assists domestic violence or sexual assault victims, including campus women's centers, rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs...
ERIC Educational Resources Information Center
MacDougall, Jyl
This publication offers some insight into the problem of violence in Canadian schools and provides examples of ways to reduce it. The forms of violent activities examined include youth/youth-gang violence, violence against teachers, bullying, sexual harassment, and sexual assault. Each chapter presents research findings and examples of programs…
Federal Register 2010, 2011, 2012, 2013, 2014
2010-05-07
... briefing from Sexual Assault and Prevention and Response Office. The meeting is open to the public, subject... announcements --Discussion on Committee's vision, philosophy, and topics to pursue --Briefings from Sexual Assault Prevention and Response Office --Public Forum Written Statements Individuals submitting a written...
Hust, Stacey J T; Adams, Paula M; Willoughby, Jessica Fitts; Ren, Chunbo; Lei, Ming; Ran, Weina; Marett, Emily Garrigues
2017-09-01
Among the existing sexual assault prevention efforts on college campuses, few use mass communication strategies designed to simultaneously entertain and educate. Although many entertainment-education efforts are guided by social cognitive theory, other theories may be useful in entertainment-education design. Previous research has found that social cognitive theory and social norms theory can successfully influence participants' perceived norms and efficacy related to sexual assault reduction; however, whether such results can be replicated in a naturalistic setting and the extent to which the guiding theoretical foundation may influence outcomes remain unknown. We used a pre- and posttest field experiment with college students in residence halls to assess how different theoretical foundations may influence effects. Over the course of a semester, the participants viewed eight mini-magazines developed using (1) social cognitive theory, (2) social norms theory, (3) a combination of both theoretical frameworks, or (4) a control condition with no sexual assault prevention messaging. Participants in the combined content condition had greater levels of self-efficacy related to sexual assault prevention and more accurate norm perceptions. There were also effects for the mini-magazines developed with only one theoretical framework. Overall, we found that multiple theories can effectively guide entertainment-education message development.
A Women's Center Support Group for Sexual Assault Victims.
ERIC Educational Resources Information Center
Sharma, Anu; Cheatham, Harold E.
1986-01-01
Recovery from sexual assault occurs through gradual stages. Crisis counseling may facilitate the later recovery stages. The sexual assault research and counseling models are reviewed and a counseling program devised to serve victims of sexual assault is described. (Author/BL)
Campbell, Rebecca; Bybee, Deborah; Townsend, Stephanie M; Shaw, Jessica; Karim, Nidal; Markowitz, Jenifer
2014-05-01
To address the underreporting and underprosecution of adult sexual assaults, communities throughout the United States have implemented multidisciplinary interventions to improve postassault care for victims and the criminal justice system response. One such model is the Sexual Assault Nurse Examiner (SANE) Program, whereby specially trained nurses provide comprehensive psychological, medical, and forensic services for sexual assault. In this study, we conducted a multisite evaluation of six SANE programs (two rural programs, two serving midsized communities, two urban) to assess how implementation of SANE programs affects adult sexual assault prosecution rates. At each site, most sexual assaults reported to law enforcement were never referred by police to prosecutors or were not charged by the prosecutor's office (80%-89%). Individually, none of the sites had a statistically significant increase in prosecution rates pre-SANE to post-SANE. However, when the data were aggregated across sites, thereby increasing statistical power, there was a significant effect such that cases were more likely to be prosecuted post-SANE as compared with pre-SANE. These findings suggest that the SANE intervention model does have a positive impact on sexual assault case progression in the criminal justice system. Nevertheless, there is still a pressing need for improvement as the vast majority of both pre-SANE and post-SANE resulted in nonreferral/no charges filed. © The Author(s) 2014.
Lowe, S R; Joshi, S; Galea, S; Aiello, A E; Uddin, M; Koenen, K C; Cerdá, M
2017-10-01
Assaultive violence events are associated with increased risk for adverse psychiatric outcomes, including post-traumatic stress (PTS), depression, and generalized anxiety. Prior research has indicated that economic, legal, and social stressors that could follow assaultive events may explain the increased risk for adverse psychiatric outcomes, yet longitudinal studies have not adequately examined this pathway. In the current study, we aimed to address this limitation. Participants (N = 1360) were part of a longitudinal population-based study of adults living in Detroit. At three waves, participants indicated their exposure to assaultive violence and economic, legal, and social stressors, and completed inventories of PTS, depression, and generalized anxiety. Longitudinal mediation models were used to test the hypothesized pathway from assaultive violence to each psychiatric outcome. The hypothesized models evidenced good fit with the data and, in each, the paths from Wave 1 (W1) assaultive violence to W2 stressors, and from W2 stressors to W3 symptoms were significant (range of Standardized Estimates: 0.09-0.15, all p < 0.01). Additionally, the indirect paths from W1 assaultive violence to W3 symptoms were significant (range of Standardized Estimates: 0.01-0.02, all p < 0.05). The findings illustrate that the economic, legal, and social stressors that could follow assaultive violence increase risk for a range of psychiatric symptoms. Although future research is needed, the results suggest that investment in interventions that prevent and mitigate assaultive violence survivors' exposure to such stressors may be an effective way to prevent mental illness in the aftermath of violent assaults.
Sexual assault documentation program.
Willoughby, Vickie; Heger, Astrid; Rogers, Christopher; Sathyavagiswaran, Lakshmanan
2012-03-01
Since 2001, the Los Angeles County Department of Coroner has collaborated with Los Angeles County-University of Southern California Medical Center Violence Intervention Program and their Sexual Assault Center. The partnership was established at the suggestion of the district attorney's office to enhance the clinical recognition of sexual assault in the medical examiner's office using the extensive experience of experts in the field of sexual assault. As of December 2008, over 5 dozen victims of sexual assault have been evaluated with this collaboration. The partnership relied on the expertise of 2 pediatricians who are established clinical experts in the field of sexual abuse and assault, in collaboration with the staff of the medical examiner's office. In cases of suspected sexual assault, a joint evaluation by the clinical experts and the medical examiner was made. The goal of the project was for the medical examiners to become more confident in their observations and documentation of crimes of sexual abuse. Even though they are still available upon request, consultations with the sexual assault experts have decreased as the skills of the medical examiner to evaluate sexual assault cases have increased.
“Campus Craft”: A Game for Sexual Assault Prevention in Universities
Ekbia, Hamid R.
2015-01-01
Abstract Objective: Sexual assault is prevalent among college students. In response, universities have implemented prevention education initiatives. These interventions, however, often ignore the broader sociocultural context in which sexual violence occurs. This calls for innovative approaches in prevention education, which address the broader context. Computer games provide such an opportunity by providing simulated real-life scenarios, nonlinear narratives, and an interactive medium. We report the development and pilot testing of “Campus Craft,” a game prototype that focuses, among other things, on sexual assault prevention. Materials and Methods: The prototype was developed through a participatory design process; students, educators, and subject matter experts helped design and develop scenarios, game mechanics, and learning objectives. The prototype was evaluated by college students (n=141) in a multi-method approach. The evaluation encompassed issues of usability, game mechanics, attitudes, and learning outcomes. Results: Findings indicated that participants rated various aspects of the game positively. Additionally, use of “Campus Craft” contributed to differences in student learning of prevention concepts between the pre- and post-test such that students scored higher on the post-test. Conclusions: Findings demonstrate that, on average, students learned several core concepts related to sexual consent and rape culture through gameplay. Results suggest that computer-based gaming may be a viable avenue for sexual assault prevention education. Findings demonstrate that this approach could be effective in increasing student knowledge and understanding of factors that contribute to sexual assault in college. Future research is needed to corroborate findings and better understand the feasibility of using this approach among larger samples of college students. PMID:26181803
Plan to Prevent and Respond to Sexual Assault of Military Men
2016-10-01
2012) . Myths about male rape : A literature review. Psychology of Men & Masculinity, 13, 211-226. 2 Davies, M. (2002). Male sexual assault victims...may be due, in part, to pervasive myths about the implausibility of male rape and sexual assault. 5 Contrary to these beliefs, sexual assault is a... real problem for both men and women. Various scientific surveys of the military population indicate that while women are at higher risk for sexual
Adult Sexual Assault Survivors' Experiences with Sexual Assault Nurse Examiners (SANEs)
ERIC Educational Resources Information Center
Fehler-Cabral, Giannina; Campbell, Rebecca; Patterson, Debra
2011-01-01
Sexual assault survivors often feel traumatized by the care received in traditional hospital emergency departments. To address these problems, Sexual Assault Nurse Examiner (SANE) programs were created to provide comprehensive medical care, crisis intervention, and forensic services. However, there is limited research on the actual experiences and…
Using Story Structure for Lesson Design in Teaching about Sexual Assault
ERIC Educational Resources Information Center
Erbe, Ryan G.; Kearns, Katherine D.
2016-01-01
The present pilot study examines the use of story structure for lesson design to promote student engagement in a lesson focusing on sexual assault prevention. The effect of the story-based lesson on undergraduates' knowledge and perceptions of sexual assault was studied using a quasi-experimental mixed methods design. Results of the study…
Social norms marketing: a prevention strategy to decrease high-risk drinking among college students.
Ott, Carol H; Haertlein, Carol
2002-06-01
We describe a social-norms marketing approach to moderating college student drinking behaviors and correcting student misperceptions about campus drinking. The intervention has the potential to be applied to other health behaviors where misperceptions abound, such as those related to cigarette smoking, eating disorders, sexual health, and sexual assault. Even though nurses are actively working on alcohol and other drug (AOD) prevention efforts on college campuses, little data based research have been published. Collaborative efforts between faculty from different disciplines, including nursing and nurse health educators, can be an effective combination for preventing alcohol abuse and for initiating sound research-based campus prevention programs.
Hoxmeier, Jill C; Acock, Alan C; Flay, Brian R
2017-01-01
Sexual assault is a major public health issue. Bystander engagement programs are becoming widely used to combat sexual assault on college campuses. The purpose of this study was to examine students' intervention norms, intentions, opportunities, and behaviors as bystanders to sexual assault. Undergraduate students ( N = 779) completed the Sexual Assault Bystander Behavior Questionnaire in the fall of 2014. The t tests revealed differences in students' intervention norms, intentions, opportunities, and missed opportunities based on sex, race/ethnicity, athletic participation, and fraternity/sorority membership. The findings support the use of additional measures to assess bystander behavior and to identify student subpopulations that may benefit from programs aimed at increasing prosocial intervention.
Coulter, Robert W S; Mair, Christina; Miller, Elizabeth; Blosnich, John R; Matthews, Derrick D; McCauley, Heather L
2017-08-01
A critical step in developing sexual assault prevention and treatment is identifying groups at high risk for sexual assault. We explored the independent and interaction effects of sexual identity, gender identity, and race/ethnicity on past-year sexual assault among college students. From 2011 to 2013, 71,421 undergraduate students from 120 US post-secondary education institutions completed cross-sectional surveys. We fit multilevel logistic regression models to examine differences in past-year sexual assault. Compared to cisgender (i.e., non-transgender) men, cisgender women (adjusted odds ratios [AOR] = 2.47; 95% confidence interval [CI] 2.29, 2.68) and transgender people (AOR = 3.93; 95% CI 2.68, 5.76) had higher odds of sexual assault. Among cisgender people, gays/lesbians had higher odds of sexual assault than heterosexuals for men (AOR = 3.50; 95% CI 2.81, 4.35) but not for women (AOR = 1.13; 95% CI 0.87, 1.46). People unsure of their sexual identity had higher odds of sexual assault than heterosexuals, but effects were larger among cisgender men (AOR = 2.92; 95% CI 2.10, 4.08) than cisgender women (AOR = 1.68; 95% CI 1.40, 2.02). Bisexuals had higher odds of sexual assault than heterosexuals with similar magnitude among cisgender men (AOR = 3.19; 95% CI 2.37, 4.27) and women (AOR = 2.31; 95% CI 2.05, 2.60). Among transgender people, Blacks had higher odds of sexual assault than Whites (AOR = 8.26; 95% CI 1.09, 62.82). Predicted probabilities of sexual assault ranged from 2.6 (API cisgender men) to 57.7% (Black transgender people). Epidemiologic research and interventions should consider intersections of gender identity, sexual identity, and race/ethnicity to better tailor sexual assault prevention and treatment for college students.
2016-01-01
of – sexually hostile work environment—a workplace characterized by severe or per- vasive unwelcome sexual advances, comments, or physical conduct...member. It may be possible to reduce the number of sexual assaults by preventing this broader class of physical assaults on service members...attempted to sexually assault them (charged via UCMJ Article 80), but the person never made physical contact with a private area of their body (which
Neilson, Elizabeth C.; Gilmore, Amanda K.; Pinsky, Hanna T.; Shepard, Molly E.; Lewis, Melissa A.; George, William H.
2016-01-01
Despite consistent high rates of campus sexual assault, little research has examined effective strategies to decrease sexual assault victimization. Sexual assault and drinking protective behavioral strategies (PBS) may be important means of reducing sexual assault victimization risk on college campuses but need further examination. The current study examined the relationship among sexual assault in childhood, before college, and since college to evaluate the mitigating roles of both sexual assault PBS and drinking PBS on sexual assault victimization. Participants (n = 620) were undergraduate women, 18 to 20 years old. The current study was a cross-sectional online survey assessing participants’ sexual assault PBS and sexual assault history. Sexual assault history was positively associated with future sexual assault experiences. Pre-college sexual assault was associated with increased since-college sexual assault and increased drinks per week. Since-college adolescent/adult sexual assault was associated with less use of sexual assault PBS. These findings suggest that PBS may have an important role in sexual assault victimization and future research should examine their usefulness in risk reduction programs for college women. PMID:26345223
College students' perceived risk of sexual victimization and the role of optimistic bias.
Saling Untied, Amy; Dulaney, Cynthia L
2015-05-01
Many college women believe that their chances of experiencing a sexual assault are less than their peers. This phenomenon, called optimistic bias, has been hypothesized to be one important element to address in sexual assault risk reduction and awareness programs aimed at reducing women's chances of experiencing a sexual assault. The present study examined the role that participants' (N = 89) perceived similarity to a narrator (portraying a sexual assault survivor) describing an assault plays in reducing this bias. The age of the narrator was manipulated (similar or dissimilar to age of participants) with the aim of assessing whether the program could produce reductions in optimistic bias for those participants who watched a video of someone similar to them in age. A significant interaction between pre- and post-program and age similarity indicated a significant decrease in optimistic bias from pre- to posttest for the similar group. Furthermore, an exploratory analysis indicated optimistic bias for White participants decreased from pre- to posttest, whereas optimistic bias for the Black participants increased. These results suggest that some factors such as age similarity may reduce optimistic bias in sexual assault risk reduction and awareness programs. However, a race dissimilarity may increase optimistic bias. Thus, more research is needed to understand the factors that affect optimistic bias with regard to sexual assault awareness. © The Author(s) 2014.
2012-01-01
Background Emergency department (ED) data have the potential to provide critical intelligence on when violence is most likely to occur and the characteristics of those who suffer the greatest health impacts. We use a national experimental ED monitoring system to examine how it could target violence prevention interventions towards at risk communities and optimise acute responses to calendar, holiday and other celebration-related changes in nighttime assaults. Methods A cross-sectional examination of nighttime assault presentations (6.01 pm to 6.00 am; n = 330,172) over a three-year period (31st March 2008 to 30th March 2011) to English EDs analysing changes by weekday, month, holidays, major sporting events, and demographics of those presenting. Results Males are at greater risk of assault presentation (adjusted odds ratio [AOR] 3.14, 95% confidence intervals [CIs] 3.11-3.16; P < 0.001); with male:female ratios increasing on more violent nights. Risks peak at age 18 years. Deprived individuals have greater risks of presenting across all ages (AOR 3.87, 95% CIs 3.82-3.92; P < 0.001). Proportions of assaults from deprived communities increase midweek. Female presentations in affluent areas peak aged 20 years. By age 13, females from deprived communities exceed this peak. Presentations peak on Friday and Saturday nights and the eves of public holidays; the largest peak is on New Year’s Eve. Assaults increase over summer with a nadir in January. Impacts of annual celebrations without holidays vary. Some (Halloween, Guy Fawkes and St Patrick’s nights) see increased assaults while others (St George’s and Valentine’s Day nights) do not. Home nation World Cup football matches are associated with nearly a three times increase in midweek assault presentation. Other football and rugby events examined show no impact. The 2008 Olympics saw assaults fall. The overall calendar model strongly predicts observed presentations (R2 = 0.918; P < 0.001). Conclusions To date, the role of ED data has focused on helping target nightlife police activity. Its utility is much greater; capable of targeting and evaluating multi-agency life course approaches to violence prevention and optimising frontline resources. National ED data are critical for fully engaging health services in the prevention of violence. PMID:22950487
Department of Defense Annual Report on Sexual Assault in the Military: Fiscal Year 2015
2016-05-02
51 List of Figures Figure 1: DoD Social Ecological Model...across the Joint Force understands their role in upholding ethical standards of behavior as a way to prevent sexual assault. Sexual Assault...strategy execution at all subordinate levels of the military social environment (Figure 1). Figure 1: DoD Social Ecological Model Incorporated DoD
ERIC Educational Resources Information Center
Streng, Tara K.; Kamimura, Akiko
2015-01-01
Objective: Sexual violence within the collegiate environment is a pressing issue within American society. One way to address sexual violence is through the adaptation and implementation of a sexual assault policy by colleges and universities. The purpose of this study is to review sexual misconduct and assault policies of ten public universities…
Code of Federal Regulations, 2014 CFR
2014-01-01
... the President of the United States of America A Proclamation In the last 20 years, our Nation has made.... With Vice President Joe Biden's leadership, we have made preventing sexual violence and supporting... military—because no one serving our country should be at risk of assault by a fellow service member. Where...
Bird, Elizabeth R; Gilmore, Amanda K; George, William H; Lewis, Melissa A
2016-01-01
White House Council on Women and Girls (2014) highlighted sexual assault prevention as a high priority issue in need of immediate attention. A risk factor associated with sexual assault victimization and revictimization is drinking before sexual activity. The current study examined the relationship between incapacitated sexual assault (ISA) and drinking before sexual activity. Given the typical social context of both drinking before sexual activity and sexual assault in college settings, social-related drinking factors including drinking to conform motives, social drinking motives, and perceived drinking norms were examined. Six hundred and three undergraduate college women completed a survey online assessing history of ISA, social factors associated with drinking, and frequency of drinking before sexual activity. Path analysis indicated that both ISA before college and since entering college were associated with higher perceived drinking norms, more social drinking motive endorsement, and more drinking to conform. However, only higher perceived drinking norms and more social drinking motive endorsement were associated with both more severe ISA histories and more frequent drinking before sexual activity. Thus, a more severe ISA history was indeed associated with more frequent drinking before sexual activity and social factors related to drinking played a significant role in this relationship. Social factors can be easily targeted through brief interventions and these findings can inform future programming to promote more careful use of alcohol in social and sexual situations. Copyright © 2015 Elsevier Ltd. All rights reserved.
Top Questions About HIV Prevention and Women
... may have been acci- dentally exposed to HIV. Sexual assault puts you at risk for HIV because a ... may not use a condom during sexual violence. Sexual assault is more likely to cause tears or cuts ...
Davis, Robert C; Auchter, Bernard; Howley, Susan; Camp, Torie; Knecht, Ilse; Wells, William
Texas SB 1191 was enacted in 2013 with the intent of increasing access to medical forensic examinations for sexual assault victims by requiring every hospital with an emergency department to be prepared to provide a medical forensic examination if requested by a sexual assault victim. To realize that goal, the law also required basic forensic training for medical professionals before conducting a medical forensic examination as well as a requirement that hospitals develop a "plan to train personnel on sexual assault forensic evidence collection." Interviews were conducted in 18 healthcare facilities (five with sexual assault nurse examiner [SANE] programs and 13 without SANE programs) in Dallas, Lubbock, and Austin to determine their awareness and compliance with SB 1191. The data suggest that the law had a little effect on actual practice, and sexual assault survivors still sought a SANE program for a medical forensic examination. Although SB 1191 is an important state level effort to make forensic examinations more readily available, it did not fully account for the challenges faced by smaller hospitals that do not see enough sexual assault victims to justify training staff to SANE standards and did not adequately address the training required by medical professionals to feel prepared to conduct a medical forensic examination.
ERIC Educational Resources Information Center
Buck, Stephen C.
2013-01-01
Sexual assault is a major problem facing colleges and universities, and prevention efforts have begun to examine how student peers can be encouraged to intervene as active bystanders. This study investigated what male students perceived as the most salient risks and benefits of intervening in a situation involving a hypothetical sexual assault and…
Code of Federal Regulations, 2012 CFR
2012-07-01
... domestic violence and/or sexual assault victims. Included in this definition are rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs, such as nonprofit, nongovernmental organizations assisting domestic violence or sexual assault victims through the legal process...
Code of Federal Regulations, 2013 CFR
2013-07-01
... domestic violence and/or sexual assault victims. Included in this definition are rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs, such as nonprofit, nongovernmental organizations assisting domestic violence or sexual assault victims through the legal process...
Code of Federal Regulations, 2011 CFR
2011-07-01
... domestic violence and/or sexual assault victims. Included in this definition are rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs, such as nonprofit, nongovernmental organizations assisting domestic violence or sexual assault victims through the legal process...
Code of Federal Regulations, 2014 CFR
2014-07-01
... domestic violence and/or sexual assault victims. Included in this definition are rape crisis centers, battered women's shelters, and other sexual assault or domestic violence programs, such as nonprofit, nongovernmental organizations assisting domestic violence or sexual assault victims through the legal process...
Using action research to plan a violence prevention program for emergency departments.
Gates, Donna; Gillespie, Gordon; Smith, Carolyn; Rode, Jennifer; Kowalenko, Terry; Smith, Barbara
2011-01-01
Although there are numerous studies that show that emergency department (ED) violence is a prevalent and serious problem for healthcare workers, there is a lack of published evaluations of interventions aimed at reducing this alarming trend. Using an action research model, the authors partnered with six hospitals to plan, implement and evaluate a violence prevention and management intervention. Phase one of this project involved gathering information from employees, managers and patients using focus groups. Ninety-seven persons participated in one of twelve focus groups. The Haddon matrix was used to develop focus group questions aimed at gathering data about the pre-assault, during assault, and post-assault time frames and to compare these findings to planned strategies. Analysis consisted of identification of themes related to intervention strategies for patients/visitors, employees, managers, and the work environment. Thematic analysis results supported the relevance, feasibility, and saliency of the planned intervention strategies. With the exception of a few items, employees and managers from the different occupational groups agreed on the interventions needed to prevent and manage violence against ED workers. Patients focused on improved staff communication and comfort measures. Results support that violence in the emergency department is increasing, that violence is a major concern for those who work in and visit emergency departments, and that interventions are needed to reduce workplace violence. The Haddon matrix along with an action research method was useful to identify intervention strategies most likely to be successfully implemented and sustained by the emergency departments. Copyright © 2011 Emergency Nurses Association. Published by Mosby, Inc. All rights reserved.
Sen. Shaheen, Jeanne [D-NH
2013-05-21
Senate - 06/04/2013 Committee on Armed Services. Hearings held. Hearings printed: S.Hrg. 113-320. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
78 FR 20221 - National Sexual Assault Awareness and Prevention Month, 2013
Federal Register 2010, 2011, 2012, 2013, 2014
2013-04-04
... American women are more than twice as likely to experience sexual assault as the general population... emotional trauma they leave behind can last for years. With Vice President Joe Biden's leadership, we have...
Exploring the Potential Campus-Level Impact of Online Universal Sexual Assault Prevention Education.
Zapp, Daniel; Buelow, Robert; Soutiea, Lauren; Berkowitz, Alan; DeJong, William
2018-03-01
Campus sexual assault is a long-standing challenge and continues to be a severe problem for American higher education. The present study examines the short-term impact of a widely utilized sexual violence prevention course for matriculating college students as a population-level prevention approach. The course focuses on correcting misperceptions of normative behavior, increasing students' likelihood to intervene in disconcerting situations, and encouraging empathy and support for victims. Participants were 167,424 first-year college students from 80 four-year institutions who completed preintervention and postintervention surveys to assess changes in composite factor scores derived from 20 attitudinal, self-efficacy, and behavioral intention items. Employing the composite factor scores as dependent variables, individual ANOVAs were run for each of the institutions to test whether there were significant increases in mean factor scores. High percentages of institutions saw statistically significant increases ( p < .05) in self-reported ability and intention to intervene to prevent sexual assault and relationship violence (98%), empathy and support for victims (84%), and corrected perceptions of social norms (75%). Fewer schools saw significant reductions in endorsement of sexual assault myths (34%). These findings suggest that when implemented as a population-level intervention for all first-year college students, the prevention course can foster accurate perceptions of positive social norms, increase empathy and support for victims, and increase students' stated ability and intention to intervene.
Report to the President of the United States on Sexual Assault Prevention and Response
2014-11-01
established research history based on laboratory- tested principles of memory retrieval, knowledge representation, and communication. AFOSI has been using CI...analysis methods, including scientific research , data analysis, focus groups , and on -site assessments to evaluate the Department’s SAPR program...131 Report to the President of the United States on SAPR DMDC’s focus group methodology employs a standard qualitative research approach to
Code of Federal Regulations, 2013 CFR
2013-10-01
... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...
Code of Federal Regulations, 2014 CFR
2014-10-01
... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...
Code of Federal Regulations, 2011 CFR
2011-10-01
... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...
Code of Federal Regulations, 2012 CFR
2012-10-01
... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403...; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation, exploitation, contact, or prostitution; and other sexual offenses. In determining whether a crime falls within...
Adolescent assault injury: risk and protective factors and locations of contact for intervention.
Cheng, Tina L; Schwarz, Donald; Brenner, Ruth A; Wright, Joseph L; Fields, Cheryl B; O'Donnell, Regina; Rhee, Peter; Scheidt, Peter C
2003-10-01
Violence is a large contributor to morbidity and mortality among adolescents. Most studies assessing markers for violent injury are cross-sectional. To guide intervention, we conducted a case-control study to explore factors associated with assault injury and locations to reach at-risk adolescents. 1) To assess risk and protective factors for adolescent assault injury compared with 2 control groups of youth with unintentional injuries and noninjury complaints presenting to the emergency department and 2) to assess locations of contact with assault-injured youth for prevention programs. Face-to-face and phone interviews were conducted with systematic samples of youth aged 12 to 19 years presenting to the emergency department with assault injury, unintentional injury, and noninjury complaints. Youth with intentional injuries were matched to youth in the 2 control groups on age +/-1 year, gender, race, and residency. One hundred forty-seven 147 assault-injured youth completed interviews. One hundred thirty-three assault-injured youth were matched to 133 unintentionally injured and 133 noninjured youth presenting to the emergency department. Compared with the 2 control groups, assault-injured youth were more likely to have had more fights in the past year (odds ratio [OR]: 3.91; 95% confidence interval [CI]: 2.02, 7.58; OR: 4.00; 95% CI: 2.23, 7.18) and fights requiring medical treatment (OR: 35.49; 95% CI: 8.71, 144.68; OR: 80.00; 95% CI: 11.13, 574.80). Eighty percent of assault-injured youth had been in 1 or more fights in the last 12 months compared with 55% and 46% in unintentional and noninjured controls, respectively. Assault-injured youth were more likely to have had previous weapon injuries (OR: 9.50; 95% CI: 3.39, 26.6; OR: 8.50; 95% CI: 3.02, 23.95) and have seen someone shot (OR: 2.00; 95% CI 1.12, 3.58; OR: 2.00; 95% CI: 1.12, 3.58). Eighty-six percent of assault-injured youth had a regular health care provider with 82% reporting a visit within the last year. There were no differences between cases and controls with regard to physician contact, extracurricular activity involvement, school or church attendance, police contact, weapon access or weapon-carrying, or witnessing nonweapon-related violence. Fighting was common among all groups. Assault-injured youth were more likely to have had previous weapon injuries and were high-risk for future injury. Past fights, past fight injuries, and seeing someone else shot were markers associated with assault injury. Health providers do have access to at-risk teens for clinical risk assessment and intervention.
2015 QuickCompass of Sexual Assult-Related Responders: Statistical Methodology Report
2016-02-01
2015 QuickCompass of Sexual Assault Prevention and Response- Related Responders Statistical Methodology Report Additional copies of this report...from: http://www.dtic.mil/ Ask for report by ADA630235 DMDC Report No. 2015-039 February 2016 2015 QUICKCOMPASS OF SEXUAL ASSAULT PREVENTION...Defense Research, Surveys, and Statistics Center (RSSC) 4800 Mark Center Drive , Suite 04E25-01, Alexandria, VA 22350-4000 ii Acknowledgments
2016-03-17
protective order (CPO)? ......................................... 66 j. Making a Special Victims’ Counsel/Victims’ Legal Counsel (SVC/ VLC ) available...Related Responders DMDC vii i. Special Victims’ Counsels/Victims’ Legal Counsels (SVCs/ VLCs ) ........ 81 j. Healthcare providers...often have you faced the following barriers or challenges in implementing the elements of the DoD Sexual Assault Prevention Strategy
Campbell, Rebecca; Patterson, Debra; Bybee, Deborah
2012-02-01
Most sexual assaults are never reported to law enforcement, and even among reported cases, most will never be successfully prosecuted. This reality has been a long-standing source of frustration for survivors, victim advocates, as well as members of the criminal justice system. To address this problem, communities throughout the United States have implemented multidisciplinary response interventions to improve post-assault care for victims and increase reporting and prosecution rates. One such model is the Sexual Assault Nurse Examiner (SANE) program, whereby specially trained nurses (rather than hospital emergency department [ED] physicians) provide comprehensive psychological, medical, and forensic services for sexual assault victims. The purpose of this study was to examine whether adult sexual assault cases were more likely to be investigated and prosecuted after the implementation of a SANE program within a large Midwestern county. A quasi-experimental design was used to compare criminal justice system case progression pre-SANE to post-SANE. Results from longitudinal multilevel ordinal regression modeling revealed that case progression through the criminal justice system significantly increased pre- to post-SANE: more cases reached the "final" stages of prosecution (i.e., conviction at trial and/or guilty plea bargains) post-SANE. These findings are robust after accounting for changes in operation at the focal county prosecutors' office and seasonal variation in rape reporting. Implications for policy and practice are discussed.
Mitchell, Rebecca J; Seah, Rebecca; Ting, Hsuen P; Curtis, Kate; Foster, Kim
2018-06-01
To examine the magnitude, 10-year temporal trends and treatment cost of intentional injury hospitalisations of children aged ≤16 years in Australia. A retrospective examination of linked hospitalisation and mortality data for children aged ≤16 years during 1 July 2001 to 30 June 2012 with self-harm or assault injuries. Negative binomial regression examined temporal trends. There were 18,223 self-harm and 13,877 assault hospitalisations, with a treatment cost of $64 million and $60.6 million, respectively. The self-harm hospitalisation rate was 59.8 per 100,000 population (95%CI 58.96-60.71) with no annual decrease. The assault hospitalisation rate was 29.9 per 100,000 population (95%CI 29.39-30.39) with a 4.2% annual decrease (95%CI -6.14- -2.31, p<0.0001). Poisoning was the most common method of self-harm. Other maltreatment syndromes were common for children ≤5 years of age. Assault by bodily force was common for children aged 6-16 years. Health professionals can play a key role in identifying and preventing the recurrence of intentional injury. Psychosocial care and access to support services are essential for self-harmers. Parental education interventions to reduce assaults of children and training in conflict de-escalation to reduce child peer-assaults are recommended. Implications for public health: Australia needs a whole-of-government and community approach to prevent intentional injury. © 2018 The Authors.
Senn, Charlene Y; Eliasziw, Misha; Barata, Paula C; Thurston, Wilfreda E; Newby-Clark, Ian R; Radtke, H Lorraine; Hobden, Karen L
2014-11-05
Summarizes the frequency, type, and context of sexual assault in a large sample of first-year university women at three Canadian universities. As part of a randomized controlled trial assessing the efficacy of a sexual assault resistance education program, baseline data were collected from women between ages of 17 and 24 using computerized surveys. Participants' experience with sexual victimization since the age of 14 years was assessed using the Sexual Experiences Survey--Short Form Victimization (SES-SFV). Among 899 first-year university women (mean age = 18.5 years), 58.7% (95% CI: 55.4%, 62.0%) had experienced one or more forms of victimization since the age of 14 years, 35.0% (95% CI: 31.9%, 38.3%) had experienced at least one completed or attempted rape, and 23.5% (95% CI: 20.7%, 26.4%) had been raped. Among the 211 rape victims, 46.4% (95% CI: 39.7%, 53.2%) had experienced more than one type of assault (oral, vaginal, anal) in a single incident or across multiple incidents. More than three-quarters (79.6%; 95% CI: 74.2%, 85.1%) of the rapes occurred while women were incapacitated by alcohol or drugs. One-third (33.3%) of women had previous self-defence training, but few (4.0%) had previous sexual assault education. Findings from the first large Canadian study of university women since the 1990s indicate that a large proportion of women arrive on campuses with histories of sexual victimization, and they are generally unprepared for the perpetrators they may face during their academic years. There is an urgent need for effective rape prevention programs on university campuses. ClinicalTrials.gov NCT01338428. Registered 13 April 2011.
Some types of hookups may be riskier than others for campus sexual assault.
Flack, William F; Hansen, Brooke E; Hopper, Allyson B; Bryant, Leigh A; Lang, Katherine W; Massa, Andrea A; Whalen, Jenni E
2016-07-01
The high prevalence of campus sexual assault (CSA) among college students in the United States is a chronic public health crisis. Some risk factors for CSA victimization, such as alcohol consumption and female gender, are firmly established, but the evidence for others is less robust. One factor that has received little attention in the literature on CSA is "hooking up," defined as a physically intimate dyadic encounter that may not entail further contact between partners. The purpose of the present study was to examine the role of hooking up, both as a general risk factor for CSA victimization, and the roles of different types of hookups, varying in degree of relatedness between partners, for different types of victimization. A stratified random sample of female undergraduate students (n = 373) from a single, small campus in the northeastern United States completed measures of demographics, alcohol consumption, hooking up, and sexual victimization in an online survey. Results revealed high-risk levels of drinking, and a low-to-moderate frequency of hooking up. Overall prevalence of CSA reported by this sample was 44%, with 40% reporting nonconsensual sexual contact, and 33% attempted rape or rape. Follow-up questions to reports of sexual assaults indicated that most (78%) took place during hookups, and that the riskiest hookups were those with acquaintances and previous romantic partners. If found to generalize to other campus populations, the role of hooking up in sexual assault should be added to systems-based models of sexual assault (e.g.,Heise, 1998) and to educational prevention programs. (PsycINFO Database Record (c) 2016 APA, all rights reserved).
2014-09-01
health care providers affected whether servicemembers who are victims of sexual assault can or do access mental health services. We made nine...victims’ access to mental health care ; and evaluate appropriate staffing levels of certain sexual assault response-related positions. DOD concurred with...Defense Health Care Reform: Additional Implementation Details Would Increase Transparency of DOD’s Plans and Enhance Accountability, GAO-14-49 (Washington
2017-02-01
The Selected Reserve consists of units and individuals designated as so essential to initial wartime missions that they have priority over all... designed to allow sexual assault victims to confidentially disclose an alleged sexual assault to selected individuals...decisions fall within their designated authorities, we found that the National Guard’s and Army Reserve’s current approaches to staffing pose several
Federal Register 2010, 2011, 2012, 2013, 2014
2012-11-13
... of a Currently Approved Collection: Semi-Annual Progress Report for the Sexual Assault Services...-Annual Progress Report for Grantees from the Sexual Assault Services Program--Grants to Culturally... sustainable sexual assault services provided by culturally specific organizations, which are uniquely situated...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-22
... Program. The Sexual Assault Services Program (SASP), created by the Violence Against Women Act of 2005... of a Currently Approved Collection Semi-Annual Progress Report for the Tribal Sexual Assault Services Program ACTION: 60-Day Notice. The Department of Justice, Office on Violence Against Women (OVW) will be...
Sexual Assault Experienced by Deaf Female Undergraduates: Prevalence and Characteristics.
Elliott Smith, Rebecca A; Pick, Lawrence H
2015-01-01
Approximately 25% of hearing women in the United States experience rape in their life-time, whereas deaf women have been found to experience increased rates of assault consistent with other marginalized populations. This study explored sexual assault prevalence and characteristics of assault in deaf female undergraduate students. Results revealed that more than two-thirds of the participants (69%) endorsed experiencing at least one assault and more than half (56%) experienced multiple types of assault. Most assaults were committed by a man known to the survivor. Characteristics (e.g., hearing status, primary language, and ethnicity) of the survivors and the assailants are explored. The implications of this data are discussed as well as the development of culturally and linguistically sensitive outreach and educational programs.
Code of Federal Regulations, 2010 CFR
2010-10-01
... HEALTH AND HUMAN SERVICES INDIAN HEALTH Indian Child Protection and Family Violence Prevention § 136.403... use of physical force or other abuse of a person and includes, but is not limited to, homicide; assault; kidnapping; false imprisonment; reckless endangerment; robbery; rape; sexual assault, molestation...
Sexual assault training in the military: evaluating efforts to end the "invisible war".
Holland, Kathryn J; Rabelo, Verónica Caridad; Cortina, Lilia M
2014-12-01
Sexual assault is an insidious problem in the United States military. In 2005 the Department of Defense (DoD) created the Sexual Assault Prevention and Response Office, which centralizes responsibility for sexual assault training. However, this training initiative has undergone little evaluation by outside researchers. Addressing this need, we analyzed responses from over 24,000 active duty personnel who completed the 2010 DoD Workplace and Gender Relations Survey. We assessed whether sexual assault training exposure (None, Minimal, Partial, or Comprehensive) predicted accurate knowledge of sexual assault resources and protocols. Using a social-ecological framework, we investigated whether institutional and individual factors influenced Service members' training exposure and judgment of training effectiveness. According to our results, exposure to comprehensive training predicted lower sexual assault incidence and superior knowledge. However, comprehensive training differed as a function of military branch, rank, gender, and sexual assault history. Judgments of training effectiveness also varied across these dimensions. Our results highlight the importance of considering context, gender, and victimization history when evaluating institutional efforts to end sexual violence. The DoD's 2010 annual report on military sexual assault concluded that "most Active Duty members receive effective training on sexual assault" (p. 104). Our results cast doubt on that assertion.
