What is “Forensic Nursing” and what sets this field apart from nurses working in other areas? According to the International Association of Forensic Nurses:
“A forensic nurse is a Registered or Advanced Practice nurse who has received specific education and training. Forensic nurses provide specialized care for patients who are experiencing acute and long-term health consequences associated with victimization or violence, and/or have unmet evidentiary needs relative to having been victimized or accused of victimization. In addition, forensic nurses provide consultation and testimony for civil and criminal proceedings relative to nursing practice, care given, and opinions rendered regarding findings. Forensic nursing care is not separate and distinct from other forms of medical care, but rather integrated into the overall care needs of individual patients.”
Forensic nurses practice in many industries that iCarol serves and they regularly engage with patients who have suffered sexual violence, intimate partner or domestic violence, abuse (from children to the aging/elderly), and those who have been victims of a crime. This field of nursing demands a great deal of skill on many fronts. Forensic nurses must not only assess and meet the medical needs of their patient, but they are also tasked with restoring the individual’s feeling of safety and are often one of the first professionals to help that individual through a traumatic event. Their delicate handling of sensitive situations plays a large role in patient recovery.
The conference sessions will fall into a variety of tracks including Intimate Partner Violence, SANE (Sexual Assault Nurse Examiner), Pediatrics, and Psychiatry and Corrections. We’re excited to be attending this conference for the first time and eager to have Eliisa share learned knowledge with our team so we can directly apply it to our work with the organizations that employ or frequently interact with forensic nurses.
“I am excited to learn more about this side of the support model that many of our clients work directly in, or coordinate with nurses to do. It will be interesting to hear more from the forensic nurse perspective, as well as overall leading thoughts on how to best support survivors, and how to overcome challenges when doing so.” — Eliisa Laitila, iCarol Solutions Expert Team Lead
To learn more about Forensic Nursing, specifically those who conduct SANE exams, check out the video below created by the International Association of Forensic Nurses.
From Wednesday, October 17 through Friday, October 19, Rachel Wentink, Vice President, Operations, and Mary Kruger, Client Training Coordinator, will attend the National Crisis Center Conference in St. Louis, Missouri.
The conference theme is “Gateway to Gold: Setting the Standard” with a focus on best practices for optimum success of the attending organizations and their clients. This year’s conference will offer sessions in two tracks focused either on Systems or Centers, with several workshops that satisfy both.
There’s no better group to speak to best practices than the two entities presenting this conference, CONTACT USA (CUSA) and the National Association of Crisis Organization Directors (NASCOD). Both organizations have a phenomenal history of supporting crisis work and we recommend considering membership for your service if you are a helpline, warmline, crisis center, suicide prevention service, or similar organization. By joining them you’ll discover fantastic networking and knowledge sharing from caring individuals who can relate to your day-to-day joys and challenges as a manager or executive director of a not-for-profit. Find out more about CUSA membership here and NASCOD membership here.
Our history with this group and conference is our longest association, going way back to iCarol’s earliest days, and many of the helplines and crisis centers who host this conference were some of iCarol’s earliest users. It’s a long standing relationship that we value and we’re proud to not only attend but are also long-term sponsors of this important gathering organized by pillars of the helpline industry.
As with all conferences we attend, we welcome the opportunity to connect with old friends and new ones. We’re eager to hear about your latest projects and discuss ways iCarol can support you and the needs of your community. Both Mary and Rachel will be on hand throughout the conference to answer your questions and talk about how iCarol can help. We look forward to seeing you!
October 10 is World Mental Health Day, and it’s a day every single person can and should participate in. Every person should be aware of the state of their own mental health, be able to recognize the signs that they are stressed or ill, and know what to do when that happens. And while this is important regardless of one’s age, this year the World Health Organization is placing a focus on child and adolescent mental health.
Half of all mental health conditions start by age 14, but most cases go undetected and untreated until many years later or often not at all. Suicide is the second leading cause of death among those aged 15-29. Depression and eating disorders are top concerns for youth, as is alcohol and drug use that can lead to unsafe behavior. Even under the best circumstances, adolescence and young adulthood are challenging times. Not only do youth experience physical, hormonal, and emotional changes that can be uncomfortable and confusing, but youth are also dealing with academic and societal expectations and challenges. Young adults are facing major life changes such as choosing how to begin their futures, starting university or their first jobs and beginning to navigate adulthood when they may very much still feel like a child. While all this is exciting, it’s also stressful. And, if these pressures aren’t managed well with healthy coping strategies, mental health conditions can and do develop. Besides all the expected challenges of adolescence, we mustn’t forget the number of youth worldwide living in areas affected by war, natural disaster, health epidemics, conflict, and humanitarian emergencies. Young people living in situations such as these are particularly vulnerable to mental distress and illness.
