[Human Sexual Inadequacy Mobi Download Book 1
Julieann Rohde
New York State Department of Health (DOH) has established standards to certify three distinct Sexual Assault Forensic Examiner (SAFE) Program components. Click each link below for more information and program applications.
New York State Sexual Assault Forensic Examiner (SAFE)-Designated Hospital Programs provide specialized care to sexual assault patients. Qualifying hospitals licensed under Article 28 of the Public Health Law seeking SAFE designation can apply to the Bureau of Perinatal, Reproductive, and Sexual Health (BPRASH) at any time. Once approved, a provider agreement with DOH, Division of Family Health obligates all hospitals to provide services consistent with SAFE Program requirements. SAFE hospital designation is not reviewed by the Office of Health Systems Management or added to the operating certificate but it is listed on the hospital profile.
Note: Per Public Health Law 2805-i, every hospital in New York State is required to provide care to patients of sexual assault in the emergency department. Emergency departments are required to establish and implement policies and procedures for the treatment of rape victims; have procedures in place for contacting rape victim advocates; and, collect and maintain forensic evidence utilizing the New York State standardized evidence collection kits and procedures, including second kits for suspected drug-facilitated rape incidents, when appropriate. See below for a list of service components regarding the treatment of sexual assault patients required for all hospitals.
DOH certifies Adult/Adolescent SAFE training courses. SAFE training is essential for any DOH-designated hospital program to establish a cohort of medical professionals who are prepared to conduct sexual assault medical forensic examinations, collect and preserve evidence, and present testimony in the prosecution of sexual assault cases. A 40-hour didactic and clinical training course, which demonstrates to the Department the ability to provide training that meets the minimum standards and requirements, can provide training related to the Department's issuance of certificates of qualifications.
Currently there are five active DOH-certified Sexual Assault Forensic Examiner (SAFE) training courses offered throughout New York State. The International Association of Forensic Nurses (IAFN) also offers a DOH-approved online training course for SAFE-A. Visit IAFN for more information.
The DOH recommends SAFEs/SANEs in all hospitals to provide comprehensive and high quality medical care, collection of forensic evidence, and respectful and sensitive treatment. The use of DOH-certified SAFEs is required in hospitals seeking SAFE designation.
For additional guidance on providing services to victims of sexual assault in the health care setting, refer to the U.S. Department of Justice Office on Violence Against Women "A National Protocol for Sexual Assault Medical Forensic Examinations".
The 'New York State Sexual Assault Victim Bill of Rights' must be provided to every presenting sexual offense victim before a medical facility commences a physical examination of a sexual offense victim, or a police agency, prosecutorial agency or other law enforcement agency commences an interview of a sexual offense victim. The health care professional conducting the exam, police agency, prosecutorial agency or other law enforcement agency shall inform the victim of the victim's rights by providing a copy of this sexual assault victim bill of rights and offering to explain such rights. Also available in the following languages: Arabic, Bengali, French, Haitian Creole, Italian, Korean, Polish, Russian, Simplified Chinese, Spanish, Urdu,Yiddish.
When a patient has been sexually assaulted, the primary focus is on assessing the immediate health care needs and secondly, the collection and preservation of evidence. The New York State Division of Criminal Justice Services (DCJS), in conjunction with DOH and crime labs in New York State, developed a sexual offense evidence collection kit for the collection and preservation of sexual assault forensic evidence. In addition, a Drug Facilitated Sexual Assault (DFSA) kit was developed to be used only in cases where there is a suspicion of a drug facilitated sexual assault. DFSA kits must be used in conjunction with the evidence collection kit. Evidence collection and DFSA kits are provided by DCJS at no cost to hospitals in the state. For more information, visit DCJS.
The entire health care and evidentiary exam is conducted at the patient's discretion. The patient may withdraw consent at any time, or may choose to complete only certain parts of the health care exam, evidentiary exam, or health care treatment. Written, informed consent for medical care and HIV testing must be obtained. In addition, consent must be obtained for collection and storage of sexual offense evidence, including forensic photography. A signed consent for release of information and privileged evidence to law enforcement is required. The patient must also sign a release directing the hospital not to collect and keep privileged evidence, if the patient chooses not to participate in an evidentiary exam.