Jozkowski, Kristen N; Peterson, Zoë D; Sanders, Stephanie A; Dennis, Barbara; Reece, Michael
2014-01-01
Because sexual assault is often defined in terms of nonconsent, many prevention efforts focus on promoting the clear communication of consent as a mechanism to reduce assault. Yet little research has specifically examined how sexual consent is being conceptualized by heterosexual college students. In this study, 185 Midwestern U.S. college students provided responses to open-ended questions addressing how they define, communicate, and interpret sexual consent and nonconsent. The study aimed to assess how college students define and communicate consent, with particular attention to gender differences in consent. Results indicated no gender differences in defining consent. However, there were significant differences in how men and women indicated their own consent and nonconsent, with women reporting more verbal strategies than men and men reporting more nonverbal strategies than women, and in how they interpreted their partner's consent and nonconsent, with men relying more on nonverbal indicators of consent than women. Such gender differences may help to explain some misunderstandings or misinterpretations of consent or agreement to engage in sexual activity, which could partially contribute to the occurrence of acquaintance rape; thus, a better understanding of consent has important implications for developing sexual assault prevention initiatives.
Emancipatory Sexuality Education and Sexual Assault Resistance: Does the Former Enhance the Latter?
ERIC Educational Resources Information Center
Senn, Charlene Y.; Gee, Stephanie S.; Thake, Jennifer
2011-01-01
The current study examined whether adding emancipatory sexuality education, which encourages the exploration of women's own sexual values and desires, to a sexual assault resistance program would improve women's resistance to sexual assault by known men. The participants were 214 first-year university students. A randomized experimental design…
77 FR 6091 - Proposed Collection; Comment Request
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-07
.... Mail: Federal Docket Management System Office, 4800 Mark Center Drive, 2nd Floor, East Tower, Suite..., please write to DoD Sexual Assault Prevention and Response Office (SAPRO), 1401 Wilson Boulevard, Suite... Number: Defense Sexual Assault Incident Database (DSAID); OMB Control Number 0704-0482. Needs and Uses...
Male victims of sexual assault; 10 years' experience from a Danish Assault Center.
Larsen, Mie-Louise; Hilden, Malene
2016-10-01
This study aims to provide descriptive data regarding male victims of sexual assault seen at the Centre for Victims of Sexual Assault in Copenhagen, Denmark. All 55 male victims attending the center in the time period of March 2001 until December 2010 underwent a standardized data collection. Data included information on the victim and the sexual assault. Male victims accounted for less than 2% of the total number of visits to the center in this time period. Fifty three percent were between 15 and 24 years. In all cases the perpetrator was male, and 25% were assaulted by more than one perpetrator. Of the 62% of male victims who gave information on sexual orientation, 36% reported themselves as heterosexuals. A total of 45.5% had an alcohol intake of more than 5 units in the hours before the assault. Forty two percent reported the assault to the police. The male victims differed from female victims in several ways; they were more often assaulted by a stranger; more likely to be assaulted by more than one perpetrator; more likely being victim of drug rape; less likely to have experienced previous sexual abuse and less willing to report their assault to the police. Being victim of a sexual assault by another man is considered a taboo subject and it is likely that the dark figure of men exposed to sexual assault is much higher than it is for women. Strengthening our knowledge regarding male victims of sexual assault is necessary to improve both primary and secondary preventive measures in order to make male victims feel safe in coming forward. Male victims should have equal access to both medical and psychological help as female victims. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Crifasi, Cassandra K; Pollack, Keshia M; Webster, Daniel W
2016-12-01
Research on occupational safety of law enforcement officers (LEOs) has primarily focused on fatal assaults. Nonfatal assaults, however, have received little attention. The goal of this study was to describe the situational contexts in which LEOs are assaulted, and compare these contexts and risks between fatal and nonfatal assaults in the U.S. Analyzing both types of assaults provides a more complete understanding of occupational safety and opportunities for intervention. This study includes a descriptive epidemiology of fatal and nonfatal assaults of LEOs in the U.S. and a pooled cross-sectional analysis of risk factors contributing to the odds of lethal assault. Data were collected from the Law Enforcement Officers Killed and Assaulted database. Descriptive statistics were used to characterize fatal and nonfatal assaults. Odds ratios were generated to understand the odds that an assault would result in a fatality. Between 1998 and 2013, there were 791 fatal assaults and 2,022 nonfatal assaults of LEOs. Nearly 60% of primary wounds in fatal assaults were received to the head, neck, or throat while nearly 50% of primary wounds in nonfatal assaults were received to the arms/hands or below the waist. The odds that an assault resulted in a fatality decreased by 57% (OR 0.43, 95% CI 0.32 to 0.58) when a LEO was wearing body armor. LEOs experiencing an ambush or unprovoked attack had significantly increased odds of an assault resulting in a fatality (OR 3.27, 95% CI 1.83 to 5.85 and OR 2.24, 95% CI 1.44 to 3.47 respectively). LEOs that were disarmed during an encounter with a suspect had more than 2-fold increased odds of an assault resulting in a fatality (OR 2.24, 95% CI 1.48 to 3.38). There are specific situational and encounter characteristics that influence the lethality of an assault, which suggest strategies for prevention. Mandatory wear policies for the use of body armor could significantly reduce mortality among assaulted LEOs.
Campbell, Rebecca; Patterson, Debra; Fehler-Cabral, Giannina
2010-12-01
In recent years, there has been renewed interest among community psychologists in indigenous interventions, which are programs created by local practitioners (rather than researchers) already rooted in their communities. Indigenous interventions have strong ecological validity, but their effectiveness is often unknown because so few are rigorously evaluated. The goal of this project was to use Kelly and Trickett's ecological theory as a conceptual framework for evaluating an indigenous intervention and its mediating mechanisms of effectiveness. The focal intervention was a midwestern Sexual Assault Nurse Examiner (SANE) program, which provides post-assault medical care, crisis intervention, and medical forensic exams for sexual assault survivors. Prior studies of SANE programs have suggested that these interventions may help increase sexual assault prosecution rates. In this case example, we used a mixed methods design to determine if this program contributed to increased prosecution rates, and if so, why. Based on qualitative interviews with key stakeholders, we found substantial evidence for the Principle of Interdependence such that the SANE program strengthened the interconnections between the legal and medical systems, which contributed to increased prosecution. The intervention was effective in these outcomes because it promoted Cycling of Resources throughout the systems and fostered Adaptation of new roles for legal and medical personnel. Moving beyond this specific case example, this paper also examines cross-cutting advantages and struggles of using an ecological approach in the evaluation of indigenous community interventions.
2013-01-01
Background More than one in six women will be sexually assaulted in their lifetimes, most by men they know. The situation on university campuses is even more startling, with as many as 1 in 4 female students being victims of rape or attempted rape. The associated physical and mental health effects are extensive and the social and economic costs are staggering. The aim of this randomized controlled trial is to determine whether a novel, small-group sexual assault resistance education program can reduce the incidence of sexual assault among university-attending women, when compared to current university practice of providing informational brochures. Methods/Design The trial will evaluate a theoretically and empirically sound four-unit, 12-hour education program that has been demonstrated in pilot studies to have short-term efficacy. Three of the four units provide information, skills, and practice aimed at decreasing the time needed for women to assess situations with elevated risk of acquaintance sexual assault as dangerous and to take action, reducing emotional obstacles to taking action, and increasing the use of the most effective methods of verbal and physical self-defense. The fourth unit focuses on facilitating a stronger positive sexuality from which women may resist sexual coercion by male intimates more successfully. The trial will extend the pilot evaluations by expanding the participant pool and examining the long term efficacy of the program. A total of 1716 first-year female students (age 17 to 24 years) from three Canadian universities will be enrolled. The primary outcome is completed sexual assault, measured by The Sexual Experiences Survey - Short Form Victimization instrument. Secondary outcomes include changes in knowledge, attitudes, and skills related to the process of sexual assault resistance. Outcomes will be measured at baseline, 1 week, 6, 12, 18, and 24 months. Discussion The results of the trial will be used to produce a maximally effective sexual assault resistance education program that can be adopted by universities, to assess whether aspects of the program need to be strengthened, and also to indicate how long the effects of the program last and at which point in time refresher sessions may be necessary. Trial registration ClinicalTrials.gov NCT01338428 PMID:23702221
Sztajnkrycer, Matthew D
2010-01-01
In the absence of other data, military Tactical Combat Casualty Care (TCCC) precepts are increasingly being adapted to law enforcement needs. The purpose of this study is to better describe the nature of potentially preventable law enforcement Line-of-Duty Deaths (LODDs) occurring as a result of felonious assaults. A retrospective analysis was performed of open source data available through the US Federal Bureau of Investigation Uniform Crime Reporting (UCR) Law Enforcement Officers Killed and Assaulted (LEOKA) program for the years 1998-2007 inclusive. After applying exclusion criteria, 341 victim officers were included in the study. The most common cause of death was head trauma (n=198), followed by chest trauma (n=90). There were 123 victim officers that suffered potentially preventable deaths; the majority of these injuries involved the chest. Over the 10-year study period, only two officers (0.6%) died from isolated extremity hemorrhage. The current emphasis of TCCC on control of exsanguinating extremity hemorrhage may not meet the needs of law enforcement personnel in an environment with expedited access to well-developed trauma systems. Further study is needed to better examine the causes of preventable deaths in law enforcement officers, as well as the most appropriate law enforcement tactical medical skill set and treatment priorities.
[Epidemiological, clinical and judicial aspects of sexual assault in Bamako (Mali)].
Théra, Japhet Pobanou; Soumah, Mohamed; Traoré, Ténin; Touré, Moustapha; Traoré, Matthieu; Sow, Mamadou Lamine
2014-01-01
Sexual assault rates are underestimated in Mali. This study was designed to assess the epidemiological, clinical and judicial aspects of sexual assault. A retrospective study was conducted from 1st July 2007 to 30 April 2010 in the health care centre of the 4th Commune of Bamako. The study included 37 sexual assault victims selected from the medical records and sexual assault certificates from a total of 1,810 patients attending the gynaecology clinic during the study period. The frequency of sexual assault was therefore 2%. 78.4% of the victims took legal action against the alleged perpetrator. Victims admitted at the request of Police officers accounted for 43.25%; 59.5% of victims attended the clinic within 24 hours following the assault. The age ranged from 2 to 40 years with a mean of 21 years; 37.9% were single and 48.6% were students. The assault was perpetrated by one person in 89.2%, a relative was involved in 5.4%; rape consisted of genito-genital intercourse in 64.9%; 32.4% of the victims had perineal and/or vulval injuries. Sexual assault is relatively frequent in Mali, particularly among students and housewives. It represents a real tragedy, which must be prevented by increasing the awareness of the population, judicial assistance to victims and prosecution of perpetrators.
ERIC Educational Resources Information Center
Gidycz, Christine A.; Rich, Cindy L.; Orchowski, Lindsay; King, Carrie; Miller, Audrey K.
2006-01-01
The present study evaluated the efficacy of a sexual assault risk-reduction program that included a physical self-defense component for college women ("N"=500). Program group women significantly increased their protective behaviors over the 6-month follow-up period compared to the waiting-list control group. However, there were no significant…
ERIC Educational Resources Information Center
Orchowski, Lindsay M.; Gidycz, Christine A.; Raffle, Holly
2008-01-01
The current study extends the development and evaluation of an existing and previously evaluated sexual assault risk reduction program with a self-defense component for college women (N = 300). The program protocol was revised to address psychological barriers to responding assertively to risky dating situations, and a placebo-control group was…
28 CFR 90.102 - What are the purposes of the grant program?
Code of Federal Regulations, 2011 CFR
2011-07-01
... support services programs, including medical or psychological counseling, for victims of sexual offense..., including the crimes of sexual assault, stalking, and domestic violence; (c) To implement and operate... respond to violent crimes against women on campus, including the crimes of sexual assault, stalking, and...
28 CFR 90.102 - What are the purposes of the grant program?
Code of Federal Regulations, 2013 CFR
2013-07-01
... support services programs, including medical or psychological counseling, for victims of sexual offense..., including the crimes of sexual assault, stalking, and domestic violence; (c) To implement and operate... respond to violent crimes against women on campus, including the crimes of sexual assault, stalking, and...
28 CFR 90.102 - What are the purposes of the grant program?
Code of Federal Regulations, 2012 CFR
2012-07-01
... support services programs, including medical or psychological counseling, for victims of sexual offense..., including the crimes of sexual assault, stalking, and domestic violence; (c) To implement and operate... respond to violent crimes against women on campus, including the crimes of sexual assault, stalking, and...
Dardis, Christina M; Kraft, Kathryn M; Gidycz, Christine A
2017-08-01
Approximately 60% of legally defined rape victims do not label their experiences as "rape," most of whom label the experience as "a serious miscommunication." However, little research has examined why women choose this label. Labeling rape as a miscommunication could be problematic if chosen due to stereotypical conceptions that one's experience is not "real" rape. The present study used a mixed-methodological approach to understand why women might refer to rape as a "miscommunication," and how their reasons for labeling might differ from those who label their experiences and those who are nonlabeled (i.e., unequivocally state that they were "not victimized"). Participants included 123 undergraduate women who experienced rape. Participants responded to how they labeled rape and answered questions regarding assault characteristics, disclosure, reporting, and self- and perpetrator blame. Chi-square analyses assessed labeling group differences. Responses to an open-ended question about factors contributing to their labeling decision were content analyzed. Whereas miscommunication-labeled and nonlabeled victims reported similar assault characteristics in the quantitative analyses, qualitative content analyses revealed varying reasons for labeling rape as miscommunication, not victimization, and rape. Over three quarters of miscommunication-labeled victims reported that one or more of the following factors influenced their labeling: victim and perpetrator substance use, sexual activity prior to the rape, and perceptions that one did not express nonconsent strongly enough and that the perpetrator "did not realize" their lack of desire. Whereas miscommunication-labeled and nonlabeled victims reported similar assault characteristics, the extent to which those assault characteristics affected their labeling differed. Those who labeled their experiences as miscommunication gave reasons for their label that centered on factors which reflect inconsistencies between their experiences and "stereotypical rape." Misperceptions of rape can be addressed via prevention programming and clinical work.
Code of Federal Regulations, 2014 CFR
2014-07-01
.... Department of Defense paper, “The Department of Defense Sexual Assault Prevention Strategy,” September 30... Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT.../302041p.pdf; (8) U.S. Department of Defense, “Manual for Courts-Martial,” 2008; (9) DoDD 7050.06...
Code of Federal Regulations, 2012 CFR
2012-07-01
.... Department of Defense paper, “The Department of Defense Sexual Assault Prevention Strategy,” September 30... Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT..., 2007, or the most recent edition; (7) U.S. Department of Defense, “Manual for Courts-Martial,” 2008; (8...
Code of Federal Regulations, 2013 CFR
2013-07-01
.... Department of Defense paper, “The Department of Defense Sexual Assault Prevention Strategy,” September 30... Department of Defense OFFICE OF THE SECRETARY OF DEFENSE PERSONNEL, MILITARY AND CIVILIAN SEXUAL ASSAULT.../302041p.pdf; (8) U.S. Department of Defense, “Manual for Courts-Martial,” 2008; (9) DoDD 7050.06...
How to Protect Children from Internet Predators: A Phenomenological Study
ERIC Educational Resources Information Center
Alexander, Rodney T.
2012-01-01
Teenage Internet users are the fastest growing segment in the Internet user population. These teenagers are at risk of sexual assault from Internet predators. This phenomenological study explored teacher and counselors' perceptions of how to prevent this sexual assault. Twenty-five teacher and counselor participants were interviewed. A…
Building a Culture of Respect across Genders: Eliminating Sexual Misconduct
ERIC Educational Resources Information Center
Cooper, Stewart E.; Dranger, Paula N.
2018-01-01
Clinical staff members at virtually all college counseling centers provide therapy for victims of sexual misconduct experiences such as sexual assault, sexual harassment, relationship violence, and stalking. A number of college counseling center counselors are also involved in primary, secondary, and tertiary sexual assault prevention efforts.…
Assault Injury and Homicide Death Profile in Rhode Island, 2004-2014.
Jiang, Yongwen; Ranney, Megan L; Seaberry, Jordan; Shea, Lynne-Marie; Sullivan, Brian; Viner-Brown, Samara
2017-04-03
Community violence, including assault and homicide, is a public health problem. We provide a profile of assault-related injury and homicide death in Rhode Island to better understand assault/homicide. The 2014 emergency department (ED) visit data, hospital discharge (HD) data, and 2004-2014 Rhode Island Violent Death Reporting System (RIVDRS) data were used for this study. Most assault injuries and homicide deaths were among persons who were 25-44 years old, male, black and Hispanic, living in urban regions, self-pay or public insurance user, and never married. Almost 63% of the homicide decedents tested positive for some illicit substance. Precipitating circumstances include a preceding argument or a conflict, another crime, intimate partner violence, and drug involvement. RIVDRS did not provide an estimate for mental illness related homicides (e.g. command hallucinations). ED, HD, and RIVDRS data can provide a profile of assault injury and homicide death for public health authorities in RI. Interventions need to focus on high-risk populations and areas to effectively prevent assault-related injury and homicide. [Full article available at http://rimed.org/rimedicaljournal-2017-04.asp].
Prior Substance Abuse and Related Treatment History Reported by Recent Victims of Sexual Assault
Resnick, Heidi S.; Walsh, Kate; Schumacher, Julie A.; Kilpatrick, Dean G.; Acierno, Ron
2013-01-01
To inform intervention approaches, the current study examined prevalence and comorbidity of recent use and history of abuse of alcohol, marijuana, and other illicit drugs as well as history of substance treatment among a sample of female victims of sexual assault seeking post-assault medical care. Demographic variables and prior history of assault were also examined to further identify factors relevant to treatment or prevention approaches. Participants were 255 women and adolescent girls seeking post sexual assault medical services who completed an initial follow-up assessment on average within 3 months post-assault. The majority (72.9%) reported recent substance use prior to assault, approximately 40% reported prior substance abuse history, and 12.2% reported prior substance treatment history. Prior history of assault was associated with recent drug use and history of drug abuse as well as substance treatment. Among those with prior histories of substance abuse and assault, assault preceded substance abuse onset in the majority of cases. Almost all those with prior treatment history reported recent drug or alcohol use. A portion of sexual assault survivors seen for acute medical services may benefit from facilitated referral for substance abuse treatment in addition to counseling at the time of screening. Assessment and intervention approaches should target alcohol, marijuana, and other illicit drug use and abuse. Substance use and associated impairment may serve as a rape tactic by perpetrators of assault. Substance use at the time of assault does not imply blame on the part of assault victims. Previous findings indicate that rape poses high risk of PTSD particularly among women with prior history of assault. Screening and intervention related to substance abuse should be done with recognition of the increased vulnerability it may pose with regard to assault and the high risk of PTSD within this population. PMID:23396174
Factors contributing to the effectiveness of four school-based sexual violence interventions.
Clinton-Sherrod, A Monique; Morgan-Lopez, Antonio A; Gibbs, Deborah; Hawkins, Stephanie R; Hart, Laurie; Ball, Barbara; Irvin, Neil; Littler, Nicole
2009-01-01
This study extends past research by examining factors associated with changes in attitudes, knowledge, and intended behaviors related to sexual assault. This study included 1,182 participants from four unique multiple-session school-based sexual violence interventions. Implementation and participant factors examined include single- versus mixed-gender groups, group setting versus classroom lecture setting, and participant gender. Participants completed self-administered, paper-and-pencil pre- and postsurveys. A significant desired overall effect was found on participants' reports of positive attitudes, beliefs, and behavior regarding sexual harassment and personal boundaries and positive dating relationship norms (from pretest to posttest). There were steeper increases over time in both measures, with larger mixed-gender/single-gender differences among boys than among girls. Differences in the impact of participating in mixed- versus single-gender groups depended on classroom versus small group settings. The implications of these findings are discussed for sexual assault prevention programs.
Mediators of sexual revictimization risk in adult sexual assault victims.
Ullman, Sarah E; Vasquez, Amanda L
2015-01-01
This study examined sexual risk behaviors and sexual refusal assertiveness in relationship to child sexual abuse, emotion dysregulation, and adult sexual revictimization. Path analyses of 1,094 survivors who had sex in the past year were done to examine sexual risk behavior and sexual refusal assertiveness mediational pathways by which child sexual abuse severity and emotion dysregulation may affect revictimization over one year in adult female sexual assault survivors. Exchanging sex for money and sexual refusal assertiveness were significantly associated with emotion dysregulation, whereas exchanging sex for money, and not sexual refusal assertiveness, was only significantly related to child sexual abuse severity. Both exchanging sex for money and sex refusal assertiveness mediated the relationship between emotion dysregulation and adult sexual revictimization. Exchanging sex for money mediated the child sexual abuse severity-revictimization relationship. These findings demonstrate the importance of considering both risky and protective sexual behaviors in research and prevention programming that address sexual revictimization in women.
Mediators of Sexual Revictimization Risk in Adult Sexual Assault Victims
Ullman, Sarah E.; Vasquez, Amanda L.
2015-01-01
This study examined sexual risk behaviors and sexual refusal assertiveness in relationship to child sexual abuse (CSA), emotion dysregulation, and adult sexual revictimization. Path analyses of 1,094 survivors who had sex in the past year were done to examine sexual risk behavior, and sexual refusal assertiveness mediational pathways by which CSA severity and emotion dysregulation may affect revictimization over one year in adult female sexual assault survivors. Exchanging sex for money and sexual refusal assertiveness were significantly associated with emotion dysregulation, whereas exchanging sex for money, and not sexual refusal assertiveness, was only significantly related to CSA severity. Both exchanging sex for money and sex refusal assertiveness mediated the relationship between emotion dysregulation and adult sexual revictimization. Exchanging sex for money mediated the CSA severity-revictimization relationship. These findings demonstrate the importance of considering both risky and protective sexual behaviors in research and prevention programming that address sexual revictimization in women. PMID:25942287
Garcia, Carolyn M.; Lechner, Kate E.; Frerich, Ellen A.; Lust, Katherine A.; Eisenberg, Marla E.
2012-01-01
Rates of sexual assault of college students are higher than the national rates. Colleges are uniquely positioned to offer preventive education and support services to a high-risk group. This qualitative study examines students’ perceptions of sexual violence resources and services. Seventy-eight female and male students, between 18–24 years old, belonging to various demographic groups participated in one-to-one, walking interviews on five diverse Midwest 2- and 4-year postsecondary campuses. Findings suggest that students are concerned with safety, students want more education regarding sexual violence, and they value services that offer protection from incidents of sexual violence on campus. Participants expressed mixed reactions to prevention education that combined sexual violence prevention with alcohol and drug use. Students shared positive views of the security measures on campus. They emphasized the importance of using varied mechanisms for sexual violence-related resource messaging and advised moving away from the pamphlet towards posters and online resources. Recommendations are offered to strengthen existing resources, such as prevention education and post-assault interventions including Sexual Assault Nurse Examiner (SANE) services, and to minimize barriers to access of sexual violence resources. PMID:22621664
Using theater of the oppressed to prevent sexual violence on college campuses.
Christensen, M Candace
2013-10-01
Using theater of the oppressed as a practice method in sexual assault prevention interventions with college students is gaining in popularity. Theater of the oppressed interventions aims to change values and norms that perpetuate the acceptability of sexual assault and teach college students how to intervene in situations where sexual violence may occur. In this review, the author reviews the literature on using theater for social change as a prevention intervention. The aim of the article is to provide a synthesis of empirical studies investigating the effects and impact of using theater for social change in prevention education. Based upon this synthesis, implications for practice, policy, and research are provided.
Factors That Influence Women to Disclose Sexual Assault History to Health Care Providers.
Berry, Kate M; Rutledge, Carolyn M
2016-01-01
To examine women's experiences with sexual assault screening by health care professionals and identify factors that influence women to disclose their sexual assault history to providers. Cross-sectional descriptive survey with correlational analysis. On-line survey distributed nationally. One hundred forty-three women. Participants were recruited through social media; the authors e-mailed organizations across the nation and asked them to share links to a Facebook page connected to the survey. Descriptive statistics, Spearman's rho, and contingency tables were calculated, and qualitative content analysis was performed by thematic analysis. Most (n = 103, 72.5%) participants reported that they felt comfortable with being asked about sexual assault, but only 41 (28.7%) participants were screened for sexual assault by health care professionals. Positive attitude and increased comfort level with screening were associated with increased intention to disclose past assault (p < .05). A total of 113 (82.5%) women reported intentions to disclose sexual assault to a provider if asked, whereas only 35 (24.6%) women would voluntarily disclose. Women identified prevention of medical and physical consequences as main facilitators to disclosure, and provider attitude and demeanor as the main barriers. Sixty-nine (48.9%) participants were victims of sexual assault. Women with a history of sexual assault were no more likely than women not victimized to have been screened for sexual assault. Study findings suggest that women are often not screened for sexual assault despite being receptive to inquiry. Health care professionals often do not identify those who have been sexually assaulted because they do not ask. Thus, many victims do not receive needed sexual assault resources and support. Copyright © 2016 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.
An ecological model of the impact of sexual assault on women's mental health.
Campbell, Rebecca; Dworkin, Emily; Cabral, Giannina
2009-07-01
This review examines the psychological impact of adult sexual assault through an ecological theoretical perspective to understand how factors at multiple levels of the social ecology contribute to post-assault sequelae. Using Bronfenbrenner's (1979, 1986, 1995) ecological theory of human development, we examine how individual-level factors (e.g., sociodemographics, biological/genetic factors), assault characteristics (e.g., victim-offender relationship, injury, alcohol use), microsystem factors (e.g., informal support from family and friends), meso/ exosystem factors (e.g., contact with the legal, medical, and mental health systems, and rape crisis centers), macrosystem factors (e.g., societal rape myth acceptance), and chronosystem factors (e.g., sexual revictimization and history of other victimizations) affect adult sexual assault survivors' mental health outcomes (e.g., post-traumatic stress disorder, depression, suicidality, and substance use). Self-blame is conceptualized as meta-construct that stems from all levels of this ecological model. Implications for curbing and/or preventing the negative mental health effects of sexual assault are discussed.
Sexual Assault, Overweight, and Suicide Attempts in U.S. Adolescents.
Anderson, Laura M; Hayden, Brittany M; Tomasula, Jessica L
2015-10-01
Associations between overweight, sexual assault history, and suicide attempts were examined among 31,540 adolescents from the combined 2009 and 2011 nationally representative Youth Risk Behavior Surveys samples. These variables have not previously been studied concurrently. It was hypothesized that overweight and sexual assault, together, would interact and result in increased suicide attempts. Findings across analyses included (a) no significant associations between sexual assault and overweight in females or males (p = .65 and p = .90, respectively), (b) statistically significant associations between female (but not male) overweight status and suicide attempts (p = .001), (c) a strong association between sexual assault and suicide risk in males (p < .001) and females (p < .001), and (d) an elevated risk for suicide in overweight males with co-occurring sexual assault, with over 33% of males with such histories attempting suicide. Preliminary findings have powerful implications for research and secondary prevention. © 2014 The American Association of Suicidology.
Secondary and 2-Year Outcomes of a Sexual Assault Resistance Program for University Women
Eliasziw, Misha; Hobden, Karen L.; Newby-Clark, Ian R.; Barata, Paula C.; Radtke, H. Lorraine; Thurston, Wilfreda E.
2017-01-01
We report the secondary outcomes and longevity of efficacy from a randomized controlled trial that evaluated a novel sexual assault resistance program designed for first-year women university students. Participants (N = 893) were randomly assigned to receive the Enhanced Assess, Acknowledge, Act (EAAA) program or a selection of brochures (control). Perception of personal risk, self-defense self-efficacy, and rape myth acceptance was assessed at baseline; 1-week postintervention; and 6-, 12-, 18-, and 24-month postrandomization. Risk detection was assessed at 1 week, 6 months, and 12 months. Sexual assault experience and knowledge of effective resistance strategies were assessed at all follow-ups. The EAAA program produced significant increases in women’s perception of personal risk, self-defense self-efficacy, and knowledge of effective (forceful verbal and physical) resistance strategies; the program also produced decreases in general rape myth acceptance and woman blaming over the entire 24-month follow-up period. Risk detection was significantly improved for the intervention group at post-test. The program significantly reduced the risk of completed and attempted rape, attempted coercion, and nonconsensual sexual contact over the entire follow-up period, yielding reductions between 30% and 64% at 2 years. The EAAA program produces long-lasting changes in secondary outcomes and in the incidence of sexual assault experienced by women students. Universities can reduce the harm and the negative health consequences that young women experience as a result of campus sexual assault by implementing this program. Online slides for instructors who want to use this article for teaching are available on PWQ’s website at http://journals.sagepub.com/page/pwq/suppl/index. PMID:29503496
Secondary and 2-Year Outcomes of a Sexual Assault Resistance Program for University Women.
Senn, Charlene Y; Eliasziw, Misha; Hobden, Karen L; Newby-Clark, Ian R; Barata, Paula C; Radtke, H Lorraine; Thurston, Wilfreda E
2017-06-01
We report the secondary outcomes and longevity of efficacy from a randomized controlled trial that evaluated a novel sexual assault resistance program designed for first-year women university students. Participants ( N = 893) were randomly assigned to receive the Enhanced Assess, Acknowledge, Act (EAAA) program or a selection of brochures (control). Perception of personal risk, self-defense self-efficacy, and rape myth acceptance was assessed at baseline; 1-week postintervention; and 6-, 12-, 18-, and 24-month postrandomization. Risk detection was assessed at 1 week, 6 months, and 12 months. Sexual assault experience and knowledge of effective resistance strategies were assessed at all follow-ups. The EAAA program produced significant increases in women's perception of personal risk, self-defense self-efficacy, and knowledge of effective (forceful verbal and physical) resistance strategies; the program also produced decreases in general rape myth acceptance and woman blaming over the entire 24-month follow-up period. Risk detection was significantly improved for the intervention group at post-test. The program significantly reduced the risk of completed and attempted rape, attempted coercion, and nonconsensual sexual contact over the entire follow-up period, yielding reductions between 30% and 64% at 2 years. The EAAA program produces long-lasting changes in secondary outcomes and in the incidence of sexual assault experienced by women students. Universities can reduce the harm and the negative health consequences that young women experience as a result of campus sexual assault by implementing this program. Online slides for instructors who want to use this article for teaching are available on PWQ's website at http://journals.sagepub.com/page/pwq/suppl/index .
Bannon, R Sean; Foubert, John D
2017-02-01
Several characteristics of sexual assault awareness programs for women are associated with meeting the goals of risk reduction. To date, the literature lacks an exploration of how single-sex programs affect women, particularly when they take a bystander intervention focus using women's risk recognition and avoidance as outcome measures. The purpose of this study was to investigate the effectiveness of The Women's Program (Foubert, 2011), a sexual assault awareness program geared toward women. Participants consisted of 103 undergraduate women attending a large, public university in the Midwest United States. Women in the treatment group viewed a presentation of The Women's Program, whereas the control group received no intervention. Consistent with hypotheses, program participants reported a greater ability to recognize risk cues, a greater willingness to engage in self-protective behaviors, and a greater level of perceived self-efficacy in handling threatening dating situations compared to the control group.
Factors Associated with Forensic Nurses Offering HIV nPEP status-post Sexual Assault
Draughon, Jessica E.; Hauda, William E.; Price, Bonnie; Rotolo, Sue; Austin, Kim Wieczorek; Sheridan, Daniel J.
2014-01-01
Non-occupational post-exposure prophylaxis (nPEP) for Human Immunodeficiency Virus (HIV) is offered inconsistently to patients who have been sexually assaulted. This may be due to Forensic Nurse Examiner (FNE) programs utilizing diverse nPEP protocols and HIV risk assessment algorithms. This study examines factors associated with FNEs offering nPEP to patients following sexual assault at two FNE programs in urban settings. Offering nPEP is mostly driven by site-specific protocol. At Site 1 in addition to open anal or open genital wounds, the presence of injury to the head or face was associated with FNEs offering nPEP (AOR 64.15, 95%CI [2.12 – 1942.37]). At Site 2, patients assaulted by someone of other race/ethnicity (non-White, non-African American) were 86% less likely to be offered nPEP (AOR 0.14, 95%CI [.03-.72]) than patients assaulted by Whites. In addition to following site specific protocols, future research should further explore the mechanisms influencing clinician decision making. PMID:24733232
Sexual Assault Education Programs: A Meta-Analytic Examination of Their Effectiveness
ERIC Educational Resources Information Center
Anderson, Linda A.; Whiston, Susan C.
2005-01-01
Meta-analyses of the effectiveness of college sexual assault education programs on seven outcome measure categories were conducted using 69 studies that involved 102 treatment interventions and 18,172 participants. Five of the outcome categories had significant average effect sizes (i.e., rape attitudes, rape-related attitudes, rape knowledge,…
ERIC Educational Resources Information Center
Oswalt, Sara B.; Wyatt, Tammy J.; Ochoa, Yesenia
2018-01-01
With the advent of the "Dear Colleague" letter in 2011, higher education institutions have become focused on sexual assault and related policies, procedures regarding offenses, and prevention education. Institutions should consider using this spotlight on interpersonal dynamics to increase awareness about other types of relationship…
77 FR 20499 - National Sexual Assault Awareness and Prevention Month, 2012
Federal Register 2010, 2011, 2012, 2013, 2014
2012-04-05
... Proclamation Though we have come far in the fight to reduce sexual violence, the prevalence of sexual assault... five women has been raped, and still more have endured other forms of sexual violence or abuse... childhood. The trauma of sexual violence leaves scars that may never fully heal. Many survivors experience...
Campbell, Rebecca; Greeson, Megan R; Bybee, Deborah; Fehler-Cabral, Giannina
2012-09-01
Adolescents are at high risk for sexual assault, but few of these crimes are reported to the police and prosecuted by the criminal justice system. To address this problem, communities throughout the United States have implemented multidisciplinary interventions to improve post-assault care for victims and increase prosecution rates. The two most commonly implemented interventions are Sexual Assault Nurse Examiner (SANE) Programs and Sexual Assault Response Teams (SARTs). The purpose of this study was to determine whether community-level context (i.e., stakeholder engagement and collaboration) was predictive of adolescent legal case outcomes, after accounting for "standard" factors that affect prosecution success (i.e., victim, assault, and evidence characteristics). Overall, 40% of the adolescent cases from these two SANE-SART programs (over a 10-year period) were successfully prosecuted. Cases were more likely to be prosecuted for younger victims, those with disabilities, those who knew their offenders, and instances in which the rape evidence collection kit was submitted by police for analysis. After accounting for these influences, multi-level modeling results revealed that in one site decreased allocation of community resources to adolescent sexual assault cases had a significant negative effect on prosecution case outcomes. Results are explained in terms of Wolff's (Am J Community Psychol 29:173-191, 2001) concept of "over-coalitioned" communities and Kelly's (1968) ecological principles.
A self-defense program reduces the incidence of sexual assault in Kenyan adolescent girls.
Sinclair, Jake; Sinclair, Lee; Otieno, Evans; Mulinge, Munyae; Kapphahn, Cynthia; Golden, Neville H
2013-09-01
To determine the effect of a standardized 6-week self-defense program on the incidence of sexual assault in adolescent high school girls in an urban slum in Nairobi, Kenya. Population-based survey of 522 high school girls in the Korogocho-Kariobangi locations in Nairobi, Kenya, at baseline and 10 months later. Subjects were assigned by school attended to either a "No Means No Worldwide" self-defense course (eight schools; N = 402) or to a life-skills class (two schools; N = 120). Both the intervention and the life-skills classes were taught in the schools by trained instructors. Participants were administered the same survey at baseline and follow-up. A total of 522 girls (mean age, 16.7 ± 1.5 years; range, 14-21 years) completed surveys at baseline, and 489 at 10-month follow-up. At baseline, 24.5% reported sexual assault in the prior year, with the majority (90%) reporting assault by someone known to them (boyfriend, 52%; relative, 17%; neighbor, 15%; teacher or pastor, 6%). In the self-defense intervention group, the incidence of sexual assault decreased from 24.6% at baseline to 9.2% at follow-up (p < .001), in contrast to the control group, in which the incidence remained unchanged (24.2% at baseline and 23.1% at follow-up; p = .10). Over half the girls in the intervention group reported having used the self-defense skills to avert sexual assault in the year after the training. Rates of disclosure increased in the intervention group, but not in controls. A standardized 6-week self-defense program is effective in reducing the incidence of sexual assault in slum-dwelling high school girls in Nairobi, Kenya. Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Campbell, Rebecca; Patterson, Debra; Bybee, Deborah
2011-03-01
This article reviews current epistemological and design issues in the mixed methods literature and then examines the application of one specific design, a sequential explanatory mixed methods design, in an evaluation of a community-based intervention to improve postassault care for sexual assault survivors. Guided by a pragmatist epistemological framework, this study collected quantitative and qualitative data to understand how the implementation of a Sexual Assault Nurse Examiner (SANE) program affected prosecution rates of adult sexual assault cases in a large midwestern community. Quantitative results indicated that the program was successful in affecting legal systems change and the qualitative data revealed the mediating mechanisms of the intervention's effectiveness. Challenges of implementing this design are discussed, including epistemological and practical difficulties that developed from blending methodologies into a single project. © The Author(s) 2011.
Self-Reported Sexual Assault in Convicted Sex Offenders and Community Men
Widman, Laura; Olson, Michael A.; Bolen, Rebecca M.
2013-01-01
Although self-reported sexual assault perpetrated by men against women has been well documented among college men, less is known about self-reported perpetration among convicted sex offenders and community men. This study provides unique descriptive and comparative information on sexual assaults in these understudied populations. Participants were 40 convicted sex offenders and 49 demographically-comparable community men who completed the Sexual Experiences Survey (SES; Abbey, Parkhill, & Koss, 2005; Koss, Gidycz, & Wisniewski, 1987) and other surveys to capture the promiscous sex and hostile masculinity pathways posited by the confluence model (Malamuth, 2003). We found notably few differences between sex offenders and community men in the rate and severity of sexual assault perpetration and the tactics used to obtain unwanted sexual contact. Specifically, 68% of sex offenders and 59% of community men acknowledged they had perpetrated sexual assault. Both groups used guilt and anger as the most frequent tactics to obtain unwanted sexual activity from their female victims. Consistent with the confluence model, an impersonal orientation towards sexual relationships was associated with sexual assault for both sex offenders and community men. Future directions for research on sexual assault perpetration and violence prevention efforts are discussed in light of these findings. PMID:23262829
Self-reported sexual assault in convicted sex offenders and community men.