Thankfully, there is a growing focus on prevention and building resilience that could make a difference in the lifelong mental health of youth everywhere. The first step is greater awareness and understanding of mental health as a part of overall health and wellbeing, and knowing the first symptoms of mental illness. The removal of stigma associated with mental illness, and access to proper care are also a vital part of building a more mentally healthy world. And of course, parents, teachers, guidance counselors, and other adults who interact with youth have a role to play in helping children build life skills that help them cope with challenges in healthy and constructive ways so that serious mental health conditions are less likely to become an issue.
WHO encourages governments worldwide to invest in the social, health and education sectors and support comprehensive, integrated, evidence-based programs for the mental health of young people. In particular, programs that raise awareness among adolescents and young adults of ways to look after their mental health and programs that help peers, parents and teachers know how to support their friends, children and students.
The first full week in October is recognized as Mental Illness Awareness Week, and both Mental Health America and the National Alliance on Mental Illness (NAMI) are making stigma their topic to focus on for the week.
NAMI has launched CureStigma.org. The site provides a quiz that helps visitors assess their own stigma towards mental illness, and provides stories of hope and other resources.
Mental Health America similarly hopes to turn the focus on reducing the stigma that still surrounds mental illness. Their site encourages everyone to take a mental health screening and share the results with others to show that checking up on your mental health is nothing to be ashamed of, and that it’s okay not to be okay. They also encourage social media shares using #ThingsPeopleSaidAboutMyMentalIllness to spread awareness of the kinds of comments about mental illness that are hurtful.
While things are getting better, stigma remains a barrier standing in the way of more healthy discussions and solutions surrounding mental health. With 1 in 5 Americans affected by a mental health condition, stigma creates an environment of shame, fear and silence that prevents many people from seeking help and treatment.
Today marks the official start of National Suicide Prevention Week, with September 10th honored as World Suicide Prevention Day.
Suicide education, awareness, and prevention organizations worldwide are taking this opportunity to promote a few key themes and messages around suicide prevention, notably:
Every person has a role to play in suicide prevention. The Lifeline works to empower friends, family members, coworkers, and acquaintances to recognize the warning signs and know how best approach the topic of mental health or suicide, rather than simply encouraging people thinking of suicide to call the Lifeline. The #BeThe1To campaign campaign works to empower the public at large to recognize the warning signs of suicide, and know how to help someone who may be suicidal. This campaign also reminds us that suicide is a public health issue, and that we all can take responsibility for preventing suicide given the right knowledge and resources.
Smashing stigma continues to be the mission of the National Alliance on Mental Illness (NAMI). They take the opportunity of Suicide Prevention Week to encourage people to share their stories and experiences, and reject the stigma and prejudice that cause people to suffer in silence. Similarly, the American Foundation for Suicide Prevention is promoting the power of connection, and openly talking about mental health in everyday conversations.
Suicide prevention is a year-round effort. While it’s important to bring attention to the topic of suicide during special events and recognition dates, the American Association of Suicidology (AAS) has launched its #AAS365 initiative that focuses on suicide prevention each day of the year. They advocate continuously spreading awareness, advocating for research funding, developing innovative and effective treatment tools, being kind, and helping to educate others on things like resources and warning signs.
It is heartening to see how each year National Suicide Prevention Week grows in its reach and the number of people participating. It is clear that people are becoming more willing to talk about suicide, reach out to loved ones, and have conversations with others about it. One can see the initiatives outlined above in action and ultimately these conversations provide some of the best hope for reducing suicide rates.
To all the suicide prevention helpline volunteers and staff, researchers and doctors, advocates, people with lived experience, and suicide loss survivors — we thank you for your lifesaving work and for raising your voices this week and all year-round to help save lives.
From August 29th through 31st, Polly McDaniel, Director of Business Development, and Eliisa Laitila, Solutions Expert Team Lead, will both attend the 2018 National Sexual Assault Conference (NSAC) in Anaheim, CA.
We first attended this national conference in 2017, though organizations that address sexual violence and help sexual assault survivors have long been a part of the iCarol family. Our first experience at NSAC last year was exciting and inspiring; we were thrilled by the number of talented and passionate advocates we met. They do invaluable work toward awareness, breaking the silence around rape and sexual assault, preventing violence, and helping survivors heal. In the year that followed we welcomed a number of new organizations serving this space into the iCarol network of users. We’re eager to attend the conference again this year so we can meet more people doing this amazing work, reconnect with those we met earlier, and show everyone some of the latest solutions we offer to enhance service delivery to survivors.
So, if you’re going to be at the NSAC conference, please stop by our booth in the Platinum 5 exhibit room and say “hello.” We’re looking forward to the opportunity to answer your questions and hear more about the amazing work you’re doing for sexual violence survivors in your community and beyond.
Raise your hand if this scenario sounds familiar: You, and many of your volunteers and staff, agree that you should add new communication channels like live chat or texting to your not-for-profit’s service offerings. But, there’s one big problem—your CEO, Board of Directors, or funders aren’t yet convinced.