New York State law provides for direct reimbursement to providers of forensic health care examination services. Reimbursement provides for the personal privacy of sexual assault patients and ensures that survivors are not billed for any forensic health care examination services, including a seven-day starter pack of HIV post-exposure prophylaxis. To obtain a Forensic Rape Examination (FRE) claim application or more information, visit the Office of Victim Services (OVS).
Forced sexual contact may result in pregnancy or exposure to human immunodeficiency virus (HIV), hepatitis, and sexually transmitted infections (STIs). Proper care should be provided immediately.NYS Clinicians may call the Clinical Education Initiative (CEI) Clinician Phone Line 866-637-2342 to consult with a specialist about clinical inquiries on HIV, Sexual Health, Hepatitis C and Drug User Health. Or visit the CEI website here
Most sexually abused children who do not present with emergent medical conditions can be scheduled with an appointment at a Child Advocacy Center (CAC) or with a medical provider. However, all children who are suspected of being sexually abused should have the opportunity for a medical evaluation and timely collection of forensic evidence by a Child Abuse Medical Provider (CHAMP), SAFE-P, certified child abuse pediatrician, or a pediatric examiner.
For additional guidance on pediatric sexual assault patients, refer to the U.S. Department of Justice Office on Violence Against Women's A National Protocol for Sexual Assault Medical Forensic Examinations Pediatric".
The DOH has established standards for rape crisis programs to train rape crisis or victim assistance advocates. Advocates who complete the training can, by law, provide confidential services to sexual assault patients. Hospital personnel shall advise sexual assault patients of the availability of services from a local rape crisis program, if any, to accompany the patient through the medical-forensic exam. If the patient wishes the presence of an advocate, the hospital shall contact the appropriate organization and request that one be provided.
A goal of the DOH's SAFE Program is to utilize an interdisciplinary approach by working with the local rape crisis program, law enforcement, prosecutors, hospitals, and other necessary service providers to effectively meet the needs of the sexual assault victim and the community. SARTs help to achieve this goal by bringing parties together on a regular basis. For more information please visit the Office of Justice Programs SART Toolkit.
* Note: This shared mailbox is only monitored by Sexual Violence Prevention Program staff from 8:00 am to 5:00 pm Monday through Friday and is intended for non-emergency purposes. If you are someone who has been sexually assaulted and you are seeking immediate assistance, please contact the New York State Hotline for Sexual Assault and Domestic Violence at 1-800-942-6906. If it is an emergency, contact 911.
In the late 1950s, Masters and Johnson pioneered research into the understanding human sexual response, dysfunction, and disorders through the direct observation of anatomical and physiological sexual responses of human subjects. They began their joint work in 1957 at the Department of Obstetrics and Gynecology at Washington University in St. Louis before founding the Reproductive Biology Research Foundation (later re-named the Masters and Johnson Institute), where they worked from 1978-1994, conducting independent sexological research and organizing training workshops for researchers, educators, and therapists.
William Masters and Virginia Johnson have been widely recognized for their contributions to sexual, psychological, and psychiatric research, particularly for their theory of a four-stage model of sexual response (also known as, the human sexual response cycle) and their study of sexual response among the elderly. Numbered among their awards are acknowledgements from the American Association of Sex Educators, Counselors and Therapists in 1978, and the American Association of Sex Educators, Counselors and Therapists in 1985 and 1992. The Society for Sex Research and Therapy grant the Masters and Johnson annual award for research.
Communications with the research community and general public are among the many treasures in the collection. On file are correspondence with Albert Ellis, Lonnie Barbach, Frank Beach, Hugh Hefner, Morton Hunt, Richard Green, Alan Guttmacher, and Erwin Haeberle, as well as inquiries and letters from Argentina, Chile, England, Germany, India, Mexico, Nigeria, and Venezuela. Also included in this series are administrative files from the Masters and Johnson Institute workshops and training programs.
795a8134c1