Widman, Laura; Olson, Michael A; Bolen, Rebecca M
2013-05-01
Although self-reported sexual assault perpetrated by men against women has been well documented among college men, less is known about self-reported perpetration among convicted sex offenders and community men. This study provides unique descriptive and comparative information on sexual assaults in these understudied populations. Participants were 40 convicted sex offenders and 49 demographically comparable community men who completed the Sexual Experiences Survey (SES; Abbey, Parkhill, & Koss, 2005; Koss, Gidycz, & Wisniewski, 1987) and other surveys to capture the promiscuous sex and hostile masculinity pathways posited by the confluence model (Malamuth, 2003). We found notably few differences between sex offenders and community men in the rate and severity of sexual assault perpetration and the tactics used to obtain unwanted sexual contact. Specifically, 68% of sex offenders and 59% of community men acknowledged they had perpetrated sexual assault. Both groups used guilt and anger as the most frequent tactics to obtain unwanted sexual activity from their female victims. Consistent with the confluence model, an impersonal orientation toward sexual relationships was associated with sexual assault for both sex offenders and community men. Future directions for research on sexual assault perpetration and violence prevention efforts are discussed in light of these findings.
Du Mont, Janice; Mirzaei, Aftab; Macdonald, Sheila; White, Meghan; Kosa, Daisy; Reimer, Linda
2014-12-01
Elder abuse is an increasingly important issue that must be addressed in a systematic and coordinated way. Our objective was to evaluate the perceived feasibility of establishing an elder abuse care program at hospital-based sexual assault and domestic violence treatment centers in Ontario, Canada. In July 2012, a questionnaire focused on elder abuse care was distributed to all of Ontario's Sexual Assault/Domestic Violence Treatment Centre (SA/DVTC) Program Coordinators/Managers. We found that the majority of Program Coordinators/ Managers favored expansion of their program mandates to include an elder abuse care program. However, these respondents viewed collaboration with a large network of well trained professionals and available services in the community that address elder abuse as integral to responding in a coordinated manner. The expansion of health services to address the needs of abused older adults in a comprehensive and integrated manner should be considered as an important next step for hospital-based violence care programs worldwide.
Family patterns and primary prevention of family violence.
Straus, M A; Smith, C
1993-01-01
Although services for victims and treatment programs for batterers have priority in efforts to ameliorate family violence, primary prevention programs are also essential. The importance of primary prevention lies not only in the suffering which can avoided, but also because it is unlikely that sufficient treatment resources can be allocated to match the magnitude of the problem. The latter point is illustrated by the results of a study of nationally representative samples of 2,143 families (studied in 1975) and 6,002 families (studied in 1985). These studies show that a minimum of 16% of American couples experienced an assault during the year of the study, and that about 40% of these involved severely violent acts, such as kicking, biting, punching, choking, and attacks with weapons. These studies also identified risk factors that can serve as the focus for primary prevention, for example, early marriage, male dominance in the family and use of physical punishment. Educational and therapeutic efforts, and economic changes, which encourage equality and which teach the skills necessary for an equal relationship, can help prevent family violence.
Why It Takes Prevention, Not Detection, to Fight Bioterrorism
ERIC Educational Resources Information Center
Janata, Jiri (Art)
2005-01-01
Following the events which took place on September 11, 2001, and the anthrax attacks which occurred after that date, US authorities became concerned with the idea that an assault with chemical or biological weapons could take place on American territory or in American ships or planes. A worrisome model for such an assault was the 1995 terrorist…
Sexual Violence on the College Campus: A Template for Compliance with Federal Policy
ERIC Educational Resources Information Center
McMahon, Patricia Pasky
2008-01-01
Objective: The author introduces a template, the Model Policy for the Prevention and Response to Sexual Assault, to assist institutions of higher education to benchmark campus policy compliance with federal laws directed at sexual assault. The author presents a detailed review of policy criteria recommended by the National Institute of Justice.…
Preventing EMS workplace violence: A mixed-methods analysis of insights from assaulted medics.
Maguire, Brian J; O'Neill, Barbara J; O'Meara, Peter; Browne, Matthew; Dealy, Michael T
2018-05-31
To describe measures that assaulted EMS personnel believe will help prevent violence against EMS personnel. This mixed- methods study includes a thematic analysis and directed content analysis of one survey question that asked the victims of workplace violence how the incident might have been prevented. Of 1778 survey respondents, 633 reported being assaulted in the previous 12 months; 203 of them believed the incident could have been prevented and 193 of them (95%) answered this question. Six themes were identified using Haddon's Matrix as a framework. The themes included: Human factors, including specialized training related to specific populations and de-escalation techniques as well as improved situational awareness; Equipment factors, such as restraint equipment and resources; and, Operational and environment factors, including advanced warning systems. Persons who could have prevented the violence were identified as police, self, other professionals, partners and dispatchers. Restraints and training were suggested as violence-prevention tools and methods CONCLUSIONS: This is the first international study from the perspective of victimized EMS personnel, to report on ways that violence could be prevented. Ambulance agencies should consider these suggestions and work with researchers to evaluate risks at the agency level and to develop, implement and test interventions to reduce the risks of violence against EMS personnel. These teams should work together to both form an evidence-base for prevention and to publish findings so that EMS medical directors, administrators and professionals around the world can learn from each experience. Copyright © 2018 Elsevier Ltd. All rights reserved.
The Sexual Assault Teach In Program: Building Constructive Campus-Wide Discussions to Inspire Change
ERIC Educational Resources Information Center
Katz, Jennifer; DuBois, Melinda
2013-01-01
To begin to address the problem of campus sexual assault, we conducted a Teach In, an educational forum used to explore complex social problems. All students, faculty, and staff at our small liberal arts college were invited to participate. This paper summarizes our Teach In program, goals, and methods. By engaging in constructive, informed…
Injury prevention in Australian Indigenous communities.
Ivers, Rebecca; Clapham, Kathleen; Senserrick, Teresa; Lyford, Marilyn; Stevenson, Mark
2008-12-01
Injury prevention in Indigenous communities in Australia is a continuing national challenge, with Indigenous fatality rates due to injury three times higher than the general population. Suicide and transport are the leading causes of injury mortality, and assault, transport and falls the primary causes of injury morbidity. Addressing the complex range of injury problems in disadvantaged Indigenous communities requires considerable work in building or enhancing existing capacity of communities to address local safety issues. Poor data, lack of funding and absence of targeted programs are some of the issues that impede injury prevention activities. Traditional approaches to injury prevention can be used to highlight key areas of need, however adaptations are needed in keeping with Indigenous peoples' holistic approach to health, linked to land and linked to community in order to address the complex spiritual, emotional and social determinants of Indigenous injury.
Treatment of an assaultive, sensory-impaired adolescent through a multicomponent behavioral program.
Luiselli, J K
1984-03-01
This project examined the effects of a multicomponent behavioral treatment program on assaultive behavior in a deaf, visually-impaired adolescent boy. Two types of assaultiveness were monitored: aggression towards adults and destruction of the physical environment. Intervention consisted of a token economy system, a response cost procedure, a "relaxation" technique, and skill training sessions. Through use of a multiple baseline across behaviors design, it was demonstrated that differentially reinforcing the absence of target behaviors on a weekly basis was the crucial ingredient in the treatment package. During a maintenance programming phase, the boy was gradually weaned off the token system. At 1- and 2-year follow-ups, no aggressive or destructive acts had occurred and the boy was showing improved communication and interpersonal skills.
Blackouts among male and female youth seeking emergency department care.
Voloshyna, Diana M; Bonar, Erin E; Cunningham, Rebecca M; Ilgen, Mark A; Blow, Frederic C; Walton, Maureen A
2018-01-01
Alcohol-related blackouts are a common consequence of heavy drinking, and these blackouts pose risk for injury and other adverse health outcomes. To examine the prevalence and correlates of blackouts among underage drinkers. Youth (ages 14-20) presenting to a suburban Emergency Department (ED) completed screening surveys. Among those reporting past-year alcohol consumption, we examined past 3-month blackouts in relation to: background characteristics (e.g., demographics, fraternity/sorority involvement), substance use, sexual risk behaviors and incapacitated sexual assault (unaware/unable to consent due to alcohol/drugs), forced sexual assault, positive depression screening, and reason for ED visit (injury vs. medical). In total, 2,300 past-year drinkers participated: 58% female, 75% Caucasian, and mean age = 18.4. Regarding past 3-month blackouts, 72.7% reported none, 19.3% reported monthly or less, and 8% reported monthly or more. Multivariate cumulative logit regression indicated that blackout frequency was positively associated with: college involvement in Greek life, alcohol use severity, prescription drug misuse, marijuana, screening positive for depression, incapacitated sexual assault, and a gender by alcohol use severity interaction. With one-quarter of this clinical sample reporting recent blackouts, as well as the association between blackout frequency and health risk behaviors and other outcomes, findings underscore the need for programs focusing on substance use, depression, and preventing sexual assault. Interventions should also address poly-substance use and drinking motives. Although findings highlight how college students in Greek life may be at high risk for blackouts, many participants not in college also reported blackouts, suggesting that interventions in other settings are also needed.
Adams, Margaret; Fitzgerald, Sheila; Holbrook, Debra
2016-01-01
Sexual violence and gender-based violence represent a major public health problem causing significant negative mental, physical, and social outcomes for victims. The rapidly growing population of Hispanic women in Baltimore are both more vulnerable to sexual assault and less able to access postassault services. In an effort to assess service utilization and community awareness of the Mercy Medical Center Sexual Assault Forensic Examiners/Forensic Nurse Examiners Program, we conducted a retrospective chart review of 2,322 women who were seen by the program between 2010 and 2013 and found that only 2.5% of the women were identified as Hispanic, about half of what Baltimore City demographic data would predict. This exploratory pilot project, augmented by key informant interviews, reveals that Hispanic women are underutilizing sexual assault services. Multiple barriers exist for Hispanic women in obtaining victim services, including lack of awareness within the community that the services exist, cultural factors, language barriers, lack of awareness of legal rights, and a fear of deportation.
Department of Defense Annual Report on Sexual Assault in the Military. Fiscal Year 2010
2011-03-01
crisis centers, hospitals, and law enforcement. USN SARCs reported working with 12 schools, universities, and other civilian community groups on...alliances with other Navy and DoD SAPR stakeholders as well as community coalitions and networks (e.g. local Rape Crisis Centers, etc). SARCs report...MILITARY COMMUNITY .............................. 6 DEPARTMENT OF DEFENSE SEXUAL ASSAULT PREVENTION STRATEGY
Lüleci, Nimet Emel; Kaya, Eda; Aslan, Ece; Şenkal, Ece Söylem; Çiçek, Zehra Nadide
2016-03-01
Historically, sexual assault is a common issue in Turkey. As doctors are one of the steps to help sexually assaulted women, medical students should have basic knowledge of and sensitivity regarding this subject. Another common women's public health issue is induced abortion. In countries where access to abortion is restricted, there is a tendency towards unhealthy abortion. The aims of this study are: (1) to determine the attitudes and opinions of Marmara University Medical Faculty students about sexual assault against women and induced abortion and (2) to propose an educational program for medical students about sexual assault and abortion. Cross-sectional study. The questionnaires were self-administered and the data were analyzed using SPSS v.15.0. First, the descriptive statistics were analyzed, followed by Chi-square for contingency tests assessing differences in attitudes toward sexual assault and induced abortion by factors such as gender and educational term. Differences were considered statistically significant at p<0.05. About 89.6% of the participants (n=266) reported that they had never been sexually assaulted and about 11.5% of the women (n=19) had been sexually assaulted. There was no significant relationship between previous sexual assault and gender (p>0.05). Although there was no significant difference regarding the extent of punishment by victim's status as a virgin, 21.3% (n=63) agreed that punishment should be more severe when the victim was a virgin. About 40.7% (n=120) agreed that the legal period of abortion in Turkey (10 weeks) should be longer. The majority (86.1%, n=255) agreed that legally prohibiting abortions causes an increase in unhealthy abortions. An educational program on these issues should be developed for medical students.
Lüleci, Nimet Emel; Kaya, Eda; Aslan, Ece; Şenkal, Ece Söylem; Çiçek, Zehra Nadide
2016-01-01
Background: Historically, sexual assault is a common issue in Turkey. As doctors are one of the steps to help sexually assaulted women, medical students should have basic knowledge of and sensitivity regarding this subject. Another common women’s public health issue is induced abortion. In countries where access to abortion is restricted, there is a tendency towards unhealthy abortion. Aims: The aims of this study are: (1) to determine the attitudes and opinions of Marmara University Medical Faculty students about sexual assault against women and induced abortion and (2) to propose an educational program for medical students about sexual assault and abortion. Study Design: Cross-sectional study. Methods: The questionnaires were self-administered and the data were analyzed using SPSS v.15.0. First, the descriptive statistics were analyzed, followed by Chi-square for contingency tests assessing differences in attitudes toward sexual assault and induced abortion by factors such as gender and educational term. Differences were considered statistically significant at p<0.05. Results: About 89.6% of the participants (n=266) reported that they had never been sexually assaulted and about 11.5% of the women (n=19) had been sexually assaulted. There was no significant relationship between previous sexual assault and gender (p>0.05). Although there was no significant difference regarding the extent of punishment by victim’s status as a virgin, 21.3% (n=63) agreed that punishment should be more severe when the victim was a virgin. About 40.7% (n=120) agreed that the legal period of abortion in Turkey (10 weeks) should be longer. The majority (86.1%, n=255) agreed that legally prohibiting abortions causes an increase in unhealthy abortions. Conclusion: An educational program on these issues should be developed for medical students. PMID:27403386
On the Relationship Between Automatic Attitudes and Self-Reported Sexual Assault in Men
Widman, Laura; Olson, Michael
2013-01-01
Research and theory suggest rape supportive attitudes are important predictors of sexual assault; yet, to date, rape supportive attitudes have been assessed exclusively through self-report measures that are methodologically and theoretically limited. To address these limitations, the objectives of the current project were to: (1) develop a novel implicit rape attitude assessment that captures automatic attitudes about rape and does not rely on self-reports, and (2) examine the association between automatic rape attitudes and sexual assault perpetration. We predicted that automatic rape attitudes would be a significant unique predictor of sexual assault even when self-reported rape attitudes (i.e., rape myth acceptance and hostility toward women) were controlled. We tested the generalizability of this prediction in two independent samples: a sample of undergraduate college men (n = 75, M age = 19.3 years) and a sample of men from the community (n = 50, M age = 35.9 years). We found the novel implicit rape attitude assessment was significantly associated with the frequency of sexual assault perpetration in both samples and contributed unique variance in explaining sexual assault beyond rape myth acceptance and hostility toward women. We discuss the ways in which future research on automatic rape attitudes may significantly advance measurement and theory aimed at understanding and preventing sexual assault. PMID:22618119
Sexual assault incidents among college undergraduates: Prevalence and factors associated with risk
Gilbert, Louisa; Santelli, John S.; Thompson, Martie; Wilson, Patrick A.; Khan, Shamus; Benson, Stephanie; Bah, Karimata; Kaufman, Kathy A.
2017-01-01
Sexual assault on college campuses is a public health issue. However varying research methodologies (e.g., different sexual assault definitions, measures, assessment timeframes) and low response rates hamper efforts to define the scope of the problem. To illuminate the complexity of campus sexual assault, we collected survey data from a large population-based random sample of undergraduate students from Columbia University and Barnard College in New York City, using evidence based methods to maximize response rates and sample representativeness, and behaviorally specific measures of sexual assault to accurately capture victimization rates. This paper focuses on student experiences of different types of sexual assault victimization, as well as sociodemographic, social, and risk environment correlates. Descriptive statistics, chi-square tests, and logistic regression were used to estimate prevalences and test associations. Since college entry, 22% of students reported experiencing at least one incident of sexual assault (defined as sexualized touching, attempted penetration [oral, anal, vaginal, other], or completed penetration). Women and gender nonconforming students reported the highest rates (28% and 38%, respectively), although men also reported sexual assault (12.5%). Across types of assault and gender groups, incapacitation due to alcohol and drug use and/or other factors was the perpetration method reported most frequently (> 50%); physical force (particularly for completed penetration in women) and verbal coercion were also commonly reported. Factors associated with increased risk for sexual assault included non-heterosexual identity, difficulty paying for basic necessities, fraternity/sorority membership, participation in more casual sexual encounters (“hook ups”) vs. exclusive/monogamous or no sexual relationships, binge drinking, and experiencing sexual assault before college. High rates of re-victimization during college were reported across gender groups. Our study is consistent with prevalence findings previously reported. Variation in types of assault and methods of perpetration experienced across gender groups highlight the need to develop prevention strategies tailored to specific risk groups. PMID:29117226
Sexual assault incidents among college undergraduates: Prevalence and factors associated with risk.
Mellins, Claude A; Walsh, Kate; Sarvet, Aaron L; Wall, Melanie; Gilbert, Louisa; Santelli, John S; Thompson, Martie; Wilson, Patrick A; Khan, Shamus; Benson, Stephanie; Bah, Karimata; Kaufman, Kathy A; Reardon, Leigh; Hirsch, Jennifer S
2017-01-01
Sexual assault on college campuses is a public health issue. However varying research methodologies (e.g., different sexual assault definitions, measures, assessment timeframes) and low response rates hamper efforts to define the scope of the problem. To illuminate the complexity of campus sexual assault, we collected survey data from a large population-based random sample of undergraduate students from Columbia University and Barnard College in New York City, using evidence based methods to maximize response rates and sample representativeness, and behaviorally specific measures of sexual assault to accurately capture victimization rates. This paper focuses on student experiences of different types of sexual assault victimization, as well as sociodemographic, social, and risk environment correlates. Descriptive statistics, chi-square tests, and logistic regression were used to estimate prevalences and test associations. Since college entry, 22% of students reported experiencing at least one incident of sexual assault (defined as sexualized touching, attempted penetration [oral, anal, vaginal, other], or completed penetration). Women and gender nonconforming students reported the highest rates (28% and 38%, respectively), although men also reported sexual assault (12.5%). Across types of assault and gender groups, incapacitation due to alcohol and drug use and/or other factors was the perpetration method reported most frequently (> 50%); physical force (particularly for completed penetration in women) and verbal coercion were also commonly reported. Factors associated with increased risk for sexual assault included non-heterosexual identity, difficulty paying for basic necessities, fraternity/sorority membership, participation in more casual sexual encounters ("hook ups") vs. exclusive/monogamous or no sexual relationships, binge drinking, and experiencing sexual assault before college. High rates of re-victimization during college were reported across gender groups. Our study is consistent with prevalence findings previously reported. Variation in types of assault and methods of perpetration experienced across gender groups highlight the need to develop prevention strategies tailored to specific risk groups.
Warburton, A L; Shepherd, J P
2006-01-01
Objectives To identify correlates of alcohol related assault injury in the city centre of a European capital city, with particular reference to emergency department (ED) and police interventions, and number and capacity of licensed premises. Methods Assaults resulting in ED treatment were studied using a longitudinal controlled intervention, a three stage design during a three year period of rapid expansion in the night‐time economy, when ED initiated targeted police interventions were delivered. A controlled ED intervention targeted at high risk night‐clubs was carried out. Main outcome measure was ED treatment after assault in licensed premises and the street. Results Targeted police intervention was associated with substantial reductions in assaults in licensed premises but unexpected increases in street assault were also observed (34% overall: 105% in the principal entertainment thoroughfare). Combined police/ED intervention was associated with a significantly greater reduction compared with police intervention alone (OR = 0.61, 95% CI 0.40 to 0.91). Street assault correlated significantly with numbers and capacity of premises. Risk of assault was 50% greater in and around licensed premises in the city centre compared with those in the suburbs, although dispersion of violence to more licensed premises was not observed. Conclusions Marked decreases in licensed premises assaults resulting from targeted policing were enhanced by the intervention of ED and maxillofacial consultants. Capacity of licensed premises was a major predictor of assaults in the city centre street in which they are clustered. City centre assault injury prevention can be achieved through police/ED interventions targeted at high risk licensed premises, which should also target the streets around which these premises are clustered. PMID:16373796
Turchik, Jessica A; Probst, Danielle R; Irvin, Clinton R; Chau, Minna; Gidycz, Christine A
2009-04-01
Although script theory has been applied to sexual assault (e.g., H. Frith & C. Kitzinger, 2001; A. S. Kahn, V. A. Andreoli Mathie, & C. Torgler, 1994), women's scripts of rape have not been examined in relation to predicting sexual victimization experiences. The purpose of the current study was to examine how elements of women's sexual assault scripts predicted their sexual assault experiences over a follow-up period. The authors used data from a baseline and follow-up session for 339 undergraduate women. The results suggest that women who constructed narratives containing certain elements were more likely to report a sexual assault over the academic quarter. Specifically, narratives containing the woman utilizing nonforceful resistance, the woman having less control over the outcome of the situation, the assault happening outdoors, the assault being more severe, and the woman having known the perpetrator less time were predictive of reported sexual victimization over the 8-week follow-up period. Additionally, having a history of adolescent sexual victimization was also predictive of reported sexual victimization over the quarter. These findings have important implications in sexual assault risk-reduction programming, which are discussed.
Firearm Possession Among Adolescents Presenting to an Urban Emergency Department for Assault
Walton, Maureen A.; Newton, Manya F.; Clery, Michael; Whiteside, Lauren K.; Zimmerman, Marc A.; Cunningham, Rebecca M.
2013-01-01
BACKGROUND AND OBJECTIVES: Firearm violence is a leading cause of death among youth. The objectives of this study were (1) determine firearm possession rates and associated correlates among youth seeking care for assault in an emergency department (ED); (2) understand differences in risk factors for youth with firearm possession; and (3) identify firearm possession characteristics in this population: type, reason for possession, and source of firearms. METHODS: Youth (14 to 24 years old) presenting to a Level 1 ED with assault were administered a computerized screening survey. Validated instruments were administered, measuring demographics, firearm rates and characteristics, attitudes toward aggression, substance use, and previous violence history. RESULTS: Among 689 assault-injured youth, 23% reported firearm possession in the past 6 months. Only 17% of those reporting firearm possession obtained the gun from a legal source; 22% reported ownership of highly lethal automatic/semiautomatic weapons and 37.1% reported having a firearm for protection. Logistic regression analysis identified significant correlates of firearm possession, including male gender, higher socioeconomic status, illicit drug use, recent serious fight, and retaliatory attitudes. CONCLUSIONS: ED assault-injured youth had high rates of firearm possession (23.1%), most of which were not obtained from legal sources. Youth with firearm possession were more likely to have been in a recent serious fight, and to endorse aggressive attitudes that increase their risk for retaliatory violence. Future prevention efforts should focus on minimizing illegal firearm access among high-risk youth, nonviolent alternatives to retaliatory violence, and substance use prevention. PMID:23837181
Firearm possession among adolescents presenting to an urban emergency department for assault.
Carter, Patrick M; Walton, Maureen A; Newton, Manya F; Clery, Michael; Whiteside, Lauren K; Zimmerman, Marc A; Cunningham, Rebecca M
2013-08-01
Firearm violence is a leading cause of death among youth. The objectives of this study were (1) determine firearm possession rates and associated correlates among youth seeking care for assault in an emergency department (ED); (2) understand differences in risk factors for youth with firearm possession; and (3) identify firearm possession characteristics in this population: type, reason for possession, and source of firearms. Youth (14 to 24 years old) presenting to a Level 1 ED with assault were administered a computerized screening survey. Validated instruments were administered, measuring demographics, firearm rates and characteristics, attitudes toward aggression, substance use, and previous violence history. Among 689 assault-injured youth, 23% reported firearm possession in the past 6 months. Only 17% of those reporting firearm possession obtained the gun from a legal source; 22% reported ownership of highly lethal automatic/semiautomatic weapons and 37.1% reported having a firearm for protection. Logistic regression analysis identified significant correlates of firearm possession, including male gender, higher socioeconomic status, illicit drug use, recent serious fight, and retaliatory attitudes. ED assault-injured youth had high rates of firearm possession (23.1%), most of which were not obtained from legal sources. Youth with firearm possession were more likely to have been in a recent serious fight, and to endorse aggressive attitudes that increase their risk for retaliatory violence. Future prevention efforts should focus on minimizing illegal firearm access among high-risk youth, nonviolent alternatives to retaliatory violence, and substance use prevention.
Masculine discrepancy stress, substance use, assault and injury in a survey of US men
Reidy, Dennis E; Berke, Danielle S; Gentile, Brittany; Zeichner, Amos
2018-01-01
To understand and ultimately prevent injury and behavioural health outcomes associated with masculinity, we assessed the influence of masculine discrepancy stress (stress that occurs when men perceive themselves as falling short of the traditional gender norms) on the propensity to engage in stereotypically masculine behaviours (eg, substance use, risk taking and violence) as a means of demonstrating masculinity. Six-hundred men from the USA were recruited via Amazon’s Mechanical Turk (MTurk) online data collection site to complete surveys assessing self-perceptions of gender role discrepancy and consequent discrepancy stress, substance use/abuse, driving while intoxicated (DWI) and violent assaults. Negative binomial regression analyses indicated significant interactive effects wherein men high on gender role discrepancy and attendant discrepancy stress reported significantly more assaults with a weapon (B=1.01; SE=0.63; IRR=2.74; p=0.05) and assaults causing injury (B=1.01; SE=0.51; IRR=2.74; p<0.05). There was no association of discrepancy stress to substance abuse, but there was a protective effect of gender role discrepancy for DWI among men low on discrepancy stress (B=−1.19, SE=0.48; IRR=0.30; p=0.01). These findings suggest that gender role discrepancy and associated discrepancy stress, in particular, represent important injury risk factors and that prevention of discrepancy stress may prevent acts of violence with the greatest consequences and costs to the victim, offender and society. PMID:26303670
Pape, Hilde
2014-04-28
Underage drinking is widespread, but studies on alcohol-related sexual victimization among teenage girls are almost non-existent. Research on individual correlates and risk factors of sexual victimization more generally is also meager. This study focuses on sexual assault while incapacitated due to drunkenness among 15-18 year-old girls and examines how age, drinking behavior, impulsivity and involvement in norm-violating activities are associated with such victimization experiences. Data stemmed from a school survey (response rate: 85%) in 16 Norwegian municipalities. Almost all analyses were restricted to girls who had been intoxicated in the past year (n = 2701). In addition to bivariate associations, adjusted odds ratios and relative risks of incapacitated sexual assault (ISA) were estimated. Further, population-attributable fractions were calculated to explore how the prevalence of ISA victimization was likely to be affected if effective preventive measures were targeted solely at high-risk groups. The majority of the girls (71%) had been intoxicated in the past year, of which 7% had experienced ISA victimization in the same period. The proportion of victims decreased by age within the group that had been intoxicated, reflecting that the youngest girls were more likely to get severely drunk. Impulsivity and involvement in norm-violating behaviors were identified as potential risk factors, but the population-attributable fractions indicated that the groups with the highest risk of ISA victimization accounted for only a minority of all the cases of such victimization. Sexual assault against teenage girls who are too drunk to resist seems to be prevalent in Norway - notably among the youngest girls who engage in heavy episodic drinking. This study also suggests that one should reconsider the notion that no individual attributes are related to females' sexual assault victimization. It also indicates that a high risk approach to prevention, targeting groups with a high level of impulsivity or behavioral problems, may have limited effect on the prevalence of ISA victimization. Thus, from a public health perspective, it may be advisable to give priority to universal preventive measures to curb young girls' risk of being sexually assaulted in a state of alcohol-induced incapacitation.
Federal Register 2010, 2011, 2012, 2013, 2014
2013-09-03
... court-based programs; State sexual assault coalitions, State domestic violence coalitions; territorial domestic violence or sexual assault coalitions; tribal coalition; tribal organizations; community-based... Collection: Certification of Compliance With the Confidentiality and Privacy Provisions of the Violence...
Does self-defense training prevent sexual violence against women?
Hollander, Jocelyn A
2014-03-01
Self-defense classes are offered across the nation as a strategy for reducing women's vulnerability to sexual assault. Yet there has been little systematic research assessing the effectiveness of these classes. In this article, I use data from a mixed methods study of a 10-week, university-based, feminist self-defense class to examine the effectiveness of self-defense training over a 1-year follow-up period. My analyses indicate that women who participate in self-defense training are less likely to experience sexual assault and are more confident in their ability to effectively resist assault than similar women who have not taken such a class.
Predicting Sexual Assault Perpetration Among Heterosexually Active Young Men.
Casey, Erin A; Masters, N Tatiana; Beadnell, Blair; Hoppe, Marilyn J; Morrison, Diane M; Wells, Elizabeth A
2017-01-01
Data from an online community sample of young men were analyzed to test predictors of sexual assault perpetration. We used structural equation modeling to test the relative contributions of specific sub-types of childhood adversity to subsequent sexual aggression. Mediators included hostile masculinity, impersonal sexual behavior and attitudes, and substance use variables. Findings suggested that childhood sexual abuse had direct and mediated effects on sexual assault perpetration, but hostile masculinity was the only proximal factor significantly related to aggression. Childhood polytrauma was also associated with increased perpetration risk, suggesting that prevention efforts may be aided by increased attention to childhood maltreatment. © The Author(s) 2016.
Tan, Alethea; Bharj, Amrit Kaur; Nizamoglu, Metin; Barnes, David; Dziewulski, Peter
2015-01-01
Burn injuries from corrosive substances have been recognised as a common method of assault in low and middle income countries (LMICs) motivated by various factors. Such injuries often leave survivors with severely debilitating physical and psychological injuries and scars. The number of reported cases of acid assaults within the United Kingdom (UK) appears to be on the rise. As one of the largest regional burn centres in the UK, we have reviewed our experience of chemical burns from assault. This study aims to: (1) review the demographics, incidence and patient outcomes; (2) evaluate the long-term psychosocial support provided; and (3) review current criminal litigation proceedings and preventative legislations in the UK specific to assault by corrosive substances. A 15-year retrospective review of 21 burn injuries from assault with corrosive substances presenting to a regional burn unit was conducted. Victims were mostly young men; male perpetrators were more common. The most common motive cited was assault. The most common anatomical region affected was the face and neck. The number of victims who pursue litigation is disproportionately lower than the number of total cases at presentation. In an effort to better understand the legal considerations surrounding such assaults, we also collaborated with lawyers experienced in this particular field. We hope that our work will help educate healthcare professionals regarding the legal assistance and existing laws available to protect these patients. PMID:29799575
Cook, D J; Liutkus, J F; Risdon, C L; Griffith, L E; Guyatt, G H; Walter, S D
1996-06-01
To assess the prevalence of psychological abuse, physical assault, and discrimination on the basis of gender and sexual orientation, and to examine the prevalence and impact of sexual harassment in residency training programs. Self-administered questionnaire. McMaster University, Hamilton, Ont. Residents in seven residency training programs during the academic year from July 1993 to June 1994. Of 225 residents 186 (82.7%) returned a completed questionnaire, and 50% of the respondents were women. Prevalence of psychological abuse, physical assault and discrimination on the basis of gender and sexual orientation experienced by residents during medical training, prevalence and residents' perceived frequency of sexual harassment. Psychological abuse was reported by 50% of the residents. Some of the respondents reported physical assault, mostly by patients and their family members (14.7% reported assaults by male patients and family members, 9.8% reported assaults by female patients and family members), 5.4% of the female respondents reported assault by male supervising physicians. Discrimination on the basis of gender was reported to be common and was experienced significantly more often by female residents than by male residents (p < 0.01). Ten respondents, all female, reported having experienced discrimination on the basis of their sexual orientation. Most of the respondents experienced sexual harassment, especially in the form of sexist jokes, flirtation and unwanted compliments on their dress or figure. On average, 40% of the respondents, especially women (p < 0.01), reported experiencing offensive body language and receiving sexist teaching material and unwanted compliments on their dress. Significantly more female respondents than male respondents stated that they had reported events of sexual harassment to someone (p < 0.001). The most frequent emotional reactions to sexual harassment were embarassment (reported by 24.0%), anger (by 23.4%) and frustration (20.8%). Psychological abuse, discrimination on the basis of gender and sexual harassment are commonly experienced by residents in training programs. A direct, progressive, multidisciplinary approach is needed to label and address these problems.
Cares, Alison C; Banyard, Victoria L; Moynihan, Mary M; Williams, Linda M; Potter, Sharyn J; Stapleton, Jane G
2015-02-01
Bystander approaches to reducing sexual violence train community members in prosocial roles to interrupt situations with risk of sexual violence and be supportive community allies after an assault. This study employs a true experimental design to evaluate the effectiveness of Bringing in the Bystander™ through 1-year post-implementation with first-year students from two universities (one rural, primarily residential; one urban, heavily commuter). We found significant change in bystander attitudes for male and female student program participants compared with the control group on both campuses, although the pattern of change depended on the combination of gender and campus. © The Author(s) 2014.
The impact of deprivation on youth violence: a comparison of cities and their feeder towns.
Jones, S J; Sivarajasingam, V; Shepherd, J
2011-06-01
66,000 children and adolescents are treated at emergency departments (EDs) in England and Wales each year for assault injury. The aim of this study was to compare adolescent assault injury rates in cities and towns and determine how assault injury varies with deprivation and gender. The study was set in three cities in Wales, UK, and their surrounding towns. Subjects were 11-17 year olds treated for assault injury at one of seven EDs from 1 October 2005 to 30 September 2006. Area of residence (electoral divisions, EDivs) was identified from patient postcode. EDivs were aggregated into deprivation fifths for males and females and cities and towns. Assault injury rates, rate ratios and 95% CIs were calculated. 1472 children and adolescents of 11-17 years old were treated for assault injury. Male city assault injury rates were 14.2/1000 11-17 year olds; and 13.1 in towns. Female city assault injury rates were 6.0; and 5.6 in towns. In the most deprived city areas males had assault injury rates 2.6 times (95% CI 1.85 to 3.59) that of the most affluent, compared with 2.0 times in towns (95% CI 1.39 to 2.86). For females, the most deprived city areas had assault injury rates 5.3 times that of the most affluent (95% CI 2.93 to 9.41), compared with 2.8 times in towns (95% CI 1.47 to 5.28). Injury in youth violence increased with increasing deprivation in cities and their feeder towns. This was true for boys and girls, though rates for boys were consistently higher. This link between assault injury and deprivation was stronger for girls in cities than in feeder towns. Strategies to prevent youth violence need to include improved safeguarding arrangements for girls living in the most deprived city areas.
Bertisch, Hilary; Krellman, Jason W; Bergquist, Thomas F; Dreer, Laura E; Ellois, Valerie; Bushnik, Tamara
2017-11-01
To characterize and compare subgroups of survivors with assault-related versus self-inflicted traumatic brain injuries (TBIs) via firearms at the time of inpatient rehabilitation and at 1-, 2-, and 5-year follow-up. Secondary analysis of data from the Traumatic Brain Injury Model Systems National Database (TBIMS NDB), a multicenter, longitudinal cohort study. Retrospective analyses of a subset of individuals enrolled in the TBIMS NDB. Individuals 16 years and older (N=399; 310 via assault, 89 via self-inflicted injury) with a primary diagnosis of TBI caused by firearm injury enrolled in the TBIMS NDB. Not applicable. Disability Rating Scale, Glasgow Outcome Scale-Extended, sociodemographic variables (sex, age, race, marital status), injury-related/acute care information (posttraumatic amnesia, loss of consciousness, time from injury to acute hospital discharge), and mental health variables (substance use history, psychiatric hospitalizations, suicide history, incarcerations). Individuals who survived TBI secondary to a firearm injury differed by injury mechanism (assault vs self-inflicted) on critical demographic, injury-related/acute care, and mental health variables at inpatient rehabilitation and across long-term recovery. Groups differed in terms of geographic area, age, ethnicity, education, marital status, admission Glasgow Coma Scale score, and alcohol abuse, suicide attempts, and psychiatric hospitalizations at various time points. These findings have implications for prevention (eg, mental health programming and access to firearms in targeted areas) and for rehabilitation planning (eg, by incorporating training with coping strategies and implementation of addictions-related services) for firearm-related TBI, based on subtype of injury. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
It's Your Place: Development and Evaluation of an Evidence-Based Bystander Intervention Campaign.
Sundstrom, Beth; Ferrara, Merissa; DeMaria, Andrea L; Gabel, Colby; Booth, Kathleen; Cabot, Jeri
2017-06-28
Preventing sexual assault on college campuses is a national priority. Bystander intervention offers a promising approach to change social norms and prevent sexual misconduct. This study presents the implementation and evaluation of a theory-based campaign to promote active bystander intervention. The theory of planned behavior (TPB) served as a conceptual framework throughout campaign development and evaluation. Formative research published elsewhere was used to develop campaign strategies, communication channels, and messages, including "It is your place to prevent sexual assault: You're not ruining a good time." The It's Your Place multi-media campaign fosters a culture of bystander intervention through peer-to-peer facilitation and training, as well as traditional and new media platforms. A cross-sectional post-test only web-based survey was designed to evaluate the campaign and test the TPB's ability to accurately predict intention to intervene. Survey data were collected from 1,505 currently enrolled students. The TPB model predicted intention to intervene. There was a significant effect of campaign exposure on attitude, subjective norms, and perceived behavioral intention. This theory-based communication campaign offers implications for promoting active bystander intervention and reducing sexual assault.
Causes of death among street-connected children and youth in Eldoret, Kenya.
Embleton, Lonnie; Ayuku, David; Makori, Dominic; Kamanda, Allan; Braitstein, Paula
2018-05-15
Street-connected young people carry a disproportionate burden of morbidities, and engage in a variety of practices that may heighten their risk of premature mortality, yet there are currently no reports in the literature on the rates or risk factors for mortality among them, nor on their causes of death. In low- and middle-income countries they are frequently in situations that violate their human rights, likely contributing to their increased burden of morbidities and vulnerability to mortality. We thus sought to describe the number of deaths annually, causes of death, and determine the number of deaths attributable to HIV among street-connected young people aged 0 to 30 years in Eldoret, Kenya. Eldoret, Kenya has approximately 1900 street-connected young people. We collected data on deaths occurring from October 2009 to December 2016 from Moi Teaching and Referral Hospital records, Academic Model Providing Access to Healthcare HIV program records, and utilized verbal autopsies when no records were available. Descriptive analyses were conducted stratified by sex and age category, and frequencies and proportions were calculated to provide an overview of the decedents. We used logistic regression to assess the association between underlying cause of death and sex, while controlling for age and location of death. In total there were 100-recorded deaths, 66 among males and 34 among females; 37% of were among those aged ≤18 years. HIV/AIDS (37%) was the most common underlying cause of death, followed by assault (36%) and accidents (10%) for all decedents. Among males, the majority of deaths were attributable to assault (49%) and HIV/AIDS (26%), while females primarily died due to HIV/AIDS (59%). Our results demonstrate a high number of deaths due to assault among males and HIV/AIDS among males and females. Our findings demonstrate the need for studies of HIV prevalence and incidence among this population to characterize the burden of HIV, particularly among young women given the higher number of deaths attributed to HIV/AIDS among them. Most deaths were preventable and require the urgent attention of service providers and policymakers to implement programs and services to prevent premature mortality and uphold children's rights.
The RESTORE program of restorative justice for sex crimes: vision, process, and outcomes.
