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Fostering Positive Health Outcomes After the Forensic Exam. Karen D. Carroll, RN, SANE-A, NY-SAFE Associate Director, Bronx SART. Resources. SANE Development and Operations Guide Dr. Linda LeDray, PhD, RN, FAAN

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fostering positive health outcomes after the forensic exam

Fostering Positive Health Outcomes After the Forensic Exam

Karen D. Carroll, RN, SANE-A, NY-SAFE

Associate Director, Bronx SART

resources
Resources
  • SANE Development and Operations Guide Dr. Linda LeDray, PhD, RN, FAAN
  • National Training Standards For Sexual Assault Medical Forensic Examiners USDOJ Violence Against Women Office
history of sane program development
History of SANE Program Development
  • Memphis, TN 1976, Minneapolis, MN 1977, Amarillo, TX 1979
  • 10 programs were established between 1980 and 1989, 73 additional programs between 1990 and 1996, 86 programs were identified in October 1996 listing of SANE Programs published in JEN
  • There currently 81 SANE/SAFE/SART programs listed in the 2004 NYS Protocol Manual
sane value statement
SANE Value Statement

Sexual assault victims have the right to immediate, compassionate and comprehensive, medico-legal evaluation and treatment by a specially trained professional who has the experience to anticipate their needs during a time of crisis.

sane program goals
To protect the sexual assault victim from further harm

To provide crisis intervention

To provide timely, thorough and professional forensic evidence collection, documentation and preservation of evidence

To appropriately refer rape victims for immediate and follow up medical care and follow up counseling

To enhance the ability law enforcement agencies to obtain evidence and successfully prosecute sexual assault cases

SANE Program Goals
sexual assault response team sart model
Sexual Assault Response Team (SART) Model

The Sexual Assault Response Team (SART) Model, developed in California, involves a coordinated response. This SART concept is based on the belief that a team response helps prevent a victim from reporting the account of the assault repeatedly. It also helps prevent confusion among professionals trying to meet the needs of the rape victim as she/he progresses through the health care and criminal justice systems.

the sexual assault resource team model
The Sexual Assault Resource Team Model

Other parts of the country have modified the initial SART Model to better meet the needs of their community while trying to maintain the concept that the SART Team fosters. While the team members meet regularly and communicate routinely about cases, they do not actually respond at the same time. They function cooperatively, not conjointly, which is why some choose to refer to themselves as a resource team not a response team.

barriers to positive health outcomes
Barriers to Positive Health Outcomes
  • Access to follow up health care/ who will provide it?
  • Limited knowledge of follow up services
  • Procedures for arranging follow up care
  • Lack of ongoing communication between SAFEs and follow up service providers
  • HIPPA constraints/sharing of valuable information
barriers
Barriers….
  • Limited evaluation of current protocols
  • Limited long term contact with patients to assess health outcomes (patient satisfaction surveys)
  • SAFE Examiner steps outside her/his role
  • Limited training on trauma and/or sexual assault
  • Different ideas of how to measure success
    • Philosophical
    • Funders