Koss, Mary P
2014-06-01
The article reports empirical evaluation of RESTORE, a restorative justice (RJ) conferencing program adapted to prosecutor-referred adult misdemeanor and felony sexual assaults. RESTORE conferences included voluntary enrollment, preparation, and a face-to-face meeting where primary and secondary victims voice impacts, and responsible persons acknowledge their acts and together develop a re-dress plan that is supervised for 1 year. Process data included referral and consent rates, participant characteristics, observational ratings of conferences compared with program design, services delivered, and safety monitoring. Outcome evaluation used 22 cases to assess (a) pre-post reasons for choosing RESTORE, (b) preparation and conference experiences, (c) overall program and justice satisfaction, and (d) completion rates. This is the first peer-reviewed quantitative evaluation of RJ conferencing for adult sexual assault. Although the data have limitations, the results support cautious optimism regarding feasibility, safety, and satisfactory outcomes. They help envision how conferencing could expand and individualize justice options for sexual assault.
Eni, U E; Na'aya, H U; Musa, A M; Lawan, M A; Chinda, J Y
2009-01-01
Violent assault injuries are a frequent occurrence in the native communities of the North Eastern Nigeria. The injuries are mostly unreported, and therefore no policy towards prevention. We hope to highlight the common causes and pattern of such injuries, as well as suggest control measures in order to reduce the incidence. A retrospective review of 208 assault injury cases seen at the Accident and Emergency department of the Federal Medical Center, Nguru, between January 2002 and December 2006. All but 12 were males, giving a male to female ratio of 16:1. Most of the patients are illiterate herdsmen and farmers. The age ranged from 12 to 70 years, with a mean of 30.9 +/- 11.2 years. The peak age incidence was 30-40 years. Fighting was the most common cause, accounting for 124 (59.6%), followed by armed robbery assaults, which accounted for 75 (36.1%). Domestic abuse was the cause in 9 cases (4.3%). Arrow shot was the commonest form of assault injury in 55 (26.4%) cases, followed by matchet in 49 (23.6%), gunshot in 37 (17.8%), club/stick in 32 (15.4%) and stab wounds in 26 (12.5 %). Quarrel over farmlands used for grazing by herdsmen was the leading cause of fighting resulting in assault injuries (87), followed by quarrel over women (32)! Assault injuries are a common occurrence in the native communities of the North Eastern Nigeria. Addressing the root causes such as mapping out grazing lands in the region, community policing as well as mandatory reporting of all assault injuries to the police for appropriate legal action, will help reduce the incidence of assault injuries.
Wiebe, E R; Comay, S E; McGregor, M; Ducceschi, S
2000-03-07
The sexual assault service, operated by the Children's & Women's Health Centre of British Columbia in partnership with the Vancouver General Hospital Emergency Department, started offering HIV prophylaxis in November 1996 to patients presenting to the emergency department after a sexual assault. In the first 16 months of the program a total of 258 people were seen by the service, of whom 71 accepted the offer of HIV prophylaxis. Only 29 continued with the drug treatment after receiving the initial 5-day starter pack, and only 8 completed the full 4-week treatment regmen and returned for their final follow-up visit. Patients at highest risk for HIV infection (those who had penetration by an assailant known to be HIV positive or at high risk for HIV infection [men who have sex with men, injection drug users]) were more likely to accept prophylaxis and more likely to complete the treatment than those at lower risk. Compliance and follow-up were the main problems with implementing this service. Service providers found it difficult to give the information about HIV prophylaxis to traumatized patients. After this program evaluation, the service changed its policy to offer HIV prophylaxis only to people at high risk of HIV infection. This targeting of services is expected to make the service providers' jobs easier and to make the program more cost-effective while still protecting sexual assault victims against HIV infection.
28 CFR 90.100 - What is the scope of the grant program?
Code of Federal Regulations, 2010 CFR
2010-07-01
... violent crimes against women on campuses, including sexual assault, stalking, and domestic violence and to develop, enlarge, and strengthen support services for victims of sexual assault, stalking, and domestic...? 90.100 Section 90.100 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST...
28 CFR 90.100 - What is the scope of the grant program?
Code of Federal Regulations, 2012 CFR
2012-07-01
... violent crimes against women on campuses, including sexual assault, stalking, and domestic violence and to develop, enlarge, and strengthen support services for victims of sexual assault, stalking, and domestic...? 90.100 Section 90.100 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST...
28 CFR 90.100 - What is the scope of the grant program?
Code of Federal Regulations, 2013 CFR
2013-07-01
... violent crimes against women on campuses, including sexual assault, stalking, and domestic violence and to develop, enlarge, and strengthen support services for victims of sexual assault, stalking, and domestic...? 90.100 Section 90.100 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST...
Flack, William F; Kimble, Matthew O; Campbell, Brooke E; Hopper, Allyson B; Petercă, Oana; Heller, Emily J
2015-12-01
Almost all research on sexual assault victimization among undergraduate university students pertains to incidents that occur on domestic college and university campuses. The purpose of the present study was to investigate the prevalence of sexual assault victimization and related factors among undergraduates in the context of study-abroad programs. Two hundred eight female students (52% response rate) from a small university in the northeastern United States who had recently studied abroad responded to an online survey containing measures of sexual assault, posttraumatic stress responses (PSR), and alcohol consumption. Almost 19% of the respondents indicated one or more types of sexual assault victimization. Approximately 17% reported non-consensual sexual touching, 7% attempted rape, 4% rape, with 9% reporting attempted rape or rape. As in domestic studies, victimization in this sample was related positively to alcohol consumption and PSR. Use of force was the most frequently reported perpetrator tactic. In sum, the high rates of sexual assault victimization reported by this sample during study abroad replicate previous findings. This context requires further attention from sexual assault researchers, especially given the increasing numbers of university students engaging in study abroad, and from campus support personnel who may be unaware of the likelihood of assault in this context. © The Author(s) 2014.
Workplace violence prevention for healthcare workers-an online course.
Hartley, Daniel; Ridenour, Marilyn; Craine, John; Costa, Barbara
2012-01-01
Workplace assaults against healthcare workers originate from many sources, but are predominantly committed by patients. Therefore, training in strategies for preventing patient-on-nurse violence is very important throughout a nurse's career. The online course described in this article presents prevention strategies from the institutional and individual levels. These are reinforced by video case studies of five real-life incidents with key learning points discussed. The physical and psychological consequences of workplace assaults can result in higher absenteeism, increased turnover, decreased job satisfaction, lower productivity, and a host of other negative outcomes. Preventing these negative outcomes is beneficial to the nurse, the patients, and the organization. This course provides a convenient interactive tool that uses units approximately 20 minutes in duration with stop and pick up where you left off capabilities. The free online course will be available starting in the summer or fall of 2012. © 2012 Association of Rehabilitation Nurses.
Survey of Threats and Assaults by Patients on Psychiatry Residents
ERIC Educational Resources Information Center
Dvir, Yael; Moniwa, Emiko; Crisp-Han, Holly; Levy, Dana; Coverdale, John H.
2012-01-01
Objective: The authors sought to determine the prevalence of threats and assaults by patients on psychiatry residents, their consequences, and the perceived adequacy of supports and institutional responses. Method: Authors conducted an anonymous survey of 519 psychiatry residents in 13 psychiatry programs across the United States. The survey…
R.U. Ready?: Peer Education and Bystander Intervention Sexual Assault Programming
ERIC Educational Resources Information Center
Schweer, Jen Luettel; Heather, Katie; Kay, Kathryn; Stewart, K. Leigh; Kovach, Laura
2012-01-01
R.U. Ready? at Georgetown University is an annual sexual assault awareness event that incorporates peer education and resources with opportunities for students, staff, and faculty to dialogue about providing bystander intervention throughout the campus community. Beyond dialogue, participants learn about student activism and the resources and…
Masculine discrepancy stress, substance use, assault and injury in a survey of US men.
Reidy, Dennis E; Berke, Danielle S; Gentile, Brittany; Zeichner, Amos
2016-10-01
To understand and ultimately prevent injury and behavioural health outcomes associated with masculinity, we assessed the influence of masculine discrepancy stress (stress that occurs when men perceive themselves as falling short of the traditional gender norms) on the propensity to engage in stereotypically masculine behaviours (eg, substance use, risk taking and violence) as a means of demonstrating masculinity. Six-hundred men from the USA were recruited via Amazon's Mechanical Turk (MTurk) online data collection site to complete surveys assessing self-perceptions of gender role discrepancy and consequent discrepancy stress, substance use/abuse, driving while intoxicated (DWI) and violent assaults. Negative binomial regression analyses indicated significant interactive effects wherein men high on gender role discrepancy and attendant discrepancy stress reported significantly more assaults with a weapon (B=1.01; SE=0.63; IRR=2.74; p=0.05) and assaults causing injury (B=1.01; SE=0.51; IRR=2.74; p<0.05). There was no association of discrepancy stress to substance abuse, but there was a protective effect of gender role discrepancy for DWI among men low on discrepancy stress (B=-1.19, SE=0.48; IRR=0.30; p=0.01). These findings suggest that gender role discrepancy and associated discrepancy stress, in particular, represent important injury risk factors and that prevention of discrepancy stress may prevent acts of violence with the greatest consequences and costs to the victim, offender and society. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
Resident aggression toward staff at a center for the developmentally disabled.
West, Christine A; Galloway, Ellen; Niemeier, Maureen T
2014-01-01
Few studies have examined factors contributing to nonfatal assaults to staff working in residential care facilities. The authors evaluated resident assaults toward direct care/nursing staff at an intermediate Care Facility for Individuals with Mental Retardation (ICF/MR), which included observations of work areas, employee interviews, calculation of injury and assault rates for 2004 to 2007 from Occupational Safety and Health Administration Logs, and review of state ICP/MR guidelines. Most staff interviewed reported having been injured during physical restraint of a resident and the average rate of injury from assault at the center evaluated was higher than the average national rates for the health care and social assistance sector for the same time period. The center lacked policies and developing a post-incident response and evaluation program to assist staff in coping with the consequences of assault and/or occupational injury.
Effects of restricting pub closing times on night-time assaults in an Australian city
Kypri, Kypros; Jones, Craig; McElduff, Patrick; Barker, Daniel
2011-01-01
Aims In March 2008 the New South Wales judiciary restricted pub closing times to 3 a.m., and later 3.30 a.m., in the central business district (CBD) of Newcastle, Australia. We sought to determine whether the restriction reduced the incidence of assault. Design Non-equivalent control group design with before and after observations. Setting Newcastle, a city of 530 000 people. Participants People apprehended for assault in the CBD and nearby Hamilton, an area with a similar night-time economy but where no restriction was imposed. Measurements Police-recorded assaults in the CBD before and after the restriction were compared with those in Hamilton. Cases were assaults occurring from 10 p.m.–6 a.m. from January 2001–March 2008, with April 2008–September 2009 as the post-restriction period. We also examined changes in assault incidence by time of night. Negative binomial regression with time, area, time × area interaction terms and terms for secular trend and seasonal effects was used to analyse the data. Autocorrelation was examined using generalized estimating equations. Findings In the CBD, recorded assaults fell from 99.0 per quarter before the restriction to 67.7 per quarter afterward [incidence rate ratio (IRR): 0.66, 95% confidence interval (CI): 0.55–0.80]. In the same periods in Hamilton, assault rates were 23.4 and 25.5 per quarter, respectively (IRR: 1.02, 95% CI: 0.79–1.31). The relative reduction attributable to the intervention was 37% (IRR = 0.63, 95% CI: 0.47–0.81) and approximately 33 assault incidents were prevented per quarter. Conclusion This study indicates that a restriction in pub closing times to 3/3.30 a.m. in Newcastle, NSW, produced a large relative reduction in assault incidence of 37% in comparison to a control locality. PMID:20840191
Effects of restricting pub closing times on night-time assaults in an Australian city.
Kypri, Kypros; Jones, Craig; McElduff, Patrick; Barker, Daniel
2011-02-01
In March 2008 the New South Wales judiciary restricted pub closing times to 3 a.m., and later 3.30 a.m., in the central business district (CBD) of Newcastle, Australia. We sought to determine whether the restriction reduced the incidence of assault. Non-equivalent control group design with before and after observations. Newcastle, a city of 530,000 people. People apprehended for assault in the CBD and nearby Hamilton, an area with a similar night-time economy but where no restriction was imposed. Police-recorded assaults in the CBD before and after the restriction were compared with those in Hamilton. Cases were assaults occurring from 10 p.m.-6 a.m. from January 2001-March 2008, with April 2008-September 2009 as the post-restriction period. We also examined changes in assault incidence by time of night. Negative binomial regression with time, area, time × area interaction terms and terms for secular trend and seasonal effects was used to analyse the data. Autocorrelation was examined using generalized estimating equations. In the CBD, recorded assaults fell from 99.0 per quarter before the restriction to 67.7 per quarter afterward [incidence rate ratio (IRR): 0.66, 95% confidence interval (CI): 0.55-0.80]. In the same periods in Hamilton, assault rates were 23.4 and 25.5 per quarter, respectively (IRR: 1.02, 95% CI: 0.79-1.31). The relative reduction attributable to the intervention was 37% (IRR = 0.63, 95% CI: 0.47-0.81) and approximately 33 assault incidents were prevented per quarter. This study indicates that a restriction in pub closing times to 3/3.30 a.m. in Newcastle, NSW, produced a large relative reduction in assault incidence of 37% in comparison to a control locality. © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction.
Brunes, Audun; Heir, Trond
2018-06-09
To examine the prevalence of sexual assaults among individuals with visual impairment (VI) compared with the general population and to investigate the association between sexual assault and outcomes of self-efficacy and life satisfaction. Cross-sectional interview-based study conducted between February and May 2017. A probability sample of adults with VI (≥18 years) who were members of the Norwegian Association of the Blind and Partially Sighted. A total of 736 (61%) members participated, of whom 55% were of female gender. We obtained norm data for sexual assaults from a representative survey of the general Norwegian population. Sexual assaults (Life Event Checklist for DSM-5), self-efficacy (General Self-Efficacy Scale) and life satisfaction (Cantril's Ladder of Life Satisfaction). The prevalence of sexual assaults (rape, attempted rape and forced into sexual acts) in the VI population was 17.4% (95% CI 14.0 to 21.4) among women and 2.4% (95% CI 1.2 to 4.7) among men. For women, the VI population had higher rates of sexual assaults across age strata than the general population. For men, no significant differences were found. In the population of people with VI, the risk of sexual assault was greater for those having other impairments in addition to the vision loss. Individuals with VI who experienced sexual assaults had lower levels of self-efficacy (adjusted relative risk (ARR): 0.18, 95% CI 0.05 to 0.61) and life satisfaction (ARR: 0.31, 95% CI 0.19 to 0.50) than others. The risk of experiencing sexual assault appears to be higher in individuals with VI than in the general population. Preventive measures as well as psychosocial care for those who have been exposed are needed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
2012 Workplace and Gender Relations Survey of Reserve Component Members (Survey Note No. 2013-002)
2013-01-18
items regarding unwanted attempts to establish a sexual relationship – Sexual Coercion – four items regarding classic quid pro quo instances of...Department of Defense (DoD) continues to emphasize sexual assault and sexual harassment response and prevention in the Reserve components. This survey...survey assesses the prevalence of sexual assault and sexual harassment and other gender-related issues in the National Guard and Reserves. This
2012 Workplace and Gender Relations Survey of Active Duty Members (Survey Note No. 2013-002)
2013-01-18
Attention – four items regarding unwanted attempts to establish a sexual relationship – Sexual Coercion – four items regarding classic quid pro quo ...of Defense (DoD) continues to emphasize sexual assault and sexual harassment response and prevention in the military. This survey note discusses...assault and sexual harassment in the active duty force. This survey note and accompanying briefing (Appendix) provide information on the prevalence
Effectiveness of lockouts in reducing alcohol-related harm: Systematic review.
Nepal, Smriti; Kypri, Kypros; Pursey, Kirrilly; Attia, John; Chikritzhs, Tanya; Miller, Peter
2018-05-01
Australian jurisdictions have introduced lockouts to prevent alcohol-related violence. Lockouts prohibit patrons from entering licensed premises after a designated time while allowing sale and consumption of alcohol to continue. Their purposes include managing the movement of intoxicated patrons, and preventing violence and disorder by dispersing times that patrons leave premises. We sought to evaluate the effectiveness of lockouts in preventing alcohol-related harm. We systematically searched electronic databases and reference lists and asked authors to identify relevant studies published to 1 June 2017. We deemed studies eligible if they evaluated lockouts, and if outcome measures included: assault, emergency department attendances, alcohol-related disorders or drink-driving offences. Two reviewers independently extracted data. After screening 244 records, we identified five studies from electronic databases, two from reference lists search and one from a Google search (N = 8). Two studies showed a decline in assaults; a third study showed reductions occurred only inside licensed premises; two studies showed an increase in assaults; and three studies showed no association. The studies had significant design and other limitations. Lockouts have been implemented across Australian jurisdictions as a strategy to prevent alcohol-related harm, despite limited evidence. In this systematic review, we synthesised findings from studies that evaluated lockouts as stand-alone interventions, to help clarify debate on their utility as a harm prevention strategy. There is not good evidence that lockouts prevent alcohol-related harm, in contrast to what is known about stopping the sale of alcohol earlier, for which there is evidence of effectiveness. © 2018 Australasian Professional Society on Alcohol and other Drugs.
Using Theatre for Social Change to Address Sexual Violence against College Women
ERIC Educational Resources Information Center
Christensen, Mary Candace
2012-01-01
The present study focuses on the need for sexual assault prevention interventions among college student populations. A review of the literature indicates that theatre-based prevention interventions are effective in preventing sexual violence among student populations. Chapter 2 of this dissertation is a literature review synthesizing scholarship…
Thinking critically about campus-based self-defense programs: a response to Christine Gidycz.
DeKeseredy, Walter S
2014-10-01
Often labeled "ivory towers," colleges are fertile breeding grounds of male to female sexual assault and other types of woman abuse. Still, across the United States and elsewhere, many researchers, practitioners, and activists are involved in an ongoing and ever-changing struggle to curb female victimization in institutions of higher learning. The main objective of this article is to offer a few thoughts about some prevention issues raised by Christine Gidycz. Special attention is devoted to the dangers associated with new electronic technologies, including texting and Internet pornography. © The Author(s) 2014.
Kapur, Nitin A; Windish, Donna M
2011-05-01
In the United States, 1 in 6 women report a lifetime prevalence of sexual assault. Few population-based studies have examined the association between sexual assault victimization on health care utilization and unhealthy behaviors. To assess the relationship between experiencing sexual assault and health care utilization and unhealthy behaviors among a state-wide representative sample of Connecticut adults. Cross-sectional study of 4183 Connecticut residents who responded to sexual assault questions in the 2005 telephone-based Connecticut State Behavioral Risk Factor Surveillance System (CT-BRFSS). Health care utilization and unhealthy behaviors among residents reporting sexual assault. Approximately one out of eleven Connecticut adults (9.4%) experienced sexual assault at some point in their life. Among adults aged 65 years and older, 4.3% reported sexual assault compared to 11.2% of adults aged 18-34 years, (p < 0.001). Among men, 3.7% reported sexual assault victimization versus 14.6% of women, (p < 0.001). After controlling for sociodemographic factors, victims of forced sexual assault were less likely to have seen a physician in the previous 12 months for a routine checkup (Odds ratio [OR]: 1.49, 95%: 1.07-2.07) and more likely to report being unable to see a doctor because of cost (OR: 2.72, 95% CI: 1.70-4.34). Victims were more likely to currently smoke (OR: 2.01, 95% CI: 1.34-3.00) and drink heavily (OR: 3.30, 95% CI: 2.01-5.42) than those reporting no sexual assault. For Connecticut adults, sexual assault victimization was associated with infrequent usage of some primary care health services and higher risks of unhealthy behaviors. Increased community-level interventions and public health outreach programs are needed to provide health-care services to this high-risk group.
Sexual Assault Nurse Examiners' Perceptions of the Revictimization of Rape Victims
ERIC Educational Resources Information Center
Maier, Shana L.
2012-01-01
While Sexual Assault Nurse Examiner programs have improved the treatment of rape victims by offering more compassionate and thorough treatment, SANEs believe victims continue to face revictimization by the medical, criminal justice and legal systems. The purpose of this research is to explore SANEs' perceptions of the revictimization of rape…
Report of the Defense Task Force on Sexual Assault in the Military Services
2009-12-01
120 and 125, UCMJ sex -related criminal allegations (except for indecent exposure and indecent acts) occurring on military installations, involving...A-1 Annex B: Sex -Related Crimes... prophylaxis . (Recommendation 24) • The Secretary of Defense establish a Sexual Assault Forensic Examiner education program at military teaching
Cook, D J; Liutkus, J F; Risdon, C L; Griffith, L E; Guyatt, G H; Walter, S D
1996-01-01
OBJECTIVE: To assess the prevalence of psychological abuse, physical assault, and discrimination on the basis of gender and sexual orientation, and to examine the prevalence and impact of sexual harassment in residency training programs. DESIGN: Self-administered questionnaire. SETTING: McMaster University, Hamilton, Ont. PARTICIPANTS: Residents in seven residency training programs during the academic year from July 1993 to June 1994. Of 225 residents 186 (82.7%) returned a completed questionnaire, and 50% of the respondents were women. OUTCOME MEASURES: Prevalence of psychological abuse, physical assault and discrimination on the basis of gender and sexual orientation experienced by residents during medical training, prevalence and residents' perceived frequency of sexual harassment. RESULTS: Psychological abuse was reported by 50% of the residents. Some of the respondents reported physical assault, mostly by patients and their family members (14.7% reported assaults by male patients and family members, 9.8% reported assaults by female patients and family members), 5.4% of the female respondents reported assault by male supervising physicians. Discrimination on the basis of gender was reported to be common and was experienced significantly more often by female residents than by male residents (p < 0.01). Ten respondents, all female, reported having experienced discrimination on the basis of their sexual orientation. Most of the respondents experienced sexual harassment, especially in the form of sexist jokes, flirtation and unwanted compliments on their dress or figure. On average, 40% of the respondents, especially women (p < 0.01), reported experiencing offensive body language and receiving sexist teaching material and unwanted compliments on their dress. Significantly more female respondents than male respondents stated that they had reported events of sexual harassment to someone (p < 0.001). The most frequent emotional reactions to sexual harassment were embarassment (reported by 24.0%), anger (by 23.4%) and frustration (20.8%). CONCLUSION: Psychological abuse, discrimination on the basis of gender and sexual harassment are commonly experienced by residents in training programs. A direct, progressive, multidisciplinary approach is needed to label and address these problems. PMID:8646653
Fleming, Paul J.; Gruskin, Sofia; Rojo, Florencia; Dworkin, Shari L.
2015-01-01
Men are more likely than women to perpetrate nearly all types of interpersonal violence (e.g. intimate partner violence, murder, assault, rape). While public health programs target prevention efforts for each type of violence, there are rarely efforts that approach the prevention of violence holistically and attempt to tackle its common root causes. Drawing upon theories that explain the drivers of violence, we examine how gender norms, including norms and social constructions of masculinity, are at the root of most physical violence perpetration by men against women and against other men. We then argue that simply isolating each type of violence and constructing separate interventions for each type is inefficient and less effective. We call for recognition of the commonalities found across the drivers of different types of violence and make intervention recommendations with the goal of seeking more long-standing solutions to violence prevention. PMID:26482359
2011-02-16
previously 38 T.S. Nelson, For Love of Country: Confronting Rape and Sexual Harassment in the US...While the U.S. Army Research Institute took a broader view of research needs in the areas of sexual harassment and sexual assault, this study has...Merrill et al, “Prevalence of Pre-Military Adult Sexual Victimization and Aggression in a Navy Recruiting Sample”, Military Medicine , 1998, M
Rape Treatment Outcome Research: Empirical Findings and State of the Literature
Vickerman, Katrina A.; Margolin, Gayla
2009-01-01
This article reviews empirical support for treatments targeting women sexually assaulted during adolescence or adulthood. Thirty-two articles were located using data from 20 separate samples. Of the 20 samples, 12 targeted victims with chronic symptoms, three focused on the acute period post-assault, two included women with chronic and acute symptoms, and three were secondary prevention programs. The majority of studies focus on posttraumatic stress disorder (PTSD), depression, and/or anxiety as treatment targets. Cognitive Processing Therapy and Prolonged Exposure have garnered the most support with this population. Stress Inoculation Training and Eye Movement Desensitization and Reprocessing also show some efficacy. Of the four studies that compared active treatments, few differences were found. Overall, cognitive behavioral interventions lead to better PTSD outcomes than supportive counseling does. However, even in the strongest treatments more than one-third of women retain a PTSD diagnosis at post-treatment or drop out of treatment. Discussion highlights the paucity of research in this area, methodological limitations of examined studies, generalizability of findings, and important directions for future research at various stages of trauma recovery. PMID:19442425
Walthall, Jennifer D H; Burgess, Aaron; Weinstein, Elizabeth; Miramonti, Charles; Arkins, Thomas; Wiehe, Sarah
2018-02-01
This study aimed to describe spatiotemporal correlates of pediatric violent injury in an urban community. We performed a retrospective cohort study using patient-level data (2009-2011) from a novel emergency medical service computerized entry system for violent injury resulting in an ambulance dispatch among children aged 0 to 16 years. Assault location and patient residence location were cleaned and geocoded at a success rate of 98%. Distances from the assault location to both home and nearest school were calculated. Time and day of injury were used to evaluate temporal trends. Data from the event points were analyzed to locate injury "hotspots." Seventy-six percent of events occurred within 2 blocks of the patient's home. Clusters of violent injury correlated with areas with high adult crime and areas with multiple schools. More than half of the events occurred between 3:00 PM and 11:00 PM. During these peak hours, Sundays had significantly fewer events. Pediatric violent injuries occurred in identifiable geographic and temporal patterns. This has implications for injury prevention programming to prioritize highest-risk areas.
Female perpetrated sexual offences reported to a London sexual assault referral centre.
Morgan, Louise; Long, Lisa
2018-02-01
A gender specific approach to understanding female sex offenders is important for developing prevention and treatment strategies, yet research to date is limited. While it is recognised that females often offend with another person, there has been little attempt to look beyond the two groupings of solo and co-offending and study females who offend in larger groups. Furthermore, very few studies have looked at the victims of these crimes and all of these have focussed on child victims only. The present work describes demographic and assault related characteristics of victims of all ages reporting a sexual assault by a female perpetrator to the Havens sexual assault referral centres in London, UK, in a five year period, with the aim of identifying victim, perpetrator and offence patterns in solo, pair and group sexual assaults. 47 cases were identified, just 0.66% of the total cases seen, and victims ranged from 3 to 59 years of age. Female perpetrators actively participated in the sexual and physical violence in many cases and were often involved in other ways, such as facilitating the offence, procuring the victim and filming the assault. Victims of solo perpetrators were mostly children who reported an assault by a teacher or childminder. Victims of pairs were older and all perpetrators were male/female pairs, usually reportedly in a romantic relationship. Victims of groups were more often strangers to the perpetrators and these assaults were often very violent. These findings are discussed in relation to current knowledge and suggestions are made for further research. Copyright © 2018 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Longitudinal pathways of sexual victimization, sexual self-esteem, and depression in women and men.
Krahé, Barbara; Berger, Anja
2017-03-01
This article presents a longitudinal analysis of the links between sexual assault victimization, depression, and sexual self-esteem by examining their cross-lagged paths among both men and women. Male and female college students (N = 2,425) in Germany participated in the study that comprised 3 data waves in their first, second, and third year of university, separated by 12-month intervals. Sexual assault victimization was assessed at Time 1 (T1) since the age of 14 and at Time 2 (T2) and Time 3 (T3) for the last 12 months. Depression and sexual self-esteem were measured at each wave. Random-intercept cross-lagged panel analyses, controlling for individual differences in depression and sexual self-esteem, showed that sexual assault at T1 predicted depression and lower sexual self-esteem at T2, and depression and lower self-esteem at T2 predicted sexual assault victimization at T3. In addition, significant paths were found from T1 depression to T2 sexual assault victimization and from T2 sexual assault victimization to depression at T3. Sexual victimization at T1 was indirectly linked to sexual victimization at T3 via depression at T2. Both depression and sexual self-esteem at T1 were indirectly linked to sexual victimization at T3. The paths did not differ significantly between men and women. Sexual assault victimization was shown to be a risk factor for both depression as a general mental health indicator and lowered sexual self-esteem as a specific outcome in the domain of sexuality. Moreover, depression and sexual self-esteem increased the vulnerability for sexual assault victimization, which has implications for prevention and intervention efforts. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Micheni, Murugi; Rogers, Sam; Wahome, Elizabeth; Darwinkel, Marianne; van der Elst, Elise; Gichuru, Evans; Graham, Susan M; Sanders, Eduard J; Smith, Adrian D
2015-12-01
Violence toward MSM and female sex workers (FSW) is associated with HIV risk, and its prevention is prioritized in international HIV/AIDS policy. Sociodemographic and behavioural data derived from HIV risk and follow-up cohorts including MSM and FSW in coastal Kenya between 2005 and 2014 was used to estimate the risk of rape, physical assault and verbal abuse, and to assess associations between first occurrence of assault with individual and recent behavioural factors. Incidence of first reported rape was similar for MSM [3.9, confidence interval (CI) 3.1-5.0 per 100 person-years (pyrs)] and FSW (4.8 CI 3.5-6.4 per 100 pyrs), P = 0.22. Incidence of first reported physical and verbal assault was higher for FSW than MSM (21.1 versus 12.9 per 100 pyrs, P = 0.14 and 51.3 versus 30.9 per 100 pyrs, P = 0.03 respectively). Recent alcohol use was associated with reporting of all forms of assault by MSM [adjusted odds ratio (AOR) 1.8, CI 0.9-3.5] and FSW (AOR 4.4, CI 1.41-14.0), as was recent sale of sex for MSM (AOR 2.0, CI 1.1-3.8). Exclusive sex with men, active sex work, and group sex were also specifically associated with reporting rape for MSM. Perpetrators of sexual and verbal assault were usually unknown, whilst perpetrators of physical violence toward FSW were usually regular sexual partners. MSM and FSW experienced a similarly high incidence of sexual assault in coastal Kenya, in addition to physical and verbal assault. Current national policies focus heavily on gender-based violence against women and young girls, but need to be inclusive of MSM and FSW.
Forensic nursing - Global scenario and Indian perspective.
Dash, Shreemanta Kumar; Patel, Shailendra; Chavali, Krishnadutt
2016-08-01
Sexual violence is a significant cause of physical and psychological harm and suffering for women and children. Although sexual violence mostly affects women and girls, boys are also subject to child sexual abuse. Nurse is the person who attends the victim first. In order to meet the rigid and ever-changing demands of providing care to the victim and complying with our confusing system of laws, the nursing should has been forced to expand into a Forensic nursing, specialty of its own. Nursing roles in the criminal justice service known by many names worldwide-Custody nursing, Prison/Correctional nursing, Immigration centre nursing, Sexual Assault Nurse Examiner (SANE) or Sexual Assault Forensic Examiner (SAFE), SARTs (Sexual assault response team), SARCs (Sexual assault referral centre) and FNDIs (Forensic nurse death investigator). In India the premier institutes like AIIMS New Delhi and The PGI Chandigarh, do not have forensic content in their nursing curriculum manuals. The WHO and IAFN have urged inclusion of forensic content in both undergraduate and postgraduate nursing programs. Forensic Nurse Specialist can provide direct services to individual clients, consultation services to nursing, medical and law-related agencies, as well as providing expert court testimony in areas dealing with trauma and/or questioned death investigative processes, adequacy of services delivered, and specialized diagnoses of specific medical conditions. Research Findings on the Effectiveness of Sexual Assault Nurse Examiner (SANE) Programs suggests various improvements in each and every step in care of victim of sexual assault. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Workplace Violence in Health Care-It's Not "Part of the Job".
Wax, Joseph R; Pinette, Michael G; Cartin, Angelina
2016-08-01
While health care workers comprise just 13% of the US workforce, they experience 60% of all workplace assaults. This violence is the second leading cause of fatal occupational injury. Women comprise 45% of the US labor force but 80% of health care workers, the highest proportion of females in any industry. The purpose was to describe the prevalence, forms, and consequences of health care workplace violence (WPV). The role and components of prevention programs for avoiding or mitigating violence are discussed, including opportunities for participation by obstetrician-gynecologists. A search of PubMed from 1990 to February 1, 2016, identified relevant manuscripts. Additional studies were found by reviewing the manuscripts' references. Government Web sites were visited for relevant data, publications, and resources. Health care WPV continues to rise despite an overall decrease in US WPV. While workers are most likely to be assaulted by clients or patients, they are most frequently bullied and threatened by coworkers. All incidents are markedly underreported in the absence of physical injury or lost work time. Sequelae include physical and psychological trauma, adverse patient outcomes, and perceived lower quality of care. The human, societal, and economic costs of health care WPV are enormous and unacceptable. Comprehensive prevention, planning, and intervention offer the best means of mitigating risks. As women's health physicians and health care workers, obstetrician-gynecologists should be encouraged to participate in such efforts.
Lovalekar, Mita T; Abt, John P; Sell, Timothy C; Nagai, Takashi; Keenan, Karen; Beals, Kim; Lephart, Scott M; Wirt, Michael D
2016-08-01
The purpose of this study was to describe the epidemiology of musculoskeletal injuries among Soldiers of the 101st Airborne (Air Assault) Division. A total of 451 subjects (age: 27.6 ± 6.2 years, gender: males 395/451 = 87.6%) volunteered. Musculoskeletal injury data were extracted from subjects' medical charts and injuries that occurred during 1 year were described. Injury frequency, injury anatomic location and sublocation, injury cause, activity when injury occurred, and injury type were described. Injury frequency was 29.5 injuries per 100 subjects per year. Most injures affected the lower extremity (60.2% of injuries) and common anatomic sublocations for injuries were the ankle (17.3%) and knee (15.0%). Frequent causes of injuries were running (13.5%) and direct trauma (9.0%). Physical training was associated with 29.3% of the injuries. A majority of injuries were classified as pain/spasm/ache (29.3%), without further elucidation of pathology. Other frequent injury types were sprain (21.8%) and strain (14.3%). The descriptive epidemiology of musculoskeletal injuries in this population underscores the need to explore the modifiable risk factors of potentially preventable lower extremity injuries associated with physical training and running. There is scope for the development of an optimized and targeted physical training program for injury prevention in this population. Reprint & Copyright © 2016 Association of Military Surgeons of the U.S.
Revealing a Hidden Curriculum of Black Women's Erasure in Sexual Violence Prevention Policy
ERIC Educational Resources Information Center
Wooten, Sara Carrigan
2017-01-01
This article aims to challenge the framework by which rape and sexual assault prevention in higher education are being constituted by centring Black women's experiences of sexual violence within a prevention and response policy framework. Numerous research studies exist in the literature regarding the specific experience of sexual violence for…
2017-01-01
More than half of all sexual assault victims report experiencing sexual victimization more than once. The aim of this paper was to determine the role post-traumatic cognition plays in the relationship between a history of sexual abuse and post-traumatic stress symptoms in sexual assault victims. The relationship between a history of sexual assault and the severity of post-traumatic stress symptoms was investigated retrospectively using data from a sexual assault crisis center in Korea. Data on psychological symptoms were collected in person at the initial assessment and by telephone 1 month later using the Post-traumatic Cognitions Inventory and the Post-traumatic Stress Disorder Symptoms Scale: Self-report Version. Of 105 women included in the analysis, 10 (9.5%) reported prior sexual abuse and were classified as sexually revictimized. Revictimized women had more post-traumatic negative cognition at initial assessment (t = −2.98; P = 0.004) and more post-traumatic symptoms at 1 month follow-up (t = −2.39; P = 0.019) than singly victimized women. At 1 month follow-up, the severity of post-traumatic stress symptoms had increased in revictimized women but had decreased slightly in singly victimized women. Negative post-traumatic cognition fully mediated the association between a history of sexual abuse and the severity of post-traumatic stress symptoms. Early detection of sexually revictimized women and tailored service and treatment intervention is needed to better serve this group of victims. Interventions targeted at preventing revictimization or post crime victimization may also help victims recover from the trauma and prevent future abuse. PMID:28875614
Shin, Kyoung Min; Chung, Young Ki; Shin, Yee Jin; Kim, Miran; Kim, Nam Hee; Kim, Kyoung Ah; Lee, Hanbyul; Chang, Hyoung Yoon
2017-10-01
More than half of all sexual assault victims report experiencing sexual victimization more than once. The aim of this paper was to determine the role post-traumatic cognition plays in the relationship between a history of sexual abuse and post-traumatic stress symptoms in sexual assault victims. The relationship between a history of sexual assault and the severity of post-traumatic stress symptoms was investigated retrospectively using data from a sexual assault crisis center in Korea. Data on psychological symptoms were collected in person at the initial assessment and by telephone 1 month later using the Post-traumatic Cognitions Inventory and the Post-traumatic Stress Disorder Symptoms Scale: Self-report Version. Of 105 women included in the analysis, 10 (9.5%) reported prior sexual abuse and were classified as sexually revictimized. Revictimized women had more post-traumatic negative cognition at initial assessment (t = -2.98; P = 0.004) and more post-traumatic symptoms at 1 month follow-up (t = -2.39; P = 0.019) than singly victimized women. At 1 month follow-up, the severity of post-traumatic stress symptoms had increased in revictimized women but had decreased slightly in singly victimized women. Negative post-traumatic cognition fully mediated the association between a history of sexual abuse and the severity of post-traumatic stress symptoms. Early detection of sexually revictimized women and tailored service and treatment intervention is needed to better serve this group of victims. Interventions targeted at preventing revictimization or post crime victimization may also help victims recover from the trauma and prevent future abuse. © 2017 The Korean Academy of Medical Sciences.
Parkhill, Michele R.; Norris, Jeanette; Cue Davi, Kelly
2015-01-01
Research has demonstrated relationships among childhood sexual abuse, adult sexual assault, and sexual risk taking. This study proposes that one mechanism through which the victimization-sexual risk taking relationship works is through an increased likelihood of drinking during sexual situations. Using path analysis, the current study explores this hypothesis in a sample of 230 women. The model illustrates that women with a history of child and adult sexual victimization reported greater intentions to engage in unprotected sex and that this relationship is in part accounted for by an increased likelihood of drinking in sexual situations. The results suggest that sexual risk reduction programs and sexual assault treatment programs should educate women about the alcohol-involved sexual risk taking that often follows sexual assault victimization. PMID:25069152
The role of alcohol and victim sexual interest in Spanish students' perceptions of sexual assault.
Romero-Sánchez, Mónica; Megías, Jesús L; Krahé, Barbara
2012-07-01
Two studies investigated the effects of information related to rape myths on Spanish college students' perceptions of sexual assault. In Study 1, 92 participants read a vignette about a nonconsensual sexual encounter and rated whether it was a sexual assault and how much the woman was to blame. In the scenario, the man either used physical force or offered alcohol to the woman to overcome her resistance. Rape myth acceptance (RMA) was measured as an individual difference variable. Participants were more convinced that the incident was a sexual assault and blamed the woman less when the man had used force rather than offering her alcohol. In Study 2, 164 college students read a scenario in which the woman rejected a man's sexual advances after having either accepted or turned down his offer of alcohol. In addition, the woman was either portrayed as being sexually attracted to him or there was no mention of her sexual interest. Participants' RMA was again included. High RMA participants blamed the victim more than low RMA participants and were less certain that the incident was a sexual assault, especially when the victim had accepted alcohol and was described as being sexually attracted to the man. The findings are discussed in terms of their implications for the prevention and legal prosecution of sexual assault.
Potter, Sharyn J; Stapleton, Jane G
2012-05-01
One population that shares both similar and different characteristics with traditional college-age students is the U.S. Military. Similarities include a high concentration of 18- to 26-year-olds dealing with new found independence, peer pressure, and the presence of social norms that support violence and hypermasculinity. Sexual violence is a major public health problem in the United States, and because of the similarities in the age group of college and military populations, the problems regarding sexual violence in both constituencies have been well-documented. In the current pilot study we seek to add to both current knowledge about and promising practices of translating prevention strategies from one target audience to another. We describe how we translated, administered, and evaluated a bystander intervention social marketing campaign focused on sexual assault prevention that had been found to significantly affect attitude change on a college campus for a U.S. Army installation in Europe. In addition to demonstrating the process of translating prevention strategies across target audiences, findings from this pilot study contribute to the evaluation data on the effectiveness of sexual violence prevention strategies implemented with members of the U.S. Military. From our analysis, we see that research participants indicate that the degree to which the images resonate with them and the familiarity of the context (i.e., social self-identification) significantly effect the participants' personal responsibility for reducing sexual assault, confidence in acting as a bystander, and reported engagement as a bystander.
Adult Connection in Assault Injury Prevention among Male Youth in Low-Resource Urban Environments.
Culyba, Alison J; Miller, Elizabeth; Ginsburg, Kenneth R; Branas, Charles C; Guo, Wensheng; Fein, Joel A; Richmond, Therese S; Halpern-Felsher, Bonnie L; Wiebe, Douglas J
2018-06-01
Strengths-based strategies to reduce youth violence in low-resource urban communities are urgently needed. Supportive adolescent-adult relationships may confer protection, but studies have been limited by self-reported composite outcomes. We conducted a population-based case-control study among 10- to 24-year-old males in low-resource neighborhoods to examine associations between supportive adult connection and severe assault injury. Cases were victims of gunshot assault injury (n = 143) and non-gun assault injury (n = 206) from two level I trauma centers. Age- and race-matched controls (n = 283) were recruited using random digit dial from the same catchment. Adolescent-adult connections were defined by: (1) brief survey questions and (2) detailed family genograms. Analysis used conditional logistic regression. There were no significant associations between positive adult connection, as defined by brief survey questions, and either gunshot or non-gun assault injury among adolescents with high prior violence involvement (GSW OR = 2.46, 95% CI 0.81-7.49; non-gun OR = 1.59, 95% CI 0.54-4.67) or low prior violence involvement (GSW OR = 0.92, 95% CI 0.34-2.44; non-gun OR = 1.96, 95% CI 0.73-5.28). In contrast, among adolescents with high levels of prior violence involvement, reporting at least one supportive adult family member in the family genogram was associated with higher odds of gunshot assault injury (OR = 4.01, 95% CI 1.36-11.80) and non-gun assault injury (OR = 4.22, 95% CI 1.48-12.04). We were thus unable to demonstrate that positive adult connections protected adolescent males from severe assault injury in this highly under-resourced environment. However, at the time of injury, assault-injured adolescents, particularly those with high prior violence involvement, reported high levels of family support. The post-injury period may provide opportunities to intervene to enhance and leverage family connections to explore how to better safeguard adolescents.
Community-level Moderators of a School-Based Childhood Sexual Assault Prevention Program
Morris, Matthew C.; Kouros, Chrystyna D.; Janecek, Kim; Freeman, Rachel; Mielock, Alyssa; Garber, Judy
2016-01-01
Childhood sexual abuse (CSA) is highly prevalent and associated with a wide variety of negative mental and physical health outcomes. School-based CSA education and prevention programs have shown promise, but it is unclear to what extent community-level characteristics are related to their effectiveness. The present cluster randomized controlled trial evaluated community-level moderators of the Safe@Last program compared to a waitlist control condition. Knowledge gains from pre- to post-intervention were assessed in 5 domains: safe versus unsafe people; safe choices; problem-solving; clear disclosure; and assertiveness. Participants were 1,177 students (46% White, 26% African American, 15% Hispanic, 4% Asian American, 6% Other) in grades 1 through 6 from 14 public schools in Tennessee. Multilevel models accounting for the nesting of children within schools revealed large effect sizes for the intervention versus control across all knowledge domains (d’s ranged from 1.56 to 2.13). The effectiveness of the program was moderated by mean per capita income and rates of substantiated cases of child abuse and neglect in the community. Intervention effects were stronger for youth living in lower as compared to higher income counties, and for youth attending schools in counties with lower as compared to higher abuse/neglect rates. Child characteristics (sex, race) did not moderate intervention effects. This research identified two community-level factors that predicted the effectiveness of a CSA education and prevention program designed to improve children’s knowledge of personal safety skills. School-based CSA prevention programs may require modification for communities with higher rates of child abuse and neglect. PMID:27890344
ERIC Educational Resources Information Center
Yoshimura, Christina Granato; Campbell, Kimberly Brown
2016-01-01
A university in the United States Mountain West utilized grant resources to track counseling services for students who were currently experiencing or who had historically experienced relationship violence, sexual assault and/or stalking. This report reflects on the first 2 years of this program, including an overview of prevalence and reporting…
2015-11-01
assault is a crime that devastates victims and has a far- reaching negative impact for DOD because it undermines DOD’s core values, degrades...must take place to achieve the greatest, and most lasting impact . Figure 1: CDC’s Model of Four Domains in Which Risk and Protective Factors Can...associating with sexually aggressive and delinquent peers and having an emotionally unsupportive familial environment as possible influences on the
Targeting Alcohol Misuse: A Promising Strategy for Reducing Military Sexual Assaults?
2014-01-01
unit” (Barlas et al., 2013). In addition, alcoholic beverages are available at military installations at reduced prices (DoDI 1330.09), which is worth...Vol. 39, No. 1994, pp. 99–112. Wagenaar, Alexander C., Matthew J. Salois, and Kelli A. Komro, “Effects of Beverage Alcohol Price and Tax Levels on...consideration of policies to reduce alcohol misuse as a part of a strategy to prevent sexual assaults as well as a broader strategy to address alcohol use
Greeson, Megan R; Campbell, Rebecca
2015-09-01
Sexual Assault Response Teams (SARTs) bring together sexual assault responders (e.g., police, prosecutors, medical/forensic examiners, rape victim advocates) to coordinate and improve the response to sexual assault. Ultimately, SARTs seek to improve sexual assault victims' experiences of seeking help and sexual assault case outcomes in the criminal justice system. To date, there are hundreds of SARTs across the United States and yet, there has been no nationally representative study of how SARTs are implemented. Therefore, the current study used a multistep process to create the first sampling frame of SARTs and then studied how SARTs are structured and function within a random sample of SARTs. Findings reveal commonalities as well as variation across SARTs. Most SARTs rated improving legal outcomes, improving victims' help-seeking experiences, and prevention/education as important goals, yet most prioritized their time and energy toward victims' experiences. SARTs' membership varied, with an average of 12 organizations involved in the SART, and 75% of SARTs having active membership from police, prosecutors, rape victim advocates, and medical/forensic examiners. SARTs were moderately formalized and most SARTs engaged in most collaborative processes (e.g., multidisciplinary cross-training, case review, policy/protocol development, and review) on an as needed basis. Finally, results revealed that some types of cross-system coordination in responding to victims/cases were quite frequent, whereas other types of coordination were quite infrequent. Implications for future research and supporting the development and sustainability of SARTs are discussed. © The Author(s) 2014.
Pearson, Janne; Stone, David H
2009-04-07
Knowledge of the epidemiology of injuries in children is essential for the planning, implementation and evaluation of preventive measures but recent epidemiological information on injuries in children both in general and by age-group in Scotland is scarce. This study examines the recent pattern of childhood mortality from injury by age-group in Scotland and considers its implications for prevention. Routine mortality data for the period 2002-2006 were obtained from the General Register Office for Scotland and were analysed in terms of number of deaths, mean annual mortality rates per 100,000 population, leading causes of death, and causes of injury death. Mid-year population estimates were used as the denominator. Chi-square tests were used to determine statistical significance. 186 children aged 0-14 died from an injury in Scotland during 2002-06 (MR 4.3 per 100,000). Injuries were the leading cause of death in 1-14, 5-9 and 10-14 year-olds (causing 25%, 29% and 32% of all deaths respectively). The leading individual causes of injury death (0-14 years) were pedestrian and non-pedestrian road-traffic injuries and assault/homicide but there was variation by age-group. Assault/homicide, fire and suffocation caused most injury deaths in young children; road-traffic injuries in older ones. Collectively, intentional injuries were a bigger threat to the lives of under-15s than any single cause of unintentional injury. The mortality rate from assault/homicide was highest in infants (<1 year) and decreased with increasing age. Children aged 5-9 were significantly less likely to die from an injury than 0-4 or 10-14 year-olds (p < 0.05). Suicide was an important cause of injury mortality in 10-14 year-olds. Injuries continue to be a leading cause of death in childhood in Scotland. Variation in causes of injury death by age-group is important when targeting preventive efforts. In particular, the threats of assault/homicide in infants, fire in 1-4 year-olds, pedestrian injury in 5-14 year-olds, and suicide in 10-14 year-olds need urgent consideration for preventive action.
Murphy, Jeanne; Samples, Julie; Morales, Mavel; Shadbeh, Nargess
2014-01-01
In order to examine the experiences of sexual harassment and sexual assault among indigenous and non-indigenous Mexican immigrant farmworkers in Oregon's Willamette Valley, a community-academic participatory research partnership initiated a study, which included focus groups, conducted and analyzed by skilled practitioners and researchers. The themes that emerged from the focus groups included direct and indirect effects of sexual harassment and sexual assault on women and risk factors associated with the farmworker workplace environment, and the increased vulnerability of non-Spanish-speaking indigenous women due to low social status, poverty, cultural and linguistic issues, and isolation. Recommendations for prevention and improved services for vulnerable women will be discussed as well as limitations and future research directions. PMID:24514945
Murphy, Jeanne; Samples, Julie; Morales, Mavel; Shadbeh, Nargess
2015-12-01
In order to examine the experiences of sexual harassment and sexual assault among indigenous and non-indigenous Mexican immigrant farmworkers in Oregon's Willamette Valley, a community-academic participatory research partnership initiated a study, which included focus groups, conducted and analyzed by skilled practitioners and researchers. The themes that emerged from the focus groups included direct and indirect effects of sexual harassment and sexual assault on women and risk factors associated with the farmworker workplace environment, and the increased vulnerability of non-Spanish-speaking indigenous women due to low social status, poverty, cultural and linguistic issues, and isolation. Recommendations for prevention and improved services for vulnerable women will be discussed as well as limitations and future research directions.
Drug-facilitated sexual assault ('date rape').
Schwartz, R H; Milteer, R; LeBeau, M A
2000-06-01
In the past few years, drug-facilitated sexual assaults have received widespread media coverage. In addition to alcohol, the most frequently used date-rape drug, flunitrazepam (Rohypnol), a fast-acting benzodiazepine, and gamma-hydroxybutyrate (GHB) and its congeners are among the most popular drugs used for this purpose. The latter drug is easily procured at some gymnasiums, popular bars, discos, and rave clubs, as well as over the Internet. Perpetrators choose these drugs because they act rapidly, produce disinhibition and relaxation of voluntary muscles, and cause the victim to have lasting anterograde amnesia for events that occur under the influence of the drug. Alcoholic beverages potentiate the drug effects. We review several date-rape drugs, provide information on laboratory testing for them, and offer guidelines for preventing drug-facilitated sexual assault.
ERIC Educational Resources Information Center
Maier, Shana L.
2012-01-01
In response to the negative and inefficient treatment of rape victims by emergency room personnel, the first Sexual Assault Nurse Examiner (SANE) programs began in the late 1970s. While SANEs, doctors, rape victim advocates, police officers and prosecutors work together to ensure the most comprehensive and sensitive care of rape victims, they all…
Barmparas, Galinos; Dhillon, Navpreet K; Smith, Eric J T; Tatum, James M; Chung, Rex; Melo, Nicolas; Ley, Eric J; Margulies, Daniel R
2017-07-01
While assault is commonly reported or suspected in children with traumatic wounds, a recent overview of these injuries, especially those requiring trauma surgery consultation is lacking in the literature. Explore the incidence, demographics and injury patterns of children presenting to trauma centers following an assault. Retrospective review of the National Trauma Data Bank 2007 to 2011. Subjects up to 18 years old with "assault" reported as the intent of injury. Patients were divided into infants (<2 years), young children (2-5 years), children (6-11 years), and adolescents (12-18 years). Mechanism of injury, injury severity and mortality based on age groups and race. Of 609,207 children, 58,299 (9.6%) were victims of an assault. The median age was 16 years and 81% were male, with a median injury severity score (ISS) of 8. The majority of patients were adolescents (76%), followed by infants (17%) and young children (4%). There was a stepwise increase in the proportion of assaulted Black children with increasing age (23.2% for infants and up to 46.7% for adolescents, trend p < 0.01, effect size: 0.175) while the opposite applied for White children (46.0% for infants and down to 19.5% for adolescents, trend p < 0.01, effect size: -0.230). With increasing age, White subjects had the highest trend of being assaulted during an unarmed fight or brawl (p < 0.01, effect size: 0.393), while for Black victims the highest trend was noted for assault with a firearm (p < 0.01, effect size: 0.323). Almost 2 out of 3 infants sustained severe head trauma (59%). The overall mortality was 8%, highest among young children, where it reached 16% (p < 0.01). Up to 10% of children admitted following trauma are victims of assault with traumatic brain injuries predominant in infants and firearm injuries predominant in adolescents. Injury patterns largely correlate to age and race. Assault in children is associated with a high mortality risk. These data highlight the magnitude of the problem and calls for further involvement of trauma surgeons to improve outcomes, bring awareness and promote preventative strategies to eliminate assault in children. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.
Community-level moderators of a school-based childhood sexual assault prevention program.
Morris, Matthew C; Kouros, Chrystyna D; Janecek, Kim; Freeman, Rachel; Mielock, Alyssa; Garber, Judy
2017-01-01
Childhood sexual abuse (CSA) is highly prevalent and associated with a wide variety of negative mental and physical health outcomes. School-based CSA education and prevention programs have shown promise, but it is unclear to what extent community-level characteristics are related to their effectiveness. The present cluster randomized controlled trial evaluated community-level moderators of the Safe@Lastprogramcomparedtoawaitlistcontrolcondition.(*) Knowledge gains from pre- to post-intervention were assessed in 5 domains: safe versus unsafe people; safe choices; problem-solving; clear disclosure; and assertiveness. Participants were 1177 students (46% White, 26% African American, 15% Hispanic, 4% Asian American, 6% Other) in grades 1 through 6 from 14 public schools in Tennessee. Multilevel models accounting for the nesting of children within schools revealed large effect sizes for the intervention versus control across all knowledge domains (d's ranged from 1.56 to 2.13). The effectiveness of the program was moderated by mean per capita income and rates of substantiated cases of child abuse and neglect in the community. Intervention effects were stronger for youth living in lower as compared to higher income counties, and for youth attending schools in counties with lower as compared to higher abuse/neglect rates. Child characteristics (sex, race) did not moderate intervention effects. This research identified two community-level factors that predicted the effectiveness of a CSA education and prevention program designed to improve children's knowledge of personal safety skills. School-based CSA prevention programs may require modification for communities with higher rates of child abuse and neglect. Copyright © 2016 Elsevier Ltd. All rights reserved.
Factors Influencing Labeling Nonconsensual Sex as Sexual Assault.
Yndo, Monica C; Zawacki, Tina
2017-03-01
The current study examined the effects of physical attractiveness and sexual interest cues on men's sexual perceptions of women and whether increases in sexual perceptions of a woman would lead to decreases in labeling of subsequent nonconsensual sex as sexual assault. Two hundred thirty-three male college students ( M age = 19.17, SD = 1.22) read a vignette describing a hypothetical social interaction between a man and a woman; within the vignette, the female character's physical attractiveness (attractive vs. less attractive) and the degree to which the female character behaved interested in the male character (uninterested vs. ambiguous) were manipulated. The vignette ends with the male character physically forcing sexual intercourse with the female character. After reading the vignette, participants' labeling of the nonconsensual sex as sexual assault was addressed. Participants' perceptions of the female character's sexual interest in the male character prior to the nonconsensual sex was assessed as a dependent variable during stopping points in the vignette, prior to sexual assault. Both physical attractiveness and interest cues had a significant positive influence on men's perception of the female character as sexually interested. In addition, perceptions of sexual interest had a direct negative effect on sexual assault labeling. These results indicate that increases in physical attractiveness and interest cues increase perceptions of sexual interest, in turn decreasing the labeling of nonconsensual sex as sexual assault. This experimental research contributes to the literature on misperception of sexual interest and sexual assault labeling. These findings provide implications for intervention programs and for forensic issues related to sexual assault.
Du Mont, Janice; Macdonald, Sheila; Myhr, Terri; Loutfy, Mona R
2011-01-01
This study explored challenges to continuing an HIV post-exposure prophylaxis (PEP) program of care provided to sexual assault survivors in the province of Ontario, Canada. Data were collected as part of an implementation and evaluation of a universal offering of HIV PEP (known as the HIV PEP Program) at 24 of 34 provincial hospital-based sexual assault treatment centres. Experienced health care providers were surveyed (n = 132) and interviewed in four focus groups (n = 26) about their perceptions of what, if any, factors threatened their ability to maintain the HIV PEP Program. All focus groups were audio-recorded and the recordings transcribed. The transcriptions and open-ended survey responses were analyzed using content analysis. Administrator, nurse, physician, social worker, and pharmacist respondents perceived important barriers to sustainability of the HIV PEP Program. Eight constructs were identified within four broad themes: resources (inadequate funds, overworked and unacknowledged staff), expertise (insufficient external supports, insufficiently trained and knowledgeable staff), commitment (lack of institutional support, physician resistance to offering HIV PEP), and accommodation (lack of flexibility in addressing specific client and community needs, inaccessibility and lack of clarity of tools). We discuss the implications of these findings and the actions that were taken to address the challenges. PMID:22216082
ERIC Educational Resources Information Center
Weist, Mark D.; Bryant, Yaphet U.; Dantzler, Joyce; Martin, Saran; D'Amico, Marie; Griffith, Brian; Gallun, Betsy
2009-01-01
Purpose: The purpose of this paper is to identify best practices in the implementation of school-based sexual violence prevention education. Design/methodology/approach: A three-phase plan was implemented to evaluate the Sexual Harassment/Assault Prevention Project (SHAPP) in one state in the USA. First, a structured review of the prevention…
Micheni, Murugi; Rogers, Sam; Wahome, Elizabeth; Darwinkel, Marianne; van der Elst, Elise; Gichuru, Evans; Graham, Susan M.; Sanders, Eduard J.; Smith, Adrian D.
2016-01-01
Background Violence toward MSM and female sex workers (FSW) is associated with HIV risk, and its prevention is prioritized in international HIV/AIDS policy. Methods Sociodemographic and behavioural data derived from HIV risk and follow-up cohorts including MSM and FSW in coastal Kenya between 2005 and 2014 was used to estimate the risk of rape, physical assault and verbal abuse, and to assess associations between first occurrence of assault with individual and recent behavioural factors. Results Incidence of first reported rape was similar for MSM [3.9, confidence interval (CI) 3.1–5.0 per 100 person-years (pyrs)] and FSW (4.8 CI 3.5–6.4 per 100 pyrs), P =0.22. Incidence of first reported physical and verbal assault was higher for FSW than MSM (21.1 versus 12.9 per 100 pyrs, P =0.14 and 51.3 versus 30.9 per 100 pyrs, P =0.03 respectively). Recent alcohol use was associated with reporting of all forms of assault by MSM [adjusted odds ratio (AOR) 1.8, CI 0.9–3.5] and FSW (AOR 4.4, CI 1.41–14.0), as was recent sale of sex for MSM (AOR 2.0, CI 1.1–3.8). Exclusive sex with men, active sex work, and group sex were also specifically associated with reporting rape for MSM. Perpetrators of sexual and verbal assault were usually unknown, whilst perpetrators of physical violence toward FSW were usually regular sexual partners. Conclusion MSM and FSW experienced a similarly high incidence of sexual assault in coastal Kenya, in addition to physical and verbal assault. Current national policies focus heavily on gender-based violence against women and young girls, but need to be inclusive of MSM and FSW. PMID:26562812
Dealing with Sexual Assault, Challenges, and Insights
2015-02-11
Services Committee. H.R. 1593 – Sexual Assault Training Oversight and Prevention Act or STOP Act (17 April 2013). https://www.congress.gov/bill/113th...congress/house-bill/ 1593 ?q=%7B%22search%22%3A%5B%22H.R. 1593 %22%5D%7D (accessed 17 October 2014). U.S. Senate Arms Services Committee. S.47 Bill...www.congress.gov/bill/113thcongress/housebill/ 1593 ?q=%7B%22 search%22%3A%5B%22H.R. 1593 %22%5D%7D (accessed 17 October 2014). Winerip, Michael
Chemical burns as assault injuries in Jamaica.
Branday, J; Arscott, G D; Smoot, E C; Williams, G D; Fletcher, P R
1996-03-01
A three-fold greater incidence of chemical burn injuries in Jamaican hospitals, compared to burn centres in other industrial countries, underscores the problem of the use of common chemicals for assault weapons in this country. With the increased availability of guns for personal use, many Jamaicans learned the value of carrying household chemicals such as sulphuric acid from batteries or sodium hydroxide obtained from cleaning supplies. Chemicals carried in a container, such as one might carry mace, afforded a means of defence among the lower socioeconomic groups who could not afford handguns. This use of dangerous chemicals for defensive weapons has extended to the use of chemicals for assault. The pattern of chemical injury differs significantly from most reports in the literature in both prevalence and aetiology. This review was prepared to examine these injuries with a view to planning strategies for prevention.
School-based violence prevention strategy: a pilot evaluation.
Thakore, Rachel V; Apfeld, Jordan C; Johnson, Ronald K; Sathiyakumar, Vasanth; Jahangir, A Alex; Sethi, Manish K
2015-07-01
Violence has recently been reported among a primarily young, minority population in Nashville, Tennessee. School-based programs have been proven as effective methods of reducing violent behavior, beliefs, and actions that lead to violence among adolescents. Investigators implemented a rigorous search for an appropriate school-based violence prevention program for Metropolitan Nashville middle school students utilizing a systematic review and discussion group with victims of violence. 27 programs nation-wide were reviewed and 2 discussion groups with African American males under the age of 25 admitted to a level 1 trauma center for assault-related injuries were conducted. Our findings led to a single, evidence-based conflict resolution program. In conjunction with educators, we evaluated the program's effectiveness in a pilot study in a Nashville middle school with high rates of violence. 122 students completed the conflict resolution program and described their behavior and experiences with violence in a pre-test/post-test self-rate questionnaire. Results showed a significant decrease in violent behavior and an increase in students' competencies to deal with violence (p less than 0.05). This study shows that a reduction in violent behavior and beliefs among middle school students can be achieved through the implementation of a targeted violence intervention program. A larger-scale intervention is needed to develop more conclusive evidence of effectiveness. © 2015 KUMS, All rights reserved.
Alcohol sales and risk of serious assault.
Ray, Joel G; Moineddin, Rahim; Bell, Chaim M; Thiruchelvam, Deva; Creatore, Maria Isabella; Gozdyra, Piotr; Cusimano, Michael; Redelmeier, Donald A
2008-05-13
Alcohol is a contributing cause of unintentional injuries, such as motor vehicle crashes. Prior research on the association between alcohol use and violent injury was limited to survey-based data, and the inclusion of cases from a single trauma centre, without adequate controls. Beyond these limitations was the inability of prior researchers to comprehensively capture most alcohol sales. In Ontario, most alcohol is sold through retail outlets run by the provincial government, and hospitals are financed under a provincial health care system. We assessed the risk of being hospitalized due to assault in association with retail alcohol sales across Ontario. We performed a population-based case-crossover analysis of all persons aged 13 years and older hospitalized for assault in Ontario from 1 April 2002 to 1 December 2004. On the day prior to each assault case's hospitalization, the volume of alcohol sold at the store in closest proximity to the victim's home was compared to the volume of alcohol sold at the same store 7 d earlier. Conditional logistic regression analysis was used to determine the associated relative risk (RR) of assault per 1,000 l higher daily sales of alcohol. Of the 3,212 persons admitted to hospital for assault, nearly 25% were between the ages of 13 and 20 y, and 83% were male. A total of 1,150 assaults (36%) involved the use of a sharp or blunt weapon, and 1,532 (48%) arose during an unarmed brawl or fight. For every 1,000 l more of alcohol sold per store per day, the relative risk of being hospitalized for assault was 1.13 (95% confidence interval [CI] 1.02-1.26). The risk was accentuated for males (1.18, 95% CI 1.05-1.33), youth aged 13 to 20 y (1.21, 95% CI 0.99-1.46), and those in urban areas (1.19, 95% CI 1.06-1.35). The risk of being a victim of serious assault increases with alcohol sales, especially among young urban men. Akin to reducing the risk of driving while impaired, consideration should be given to novel methods of preventing alcohol-related violence.
Alcohol Sales and Risk of Serious Assault
Ray, Joel G; Moineddin, Rahim; Bell, Chaim M; Thiruchelvam, Deva; Creatore, Maria Isabella; Gozdyra, Piotr; Cusimano, Michael; Redelmeier, Donald A
2008-01-01
Background Alcohol is a contributing cause of unintentional injuries, such as motor vehicle crashes. Prior research on the association between alcohol use and violent injury was limited to survey-based data, and the inclusion of cases from a single trauma centre, without adequate controls. Beyond these limitations was the inability of prior researchers to comprehensively capture most alcohol sales. In Ontario, most alcohol is sold through retail outlets run by the provincial government, and hospitals are financed under a provincial health care system. We assessed the risk of being hospitalized due to assault in association with retail alcohol sales across Ontario. Methods and Findings We performed a population-based case-crossover analysis of all persons aged 13 years and older hospitalized for assault in Ontario from 1 April 2002 to 1 December 2004. On the day prior to each assault case's hospitalization, the volume of alcohol sold at the store in closest proximity to the victim's home was compared to the volume of alcohol sold at the same store 7 d earlier. Conditional logistic regression analysis was used to determine the associated relative risk (RR) of assault per 1,000 l higher daily sales of alcohol. Of the 3,212 persons admitted to hospital for assault, nearly 25% were between the ages of 13 and 20 y, and 83% were male. A total of 1,150 assaults (36%) involved the use of a sharp or blunt weapon, and 1,532 (48%) arose during an unarmed brawl or fight. For every 1,000 l more of alcohol sold per store per day, the relative risk of being hospitalized for assault was 1.13 (95% confidence interval [CI] 1.02–1.26). The risk was accentuated for males (1.18, 95% CI 1.05–1.33), youth aged 13 to 20 y (1.21, 95% CI 0.99–1.46), and those in urban areas (1.19, 95% CI 1.06–1.35). Conclusions The risk of being a victim of serious assault increases with alcohol sales, especially among young urban men. Akin to reducing the risk of driving while impaired, consideration should be given to novel methods of preventing alcohol-related violence. PMID:18479181
Workplace violence against nursing students and nurses: an Italian experience.
Magnavita, Nicola; Heponiemi, Tarja
2011-06-01
Nurses and nursing students are exposed to workplace violence. To compare the characteristics and effects of violence in nursing students and nurses in order to assess the phenomenon and take preventive action. A retrospective survey was conducted in three Italian university schools of nursing. At the end of a lecture, 346 of 349 students agreed to fill out a questionnaire that included domains on violence, mental health, job stress, and organizational justice. This group was compared with 275 nurses from a general hospital (94.2% participation rate). The prevalence of subjects reporting at least one upsetting episode of physical or verbal violence during their lifetime activity in clinical settings was 43% in nurses and 34% in nursing students. Nurses reported more physical assaults (odds ratio [OR] 2.89, 95% confidence interval [CI] 1.35-6.18), threats (OR 2.84, 95% CI 1.39-5.79), and sexual harassment (OR 2.3, 95% CI 1.15-5.54) during the previous 12 months than students. Nurses were mostly assaulted or harassed by patients or their relatives and friends ("external" violence), whereas students often reported verbal and also physical violence on the part of colleagues, staff, and others, including teachers, doctors, and supervisors ("internal" violence). Verbal violence was associated with high levels of psychological problems, as measured by the 12-item version of the General Health Questionnaire, in both students and nurses. Verbal violence was also associated with high job strain, low social support, and low organizational justice, but only among nursing students. Preventive action is urgently needed to control patient-to-worker and worker-to-worker violence in clinical settings. Not only nurses, but also nursing students, would benefit from multilevel programs of violence prevention. © 2011 Sigma Theta Tau International.
Workplace violence among Pennsylvania education workers: differences among occupations.
Tiesman, Hope; Konda, Srinivas; Hendricks, Scott; Mercer, Dan; Amandus, Harlan
2013-02-01
The purpose of this study was to measure the prevalence and characteristics of physical and non-physical WPV in a state-based cohort of education workers. A sample of 6,450 workers was drawn using de-identified union membership lists, stratified on gender, occupation, and school location. A cross-sectional survey was mailed to participants. An estimated 7.8% (95%CI=6.6-9.1) of education workers were physically assaulted and 28.9% (95%CI=26.4-31.5) experienced a non-physical WPV event during the 2009-2010 school year. Special education teachers were significantly more likely to be physically assaulted and experience a non-physical WPV event compared to general education teachers (Prevalence Rate Ratio=3.6, 95% 2.4-5.5; PRR=1.4, 95%CI=1.1-1.8). Special education teachers were at the highest risk for both physical and non-physical WPV. If not already present, schools should consider implementing comprehensive WPV prevention programs for their employees. Special education teachers have unique workplace hazards. Strategies that protect the special education teacher, while still protecting the special education student should be considered. Published by Elsevier Ltd.
28 CFR 90.11 - Program criteria.
Code of Federal Regulations, 2010 CFR
2010-07-01
... services programs, including sexual assault and domestic violence victim services programs. Section 2002(c... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.11 Program criteria...
28 CFR 90.11 - Program criteria.
Code of Federal Regulations, 2014 CFR
2014-07-01
... services programs, including sexual assault and domestic violence victim services programs. Section 2002(c... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.11 Program criteria...
28 CFR 90.11 - Program criteria.
Code of Federal Regulations, 2013 CFR
2013-07-01
... services programs, including sexual assault and domestic violence victim services programs. Section 2002(c... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.11 Program criteria...
28 CFR 90.11 - Program criteria.
Code of Federal Regulations, 2011 CFR
2011-07-01
... services programs, including sexual assault and domestic violence victim services programs. Section 2002(c... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.11 Program criteria...
28 CFR 90.11 - Program criteria.
Code of Federal Regulations, 2012 CFR
2012-07-01
... services programs, including sexual assault and domestic violence victim services programs. Section 2002(c... Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.11 Program criteria...
Military Personnel: Actions Needed to Address Sexual Assaults of Male Servicemembers
2015-03-01
providers we interviewed said that these same traditional gender stereotypes can make it particularly difficult for males to report that they were...develop a plan for using its data to inform program development; systematically evaluate whether male victims have gender - specific medical and...not systematically identified whether male victims have any gender -specific needs. DOD sexual assault policies specify that care be sensitive to gender
Volunteer and user evaluation of the National Sexual Assault Online Hotline.
Finn, Jerry; Garner, Michelle D; Wilson, Jen
2011-08-01
The National Sexual Assault Online Hotline (NSAOH) is a new model for delivery of rape and sexual assault crisis services through a secure, confidential chat-based online hotline. This paper presents a program evaluation drawn from volunteer counselor and user perceptions and experiences during the second year of operation of the NSAOH. Outcome data are presented from 731 session evaluations submitted by 94 volunteers and session evaluations from 4609 user sessions collected between June 1, 2008 and May 30, 2009. Evaluation includes ratings of usefulness, topics discussed, length of sessions, services provided, and session difficulties. The results indicate that the model is viable and useful, and the majority of volunteers and users are satisfied. Volunteer knowledge and skills are strongly associated with satisfaction with the hotline. Nevertheless, one-fifth of volunteers rate their session as not useful and users rate 8.2% of volunteers low in knowledge and skills. NSAOH is reaching many who have not previously sought services or did not resolve issues through other means. Findings suggest the importance of preparing volunteers in both crisis intervention and a wide variety of long-term issues related to sexual assault. Recommendations for program development, evaluation, and further research are presented. Copyright © 2010 Elsevier Ltd. All rights reserved.
Landsbergis, Paul; Zoeckler, Jeanette; Kashem, Zerin; Rivera, Bianca; Alexander, Darryl; Bahruth, Amy
2018-02-01
We examine strategies, programs, and policies that educators have developed to reduce work stressors and thus health risks. First, we review twenty-seven empirical studies and review papers on organizational programs and policies in K-12 education published from 1990 to 2015 and find some evidence that mentoring, induction, and Peer Assistance and Review programs can increase support, skill development, decision-making authority, and perhaps job security, for teachers-and thus have the potential to reduce job stressors. Second, we describe efforts to reduce workplace violence in Oregon, especially in special education, including legislation, collective bargaining, research, and public awareness. We conclude that to reduce workplace violence, adequate resources are needed for staffing, training, equipment, injury/assault reporting, and investigation. Third, we discuss collective bargaining initiatives that led to mentoring and Peer Assistance and Review and state legislation on prevention of bullying and harassment of school staff. Finally, we present a research agenda on these issues.
Violence at the workplace increases the risk of musculoskeletal pain among nursing home workers
Miranda, Helena; Punnett, Laura; Gore, Rebecca; Boyer, Jon
2018-01-01
Background Despite the high prevalences of workplace physical violence and musculoskeletal symptoms among health care workers, very few studies have examined the relationship between these two phenomena. Methods We surveyed 920 clinical nursing home workers by questionnaire regarding musculoskeletal pain in the low back, shoulders, wrists or hands, and knees. Information was also collected on exposure to physical assaults at work during the preceding 3 months, other workplace safety features, physical workload and psychosocial work environment. Log-binomial regression was used to estimate the prevalence ratios (PR) with 95% CIs. Results Almost one-half of respondents reported being assaulted at least once during the preceding 3 months by a resident or resident's visitor. The prevalence of low back pain increased from 40% among non-assaulted workers to 70% among those assaulted three or more times. The highest risk was found for widespread pain (three or more areas), with an adjusted PR of 2.7 (95% CI 1.8 to 3.9) for workers assaulted three or more times. Good workplace safety buffered the effects, so that violence increased the risk of most pains considerably less in a work environment perceived to be safe. Conclusions To our knowledge, this is the first study to show a dose–response association between physical assaults and musculoskeletal pain in a health care setting where violence is a frequent occurrence. This emphasises the need to address violence as a workplace hazard through practical measures for prevention as well as in future aetiological research on musculoskeletal disorders. PMID:20876554
The cost of work-related physical assaults in Minnesota.
McGovern, P; Kochevar, L; Lohman, W; Zaidman, B; Gerberich, S G; Nyman, J; Findorff-Dennis, M
2000-01-01
OBJECTIVE: To describe the long-term productivity costs of occupational assaults. DATA SOURCES/STUDY SETTING: All incidents of physical assaults that resulted in indemnity payments, identified from the Minnesota Department of Labor and Industry (DLI) Workers' Compensation system in 1992. Medical expenditures were obtained from insurers, and data on lost wages, legal fees, and permanency ratings were collected from DLI records. Insurance administrative expenses were estimated. Lost fringe benefits and household production losses were imputed. STUDY DESIGN: The human capital approach was used to describe the long-term costs of occupational assaults. Economic software was used to apply a modified version of Rice, MacKenzie, and Associates' (1989) model for estimating the present value of past losses from 1992 through 1995 for all cases, and the future losses for cases open in 1996. PRINCIPAL FINDINGS: The total costs for 344 nonfatal work-related assaults were estimated at $5,885,448 (1996 dollars). Calculation of injury incidence and average costs per case and per employee identified populations with an elevated risk of assault. An analysis by industry revealed an elevated risk for workers employed in justice and safety (incidence: 198/100,000; $19,251 per case; $38 per employee), social service (incidence: 127/100,000; $24,210 per case; $31 per employee), and health care (incidence: 76/100,000; $13,197 per case; $10 per employee). CONCLUSIONS: Identified subgroups warrant attention for risk factor identification and prevention efforts. Cost estimates can serve as the basis for business calculations on the potential value of risk management interventions. PMID:10966089
Fabiano, Patricia M; Perkins, H Wesley; Berkowitz, Alan; Linkenbach, Jeff; Stark, Christopher
2003-01-01
The field of sexual assault prevention is shifting attention to educational interventions that address the role of men in ending violence against women. Recent studies document the often-misperceived norms men hold about other men's endorsement of rape-supportive attitudes and behaviors. The authors provide further evidence supporting the design of population-based social norms interventions to prevent sexual assault. Data from this study suggest that men underestimate the importance that most men and women place on consent and willingness of most men to intervene against sexual violence. In addition, men's personal adherence to only consensual activity and their willingness to act as women's allies are strongly influenced by their perceptions of other men's and women's norms. These findings support the proposition that accurate normative data, which counters the misperception of rape-supportive environments, can be a critical part of comprehensive campus efforts to catalyze and support men's development as women's social justice allies in preventing sexual violence against women.
Street, Amy E.; Rosellini, Anthony J.; Ursano, Robert J.; Heeringa, Steven G.; Hill, Eric D.; Monahan, John; Naifeh, James A.; Petukhova, Maria V.; Reis, Ben Y.; Sampson, Nancy A.; Bliese, Paul D.; Stein, Murray B.; Zaslavsky, Alan M.; Kessler, Ronald C.
2016-01-01
Sexual violence victimization is a significant problem among female U.S. military personnel. Preventive interventions for high-risk individuals might reduce prevalence, but would require accurate targeting. We attempted to develop a targeting model for female Regular U.S. Army soldiers based on theoretically-guided predictors abstracted from administrative data records. As administrative reports of sexual assault victimization are known to be incomplete, parallel machine learning models were developed to predict administratively-recorded (in the population) and self-reported (in a representative survey) victimization. Capture-recapture methods were used to combine predictions across models. Key predictors included low status, crime involvement, and treated mental disorders. Area under the Receiver Operating Characteristic curve was .83−.88. 33.7-63.2% of victimizations occurred among soldiers in the highest-risk ventile (5%). This high concentration of risk suggests that the models could be useful in targeting preventive interventions, although final determination would require careful weighing of intervention costs, effectiveness, and competing risks. PMID:28154788
School-based violence prevention strategy: a pilot evaluation
Thakore, Rachel V.; Apfeld, Jordan C.; Johnson, Ronald K.; Sathiyakumar, Vasanth; Jahangir, A. Alex; Sethi, Manish K.
2015-01-01
Abstract: Background: Violence has recently been reported among a primarily young, minority population in Nashville, Tennessee. School-based programs have been proven as effective methods of reducing violent behavior, beliefs, and actions that lead to violence among adolescents. Methods: Investigators implemented a rigorous search for an appropriate school-based violence prevention program for Metropolitan Nashville middle school students utilizing a systematic review and discussion group with victims of violence. 27 programs nation-wide were reviewed and 2 discussion groups with African American males under the age of 25 admitted to a level 1 trauma center for assault-related injuries were conducted. Our findings led to a single, evidence-based conflict resolution program. In conjunction with educators, we evaluated the program’s effectiveness in a pilot study in a Nashville middle school with high rates of violence. Results: 122 students completed the conflict resolution program and described their behavior and experiences with violence in a pre-test/post-test self-rate questionnaire. Results showed a significant decrease in violent behavior and an increase in students’ competencies to deal with violence (p less than 0.05). Conclusions: This study shows that a reduction in violent behavior and beliefs among middle school students can be achieved through the implementation of a targeted violence intervention program. A larger-scale intervention is needed to develop more conclusive evidence of effectiveness. PMID:24879077
Xu, Yanjun; Yu, Qingzhao; Scribner, Richard; Theall, Katherine; Scribner, Scott; Simonsen, Neal
2012-06-01
Many previous studies have suggested a link between alcohol outlets and assaultive violence rates. In 1997 the City of New Orleans adopted a series of policies, e.g., increased license fee, additional enforcement staff, and expanded powers for the alcohol license board. The policies were specifically enacted to address the proliferation of problem alcohol outlets believed to be the source of a variety of social problems including assaultive violence. In this research, we evaluate the impact of a city level policy in New Orleans to address the problem alcohol outlets and their influence on assaultive violence. The spatial association between rates of assaultive violence at the census tract level (n=170) over a ten year period raises a challenge in statistical analysis. To meet this challenge we developed a hierarchical change-point model that controls for important covariates of assaultive violence and accounts for unexplained spatial and temporal variability. While our model is somewhat complex, its hierarchical Bayesian analysis is accessible via the WinBUGS software program. Keeping other effects fixed, the implementation of the new city level policy was associated with a decrease in the positive association between census tract level rates of assaultive violence and alcohol outlet density. Comparing several candidate change-point models using the DIC criterion, the positive association began decreasing the year of the policy implementation. The magnitude of the association continued to decrease for roughly two years and then stabilized. We also created maps of the fitted assaultive violence rates in New Orleans, as well as spatial residual maps which, together with Moran's I's, suggest that the spatial variation of the data is well accounted for by our model. We reach the conclusion that the implementation of the policy is associated with a significant decrease in the positive relationship between assaultive violence and the off-sale alcohol outlet density. Copyright © 2012 Elsevier Ltd. All rights reserved.
Cologne burn centre experience with assault burn injuries.
Theodorou, P; Spanholtz, T A; Amini, P; Maurer, C A; Phan, T Q V; Perbix, W; Lefering, R; Spilker, G
2009-12-01
To evaluate demographic and socioeconomic factors associated with assault burn injuries. Assault by burning demonstrates a rare but severe public health issue and accounts for unique injury characteristics in the burn intensive care unit (BICU). We conducted a retrospective cohort study involving patients with thermal injuries admitted to the BICU of a university hospital. The patient cohort was divided into two groups (ABI group: patients with assault burns, n=41; population of all other burned patients admitted to the BICU, n=1202). Bivariate and multivariate analyses including demographic and socioeconomic data were used to identify factors associated with assault burns. Forty-one assault-related burn victims were identified in the study period. This represents 3.3% of all significant burns admitted. Comparing battery victims with the control population, assault patients were more likely to be young (mean age 36.2 years vs. 42.2 years) and immigrants (41.5% vs. 15.1%). Furthermore, marital status (65.9% vs. 40.8% singles), employment status (36.6% vs. 9.7% unemployed) and insurance status (41.5% vs. 12.3% social insurance) were significantly different in the bivariate analysis. Logistic regression evaluation identified three variables that were independently associated with assault burns: younger age (< or =25 years) (odds ratio, 2.54 [95% confidence interval, 1.29-5.02]; p=0.007), ethnic minority (odds ratio, 3.71 [95% confidence interval, 1.91-7.20]; p<0.001) and unemployment (odds ratio, 4.02 [95% confidence interval, 2.03-7.97]; p<0.001). The high incidence of youngsters, unemployment and the great proportion of immigrants in victims of assault might provide several opportunities for community-based psychosocial and occupational programs. A multidisciplinary approach targeting issues specific to the violent nature of the injury and the socioeconomic background of the victims may be of benefit to improve their perspectives for rehabilitation.
Evaluation of a child sexual abuse prevention program.
Chasan-Taber, L; Tabachnick, J
1999-10-01
A half-million children are believed to be sexually abused each year in the United States. In 1995, the American Medical Association declared sexual assault "a silent violent epidemic." The majority of efforts to stop child sexual abuse have focused on punishing abusers and treating victims and their families; prevention programs are uncommon and rely on educating children to report sexual abuse. This case study describes the evaluation of the first public health campaign designed to target adults for prevention. A baseline assessment of attitudes, awareness, knowledge, and policies was conducted in Vermont to identify facilitators and barriers to adult prevention of child sexual abuse. These included predisposing factors (50% of Vermont residents did not know the characteristics of an abuser), enabling factors (60% of Vermont residents did not know where to refer someone who may have sexual behavior problems), and reinforcing factors (when focus group participants knew an abuser, they were less likely to take action). This process guided the intervention, which included a broad-based media campaign targeting adults; a one-to-one communications strategy that provided information to agencies working with families at risk and a toll-free helpline for adults in an abuse situation; and a systems change strategy designed to educate decision-makers and leaders. Program evaluation measures included a random-digit dial survey, focus groups, a survey of Vermont decision-makers, and other data sets. The successes and limitations of these interventions, both as strategies in themselves and as data sources for evaluation, are discussed.
Military Sexual Assault Prevention Act of 2013
Sen. Klobuchar, Amy [D-MN
2013-03-13
Senate - 06/04/2013 Committee on Armed Services. Hearings held. Hearings printed: S.Hrg. 113-320. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
25 CFR 63.12 - What are minimum standards of character?
Code of Federal Regulations, 2010 CFR
2010-04-01
... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63... guilty to any offense under Federal, state, or tribal law involving crimes of violence, sexual assault...
76 FR 18633 - National Sexual Assault Awareness and Prevention Month, 2011
Federal Register 2010, 2011, 2012, 2013, 2014
2011-04-05
.... Despite reforms to our legal system, sexual violence remains pervasive and largely misunderstood. Nearly... hesitate to report these crimes because they fear the criminal justice system will respond with skepticism...
Sex differences in work-related traumatic brain injury due to assault.
Mollayeva, Tatyana; Mollayeva, Shirin; Lewko, John; Colantonio, Angela
2016-06-16
To examine the etiology, prevalence and severity of assault-precipitated work-related traumatic brain injury (wrTBI) in Ontario, Canada through a sex lens. Cross-sectional study using data abstracted from the Ontario Workplace Safety and Insurance Board (WSIB) claims files in 2004. Descriptive analyses were conducted to determine the distribution of worker/employment/incident characteristics. Workplace physical violence that resulted in a TBI accounted for 6.6% percent of all TBI injury claims. Female workers, primarily in the health care/social services sector, accounted for over half of all TBIs. Most workers were assaulted by consumers/clients. Forty five percent of injuries occurred among workers with less than 3 years of employment. This paper identifies profiles of workers and workplaces for targeted preventive efforts. Future studies are needed to further address risk factors by sex and outcomes, such as length of disability and health care cost.
Sumner, Steven A.; Mercy, James A.; Dahlberg, Linda L.; Hillis, Susan D.; Klevens, Joanne; Houry, Debra
2015-01-01
IMPORTANCE Interpersonal violence, which includes child abuse and neglect, youth violence, intimate partner violence, sexual violence, and elder abuse, affects millions of US residents each year. However, surveillance systems, programs, and policies to address violence often lack broad, cross-sector collaboration, and there is limited awareness of effective strategies to prevent violence. OBJECTIVES To describe the burden of interpersonal violence in the United States, explore challenges to violence prevention efforts and to identify prevention opportunities. DATA SOURCES We reviewed data from health and law enforcement surveillance systems including the National Vital Statistics System, the Federal Bureau of Investigation’s Uniform Crime Reports, the US Justice Department’s National Crime Victimization Survey, the National Survey of Children’s Exposure to Violence, the National Child Abuse and Neglect Data System, the National Intimate Partner and Sexual Violence Survey, the Youth Risk Behavior Surveillance System, and the National Electronic Injury Surveillance System—All Injury Program. RESULTS Homicide rates have decreased from a peak of 10.7 per 100 000 persons in 1980 to 5.1 per 100 000 in 2013. Aggravated assault rates have decreased from a peak of 442 per 100 000 in 1992 to 242 per 100 000 in 2012. Nevertheless, annually, there are more than 16 000 homicides and 1.6 million nonfatal assault injuries requiring treatment in emergency departments. More than 12 million adults experience intimate partner violence annually and more than 10 million children younger than 18 years experience some form of maltreatment from a caregiver, ranging from neglect to sexual abuse, but only a small percentage of these violent incidents are reported to law enforcement, health care clinicians, or child protective agencies. Moreover, exposure to violence increases vulnerability to a broad range of mental and physical health problems over the life course; for example, meta-analyses indicate that exposure to physical abuse in childhood is associated with a 54% increased odds of depressive disorder, a 78% increased odds of sexually transmitted illness or risky sexual behavior, and a 32% increased odds of obesity. Rates of violence vary by age, geographic location, sex, and race/ethnicity, and significant disparities exist. Homicide is the leading cause of death for non-Hispanic blacks from age 1 through 44 years, whereas it is the fifth most common cause of death among non-Hispanic whites in this age range. Additionally, efforts to understand, prevent, and respond to interpersonal violence have often neglected the degree to which many forms of violence are interconnected at the individual level, across relationships and communities, and even intergenerationally. The most effective violence prevention strategies include parent and family-focused programs, early childhood education, school-based programs, therapeutic or counseling interventions, and public policy. For example, a systematic review of early childhood home visitation programs found a 38.9% reduction in episodes of child maltreatment in intervention participants compared with control participants. CONCLUSIONS AND RELEVANCE Progress has been made in reducing US rates of interpersonal violence even though a significant burden remains. Multiple strategies exist to improve violence prevention efforts, and health care providers are an important part of this solution. PMID:26241599
Violence in the United States: Status, Challenges, and Opportunities.
Sumner, Steven A; Mercy, James A; Dahlberg, Linda L; Hillis, Susan D; Klevens, Joanne; Houry, Debra
2015-08-04
Interpersonal violence, which includes child abuse and neglect, youth violence, intimate partner violence, sexual violence, and elder abuse, affects millions of US residents each year. However, surveillance systems, programs, and policies to address violence often lack broad, cross-sector collaboration, and there is limited awareness of effective strategies to prevent violence. To describe the burden of interpersonal violence in the United States, explore challenges to violence prevention efforts and to identify prevention opportunities. We reviewed data from health and law enforcement surveillance systems including the National Vital Statistics System, the Federal Bureau of Investigation's Uniform Crime Reports, the US Justice Department's National Crime Victimization Survey, the National Survey of Children's Exposure to Violence, the National Child Abuse and Neglect Data System, the National Intimate Partner and Sexual Violence Survey, the Youth Risk Behavior Surveillance System, and the National Electronic Injury Surveillance System-All Injury Program. Homicide rates have decreased from a peak of 10.7 per 100,000 persons in 1980 to 5.1 per 100,000 in 2013. Aggravated assault rates have decreased from a peak of 442 per 100,000 in 1992 to 242 per 100,000 in 2012. Nevertheless, annually, there are more than 16,000 homicides and 1.6 million nonfatal assault injuries requiring treatment in emergency departments. More than 12 million adults experience intimate partner violence annually and more than 10 million children younger than 18 years experience some form of maltreatment from a caregiver, ranging from neglect to sexual abuse, but only a small percentage of these violent incidents are reported to law enforcement, health care clinicians, or child protective agencies. Moreover, exposure to violence increases vulnerability to a broad range of mental and physical health problems over the life course; for example, meta-analyses indicate that exposure to physical abuse in childhood is associated with a 54% increased odds of depressive disorder, a 78% increased odds of sexually transmitted illness or risky sexual behavior, and a 32% increased odds of obesity. Rates of violence vary by age, geographic location, sex, and race/ethnicity, and significant disparities exist. Homicide is the leading cause of death for non-Hispanic blacks from age 1 through 44 years, whereas it is the fifth most common cause of death among non-Hispanic whites in this age range. Additionally, efforts to understand, prevent, and respond to interpersonal violence have often neglected the degree to which many forms of violence are interconnected at the individual level, across relationships and communities, and even intergenerationally. The most effective violence prevention strategies include parent and family-focused programs, early childhood education, school-based programs, therapeutic or counseling interventions, and public policy. For example, a systematic review of early childhood home visitation programs found a 38.9% reduction in episodes of child maltreatment in intervention participants compared with control participants. Progress has been made in reducing US rates of interpersonal violence even though a significant burden remains. Multiple strategies exist to improve violence prevention efforts, and health care providers are an important part of this solution.
Sell, Timothy C; Abt, John P; Crawford, Kim; Lovalekar, Mita; Nagai, Takashi; Deluzio, Jennifer B; Smalley, Brain W; McGrail, Mark A; Rowe, Russell S; Cardin, Sylvain; Lephart, Scott M
2010-01-01
Physical training for United States military personnel requires a combination of injury prevention and performance optimization to counter unintentional musculoskeletal injuries and maximize warrior capabilities. Determining the most effective activities and tasks to meet these goals requires a systematic, research-based approach that is population specific based on the tasks and demands of the Warrior. The authors have modified the traditional approach to injury prevention to implement a comprehensive injury prevention and performance optimization research program with the 101st Airborne Division (Air Assault) at Fort Campbell, KY. This is second of two companion papers and presents the last three steps of the research model and includes Design and Validation of the Interventions, Program Integration and Implementation, and Monitor and Determine the Effectiveness of the Program. An 8-week trial was performed to validate the Eagle Tactical Athlete Program (ETAP) to improve modifiable suboptimal characteristics identified in Part I. The experimental group participated in ETAP under the direction of a ETAP Strength and Conditioning Specialist while the control group performed the current physical training at Fort Campbell under the direction of a Physical Training Leader and as governed by FM 21-20 for the 8-week study period. Soldiers performing ETAP demonstrated improvements in several tests for strength, flexibility, performance, physiology, and the APFT compared to current physical training performed at Fort Campbell. ETAP was proven valid to improve certain suboptimal characteristics within the 8-week trial as compared to the current training performed at Fort Campbell. ETAP has long-term implications and with expected greater improvements when implemented into a Division pre-deployment cycle of 10-12 months which will result in further systemic adaptations for each variable.
Helping the employee victim of violence in hospitals.
Engel, F; Marsh, S
1986-02-01
Violent behavior of patients is an occupational health hazard of health care professionals that the authors believe has not been fully recognized. Hospitals have developed a wide variety of techniques to manage patients who assault staff but have consistently ignored the plight of the victimized employee. Although professional staff who have been assaulted resist seeing themselves as victims, the authors believe they experience the feelings and reactions typical of other victims and therefore may need help in dealing with emotional trauma. The authors describe a victims' assistance program adopted by Royal Victoria Hospital in Montreal and discuss problems associated with implementing programs like it.
2005 NDIA Combat Vehicles Conference. Volume 2- Thursday Presentations and Videos
2005-09-22
Mounted Combat System MULE: (Countermine) MULE: (Transport) Class II Class III Class IV Armed Robotic Vehicle ARV RSTA ARV Assault FCS Recovery and...Vehicles – Infantry Carrier Vehicle (ICV) – Armed Robotic Vehicle - Assault (ARV (A)) – Recon & Surveillance Vehicle (RSV) Training Ammo for AP & AB...Holtz and Mr. Dick Williams, Boeing Mr. Dean Vanderstelt, General Dynamics Land Systems ( GDLS ) Mr. Mike Zoltoski, TARDEC Mr. Peter DeMasi, Program
78 FR 8349 - National Teen Dating Violence Awareness and Prevention Month, 2013
Federal Register 2010, 2011, 2012, 2013, 2014
2013-02-06
... National Teen Dating Violence Awareness and Prevention Month, 2013 By the President of the United States of... disproportionately affected by both dating violence and sexual assault. This month, we stand with those who have known the pain and isolation of an abusive relationship, and we recommit to ending the cycle of violence...
What Works in Preventing Rural Violence: Strategies, Risk Factors, and Assessment Tools.
ERIC Educational Resources Information Center
Monsey, Barbara R.; And Others
This report details unique characteristics of rural violence and outlines 88 strategies to prevent violent behavior, improve services for victims, and reduce recidivism. According to the U.S. Department of Justice, rape, assault, and robbery rates tripled in rural communities from 1965 to 1992. Rural violence differs from urban violence in several…
ERIC Educational Resources Information Center
Finkelhor, David; And Others
1995-01-01
Interviews with 2,000 youths (ages 10-16) and their caretakers examined whether instruction at school or home about how to prevent victimization impacted on children's behavior in real victimization attempts. Children exposed to comprehensive school-based or home-based instruction were more likely to use recommended self-protection strategies and…
ERIC Educational Resources Information Center
McMahon, Sarah; Hoffman, Melanie Lowe; McMahon, Sheila M.; Zucker, Sharon; Koenick, Ruth Anne
2013-01-01
Bystander education is an increasingly utilized strategy for addressing sexual assault prevention and intervention on U.S. college campuses. Given the paramount importance of peers among college students, what types of pro-social bystander interventions do students themselves deem feasible in the campus context? Drawing on self-reports from…
25 CFR 63.15 - What questions should an employer ask?
Code of Federal Regulations, 2010 CFR
2010-04-01
... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63..., volunteer, or employee has been arrested or convicted of a crime involving a child, violence, sexual assault...
Cybersecurity Cooperation OTTAWA, June 14, 2010 - The cyber threat to the United States and Canada is real and Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber Strategy News Today in DOD
Defense.gov Special Report: Travels with Panetta - September 2011
: Regional Defense, Cyber Highlight AUSMIN Talks SAN FRANCISCO, Sept. 14, 2011 - Asia-Pacific defense Sexual Assault Prevention Asia-Pacific Rebalance Cyber Strategy News Today in DOD Press Advisories News
42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?
Code of Federal Regulations, 2013 CFR
2013-10-01
... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or... Protection and Family Violence Prevention § 136.416 When should the IHS deny employment or dismiss an...
42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?
Code of Federal Regulations, 2014 CFR
2014-10-01
... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or... Protection and Family Violence Prevention § 136.416 When should the IHS deny employment or dismiss an...
42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?
Code of Federal Regulations, 2010 CFR
2010-10-01
... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or... Protection and Family Violence Prevention § 136.416 When should the IHS deny employment or dismiss an...
42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?
Code of Federal Regulations, 2012 CFR
2012-10-01
... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or... Protection and Family Violence Prevention § 136.416 When should the IHS deny employment or dismiss an...
42 CFR 136.416 - When should the IHS deny employment or dismiss an employee?
Code of Federal Regulations, 2011 CFR
2011-10-01
... violence; sexual assault, molestation, exploitation, contact, or prostitution; crimes against persons; or... Protection and Family Violence Prevention § 136.416 When should the IHS deny employment or dismiss an...
Burns inflicted by self or by others--an 11 year snapshot.
Malic, C C; Karoo, R O S; Austin, O; Phipps, A
2007-02-01
In the United Kingdom, the incidence of assault by burning and of self inflicted burns increased significantly over the last decade. This has major implications both for service providers and society as a whole. Our aim was to investigate the differences in patients' characteristics, management and outcome following a burn sustained by either an assault or self immolation. Acute admissions to a tertiary Burn Centre were retrospectively reviewed over an 11 year period (1994-2005). Demographic data and information regarding the circumstances surrounding the incident, burn severity, treatment and outcomes of the patients were collected. Over an 11 year period, 1745 patients were admitted to the tertiary Burn Centre. Of this total, 41 patients (mean age 29 years+/-16) sustained burns following an assault, a further 86 patients (mean age of 37 years+/-12) had self inflicted burn injuries; males were preponderant in both groups. In this series, a history of alcohol or substance abuse was present in 25% of both cohorts, 63% of the patients with self inflicted injuries having a previously diagnosed psychiatric disorder. Petrol, accelerants and other flammable liquids were the main agents chosen to inflict injury in both the assault and self inflicted groups. The burn depth and surface area distribution was greater in the self inflicted group compared to those assaulted (29% versus 21%). A difference was also noted in the pattern of distribution of burns between the two groups, as well as between genders although this difference was not significant. Two-thirds (67.4%) of the self immolated patients and 56% of the assaulted group required surgery. The length of hospital stay was similar for both groups, averaging 20 days. The crude mortality for the self inflicted group was 29%, whereas in the assaulted patients, the overall mortality was 4.9%. Although the incidence of burns caused either by assault or attempted suicide is low, the affected patients require a multidisciplinary approach. Their management requires significant medical, psychological occupational and social support. Increased awareness and education of those vulnerable individuals maybe of benefit to help prevent self inflicted injuries by burning.
Lipsky, Sherry; Cristofalo, Meg; Reed, Sarah; Caetano, Raul; Roy-Byrne, Peter
2012-07-01
The objectives of this study were to examine racial and ethnic disparities in perpetrator and incident characteristics and discrepancies between police charges and reported perpetrator behaviors in police-reported intimate partner violence (IPV). This cross-sectional study used standardized police data and victim narratives of IPV incidents reported to the police in Dallas, Texas in 2004. The sample included non-Hispanic White, non-Hispanic Black, and Hispanic male perpetrators who were residents of Dallas (N = 4470). Offense charges were prioritized in descending order: sexual assault, aggravated assault, simple assault, kidnapping, robbery, and intimidation. Textual data from the victim narratives were coded, based on the revised Conflict Tactics Scales (CTS), and categorized in descending order of priority: sexual (severe, minor), physical (severe, minor), and psychological (severe, minor) assault. Perpetrators were more likely to be Black and Hispanic. Perpetrator and incident characteristics varied significantly by race/ethnicity, particularly age, age difference between partners, marital status, injury, and interracial relationships. Qualitative data revealed that greater proportions of Black and Hispanic men perpetrated severe physical, but not sexual violence, compared with White men. The greatest disparity between CTS categories and police charges occurred among those cases identified by the CTS as severe physical IPV; 84% were charged with simple assault. Significant differences by race/ethnicity were found only for simple assault charges, which were coded as severe physical as opposed to minor physical IPV more often among Black (69% and 31%) compared with White (62% and 38%) men. The disparities revealed in this study highlight the need to enhance primary and secondary prevention efforts within Black and Hispanic communities and to increase linkages between police, community, and public health organizations.
Gidycz, Christine A; Dardis, Christina M
2014-10-01
There remains resistance to feminist self-defense and resistance training programming for women, despite (a) documented effectiveness of rape resistance strategies in avoiding rape, (b) consistently high rates of sexual victimization on college campuses, and (c) limited evidence of lasting change in sexual assault perpetration reduction within existing men's prevention programs. The current article seeks to discuss (1) the rationale for feminist self-defense and resistance training for women, (2) key components of feminist self-defense and resistance training, (3) barriers to its implementation, (4) outcomes of self-defense and resistance training programming, and (5) recommendations for future work. Such suggestions include increasing funding for large-scale self-defense and rape resistance outcome research to examine program effectiveness. Specifically, outcome research that examines the role of contextual factors (e.g., alcohol use) and women's victimization histories is needed. Finally, self-defense training and resistance training should be combined with bystander intervention and men's programs with the goal of providing synergistic effects on rape reduction. © The Author(s) 2014.
Combat, Sexual Assault, and Post-Traumatic Stress in OIF/OEF Military Women
2013-01-01
Traumatic Stress in OIF/OEF Military Women PRINCIPAL INVESTIGATOR: Anne G. Sadler, R.N., Ph.D. CONTRACTING ORGANIZATION: Iowa City VA...NUMBER Combat, Sexual Assault, and Post-Traumatic Stress in OIF/OEF Military Women 5b. GRANT NUMBER W81XWH-08-2-0080 5c. PROGRAM ELEMENT NUMBER...endpoints (e.g., post-traumatic stress disorder, traumatic brain injury) in four subgroups: 1) women deployed to combat related regions once; 2) women
LHA 6 America Class Amphibious Assault Ship (LHA 6)
2015-12-01
Selected Acquisition Report ( SAR ) RCS: DD-A&T(Q&A)823-333 LHA 6 America Class Amphibious Assault Ship (LHA 6) As of FY 2017 President’s Budget...Defense Acquisition Management Information Retrieval (DAMIR) March 8, 2016 09:40:04 UNCLASSIFIED LHA 6 December 2015 SAR March 8, 2016 09:40:04...Requirements Document OSD - Office of the Secretary of Defense O&S - Operating and Support PAUC - Program Acquisition Unit Cost LHA 6 December 2015 SAR March
Community cooperatives combat sexual assault and domestic violence.
Greenwood, Marc D
2003-02-01
The effectiveness of the SANE program is borne out by the following testimonies: "The emotional support required by these victims is best rendered by a SANE. This frees the ED nurse to care for other patients, while sexual assault victims receive a high level of care," says Nancy Donel, RN manager at St. Thomas Hospital ED. "The DOVE program benefits not only the emergency physician, but the EMS system as well. It gives us a resource and a specifically identified program with well-trained, qualified providers. Through their training and knowledge, SANEs not only help victims, but also increase the number of legal convictions that take assailants off the streets. This improves the health and safety of the communities in which we live and serve," says Michael Mackan, MD, of the Summa Health System.
Unshared Sacrifice: The House of Representatives' Shameful Assault on America's Children.
ERIC Educational Resources Information Center
Children's Defense Fund, Washington, DC.
This report discusses the impact of federal budget cuts, program restructuring, and rescissions in programs crucial to child survival. It summarizes the changes voted in by House committees, including changes in school meal programs; combining the Child and Adult Care Food Program with the Women, Infants, and Children (WIC) Program; removing…
Supporting the goals and ideals of Sexual Assault Awareness and Prevention Month.
Rep. Reed, Tom [R-NY-23
2014-04-03
House - 04/16/2014 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
Supporting the goals and ideals of Sexual Assault Awareness and Prevention Month.
Rep. Moore, Gwen [D-WI-4
2013-04-26
House - 04/30/2013 Referred to the Subcommittee on Crime, Terrorism, Homeland Security, and Investigations. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:
77 FR 14006 - Board of Visitors, United States Military Academy (USMA)
Federal Register 2010, 2011, 2012, 2013, 2014
2012-03-08
... Organizational Meeting of the USMA Board of Visitors (BoV). Members of the Board will be provided updates on... Harassment/Assault Response and Prevention, Supporting US Army Strategies, and the DAIG Cemetery Inspection...
“Catching Flies With Honey”: The Management of Conflict in Sexual Assault Response Teams
Moylan, Carrie A.; Lindhorst, Taryn
2015-01-01
Sexual Assault Response Teams (SARTs) are models of service delivery characterized by coordination between rape crisis, health care, and criminal justice sectors. Expanding on research documenting the extent and nature of conflict in SARTs, this study qualitatively explores the strategies used to manage conflict and variations in the use of strategies between professions. Analysis of interviews with SART members (n = 24) revealed five types of strategies: (a) preventative strategies sought to prevent conflict and build capacity for resolving conflict, (b) problem-solving strategies identified and responded directly to conflicts, (c) forcing strategies involved one person attempting to force a perspective or solution on others, (d) unobtrusive strategies covertly worked toward change, and (e) resigned strategies limited direct responses to conflict to protect the coordination. Rape crisis advocates talked the most about conflict management strategies and were almost exclusively responsible for unobtrusive and resignation strategies. PMID:25246436
"Consent is Good, Joyous, Sexy": A banner campaign to market consent to college students.
Thomas, Kristie A; Sorenson, Susan B; Joshi, Manisha
2016-01-01
This study assessed the recall of, reaction to, and understanding of a brief campus banner campaign promoting consent in sexual relationships, and determined whether campaign exposure was associated with subsequent engagement in activities related to sexual assault education, awareness, and prevention. A stratified random sample of 1,200 undergraduates was recruited during fall of 2010; 628 (52.3%) participated. To account for history and maturation, an experimental research design was employed with an online survey. Direct and indirect campaign exposure was associated with increased action. Students expressed primarily positive reactions to and appeared to understand the consent message. The campaign appealed to and was associated with increased activity among a wide range of students with one exception: a negative effect was observed for business students. Colorful banners with pithy, upbeat messages hold promise for engaging undergraduates in conversations and proactive activities related to sexual assault prevention.
Substance abuse and behavioral correlates of sexual assault among South African adolescents.
King, Gary; Flisher, Alan J; Noubary, Farzad; Reece, Robert; Marais, Adele; Lombard, Carl
2004-06-01
The aim of this article is twofold: first, to examine the prevalence of being the victim of actual and attempted rape among a large representative sample of Cape Town high school students; and second, to identify the correlates of sexual assault for both boys and girls, including alcohol, tobacco and other drug use, behavioral problems, and suicidality. Data for this study were derived from the 1997 South African Community Epidemiology Network on Drug Use (SACENDU) school survey. A stratified sampling procedure was used to select students in Grades 8 and 11 at non-private high schools in Cape Town. A total of 2,946 students completed a survey consisting of socio-demographic questions and items about substance abuse, sexual activity, and other adolescent health risk behaviors. A subsample of 939 was randomly selected to complete items about sexual violence. The results revealed that 8.4% of respondents were victims of attempted rape, while 5.8% were victims of actual rape. Ordinal logistic regression showed that girls were 3.9 times more likely than boys to have been victims of sexual abuse. Family structure was also significantly related to rape as persons who lived with a single parent (OR = 1.74, CI = 1.00-3.04) and those who resided with one biological parent and one step parent (OR = 2.59, CI = 1.34-5.01) were more likely to have been have been victims of sexual abuse than those living with both biological parents. Alcohol use (OR = 2.0, CI = 1.10-3.62), anti-social behavior (stolen property, caused physical damage to property, bullied others, or been in physical fights) (OR = 1.44, CI = 1.12-1.86), suicidal dialogue (OR = 2.48, CI = 1.19-5.19), and suicidal attempts (OR = 3.2, CI = 1.65-6.30) were also significant predictors of sexual abuse victimization. Racially classified social groups (RCSG), age, drug use, and cigarette smoking were not significant predictors of sexual abuse victimization, while socioeconomic status was found to be marginally significant. This study reinforces the importance of multiple factors including alcohol use, anti-social behavior, suicidal thoughts and actions, and family structure with respect to sexual assault of adolescents in South Africa. Establishing and strengthening intervention programs, school based child protective protocols, professional education of teachers and school personnel, community prevention programs, and initiatives could help prevent adolescent sexual violence and reduce the sequelae associated with this problem.
Olszewski, Kimberly; Parks, Carol; Chikotas, Noreen E
2007-03-01
Occupational safety and health objectives 20.6 through 20.11 focus on reducing work-related assaults, lead exposure, skin diseases and disorders, needlestick injuries, and work-related, noise-induced hearing loss and promoting worksite stress reduction programs. Using the intervention strategies provided, occupational health nurses can play a key role in reducing workplace-related injury, disease, disability, and death. variety of resources pertaining to occupational health and safety from the federal, national, health care, nursing, and environmental realms can assist occupational health nurses in developing and implementing programs appropriate for their workplaces. Through the Healthy People 2010 occupational health and safety objectives, occupational health nurses have the opportunity to develop and implement workplace policies and programs promoting not only a safe and healthy work environment but also improved health and disease prevention. Occupational health nurses can implement strategies to increase quality and years of life and eliminate health disparities in the American work force.
Bystander Programs: Accommodating or Derailing Sexism?
Reid, Adam; Dundes, Lauren
2017-01-01
Bystander programs implemented to meet federal requirements to reduce sexual assaults on college campuses in the United States must include primary prevention. Survey data (n = 280) and interview data (n = 20) presented in this paper explore students’ hypothetical and actual willingness to intervene as bystanders. Although most students surveyed (57%) claim they would be very likely to intervene, fewer than half would be very suspicious of someone leading away an intoxicated individual at a party (45% of women and 28% of men: p < 0.01). Interview data reveal how students perceive risk factors at college parties and what types of bystander measures they attempt, including “distractions”, a nonconfrontational tactic in which bystanders avoid more direct but socially risky interventions. Subsumed in many current bystander programs is an invisible element of valorizing harmony. Condoning bystanders’ unwillingness to directly confront seemingly predatory individuals could make change seem out of reach and could also embolden offenders whose behavior is observed and only temporarily thwarted. PMID:29299348
Kelly, Erin L; Subica, Andrew M; Fulginiti, Anthony; Brekke, John S; Novaco, Raymond W
2015-05-01
To understand staff factors associated with patient aggression towards the staff of an inpatient forensic psychiatric hospital. Violence by patients is a serious concern in psychiatric hospitals and staff are the most frequent targets of physical and verbal assault. Assault and its consequences can severely disrupt the hospital environment and impair the functioning of staff members and patients. This study examined the interplay of staff dispositional and interpersonal factors associated with patient violence. This cross-sectional study surveyed the staff of a large public forensic hospital. A sample of 348 psychiatric staff participated in an online survey about their workplace experiences, psychosocial characteristics and well-being. Data were collected from November - December 2011. Nearly all staff reported verbal conflict with patients (99%) and 70% reported being assaulted during the previous 12 months. Verbal conflict with other staff (92%) was also high. Multiple regression analyses indicated that in addition to static risk factors (i.e. staff position, years of experience and gender), the risk of assault was associated with the frequency of conflicts with staff and patients, which in turn was moderated by personal stress reactivity. Physical violence by patients was a pervasive threat for a high proportion of staff. Frequent conflict interactions with volatile patients contributed the most risk, but reactivity to conflict was a dynamic risk factor. The strain associated with assault risk and stress reactivity could be prospectively mitigated by resilience enhancement programming for staff. © 2014 John Wiley & Sons Ltd.
ERIC Educational Resources Information Center
Bloch, Alfred M.
1977-01-01
Methods for the prevention and control of stress and trauma in physically assaulted teachers include preparedness training, formation of crisis intervention teams, and morale-improving techniques such as staff support, rotation of teaching assignments, and direct access to schoolboards for grievance reports. (MJB)
Violent behavior in acute psychiatric inpatient facilities: a national survey in Italy.
Biancosino, Bruno; Delmonte, Sara; Grassi, Luigi; Santone, Giovanni; Preti, Antonio; Miglio, Rossella; de Girolamo, Giovanni
2009-10-01
Violence committed by acute psychiatric inpatients represents an important and challenging problem in clinical practice. Sociodemographic, clinical, and treatment information were collected for 1324 patients (677 men and 647 women) admitted to Italian public and private acute psychiatric inpatient facilities during an index period in 2004, and the sample divided into 3 groups: nonhostile patients (no episodes of violent behavior during hospitalization), hostile patients (verbal aggression or violent acts against objects), and violent patients (authors of physical assault). Ten percent (N = 129) of patients showed hostile behavior during hospitalization and 3% (N = 37) physically assaulted other patients or staff members. Variables associated with violent behavior were: male gender, <24 years of age, unmarried status, receiving a disability pension, having a secondary school degree, compulsory admission, hostile attitude at admission, and a diagnosis of schizophrenia, bipolar disorder, personality disorder, mental retardation, organic brain disorder or substance/alcohol abuse. Violent behavior during hospitalization was a predictive factor for higher Brief Psychiatric Rating Scale scores and for lower Personal and Social Performance scale scores at discharge. Despite the low percentage of violent and hostile behavior observed in Italian acute inpatient units, this study shed light on a need for the careful assessment of clinical and treatment variables, and greater effort aimed at improving specific prevention and treatment programs of violent behavior.
Factors influencing the incidence of maxillofacial fractures.
Chrcanovic, Bruno Ramos
2012-03-01
Maxillofacial injuries occur in a significant proportion of trauma patients. Trauma causes considerable economic expense due to procedural costs, the time a patient is off work, and the associated loss of income. For these reasons, it is an important health and economic issue. The aim of this study is to discuss the factors that may influence the incidence of maxillofacial fractures. As it is necessary to determine trends to help guide the development of new methods of injury prevention, preventative measures are also discussed. An electronic search was undertaken in March 2011, including articles published between 1980 and 2011 with the terms "facial fractures" and "maxillofacial fractures" in the title. The texts of epidemiological studies were reviewed in order to identify factors that may influence the incidence of maxillofacial fractures. From the selected articles, ten factors were identified: age, gender, geographic region and cultural aspects, socioeconomic status, temporal and climatic influence, use of alcohol and drugs, compliance with road traffic legislation, domestic violence, osteoporosis, and etiology of the maxillofacial trauma. Care of injured patients should include not only management of the acute phase, but also combine preventive programs and interventional programs aimed at reducing the incidence of maxillofacial fractures. Therefore, there is a need to ensure strict compliance of traffic rules and regulations, implement improvement in automotive safety devices, organize prevention programs to minimize assaults, implement school education in alcohol abuse and handling potentially hostile situations (especially for men), improve protection during sporting activities, and legislate wearing of protective headgear in workers. Preventive strategies remain the cheapest way to reduce direct and indirect costs of the sequelae of trauma. Societal attitudes and behaviors must be modified before a significant reduction in the incidence of maxillofacial fractures will be seen.
From Sexual Assault to Sexual Risk: A Relational Pathway?
Wells, Brooke E.; Starks, Tyrel J.; Robel, Erika; Kelly, Brian C.; Parsons, Jeffrey T.; Golub, Sarit A.
2015-01-01
Among women and gay and bisexual men, sexual assault is associated with increased rates of sexual risk behavior and negative sexual health outcomes. Although the mechanisms of these effects are potentially myriad, the current analyses examine the role of perceived partner pressure for condomless sex in mediating the association between adult sexual assault (ASA) and recent anal or vaginal sex without a condom. In a sample of 205 young adult women and gay and bisexual men, ASA was indirectly associated with condomless anal and/or vaginal sex via perceptions of partner pressure for condomless sex, χ2(1) = 5.66, p = .02, after controlling for race, age, gender and sexual identity, and relationship status. The elucidation of this relational mechanism points to several potential intervention and prevention strategies that may reduce actual and perceived pressure for sex without a condom, including strategies designed to facilitate the prioritization of health and safety over relational goals and the improvement of partner selection and perceptions of partner pressure. PMID:25944835
From Sexual Assault to Sexual Risk: A Relational Pathway?
Wells, Brooke E; Starks, Tyrel J; Robel, Erika; Kelly, Brian C; Parsons, Jeffrey T; Golub, Sarit A
2016-12-01
Among women and gay and bisexual men, sexual assault is associated with increased rates of sexual risk behavior and negative sexual health outcomes. Although the mechanisms of these effects are potentially myriad, the current analyses examine the role of perceived partner pressure for condomless sex in mediating the association between adult sexual assault (ASA) and recent anal or vaginal sex without a condom. In a sample of 205 young adult women and gay and bisexual men, ASA was indirectly associated with condomless anal and/or vaginal sex via perceptions of partner pressure for condomless sex, χ 2 (1) = 5.66, p = .02, after controlling for race, age, gender and sexual identity, and relationship status. The elucidation of this relational mechanism points to several potential intervention and prevention strategies that may reduce actual and perceived pressure for sex without a condom, including strategies designed to facilitate the prioritization of health and safety over relational goals and the improvement of partner selection and perceptions of partner pressure. © The Author(s) 2015.
Adolescent Perpetrator Treatment Programs: Program Models.
ERIC Educational Resources Information Center
Abbey, Joan M.
It has become increasingly evident that juveniles are the perpetrators of a substantial nunber of sexual assaults. Programs designed to treat these adolescent perpetrators usually have similar goals. They attempt to reduce the youth's risk of recidivism by helping him to recognize his problem, take responsibility for his actions, learn how to…
76 FR 11279 - Agency Information Collection Activities: Extension of a Currently Approved Collection
Federal Register 2010, 2011, 2012, 2013, 2014
2011-03-01
...- Annual Progress Report for Grantees From the Grants to State Sexual Assault and Domestic Violence Coalitions Program. The Department of Justice, Office on Violence Against Women (OVW) will be submitting the... Domestic Violence Coalitions Program (State Coalitions Program) (3) Agency form number, if any, and the...
ERIC Educational Resources Information Center
Turner, Gordon; And Others
This courseware evaluation rates a set of 25 industrial education general software programs developed by the Iowa Department of Public Instruction. (These programs--not contained in this document--include measurement drill, fraction drill, loan and interest cost analysis, assault vehicle speeds, sun's rays, Ohm's law, concrete calculations, roof…
Code of Federal Regulations, 2013 CFR
2013-01-01
..., and many victims, male and female, first experience abuse during childhood. The trauma of sexual... training and education in the criminal justice system; and expand access to critical health, legal, and...
Code of Federal Regulations, 2011 CFR
2011-10-01
... offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... HEALTH Indian Child Protection and Family Violence Prevention § 136.406 Under what circumstances will the...
42 CFR 136.412 - What questions must the IHS ask as part of the background investigation?
Code of Federal Regulations, 2011 CFR
2011-10-01
... offense, under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... Child Protection and Family Violence Prevention § 136.412 What questions must the IHS ask as part of the...
42 CFR 136.412 - What questions must the IHS ask as part of the background investigation?
Code of Federal Regulations, 2014 CFR
2014-10-01
... offense, under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... Child Protection and Family Violence Prevention § 136.412 What questions must the IHS ask as part of the...
Code of Federal Regulations, 2013 CFR
2013-10-01
... offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... HEALTH Indian Child Protection and Family Violence Prevention § 136.406 Under what circumstances will the...
42 CFR 136.412 - What questions must the IHS ask as part of the background investigation?
Code of Federal Regulations, 2012 CFR
2012-10-01
... offense, under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... Child Protection and Family Violence Prevention § 136.412 What questions must the IHS ask as part of the...
Code of Federal Regulations, 2014 CFR
2014-10-01
... offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... HEALTH Indian Child Protection and Family Violence Prevention § 136.406 Under what circumstances will the...
42 CFR 136.412 - What questions must the IHS ask as part of the background investigation?
Code of Federal Regulations, 2010 CFR
2010-10-01
... offense, under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... Child Protection and Family Violence Prevention § 136.412 What questions must the IHS ask as part of the...
42 CFR 136.412 - What questions must the IHS ask as part of the background investigation?
Code of Federal Regulations, 2013 CFR
2013-10-01
... offense, under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... Child Protection and Family Violence Prevention § 136.412 What questions must the IHS ask as part of the...
Code of Federal Regulations, 2012 CFR
2012-10-01
... offenses under Federal, State, or Tribal law involving crimes of violence; sexual assault, molestation... HEALTH Indian Child Protection and Family Violence Prevention § 136.406 Under what circumstances will the...
Kubiak, Sheryl Pimlott; Brenner, Hannah; Bybee, Deborah; Campbell, Rebecca; Fedock, Gina
2016-03-08
The U.S. Department of Justice estimates that between 149,200 and 209,400 incidents of sexual victimization occur annually in prisons and jails. However, very few individuals experiencing sexual victimization during incarceration report these incidents to correctional authorities. Federal-level policy recommendations derived from the Prison Rape Elimination Act suggest mechanisms for improving reporting as well as standards for the prevention, investigation, and prosecution of prison-based sexual victimization. Despite these policy recommendations, sexual assault persists in prisons and jails, with only 8% of prisoners who experience sexual assault reporting their victimization. This review focuses on gaps in the existing research about what factors influence whether adult victims in incarcerated systems will report that they have been sexually assaulted. Using ecological theory to guide this review, various levels of social ecology are incorporated, illuminating a variety of factors influencing the reporting of sexual victimization during incarceration. These factors include the role of individual-level behavior, assault characteristics, the unique aspects and processes of the prison system, and the social stigma that surrounds individuals involved in the criminal/legal system. This review concludes with recommendations for future research, policy, and practice, informed by an ecological conceptualization of reporting. © The Author(s) 2016.
Rethinking homicide: violence, race, and the politics of gender.
Stark, E
1990-01-01
Although homicide is the fourth leading cause of premature mortality in the United States and the leading cause of death for young blacks, the health professions have been largely oblivious to violence. Prevailing explanations contribute to this neglect by emphasizing biological or psychiatric factors that make homicide unpredictable and cultural and environmental factors such as the emergence of a new "underclass" that link violence to race. Focusing on instances where no other crime is involved, this article proposes that "primary" homicide be reconceptualized as a by-product of interpersonal violence, a broad category of social entrapment rooted in the politics of gender inequality and including wife abuse, child abuse, and assaults by friends and acquaintances. The data show that blacks are no more violent than whites, though they are arrested and die more often as the consequence of violence. In addition, a majority of homicides are between social partners or involve gender stereotypes, are preceded by a series of assaults that are known to service providers, and grow out of "intense social engagement" about issues of male control and independence. Professional failure to respond appropriately is a major reason why assaults become fatal, particularly among blacks. An international strategy that combines sanctions against interpersonal assault, gun control, and the empowerment of survivors might prevent half of all homicides.
Homicidal injuries during January and February, 2011 in Mansoura City, Egypt.
El-Bakary, Amal A; Hamed, Samira Sh; Ismaeel, Hesham Kh
2013-08-01
Studies dealing with analyzing cases of violence are very important, as these can be prevented to a high percentage. The aim of this study was to analyze the pattern of homicidal injuries compared to other causes of traumatic injuries in the population of Dakahlia province-Egypt during January and February, 2011 through reviewing cases' primary reports. In addition, the present work aimed to document traumatic injuries during the 25th January Egyptian revolution, 2011 in Mansoura City. Reports were reviewed for the available data including age, sex, residence as well as type, site, cause and mode of traumatic injuries. Out of 2270 cases' reports, 63.3% were from the Mansoura University Emergency hospital. Among the cases, 77.4% were males and 54.3% were from rural areas. Assaults (28%) were the 2nd leading cause of injuries preceded by road traffic accidents (29.8%). The commonest reported injuries due to assaults were cut wounds, contusions, firearm injuries and stab wounds while the commonest areas injured were the head, hands and chest. Assault injuries especially firearm injuries were more frequent during and shortly after revolution. Guns which are prohibited by law and other sharp and pointed instruments were freely used, a condition that is highly preventable by enforcing stringent laws. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Harper, Gary W; Bangi, Audrey K; Sanchez, Bernadette; Doll, Mimi; Pedraza, Ana
2009-10-01
This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.
Cunningham, Rebecca M.; Carter, Patrick M.; Ranney, Megan; Zimmerman, Marc A.; Blow, Fred C.; Booth, Brenda M.; Goldstick, Jason; Walton, Maureen A.
2015-01-01
IMPORTANCE Violence is a leading cause of morbidity and mortality among youth, with more than 700 000 emergency department (ED) visits annually for assault-related injuries. The risk for violent reinjury among high-risk, assault-injured youth is poorly understood. OBJECTIVE To compare recidivism for violent injury and mortality outcomes among drug-using, assault-injured youth (AI group) and drug-using, non–assault-injured control participants (non-AI group) presenting to an urban ED for care. DESIGN, SETTING, AND PARTICIPANTS Participants were enrolled in a prospective cohort study from December 2, 2009, through September 30, 2011, at an urban level I ED and followed up for 24 months. We administered validated measures of violence and substance use and mental health diagnostic interviews and reviewed medical records at baseline and at each point of follow-up (6, 12, 18, and 24 months). EXPOSURE Follow-up over 24 months. MAIN OUTCOMES AND MEASURES Use of ED services for assault or mortality measured from medical record abstraction supplemented with self-report. RESULTS We followed 349 AI and 250 non-AI youth for 24 months. Youth in the AI group had almost twice the risk for a violent injury requiring ED care within 2 years compared with the non-AI group (36.7% vs 22.4%; relative risk [RR], 1.65 [95% CI, 1.25-2.14]; P < .001). Two-year mortality was 0.8%. Poisson regression modeling identified female sex (RR, 1.30 [95% CI, 1.02-1.65]), assault-related injury (RR, 1.57 [95% CI, 1.19-2.04), diagnosis of a drug use disorder (RR, 1.29 [95% CI, 1.01-1.65]), and posttraumatic stress disorder (RR, 1.47 [95% CI, 1.09-1.97]) at the index visit as predictive of ED recidivism or death within 24 months. Parametric survival models demonstrated that assault-related injury (P < .001), diagnosis of posttraumatic stress disorder (P = .008), and diagnosis of a drug use disorder (P = .03) significantly shortened the expected waiting time until the first ED return visit for violence or death. CONCLUSIONS AND RELEVANCE Violent injury is a reoccurring disease, with one-third of our AI group experiencing another violent injury requiring ED care within 2 years of the index visit, almost twice the rate of a non-AI comparison group. Secondary violence prevention measures addressing substance use and mental health needs are needed to decrease subsequent morbidity and mortality due to violence in the first 6 months after an assault injury. PMID:25365147
Measurement of self-esteem in repeat assault victims.
Conti, C. T.; Moncure, M.; Hines, J.; Clack, Z.; Smith, T.; Simpkins, C. O.
1998-01-01
Background characterization of assault-related injuries have demonstrated that lifestyle, substance abuse, education, employment, mental illness, and high-risk behavior contribute to low self-esteem in repeat assault victims. Recurrent-assault patients have never been studied with respect to self-esteem. This study evaluated self-esteem and assault-related injury in 28 consecutive male assault patients (11 first-assault and 17 recurrent-assault patients) and 19 controls with no previous assault history. Study participants were administered the Walmyr Assessment Scales Index of Self-Esteem (WASISE) as part of a three-item survey to determine the relationship between self-esteem and assault-related injury. No demographic differences were found between the groups. The mean (+/- standard error) WASISE score for recurrent-assault patients (34.9 +/- 3.4) was significantly higher than mean scores for no-assault and first-time assault-injured patients (14.7 +/- 1.4 and 15.0 +/- 2.3, respectively). The recurrent-assault patients had a lower mean education level than both no-assault and first-time assault-injured patients (2.1 +/- 0.26 and 1.9 +/- 0.57, respectively). Eighteen (2%) first-time assault-injured and 11 (7%) recurrent-assault patients were employed. These data suggest that self-esteem, education, and employment history need to be considered when evaluating and developing interventions for repeat-assault patients. PMID:9549981
50 CFR 300.142 - Prohibitions.
Code of Federal Regulations, 2010 CFR
2010-10-01
... applicable Canadian fisheries law, or the terms or conditions of any permit, license or any other... Canadian fisheries law. (i) Assault, resist, oppose, impede, intimidate, threaten, obstruct, delay, prevent... Canadian fisheries law. (j) Make any false statement, oral or written, to an authorized officer of Canada...
Nurses' experience of violence in Alberta and British Columbia hospitals.
Duncan, S M; Hyndman, K; Estabrooks, C A; Hesketh, K; Humphrey, C K; Wong, J S; Acorn, S; Giovannetti, P
2001-03-01
This study examined responses to a survey on violence in the workplace from a sample of 8,780 registered nurses practising in 210 hospitals in the Canadian provinces of Alberta and British Columbia. Findings relate to the frequency of violence against nurses, reported as the number of times they experienced a violent incident in the workplace. Nearly half (46%) of those surveyed had experienced 1 or more types of violence in the last 5 shifts worked. Frequency varied by type: emotional abuse 38%, threat of assault 19%, physical assault 18%, verbal sexual harassment 7.6%, sexual assault 0.6%. Further, 70% of those who had experienced violence indicated they had not reported it. Patients constituted the main source of all types of violence. The most prevalent type, emotional abuse, was further explored for its possible determinants. This was also the type of violence most evenly distributed among sources (patients, families, co-workers, physicians). Multiple regression modelling using the individual nurse as the unit of analysis showed the significant predictors of emotional abuse to be age, casual job status, quality of care, degree of hospital restructuring, type of unit, relationships among hospital staff, nurse-to-patient ratios, and violence-prevention measures; using the hospital as the unit of analysis the predictors were found to be quality of care, age, relationships with hospital staff, presence of violence-prevention measures, and province. These findings illustrate important differences in models that use the individual and the institution as the unit of analysis. Implications include targeting prevention strategies not only at the nurse but, perhaps more importantly, at the hospital. Overall, the findings suggest that health-care institutions are not always healthy workplaces and may increasingly be stressful and hazardous ones.
ERIC Educational Resources Information Center
Foubert, John D.; Langhinrichsen-Rohling, Jennifer; Brasfield, Hope; Hill, Brent
2010-01-01
An experimental study evaluated the efficacy of a sexual assault risk-reduction program on 279 college women that focused on learning characteristics of male perpetrators and teaching bystander intervention techniques. After seeing The Women's Program, participants reported significantly greater bystander efficacy and significantly greater…
Comprehensive care and pregnancy: The unmet care needs of pregnant women with a history of rape
Munro, Michelle L.; Rietz, Melissa Foster
2013-01-01
This paper proposes a framework for assessing the unmet needs of rape survivors during pregnancy based on the Sexual Assault Nurse Examiner (SANE) practice level theory and an empirical exploration of rape survivors’ health status in pregnancy via a secondary analysis. Our findings indicate that there may be unmet needs in pregnancy related to all five post-assault comprehensive care components: (1) physical care, (2) pregnancy prevention, (3) sexually transmitted infection screening, (4) psychological care, and (5) legal care. Rape history and its current impact on the survivor predicted somatic disorders, substance use, unwanted pregnancy, infections, posttraumatic stress disorder, and recent abuse. PMID:23215990
Walsh, Kate; McCauley, Jenna L.; Schumacher, Julie A.; Kilpatrick, Dean G.; Acierno, Ron E.
2012-01-01
Substance use at time of assault is reported by a significant subgroup of rape victims. This study examined: (1) prevalence of assault related marijuana or alcohol use among women seeking post-rape medical care; (2) sensitivity, specificity, positive and negative predictive power associated with reported use at time of assault in association with use in 6 weeks pre-assault, post assault use, and post-assault abuse; and (3) trajectories of use and abuse over time as a function of use in 6 weeks pre-assault/assault time frame use, exposure to brief intervention, and interaction of pre-assault/assault time frame use with intervention. Participants were 268 women seeking post sexual assault medical services completing one or more follow-up assessment at: (1) < 3 months post-assault; (2) 3 to 6 months post-assault; and (3) 6 months or longer post-assault. Use of alcohol or marijuana at time of assault were fairly sensitive or specific indicators respectively, of reported use of specific substance in the 6 weeks preceding assault and use or abuse at follow-up. Growth modeling revealed that use of alcohol or marijuana at the time of the assault or in the 6 weeks prior to assault predicted higher Time 1 follow-up alcohol and marijuana use and abuse. Although there was relatively little change in use or abuse over time, alcohol use at time of the assault or in the six weeks prior also predicted a steeper decline in alcohol use over the course of follow-up. Interestingly, women who reported using marijuana at the time of the assault or in the six weeks prior who also received a video intervention actually had lower initial marijuana use, a pattern that remained stable over time. Implications for evaluating screening, brief intervention and referral to treatment services among sexual assault victims seeking post-assault medical care are discussed. PMID:22521363
Resnick, Heidi S; Walsh, Kate; McCauley, Jenna L; Schumacher, Julie A; Kilpatrick, Dean G; Acierno, Ron E
2012-08-01
Substance use at time of assault is reported by a significant subgroup of rape victims. This study examined: (1) prevalence of assault related marijuana or alcohol use among women seeking post-rape medical care; (2) sensitivity, specificity, positive and negative predictive power associated with reported use at time of assault in association with use in 6 weeks pre-assault, post-assault use, and post-assault abuse; and (3) trajectories of use and abuse over time as a function of use in 6 weeks pre-assault/assault time frame use, exposure to brief intervention, and interaction of pre-assault/assault time frame use with intervention. Participants were 268 women seeking post-sexual assault medical services completing one or more follow-up assessment at: (1) <3 months post-assault; (2) 3 to 6 months post-assault; and (3) 6 months or longer post-assault. Use of alcohol or marijuana at time of assault was a fairly sensitive and specific indicator respectively, of reported use of specific substance in the 6 weeks preceding assault and use or abuse at follow-up. Growth modeling revealed that use of alcohol or marijuana at the time of the assault or in the 6 weeks prior to assault predicted higher Time 1 follow-up alcohol and marijuana use and abuse. Although there was relatively little change in use or abuse over time, alcohol use at time of the assault or in the 6 weeks prior also predicted a steeper decline in alcohol use over the course of follow-up. Interestingly, women who reported using marijuana at the time of the assault or in the 6 weeks prior who also received a video intervention actually had lower initial marijuana use, a pattern that remained stable over time. Implications for evaluating screening, brief intervention and referral to treatment services among sexual assault victims seeking post-assault medical care are discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.
Quigg, Zara; Hughes, Karen; Bellis, Mark A
2012-10-01
To examine emergency department (ED) data sharing via a local injury surveillance system and assess its contribution to the prevention of violence and alcohol-related harms. 6-year (2004-2010) exploratory study analysing injury attendances to one ED in the North West of England using descriptive and trend analyses. Over the 6-year period, there were 242,796 ED injury attendances, including 21,683 for intentional injuries. Compared with unintentional injury patients, intentional injury patients were more likely to be men, aged 18-34 years, live in the most deprived communities, have attended the ED at night/weekends, have been injured in a public place and have consumed alcohol prior to the injury. Detailed data collected on alcohol and violence-related ED attendances were shared with local partners to monitor local trends and inform prevention activity including targeted policing and licensing enforcement. Over the 6-year period, intentional ED injury attendances decreased by 35.6% and alcohol-related assault attendances decreased by 30.3%. The collection of additional ED data on assault details and alcohol use prior to injury, and its integration into multi-agency policy and practice, played an important role in driving local violence prevention activity. Further research is needed to assess the direct contribution ED data sharing makes to reductions in violence.
Brännström, Lars; Trolldal, Björn; Menke, Martin
2016-03-01
Spatial dependencies may influence the success of community action strategies to prevent and reduce harmful alcohol use. This study examined the effectiveness of a multicomponent Responsible Beverage Service (RBS) programme targeting on-licensed premises on police-recorded assaults in Swedish municipalities. It was expected that the implementation of the programme within any given municipality had an indirect effect by reducing violent assaults in adjacent municipalities. This study was a natural experiment exploiting the temporal and spatial variation in the implementation of the RBS programme to predict change in the rate of violent assaults in all Swedish municipalities during 1996-2009 (n=288; T=14; N=4 032). Yearly police-recorded violent assaults per 100,000 inhabitants aged 15 and above committed on weekend nights were used as a dependent variable. Programme fidelity was identified by means of survey data. A semilogarithmic fixed-effects spatial panel regression model was used to estimate the direct, indirect and total effects of the programme. The direct, indirect and total effects were -1.8% (95% CI -4.4% to 0.8%), -5.8% (95% CI -11.5% to -0.1%) and -7.6% (95% CI -13.2% to -2.2%), respectively. Averaged over time and across all municipalities, implementing one additional programme component in all municipalities will thus reduce violent assaults in one typical municipality by nearly 8%. The indirect effect of the programme was three times larger than its direct effect. Failing to account for such local spillover effects can result in a considerable underestimation of the programme's total impact and may lead to erroneous policy recommendations. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/
32 CFR 105.9 - Commander and management procedures.
Code of Federal Regulations, 2013 CFR
2013-07-01
... expedited transfer, the Service member must affirmatively change his or her reporting option to Unrestricted... replacement order. (ii) The issuing commander shall notify the appropriate civilian authorities of any change... command climate of sexual assault prevention predicated on mutual respect and trust, recognizes and...
32 CFR 105.9 - Commander and management procedures.
Code of Federal Regulations, 2014 CFR
2014-07-01
... expedited transfer, the Service member must affirmatively change his or her reporting option to Unrestricted... replacement order. (ii) The issuing commander shall notify the appropriate civilian authorities of any change... command climate of sexual assault prevention predicated on mutual respect and trust, recognizes and...
2014 Service Academy Gender Relations Survey: Statistical Methodology Report
2014-12-12
PERFORMING ORGANIZATION NAME(S) AND ADDRESS( ESl 8 . PERFORMING ORGANIZATION Defense Manpower Data Center REPORT NUMBER Defense Research, Surveys, and...AGENCY NAME($) AND ADDRESS( ESl 10 . SPONSOR/MONITOR’S ACRONYM(S) Sexual Assault Prevention and Response Office (SAPRO) 4800 Mark Center Drive, Suite
25 CFR 63.12 - What are minimum standards of character?
Code of Federal Regulations, 2013 CFR
2013-04-01
... guilty to any offense under Federal, state, or tribal law involving crimes of violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons. ... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
25 CFR 63.12 - What are minimum standards of character?
Code of Federal Regulations, 2014 CFR
2014-04-01
... guilty to any offense under Federal, state, or tribal law involving crimes of violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons. ... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
25 CFR 63.12 - What are minimum standards of character?
Code of Federal Regulations, 2011 CFR
2011-04-01
... guilty to any offense under Federal, state, or tribal law involving crimes of violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons. ... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
25 CFR 63.12 - What are minimum standards of character?
Code of Federal Regulations, 2012 CFR
2012-04-01
... guilty to any offense under Federal, state, or tribal law involving crimes of violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons. ... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
28 CFR 90.104 - What must the grant program application contain?
Code of Federal Regulations, 2012 CFR
2012-07-01
..., nongovernmental sexual assault and domestic violence victims' programs demonstrating their participation in... contain? 90.104 Section 90.104 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST... Standard Form 424, Application for Federal Assistance, at a time designated by the Violence Against Women...
28 CFR 90.104 - What must the grant program application contain?
Code of Federal Regulations, 2011 CFR
2011-07-01
..., nongovernmental sexual assault and domestic violence victims' programs demonstrating their participation in... contain? 90.104 Section 90.104 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST... Standard Form 424, Application for Federal Assistance, at a time designated by the Violence Against Women...
28 CFR 90.104 - What must the grant program application contain?
Code of Federal Regulations, 2013 CFR
2013-07-01
..., nongovernmental sexual assault and domestic violence victims' programs demonstrating their participation in... contain? 90.104 Section 90.104 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST... Standard Form 424, Application for Federal Assistance, at a time designated by the Violence Against Women...
Can routinely collected ambulance data about assaults contribute to reduction in community violence?
Ariel, Barak; Weinborn, Cristobal; Boyle, Adrian
2015-04-01
The 'law of spatiotemporal concentrations of events' introduced major preventative shifts in policing communities. 'Hotspots' are at the forefront of these developments yet somewhat understudied in emergency medicine. Furthermore, little is known about interagency 'data-crossover', despite some developments through the Cardiff Model. Can police-ED interagency data-sharing be used to reduce community-violence using a hotspots methodology? 12-month (2012) descriptive study and analysis of spatiotemporal clusters of police and emergency calls for service using hotspots methodology and assessing the degree of incident overlap. 3775 violent crime incidents and 775 assault incidents analysed using spatiotemporal clustering with k-means++ algorithm and Spearman's rho. Spatiotemporal location of calls for services to the police and the ambulance service are equally highly concentrated in a small number of geographical areas, primarily within intra-agency hotspots (33% and 53%, respectively) but across agencies' hotspots as well (25% and 15%, respectively). Datasets are statistically correlated with one another at the 0.57 and 0.34 levels, with 50% overlap when adjusted for the number of hotspots. At least one in every two police hotspots does not have an ambulance hotspot overlapping with it, suggesting half of assault spatiotemporal concentrations are unknown to the police. Data further suggest that more severely injured patients, as estimated by transfer to hospital, tend to be injured in the places with the highest number of police-recorded crimes. A hotspots approach to sharing data circumvents the problem of disclosing person-identifiable data between different agencies. Practically, at least half of ambulance hotspots are unknown to the police; if causal, it suggests that data sharing leads to both reduced community violence by way of prevention (such as through anticipatory patrols or problem-oriented policing), particularly of more severe assaults, and improved efficiency of resource deployment. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
28 CFR 90.23 - State implementation plan.
Code of Federal Regulations, 2010 CFR
2010-07-01
... need based on the availability of existing domestic violence and sexual assault programs in the... 90.23 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.23 State...
78 FR 18365 - Commencement of Iraq Claims Adjudication Program
Federal Register 2010, 2011, 2012, 2013, 2014
2013-03-26
... instances of serious physical, mental, or emotional injury arising from sexual assault, coercive... was held hostage or was subject to unlawful detention and encompassed physical, mental, and emotional... adjudication program in accordance with its regulations, which are published in Chapter V of Title 45, Code of...
Violence in Children's Programmes on British Television.
ERIC Educational Resources Information Center
Gunter, Barrie; Harrison, Jackie
1997-01-01
Studied violence on children's television in Britain. Found 39% of children's programs examined contained violence, primarily involving shootings and physical assault committed for negative purposes and rarely followed by painful consequences. The fast pace of such programs is also a significant factor. Results pose wider implications for those…
28 CFR 90.23 - State implementation plan.
Code of Federal Regulations, 2011 CFR
2011-07-01
... need based on the availability of existing domestic violence and sexual assault programs in the... 90.23 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.23 State...
28 CFR 90.23 - State implementation plan.
Code of Federal Regulations, 2014 CFR
2014-07-01
... need based on the availability of existing domestic violence and sexual assault programs in the... 90.23 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.23 State...
28 CFR 90.23 - State implementation plan.
Code of Federal Regulations, 2012 CFR
2012-07-01
... need based on the availability of existing domestic violence and sexual assault programs in the... 90.23 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.23 State...
28 CFR 90.23 - State implementation plan.
Code of Federal Regulations, 2013 CFR
2013-07-01
... need based on the availability of existing domestic violence and sexual assault programs in the... 90.23 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) VIOLENCE AGAINST WOMEN The STOP (Services ⢠Training ⢠Officers ⢠Prosecutors) Violence Against Women Formula Grant Program § 90.23 State...
Young, C; Douglass, J
2003-01-01
Objectives: To describe the implementation, use of, and outputs from an assault patient questionnaire (APQ) introduced in accident and emergency (A&E) departments to determine Crime & Disorder and Community Safety priorities on Merseyside, a metropolitan county in north west England, UK. Methods: Why and how the APQ was implemented, data collected, and information obtained. The subsequent incorporation of the APQ into the Torex Patient Administration System (PAS) at the Royal Liverpool University Hospital A&E department and its routine completion by trained reception staff. Results: Analysis is based upon anonymised data—for example, patient ID and date of birth information is suppressed. A summary of "baseline" information obtained from the data collected is provided. Conclusions: It is possible for the APQ to be implemented at no extra cost in a large A&E department in an acute general teaching hospital. Valuable intelligence can be obtained for Crime & Disorder Act and Community Safety processes. The APQ forms part of a medium to long term strategy to prevent and reduce violent assaults in the community that subsequently require treatment in an A&E department. Such incidents include assaults both inside and outside licensed premises, attacks by strangers on the street, and domestic violence. Emphasis is also placed upon the feedback of results to staff in A&E departments. PMID:12748137
Infant victimization in a nationally representative sample.
Turner, Heather A; Finkelhor, David; Ormrod, Richard; Hamby, Sherry L
2010-07-01
The objectives of this research were to (1) obtain estimates of child maltreatment and other forms of personal, witnessing of, and indirect victimization among children aged 0 to 1 year in the United States and (2) examine associations between infant victimization exposure and the infant's level of emotional and behavioral symptoms. The study is based on a cross-sectional national telephone survey that included caregivers of a sample of 503 children under 2 years of age. Nearly one-third of the sample of infants (31.6%) had experienced some form of personal, witnessing, or indirect form of victimization. The rate of infant maltreatment by caregivers (2.1%) was significantly lower than among older preschool-aged children. However, the rate of infant assault by siblings was considerable at 15.4%. The greatest risk of assault occurred in households with young siblings; nearly 35% of the infants with a sibling aged 2 to 3 years were assaulted in the year before the interview. Witnessing family violence was also relatively common among the infants (9.5%). Victimization was associated with emotional and behavioral problems; sibling assault and witnessing family violence had the highest correlations with infant symptom scores. The results of this study highlight the need for attention to infant victimization that considers a wider array of victimization sources and a broader scope of prevention efforts than has been typical in the child-maltreatment field.
Speeches Archive Former AF Top 3 Viewpoints and Speeches Air Force Warrior Games 2017 Events 2018 Air Force Strategic Documents Desert Storm 25th Anniversary Observances DoD Warrior Games Portraits in Courage Prevention Warrior Games Energy Aircraft Sexual Assault Operation Odyssey Dawn AFA Week in Photos 2012
25 CFR 63.15 - What questions should an employer ask?
Code of Federal Regulations, 2012 CFR
2012-04-01
... employee has been arrested or convicted of a crime involving a child, violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons; (b) Ask the... FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63.15 What...
25 CFR 63.15 - What questions should an employer ask?
Code of Federal Regulations, 2014 CFR
2014-04-01
..., volunteer, or employee has been arrested or convicted of a crime involving a child, violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons; (b... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
25 CFR 63.15 - What questions should an employer ask?
Code of Federal Regulations, 2011 CFR
2011-04-01
..., volunteer, or employee has been arrested or convicted of a crime involving a child, violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons; (b... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
25 CFR 63.15 - What questions should an employer ask?
Code of Federal Regulations, 2013 CFR
2013-04-01
..., volunteer, or employee has been arrested or convicted of a crime involving a child, violence, sexual assault, sexual molestation, sexual exploitation, sexual contact or prostitution, or crimes against persons; (b... PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and Suitability for Employment § 63...
Is Online Learning a Viable Training Option for Teaching Sexual Assault Forensic Examiners?
Patterson, Debra; Resko, Stella M
2015-01-01
This study assessed knowledge attainment of healthcare professionals who participated in a nationwide sexual assault forensic examiner training program developed by the International Association of Forensic Nursing. A comprehensive curriculum was divided into 12 modules that students accessed through an online learning management system. Using a one-group pretest-posttest design, we assessed students' knowledge attainment for all 12 online modules. The results showed that the mean posttest scores were significantly greater than the mean pretest scores for all 12 online modules. On over 40% of the modules, the students exhibited at least a 25% knowledge gain. This study also examined the predictors of knowledge attainment. Using a multiple linear regression model, we found that knowledge attainment was positively associated with a reliable Internet connection, students who were drawn to the training because it was of no cost to them, and those students with higher levels of motivation. By contrast, lower knowledge gains were significantly related to students who reported more work/personal barriers and those who were drawn to sexual assault forensic examiner practice because they, or someone close to them, have personal experience with sexual assault.
Psychopathy Traits and Violent Assault Among Men With and Without History of Arrest
Reidy, Dennis E.; Lilienfeld, Scott O.; Berke, Danielle S.; Gentile, Brittany; Zeichner, Amos
2018-01-01
Although research suggests that the antisocial behavior (ASB) facet of psychopathy generally carries the greatest predictive power for future violence, these findings are drawn primarily from forensic samples and may reflect criterion contamination between historical violence and future violence perpetration. Likewise, these findings do not negate the association of other psychopathy facets to violence or their role in the development of violence, nor do they offer practical utility in the primary prevention of violence. There are a number of empirical and theoretical reasons to suspect that the callous affect (CA) facet of psychopathy may demonstrate stronger statistical association to violence in nonforensic populations. We tested the association of CA to severe acts of violence (e.g., assault with intent to harm, injure, rape, or kill) among men with and without history of arrest (N = 600) using both the three- and four-facet models of psychopathy. CA was robustly associated with violence outcomes across the two groups in the three-facet model. When testing the four-facet model, CA was strongly associated with violence outcomes among men with no history of arrest, but only moderately associated with assaults causing injury among men with history of arrest. These results are consistent with data from youth populations that implicate early emotional deficits in later aggressive behavior and suggest CA may help to identify individuals at risk for violence before they become violent. Implications for the public health system and the primary prevention of violence are discussed. PMID:27462064
Circumstances of sexual and physical victimization of black psychiatric outpatients.
Jenkins, E. J.; Bell, C. C.; Taylor, J.; Walker, L.
1989-01-01
A sample of 54 adult psychiatric outpatients, previously identified as victims of sexual or physical assault, were interviewed regarding their childhood and adult victimization experiences. Patients were questioned about the nature of the assaults, their relationship to the perpetrator(s), the number of assaults suffered in each relationship, and whether the assault(s) occurred before or after the onset of their mental illness. Eighty percent of the sample had experienced major physical assault as an adult and 59% had experienced major physical assault as a child; 37% and 31%, respectively, reported major sexual assault as a child and as an adult. Women were more likely than men to report physical and sexual assault as an adult and sexual assault as a child. Childhood assault most often occurred before the onset of the patient's mental illness; whereas, adult sexual assault for women and physical and sexual assault for men was as likely to occur after the onset of the psychiatric disorder, suggesting an increased vulnerability to victimization for the adult mentally ill. PMID:2709427
Campbell, Rebecca; Fehler-Cabral, Giannina; Bybee, Deborah; Shaw, Jessica
2017-10-01
Throughout the United States, hundreds of thousands of sexual assault kits (SAKs) (also termed "rape kits") have not been submitted by the police for forensic DNA testing. DNA evidence can help sexual assault investigations and prosecutions by identifying offenders, revealing serial offenders through DNA matches across cases, and exonerating those who have been wrongly accused. In this article, we describe a 5-year action research project conducted with 1 city that had large numbers of untested SAKs-Detroit, Michigan-and our examination into why thousands of rape kits in this city were never submitted for forensic DNA testing. This mixed methods study combined ethnographic observations and qualitative interviews to identify stakeholders' perspectives as to why rape kits were not routinely submitted for testing. Then, we quantitatively examined whether these factors may have affected police practices regarding SAK testing, as evidenced by predictable changes in SAK submission rates over time. Chronic resource scarcity only partially explained why the organizations that serve rape victims-the police, crime lab, prosecution, and victim advocacy-could not test all rape kits, investigate all reported sexual assaults, and support all rape survivors. SAK submission rates significantly increased once criminal justice professionals in this city had full access to the FBI DNA forensic database Combined DNA Index System (CODIS), but even then, most SAKs were still not submitted for DNA testing. Building crime laboratories' capacities for DNA testing and training police on the utility of forensic evidence and best practices in sexual assault investigations can help remedy, and possibly prevent, the problem of untested rape kits. (PsycINFO Database Record (c) 2017 APA, all rights reserved).
Kelty, Sally F; Julian, Roberta; Bruenisholz, Eva; Wilson-Wilde, Linzi
2018-04-01
Forensic science is increasingly used to help exonerate the innocent and establishing links between individuals and criminal activities. With increased reliance on scientific services provided by multi-disciplinary (police, medicine, law, forensic science), and multi-organisational in the private and government sectors (health, justice, legal, police) practitioners, the potential for miscommunication resulting unjust outcomes increases. The importance of identifying effective multi-organisational information sharing is to prevent the 'justice silo effect'; where practitioners from different organisations operate in isolation with minimal or no interaction. This paper presents the findings from the second part of the Interfaces Project, an Australia-wide study designed to assess the extent of the justice silos. We interviewed 121 police, forensic scientists, lawyers, judges, coroners, pathologists and forensic physicians. The first paper published in 2013 presented two key findings: first investigative meetings were rare in adult sexual assault cases; second many medical practitioners were semi-invisible in case decision-making with this low level of visibility being due to lawyers, forensic scientists or police not being aware of the role/expertise medical practitioners offer. These findings led to the development of a flowchart model for adult sexual assault that highlights the range of agencies and practitioners typically involved in sexual assault. The rationale for the flowchart is to produce a visual representation of a typical sexual assault investigative process highlighting where and who plays a role in order to minimise the risk of justice silos. This is the second paper in a series of two. Copyright © 2018 Elsevier B.V. All rights reserved.
The Relationship between Allostatic Load and Psychosocial Characteristics among Women Veterans.
Beckie, Theresa M; Duffy, Allyson; Groer, Maureen W
2016-01-01
Allostatic load (AL) is a novel perspective for examining the damaging effects of stress on health and disease. Women veterans represent an understudied yet vulnerable subgroup of women with increased reports of traumatic stressors across their lifespan. AL has not been examined in this group. This study hypothesized that reports of sexual assault in childhood, civilian life, or in the military by women veterans was associated with AL and selected psychosocial measures. We also hypothesized that AL scores are positively associated with psychosocial characteristics. Using a cross-sectional design, psychosocial and physiological data were obtained from women veterans (n = 81; 24-70 years old). The AL score was 3.03 ± 2.36 and positively associated with age (p = .001). There was a trend for higher pain scores for women with an AL score of 2 or greater compared with those with an AL score of less than 2. There were significant differences in the Somatic Subscale of the Center for Epidemiological Depression Scale among the sexual assault categories with increasing scores among women reporting sexual assault in childhood, military, and civilian life (p = .049). The scores of the Profile of Mood States Depression/Dejection Subscale (p = .015), the Post-Traumatic Checklist- Military (p = .002), and the Pain Outcome Questionnaire (p = .001) were associated with sexual assault categories in a dose-response fashion. AL was associated positively with age, and sexual assault categories were associated with increased somatization, depressed mood, posttraumatic symptoms and pain. Assessing both AL and sexual trauma are critical for preventing and managing the subsequent negative health consequences among women veterans. Copyright © 2016 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
Barton, Emma R; Davies, Alisha R; Long, Sara J; Roderick, Janine; Bellis, Mark A
2017-01-01
Background To investigate whether sharing and linking routinely collected violence data across health and criminal justice systems can provide a more comprehensive understanding of violence, establish patterns of under-reporting and better inform the development, implementation and evaluation of violence prevention initiatives. Methods Police violence with injury (VWI) crimed data and emergency department (ED) assault attendee data for South Wales were collected between 1 April 2014 and 31 March 2016 to examine the rates and patterns of VWI. Person identifiable data (PID) were cross-referenced to establish if certain victims or events were less likely to be reported to criminal justice services. Results A total of 18 316 police crimed VWI victims and 10 260 individual ED attendances with an assault-related injury were considered. The majority of ED assault attendances (59.0%) were unknown to police. The key demographic identified as under-reporting to police were young males aged 18–34 years, while a significant amount of non-reported assaults involved a stranger. The combined monthly age-standardised rates were recalculated and on average were 74.7 (95% CI 72.1 to 77.2) and 66.1 (95% CI 64.0 to 68.2) per 100 000 population for males and females, respectively. Consideration of the additional ED cases resulted in a 35.3% and 18.1% increase on the original police totals for male and female VWI victims. Conclusions This study identified that violence is currently undermeasured, demonstrated the importance of continued sharing of routinely collected ED data and highlighted the benefits of using PID from a number of services in a linked way to provide a more comprehensive picture of violence. PMID:29056592
Gilmore, Amanda K.; Maples-Keller, Jessica L.; Pinsky, Hanna T.; Shepard, Molly E.; Lewis, Melissa A.; George, William H.
2016-01-01
Sexual assault protective behavioral strategies (PBS) may be negatively associated with sexual assault victimization. However, no studies to date have prospectively examined whether the use of sexual assault PBS is negatively associated with subsequent sexual assault experiences. The current study examined the association between the use of sexual assault PBS and subsequent sexual assault victimization severity. College women who reported engaging in heavy episodic drinking (n = 77) were assessed online for their use of sexual assault PBS and history of sexual assault victimization. In addition, a 3-month follow-up survey was given assessing sexual assault victimization severity in the past 3 months. The use of sexual assault PBS was negatively associated with sexual assault severity in the 3-month follow-up period. Future research should further examine these PBS to create more college-specific PBS and to determine whether they are useful as risk-reduction strategies. PMID:26856359
2017-09-01
Abstinence from sexual intercourse can be a healthy choice for adolescents, particularly if an adolescent is not ready to engage in sex. However, government programs exclusively promoting abstinence-only-until-marriage (AOUM) are problematic from scientific and ethical viewpoints. Most young people initiate sexual intercourse as adolescents or young adults, and given a rising age at first marriage around the globe, increasingly fewer adolescents wait until marriage to initiate sex. While theoretically fully protective, abstinence intentions often fail, as abstinence is not maintained. AOUM programs are not effective in delaying initiation of sexual intercourse or changing other behaviors. Conversely, many comprehensive sexuality education programs successfully delay initiation of sexual intercourse and reduce sexual risk behaviors. AOUM programs inherently provide incomplete information and are often neglectful to sexually active adolescents; lesbian, gay, bisexual, transgender, and questioning adolescents; pregnant and parenting adolescents; and survivors of sexual assault. Promotion of AOUM policies by the U.S. government has undermined sexuality education in the United States and in U.S. foreign aid programs to prevent HIV infection. In many U.S. communities, AOUM programs have replaced more comprehensive approaches to sexuality education. Copyright © 2017 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
Violence prevention education program for psychiatric outpatient departments.
Feinstein, Robert E
2014-10-01
Approximately 40 % of psychiatrists and up to 64 % of psychiatric residents have been physically assaulted. Ranges of 72-96 % of psychiatric residents in various studies have been verbally threatened. As violence risk occurs in outpatient settings, our department developed a quality and safety curriculum designed to prepare psychiatric residents and staff to optimally respond to aggressive outpatients and violence threats or events. In 2011 and 2012, we offered an 8-part violence prevention performance improvement curriculum/program including (1) situational awareness/creating a safe environment; (2) violence de-escalation training; (3) violence risk assessment training, use of risk assessment tools, and medical record documentation; (4) violence safety discharge planning; (5) legal issues and violence; (6) "shots fired on campus" video/discussion; (7) "2011 violence threat simulation" video/discussion; and (8) violence threat simulation exercise. This program was offered to approximately 60 psychiatric residents/staff in each year. We obtained qualitative comments about the entire program and data from 2 years of post-event surveys on the usefulness of the "violence threat simulation exercise." The large majority of comments about program elements 1 to 7 were positive. In 2011 and 2012, respectively, 76 and 86 % of participants responded to a post-event survey of the violence threat simulation exercise; 90 and 88 % of participants, respectively, reported the simulation to be very helpful/somewhat helpful; and 86 and 82 % of participants, respectively, reported feeling much better/better prepared to deal with a violent event. Although some participants experienced anxiety, sleep disturbances, increase in work safety concerns, and/or traumatic memories, the majority reported no post-simulation symptoms (72 and 80 %, respectively). Although we are unable to demonstrate that this program effectively prevents violence, the overall positive response from participants encourages us to continue developing our quality and safety program and to offer our easily reproducible and modifiable curriculum to others.
... Assault Dating Violence Stalking Grant Programs Training and Technical Assistance Protecting Students Tribal Affairs Reports to Congress ... Office of the Inspector General Open Government Plain Writing USA.gov BusinessUSA Footer Menu Justice First Column ...
Workplace assaults on nursing assistants in US nursing homes: a multilevel analysis.
Tak, SangWoo; Sweeney, Marie Haring; Alterman, Toni; Baron, Sherry; Calvert, Geoffrey M
2010-10-01
We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Survey by use of multilevel modeling that accounted for the complex survey design effect. Thirty-four percent of nursing assistants surveyed reported experiencing physical injuries from residents' aggression in the previous year. Mandatory overtime (odds ratio [OR] = 1.65; 95% confidence interval [CI] = 1.22, 2.24) and not having enough time to assist residents with their activities of daily living (OR = 1.49; 95% CI = 1.25, 1.78) were strongly associated with experiencing injuries from assaults. Nursing assistants employed in nursing homes with Alzheimer care units were more likely to experience such injuries, including being bitten by residents. Reducing mandatory overtime and having a less demanding workload may reduce the risk of workplace violence. In particular, prevention activities should be targeted at those nursing homes that care for cognitively impaired patients.
Workplace Assaults on Nursing Assistants in US Nursing Homes: A Multilevel Analysis
Sweeney, Marie Haring; Alterman, Toni; Baron, Sherry; Calvert, Geoffrey M.
2010-01-01
Objectives. We examined risk factors for injuries to nursing assistants from assaults by nursing home residents at both the individual and the organizational level. Methods. We analyzed data from the 2004 National Nursing Assistant Survey that were linked to facility information from the 2004 National Nursing Home Survey by use of multilevel modeling that accounted for the complex survey design effect. Results. Thirty-four percent of nursing assistants surveyed reported experiencing physical injuries from residents' aggression in the previous year. Mandatory overtime (odds ratio [OR] = 1.65; 95% confidence interval [CI] = 1.22, 2.24) and not having enough time to assist residents with their activities of daily living (OR = 1.49; 95% CI = 1.25, 1.78) were strongly associated with experiencing injuries from assaults. Nursing assistants employed in nursing homes with Alzheimer care units were more likely to experience such injuries, including being bitten by residents. Conclusions. Reducing mandatory overtime and having a less demanding workload may reduce the risk of workplace violence. In particular, prevention activities should be targeted at those nursing homes that care for cognitively impaired patients. PMID:20724680
42 CFR 424.535 - Revocation of enrollment in the Medicare program.
Code of Federal Regulations, 2014 CFR
2014-10-01
... the Medicare program. (a) Reasons for revocation. CMS may revoke a currently enrolled provider or... the following reasons: (1) Noncompliance. The provider or supplier is determined not to be in...— (A) Felony crimes against persons, such as murder, rape, assault, and other similar crimes for which...
Federal Register 2010, 2011, 2012, 2013, 2014
2013-07-22
..., domestic violence, dating violence and stalking. Overall, the purpose of the Youth Services Program is to... sexual assault, domestic violence, dating violence, and stalking, as well as linguistically, culturally... Respond to Youth Program ACTION: 60-Day Notice. The Department of Justice, Office on Violence Against...
28 CFR 90.102 - What are the purposes of the grant program?
Code of Federal Regulations, 2010 CFR
2010-07-01
..., including the crimes of sexual assault, stalking, and domestic violence; (c) To implement and operate... domestic violence; (g) To develop, install, or expand data collection and communication systems, including... domestic violence; (h) To develop, enlarge, or strengthen victim services programs for the campus and to...
ERIC Educational Resources Information Center
Moller, Anna Sofia; Backstrom, Torbjorn; Sondergaard, Hans Peter; Helstrom, Lotti
2012-01-01
Earlier studies have explored the differences between known-assailant sexual assaults and stranger assaults and reported the stranger assaults as being more violent. Only a few studies have discriminated between sexual assaults by intimate partners from assaults by other known assailants when comparing with assaults by strangers. In this study, we…
Federal Register 2010, 2011, 2012, 2013, 2014
2013-05-24
..., injury, assault, sexual abuse, unintended pregnancy, sexually transmitted diseases, academic difficulties... among college students will save lives, improve academic success, and decrease other risks to students... as depression or emotional stress; and combining alcohol and medications, such as tranquilizers...
Efforts to Prevent Sexual Assault/Harassment Involving DOD Contractors During Contingency Operations
2010-04-16
36 FAR Subpart 9.406-5, “ Debarment ,” October 1995, provides the Government with the option of imposing debarment or suspension as... sanctions against a contractor to protect the Government’s interest when the agent of the contractor, such as an employee, engages in fraudulent, criminal
Defense.gov Special Report: Travels With Battaglia - May 2015
hosted a town hall meeting here yesterday. Story More Stories Operation Shower Champions Military Air Station Jacksonville Related Links Biography of Sgt. Maj. Bryan B. Battaglia Operation Shower Terrorists Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber Strategy News
Department of Defense Submit Search Operation New Dawn September 2010 More Stories Mullen Gets Afghanistan mission officially transfer to the civilian-led Operation New Dawn, Navy Adm. Mike Mullen, chairman of the Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber Strategy News Today in DOD
Teaching Macro Practice: An Experiential Learning Project
ERIC Educational Resources Information Center
Carey, Lois A.
2007-01-01
This paper presents a model for teaching an undergraduate social work macro practice course utilizing an experiential learning paradigm. The model provides a campus-based project with social work majors in simultaneous dual roles of students and grassroots leaders, focusing on rape and sexual assault prevention training for college students. This…
32 CFR 105.14 - Training requirements for DoD personnel.
Code of Federal Regulations, 2013 CFR
2013-07-01
...-based, real-life situations to demonstrate the entire cycle of prevention, reporting, response, and...) Explain the nature of sexual assault in the military environment using scenario-based, real-life... rape myths (See SAPR Toolkit on www.sapr.mil), facts, and trends pertaining to the military population...
32 CFR 105.14 - Training requirements for DoD personnel.
Code of Federal Regulations, 2014 CFR
2014-07-01
...-based, real-life situations to demonstrate the entire cycle of prevention, reporting, response, and...) Explain the nature of sexual assault in the military environment using scenario-based, real-life... rape myths (See SAPR Toolkit on www.sapr.mil), facts, and trends pertaining to the military population...
Domestic Violence against People with Disabilities: Prevalence and Trend Analyses
ERIC Educational Resources Information Center
Lin, Jin-Ding; Lin, Lan-Ping; Lin, Pei-Ying; Wu, Jia-Lin; Li, Chien-De; Kuo, Fang-Yu
2010-01-01
The present study analyzed national data from "Domestic Violence Report System" derived primarily from the Council of Domestic Violence and Sexual Assaults Prevention, Ministry of the Interior, Taiwan, to describe the reported prevalence of domestic violence in people with disabilities and to examine the time-effect on the prevalence…
Travels With Lynn: September 2010
Cyber Security At the Security Defense Allaince Top Story Lynn Details New U.S. Strategy On New Warfare Landstuhl Regional Medical Center Lynn Continues NATO Meetings in Belgium Lynn Attends Cyber Presentation Against ISIL Terrorists Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber
Institutional Betrayal as a Motivator for Campus Sexual Assault Activism
ERIC Educational Resources Information Center
Linder, Chris; Myers, Jess S.
2018-01-01
Institutional betrayal, feelings of treason that occur when an institution fails to prevent or respond appropriately to wrongdoings committed within the context of an institution, contributes to exacerbated trauma for survivors of sexual violence (Smith & Freyd, 2014). Through a qualitative research study, we examine experiences of 10 sexual…
Violence in Schools. Research in Brief.
ERIC Educational Resources Information Center
Toby, Jackson
This brief summarizes what is presently known about violence in schools and provides recommendations for preventing the violence. The following findings are presented concerning the prevalence of school violence: (1) both teachers and students are in greater danger of losing their property through theft than of being assaulted or robbed; (2) both…
77 FR 30871 - Implementing the Prison Rape Elimination Act
Federal Register 2010, 2011, 2012, 2013, 2014
2012-05-23
... Prison Rape Elimination Act Memorandum for the Heads of Executive Departments and Agencies Sexual violence, against any victim, is an assault on human dignity and an affront to American values. The Prison... agencies that operate confinement facilities adopt high standards to prevent, detect, and respond to sexual...
Ferri, Paola; Silvestri, Monica; Artoni, Cecilia; Di Lorenzo, Rosaria
2016-01-01
Background Workplace violence (WPV) against health professionals is a global problem with an increasing incidence. The aims of this study were as follows: 1) to examine the frequency and characteristics of WPV in different settings and professionals of a general hospital and 2) to identify the clinical and organizational factors related to this phenomenon. Methods The study was cross-sectional. In a 1-month period, we administered the “Violent Incident Form” to 745 professionals (physicians, head nurses, nurses, nursing assistants), who worked in 15 wards of a general hospital in northern Italy. Results With a response rate of 56%, 45% of professionals reported WPV. The most frequently assaulted were nurses (67%), followed by nursing assistants (18%) and physicians (12%). The first two categories were correlated, in a statistically significant way, with the risk of WPV (P=0.005, P=0.004, multiple logistic regression). The violent incidents more frequently occurred in psychiatry department (86%), emergency department (71%), and in geriatric wards (57%). The assailants more frequently were males whereas assaulted professionals more often were females. Men committed physical violence more frequently than women, in a statistically significant way (P=0.034, chi-squared test). Verbal violence (51%) was often committed by people in a lucid and normal state of consciousness; physical violence (49%) was most often perpetrated by assailants affected by dementia, mental retardation, drug and substance abuse, or other psychiatric disorders. The variables positively related to WPV were “calling for help during the attack” and “physical injuries suffered in violent attack” (P=0.02, P=0.03, multiple logistic regression). Conclusion This study suggests that violence is a significant phenomenon and that all health workers, especially nurses, are at risk of suffering aggressive assaults. WPV presented specific characteristics related to the health care settings, where the aggression occurred. Prevention programs tailored to the different care needs are necessary to promote professional awareness for violence risk. PMID:27729818
Florence, Curtis; Brennan, Iain; Simon, Thomas
2011-01-01
Objective To evaluate the effectiveness of anonymised information sharing to prevent injury related to violence. Design Experimental study and time series analysis of a prototype community partnership between the health service, police, and local government partners designed to prevent violence. Setting Cardiff, Wales, and 14 comparison cities designated “most similar” by the Home Office in England and Wales. Intervention After a 33 month development period, anonymised data relevant to violence prevention (precise violence location, time, days, and weapons) from patients attending emergency departments in Cardiff and reporting injury from violence were shared over 51 months with police and local authority partners and used to target resources for violence prevention. Main outcome measures Health service records of hospital admissions related to violence and police records of woundings and less serious assaults in Cardiff and other cities after adjustment for potential confounders. Results Information sharing and use were associated with a substantial and significant reduction in hospital admissions related to violence. In the intervention city (Cardiff) rates fell from seven to five a month per 100 000 population compared with an increase from five to eight in comparison cities (adjusted incidence rate ratio 0.58, 95% confidence interval 0.49 to 0.69). Average rate of woundings recorded by the police changed from 54 to 82 a month per 100 000 population in Cardiff compared with an increase from 54 to 114 in comparison cities (adjusted incidence rate ratio 0.68, 0.61 to 0.75). There was a significant increase in less serious assaults recorded by the police, from 15 to 20 a month per 100 000 population in Cardiff compared with a decrease from 42 to 33 in comparison cities (adjusted incidence rate ratio 1.38, 1.13 to 1.70). Conclusion An information sharing partnership between health services, police, and local government in Cardiff, Wales, altered policing and other strategies to prevent violence based on information collected from patients treated in emergency departments after injury sustained in violence. This intervention led to a significant reduction in violent injury and was associated with an increase in police recording of minor assaults in Cardiff compared with similar cities in England and Wales where this intervention was not implemented. PMID:21680632
Florence, Curtis; Shepherd, Jonathan; Brennan, Iain; Simon, Thomas
2011-06-16
To evaluate the effectiveness of anonymised information sharing to prevent injury related to violence. Experimental study and time series analysis of a prototype community partnership between the health service, police, and local government partners designed to prevent violence. Cardiff, Wales, and 14 comparison cities designated "most similar" by the Home Office in England and Wales. After a 33 month development period, anonymised data relevant to violence prevention (precise violence location, time, days, and weapons) from patients attending emergency departments in Cardiff and reporting injury from violence were shared over 51 months with police and local authority partners and used to target resources for violence prevention. Health service records of hospital admissions related to violence and police records of woundings and less serious assaults in Cardiff and other cities after adjustment for potential confounders. Information sharing and use were associated with a substantial and significant reduction in hospital admissions related to violence. In the intervention city (Cardiff) rates fell from seven to five a month per 100,000 population compared with an increase from five to eight in comparison cities (adjusted incidence rate ratio 0.58, 95% confidence interval 0.49 to 0.69). Average rate of woundings recorded by the police changed from 54 to 82 a month per 100,000 population in Cardiff compared with an increase from 54 to 114 in comparison cities (adjusted incidence rate ratio 0.68, 0.61 to 0.75). There was a significant increase in less serious assaults recorded by the police, from 15 to 20 a month per 100,000 population in Cardiff compared with a decrease from 42 to 33 in comparison cities (adjusted incidence rate ratio 1.38, 1.13 to 1.70). An information sharing partnership between health services, police, and local government in Cardiff, Wales, altered policing and other strategies to prevent violence based on information collected from patients treated in emergency departments after injury sustained in violence. This intervention led to a significant reduction in violent injury and was associated with an increase in police recording of minor assaults in Cardiff compared with similar cities in England and Wales where this intervention was not implemented.
A Content Analysis of Hospitals' Community Health Needs Assessments in the Most Violent U.S. Cities.
Fischer, Kyle R; Schwimmer, Henry; Purtle, Jonathan; Roman, Daniel; Cosgrove, Shannon; Current, J J; Greene, Michael B
2018-04-01
The emergence of evidence-supported interventions allows hospitals the opportunity to reduce future reinjury among patients who are violently injured. However, hospital knowledge of these interventions and their perceived role in violence prevention is unknown. The Patient Protection and Affordable Care Act created new legal requirements for non-profit hospitals to conduct community health needs assessments (CHNA) every three years to maintain not-for-profit status. In turn, this allows an empiric evaluation of hospital recognition and response to community violence. To do so, this study performed a content analysis of hospital CHNAs from the 20 U.S. cities with the highest violent crime rates. A total of 77 CHNAs were examined for specific violence-related keywords as well as whether violence prevention was listed as a priority community need. Overall, 74% of CHNAs mentioned violence-related terms and only 32% designated violence prevention as a priority need. When discussed, 88% of CHNAs referenced community violence, 42% intimate partner or sexual violence, and 22% child abuse. This study suggests that hospitals may lack awareness of violence as an actionable, preventable public health issue. Further, evidence-based program models are available to hospitals that can reduce the recurrence of assaultive injuries.
Zilkens, Renate R; Phillips, Maureen A; Kelly, Maire C; Mukhtar, S Aqif; Semmens, James B; Smith, Debbie A
2016-10-01
To describe the prevalence, risk factors, signs and symptoms of non-fatal strangulation (NFS) in women referred to a Sexual Assault Resource Centre (SARC) following recent sexual assault. A cross-sectional study using data routinely collected at time of forensic examination of women (age ≥ 13 years) referred to the Western Australian SARC between Jan-2009 and Mar-2015 alleging a recent sexual assault. Data on demographics, assault characteristics and forensic findings were available. A total of 1064 women were included in the study; 79 (7.4%) alleged NFS during the sexual assault. The prevalence of NFS varied significantly by age-group and assailant type. Of women aged 30-39 years 15.1% gave a history of NFS compared to less than 8.2% in all other age groups. Of women assaulted by an intimate partner, 22.5% gave a history of NFS compared to less than 6% of women assaulted by other assailant types. Of all sexual assaults with NFS, intimate partners were the assailant in 58.2% of cases, whereas in sexual assault cases without NFS, intimate partners were the assailant in 15.9% of cases. Odds of NFS were 8.4 times higher in women sexually assaulted by an intimate partner compared to women assaulted by an acquaintance/friend and 4.9 times higher compared to women assaulted by a stranger. When considering both age and assailant type the highest proportion of NFS (33.9%) was in women aged 30-39 years sexually assaulted by an intimate partner. Other factors associated with NFS during sexual assault included deprivation of liberty, verbal threats, being assaulted in the woman's home and use of additional blunt force. External physical signs of NFS were absent in 49.4% of all NFS sexual assault cases. This study identifies and quantifies NFS risk factors in female sexual assault and highlights the strong association with intimate partner sexual assault. Greater awareness of NFS in sexual assault should lead to improvement in medical screening, forensic management and safety risk assessment by sexual assault and domestic violence services, emergency departments and police. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.
Quigg, Zara; Hughes, Karen; Bellis, Mark A
2012-01-01
Objective To examine emergency department (ED) data sharing via a local injury surveillance system and assess its contribution to the prevention of violence and alcohol-related harms. Methods 6-year (2004–2010) exploratory study analysing injury attendances to one ED in the North West of England using descriptive and trend analyses. Results Over the 6-year period, there were 242 796 ED injury attendances, including 21 683 for intentional injuries. Compared with unintentional injury patients, intentional injury patients were more likely to be men, aged 18–34 years, live in the most deprived communities, have attended the ED at night/weekends, have been injured in a public place and have consumed alcohol prior to the injury. Detailed data collected on alcohol and violence-related ED attendances were shared with local partners to monitor local trends and inform prevention activity including targeted policing and licensing enforcement. Over the 6-year period, intentional ED injury attendances decreased by 35.6% and alcohol-related assault attendances decreased by 30.3%. Conclusions The collection of additional ED data on assault details and alcohol use prior to injury, and its integration into multi-agency policy and practice, played an important role in driving local violence prevention activity. Further research is needed to assess the direct contribution ED data sharing makes to reductions in violence. PMID:22210640
Domestic violence, poverty, and social services: does location matter?
Hetling, Andrea; Zhang, Haiyan
2010-01-01
Objective. This study investigates whether or not domestic violence agencies are located in areas of need. Recent research indicates that community economic disadvantage is a risk factor for intimate partner violence, but related questions regarding the geographic location of social service agencies have not been investigated.Methods. Using Connecticut as a case study, we analyze the relationship of agency location and police-reported domestic violence incidents and assaults using OLS regression and correcting for spatial autocorrelation.Results. The presence of an agency within a town has no relationship with the rates of domestic violence. However, regional patterns are evident.Conclusion. Findings indicate that programs are not geographically mismatched with need, but neither are programs located in towns with higher rates of incidents or assaults. Future research and planning efforts should consider the geographic location of agencies.
Multiple Perpetrator Sexual Assault: How Does It Differ from Assault by a Single Perpetrator?
ERIC Educational Resources Information Center
Morgan, Louise; Brittain, Bernadette; Welch, Jan
2012-01-01
Research that attempts to identify characteristic features of multiple perpetrator sexual assault (MPSA) is limited. This study compared demographic and assault related characteristics of 135 cases of MPSA with 139 cases of single perpetrator sexual assault (SPSA) reported to the Haven sexual assault referral centre, Camberwell, London, over a…
What Factors Predict Women's Disclosure of Sexual Assault to Mental Health Professionals?
ERIC Educational Resources Information Center
Starzynski, Laura L.; Ullman, Sarah E.; Townsend, Stephanie M.; Long, LaDonna M.; Long, Susan M.
2007-01-01
Although many sexual assault survivors seek support from mental health sources for adverse psychological symptoms due to sexual assault, many do not. A diverse sample of adult sexual assault survivors was surveyed about their sexual assault experiences, social reactions received when disclosing assault, attributions of blame, coping strategies,…
The social marketing approach: a way to increase reporting and treatment of sexual assault.
Boehm, Amnon; Itzhaky, Haya
2004-03-01
Too often communities remain silent in response to cases of sexual assault of children. Members of the community are afraid to report such incidents and victims are reluctant to seek and accept treatment. The purpose of the paper is to examine whether application of a social marketing approach may serve as an effective means for motivating communities to report and victims to seek professional treatment. The paper is based on a case study of an ultra-orthodox Jewish community in Israel, where an informal campaign of silence developed. Using content analysis of documents and in-depth interviews, the research examines the implementation of a social marketing approach by a multidisciplinary team of professionals in the community. It focuses on developments in the community's attitude to sexual abuse, especially with regard to reporting assault and seeking and accepting treatment. The findings show a considerable reduction in the fear that victims and other members of the community felt with regard to exposing the issue; a change among the community leaders, some of whom initially objected to reporting and treatment; introduction of an alternative community dialogue that advocated reporting and treatment; and a rise in the number of reports and of people in treatment. The paper recommends the integration of principles of social marketing in community programs aimed at dealing with sexual assault. In particular, it suggests the identification of competing groups in the community, construction of specific programs for different segments, addressing the no-monetary prices that the change may incur on the different groups, location of appropriate places for distribution of messages, and use of effective personal, as well as public means of communication and promotion.
42 CFR 424.535 - Revocation of enrollment and billing privileges in the Medicare program.
Code of Federal Regulations, 2012 CFR
2012-10-01
... enrollment and billing privileges in the Medicare program. (a) Reasons for revocation. CMS may revoke a... agreement or supplier agreement for the following reasons: (1) Noncompliance. The provider or supplier is... murder, rape, assault, and other similar crimes for which the individual was convicted, including guilty...
42 CFR 424.535 - Revocation of enrollment and billing privileges in the Medicare program.
Code of Federal Regulations, 2013 CFR
2013-10-01
... enrollment and billing privileges in the Medicare program. (a) Reasons for revocation. CMS may revoke a... agreement or supplier agreement for the following reasons: (1) Noncompliance. The provider or supplier is... murder, rape, assault, and other similar crimes for which the individual was convicted, including guilty...
42 CFR 424.535 - Revocation of enrollment and billing privileges in the Medicare program.
Code of Federal Regulations, 2011 CFR
2011-10-01
... and billing privileges in the Medicare program. (a) Reasons for revocation. CMS may revoke a currently... supplier agreement for the following reasons: (1) Noncompliance. The provider or supplier is determined not... beneficiaries. (i) Offenses include— (A) Felony crimes against persons, such as murder, rape, assault, and other...
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-07
... Program (Arrest Program) which recognizes that sexual assault, domestic violence, dating violence, and... review. The Department of Justice, Office on Violence Against Women (OVW) will be [[Page 68788... Violence Against Women, at (202) 514- 5430 or the DOJ Desk Officer at (202) 395-3176. Written comments and...
Patterns of Smoking and Unhealthy Alcohol Use Following Sexual Trauma Among U.S. Service Members.
Seelig, Amber D; Rivera, Anna C; Powell, Teresa M; Williams, Emily C; Peterson, Arthur V; Littman, Alyson J; Maynard, Charles; Street, Amy E; Bricker, Jonathan B; Boyko, Edward J
2017-10-01
In the first known longitudinal study of the topic, we examined whether experiencing sexual assault or sexual harassment while in the military was associated with increased risk for subsequent unhealthy alcohol use and smoking among U.S. service members in the Millennium Cohort Study (2001-2012). Adjusted complementary log-log models were fit to estimate the relative risk of (a) smoking relapse among former smokers (men: n = 4,610; women: n = 1,453); (b) initiation of unhealthy alcohol use (problem drinking and/or drinking over recommended limits) among those with no known history of unhealthy alcohol use (men: n = 8,459; women: n = 4,816); and (c) relapse among those previously reporting unhealthy alcohol use (men: n = 3,487; women: n = 1,318). Men who reported experiencing sexual assault while in the military had sixfold higher risk for smoking relapse: relative risk (RR) = 6.62; 95% confidence interval (CI) [2.34, 18.73], than men who did not. Women who reported experiencing sexual assault while in the military had almost twice the risk for alcohol relapse: RR = 1.73; 95% CI [1.06, 2.83]. There were no other significant associations. These findings suggest that men and women may respond differently following sexual trauma, and support future concerted policy efforts by military leadership to prevent, detect, and intervene on sexual assault. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.
Strong, Bethany L; Ballard, Sarah-Blythe; Braund, Wendy
2016-12-01
The American College of Preventive Medicine Policy Committee makes policy guidelines and recommendations on preventive medicine and public health topics for public health decision makers. After a review of the current evidence available in 2016, the College is providing a consensus-based set of policy recommendations designed to reduce firearm-related morbidity and mortality in the U.S. These guidelines address seven general areas pertaining to the public health threat posed by firearms: gun sales and background checks, assault weapons and high-capacity weapons, mental health, research funding, gun storage laws, and physician counseling. Copyright © 2016 American Journal of Preventive Medicine. All rights reserved.
Veterans Sexual Assault Prevention and Health Care Enhancement Act
Rep. Buerkle, Ann Marie [R-NY-25
2011-06-01
House - 10/11/2011 The title of the measure was amended. Agreed to without objection. (All Actions) Notes: For further action, see H.R.1627, which became Public Law 112-154 on 8/6/2012. Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:
Campus HIV Prevention Strategies: Planning for Success.
ERIC Educational Resources Information Center
Hoban, Mary T.; Ottenritter, Nan W.; Gascoigne, Jan L.; Kerr, Dianne L.
This document presents the results of the National College Health Risk Behavior Survey (NCHRBS) conducted by the U.S. Centers for Disease Control (CDC) that pertain to HIV transmission. These results include sexual assault, alcohol and other drug use, and sexual behaviors. The survey was administered to a nationally representative random sample of…
Equal Measure: Shielding Students and Enabling Access
ERIC Educational Resources Information Center
Pierce, Margo
2012-01-01
"If one life is saved, then it's worth it." That is the cliched argument frequently used to justify banning electronic communications, websites, and other forms of technology in schools. The common belief is that these prohibitions will prevent, among other things, the sexual assault of minors or suicides related to cyberbullying. But that…
77 FR 7138 - Meeting of the Defense Advisory Committee on Women in the Services (DACOWITS)
Federal Register 2010, 2011, 2012, 2013, 2014
2012-02-10
... DEPARTMENT OF DEFENSE Office of the Secretary Meeting of the Defense Advisory Committee on Women... Defense Advisory Committee on Women in the Services (DACOWITS). The purpose of the meeting is to receive... in the prevention of sexual assault and harassment, and an update on the Women in Services...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-12-19
... Proficiency NAICS North American Industry Classification System NPREC National Prison Rape Elimination... National Detention Standards PLRA Prison Litigation Reform Act PREA Prison Rape Elimination Act of 2003 PSA... the National Prison Rape Elimination Commission explained in its 2009 report: \\1\\ As discussed in...
25 CFR 63.19 - When should an employer deny employment or dismiss an employee?
Code of Federal Regulations, 2014 CFR
2014-04-01
... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes...
25 CFR 63.19 - When should an employer deny employment or dismiss an employee?
Code of Federal Regulations, 2012 CFR
2012-04-01
... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes...
25 CFR 63.19 - When should an employer deny employment or dismiss an employee?
Code of Federal Regulations, 2011 CFR
2011-04-01
... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes...
25 CFR 63.19 - When should an employer deny employment or dismiss an employee?
Code of Federal Regulations, 2010 CFR
2010-04-01
... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes...
25 CFR 63.19 - When should an employer deny employment or dismiss an employee?
Code of Federal Regulations, 2013 CFR
2013-04-01
... convicted of an offense involving a child victim, a sex crime, or a drug felony. [61 FR 32274, June 21, 1996... GOVERNMENT INDIAN CHILD PROTECTION AND FAMILY VIOLENCE PREVENTION Minimum Standards of Character and... violence, sexual assault, sexual molestation, child exploitation, sexual contact, prostitution, or crimes...
Friends of Survivors: The Community Impact of Unwanted Sexual Experiences
ERIC Educational Resources Information Center
Banyard, Victoria L.; Moynihan, Mary M.; Walsh, Wendy A.; Cohn, Ellen S.; Ward, Sally
2010-01-01
Since sexual assault survivors are most likely to disclose their experiences to a friend; prevention efforts increasingly focus on friends as informal helpers. The current study examined friends' perceptions of the disclosure experience. Undergraduates (N = 1,241) at the University of New Hampshire completed a shortened version of the Ahrens and…
"Consent Is Good, Joyous, Sexy": A Banner Campaign to Market Consent to College Students
ERIC Educational Resources Information Center
Thomas, Kristie A.; Sorenson, Susan B.; Joshi, Manisha
2016-01-01
Objective: This study assessed the recall of, reaction to, and understanding of a brief campus banner campaign promoting consent in sexual relationships, and determined whether campaign exposure was associated with subsequent engagement in activities related to sexual assault education, awareness, and prevention. Participants: A stratified random…
Levas, Michael N; Hernandez-Meier, Jennifer L; Kohlbeck, Sara; Piotrowski, Nancy; Hargarten, Stephen
Geocoded emergency department (ED) data have allowed for the development and evaluation of novel interventions for the prevention of violence in cities outside of the United States. First implemented in Cardiff, United Kingdom, collection of these data provides public health agencies, community organizations, and law enforcement with place-based information on assaults. The purpose of this study was to assess the feasibility of translating this model within the electronic medical record (EMR) in the United States. A new EMR module based on the Cardiff Model was developed and integrated into the existing ED EMR. Data were collected for all patients reporting an assaultive injury upon arrival to the ED. Emergency department nurses were subsequently recruited to participate in 2 surveys and a focus group to evaluate the implementation and to provide qualitative feedback to enhance integration. Nurses completed EMR questions in 98.2% of patients reporting to the ED over the study period. More than 90% of survey respondents were satisfied with their participation, and most felt that the questions were useful for clinical care (79/70%), were integrated well into workflow (89/90%), and were congruent with the ED and hospital goals and mission (93/98%). Focus group themes centered on ED culture, external factors, and internal workflow. It is feasible to implement place-based, assault-related injury-specific questions into the EMR with minimal disruption of workflow and triage times. Nurses, as key members of the ED team, are receptive to participating in the collection of population health data that may inform community violence prevention activities.
Warburton, A; Shepherd, J
2004-01-01
Objectives: To develop formal processes for the collection, disclosure, and effective use of accident and emergency (A&E) department derived assault injury data for city violence reduction. Methods: Over a four year period, managed by a multi-agency steering group, A&E data collection, collation, and disclosure processes were developed, instituted, and refined. Consultations and negotiations between agencies identified the most effective and ethical methods, appropriate recipients, and the nature of the information of most use. Results: Disclosure of A&E data to city authorities, the police, and local media drew substantial attention and crime prevention resources to the locations of violence. As a result, a police task force responsible for targeting city street crime was funded, which analysed both A&E and police information. Monthly, electronic transfer of raw, anonymous data to the task force crime analyst informed and prompted violence prevention initiatives by several agencies. Police mounted overt and covert interventions targeted at violence hotspot licensed premises and used the data to oppose, on injury grounds, drinks/entertainment licence applications. Transport authorities established new half hourly night time city centre bus services. The local authority mounted an assault awareness campaign in schools and public libraries, and licensing magistrates used the data to measure, for example, the impact of continuous 36 hour drinks licensing on public safety. Conclusions: The principal finding of this evaluation was that judicious sharing of unique information about locations and times of violence derived from A&E patients was a powerful and effective means of targeting police and other local resource to bring about violence reduction. PMID:15208234
Warburton, A L; Shepherd, J P
2004-07-01
To develop formal processes for the collection, disclosure, and effective use of accident and emergency (A&E) department derived assault injury data for city violence reduction. Over a four year period, managed by a multi-agency steering group, A&E data collection, collation, and disclosure processes were developed, instituted, and refined. Consultations and negotiations between agencies identified the most effective and ethical methods, appropriate recipients, and the nature of the information of most use. Disclosure of A&E data to city authorities, the police, and local media drew substantial attention and crime prevention resources to the locations of violence. As a result, a police task force responsible for targeting city street crime was funded, which analysed both A&E and police information. Monthly, electronic transfer of raw, anonymous data to the task force crime analyst informed and prompted violence prevention initiatives by several agencies. Police mounted overt and covert interventions targeted at violence hotspot licensed premises and used the data to oppose, on injury grounds, drinks/entertainment licence applications. Transport authorities established new half hourly night time city centre bus services. The local authority mounted an assault awareness campaign in schools and public libraries, and licensing magistrates used the data to measure, for example, the impact of continuous 36 hour drinks licensing on public safety. The principal finding of this evaluation was that judicious sharing of unique information about locations and times of violence derived from A&E patients was a powerful and effective means of targeting police and other local resource to bring about violence reduction.