Perhaps they see your current call volume is healthy or growing, and they mistakenly feel this is a sign that communication by voice call is sufficient, just as in demand as ever, and your community doesn’t need or want these new channels. On the surface that takeaway is understandable, but it’s also wrong.
Current call volume is a poor indicator of whether or not people need support through texting/SMS and live chat. Here’s why: If voice calling is the only option to reach you, and you provide needed services over the phone, of course the calls will be there. It’s not about how many people are calling. It’s about who’s not calling.
When you only provide emotional support, information and referral, and crisis intervention over the phone, you’re not serving the members of your community who need your services but won’t—or can’t—use the phone to access them.
We recently asked an iCarol user how she convinced her board to fund her live chat and texting service, and she said, “I just asked them, ‘Have you ever met a teenager?’” Her point being that teens simply don’t call hotlines, at least not in significant numbers. In fact, this is one area where our clients do report declines in call volume. Many of the organizations we serve report that people under age 25 are their smallest represented demographic. Of course, we know youth aren’t free of interpersonal crisis, financial troubles, food insecurity, abuse, suicide ideation, and any number of serious issues. In fact, we know that for many of these issues, youth are desperately in need of outreach and support. According to the CDC, suicide is the second leading cause of death during adolescence through young adulthood. Girls and young women between the ages of 16 and 24 experience the highest rate of intimate partner violence—almost triple the national average, according to a study by the US Department of Justice. According to the National Alliance on Mental Illness, of the 1 in 5 people living with a mental health condition, half developed the condition by age 14 and 75% by age 24.
Taking that first step to ask for help or advice is tough for anyone. But for teens, expecting that first contact to come in the form of a phone call is even harder. People under 25 are digital natives, meaning they grew up with communication technology like live chat, texting, social media, and other chat apps. Use of these mediums comes naturally to them while voice calling may feel more awkward and less convenient, unnatural even. A 2015 study by the Pew Research Center on teens, technology, and friendships found that teens reserve phone calls for their closest friends, while they prefer building new friendships over text messaging. It takes a level of established trust and familiarity for them to talk over the phone with someone. So, think of your helpline as a new friend. It’s less likely that a young person will dial the phone to talk about a problem or sensitive issue with you, but they may be willing to text you or chat with you.
Privacy and Anonymity
Unfortunately, no matter how common and normal someone’s personal struggle may be, they may feel embarrassed or ashamed about it. There is an enormous effort across many different industries—suicide prevention, mental health, intimate partner or sexual violence to name a few—focused on removing the stigma and societal judgment associated with these issues. While those efforts are certainly helping, shame remains a barrier to getting help for many people in need of assistance. They may have a tough time saying aloud what they’re going through. They may be afraid that someone will overhear the conversation. Think of a LGBTQIA teen who is working through their identity and struggling with how or when to come out to friends or family. They may be very averse to making a phone call that could easily be overheard by parents, siblings, or friends. Or, consider a young woman who has recently been raped or sexually assaulted by someone she knew and thought she could trust. She could be feeling shocked, betrayed, and may even be blaming herself. In these and other scenarios, the person is likely feeling scared and vulnerable, and being able to type about it privately, silently, and anonymously with a caring and confidential source may be much more appealing than making a call.
Sometimes the need for silent communication isn’t so much about preference as it is about self-preservation. Voice communication could actually prove dangerous in certain situations. A few years ago there was a very powerful ad shown during the Superbowl by the group NO MORE. The ad featured shots of the interior of a home in disarray, with items knocked over and strewn on the floor. As we see these visuals we hear a recorded 9-1-1 call between a woman and an operator, though oddly the woman is trying to order a pizza. At first confused and taken aback, the 9-1-1 operator realizes that the woman’s “pizza” call is a ploy to foil an abusive partner because she is unable to call out for help but needs an officer to visit the home. You can watch the ad here.
The ad reminds us of the importance of silent communication for the purposes of safety in certain scenarios, and even 9-1-1 and other emergency centers are responding by text-enabling their services. Not all situations are as dire as the one shown in the ad where there is an active, life-threatening attack. While some may need a silent way to request active rescue, others may need to reach out to discretely chat or exchange SMS messages about their abuse to receive emotional support and empowerment without their abuser overhearing, which could escalate the situation and cause harm.
When providing a community service, it’s important to be inclusive and mindful of the needs of different groups and cultures and mitigate potential access barriers. The Deaf community and people with disabilities in particular can become isolated from essential services when their needs aren’t accommodated.
Offering assistance through live chat and texting can ease the path for people who are disabled or deaf. When someone has a disability affecting their speech in some way, verbal communication can not only be less therapeutic, but it can add frustration to their situation. However, they may find written communication a viable alternative. And, while there are interpretation services such as video relay available to the Deaf community, many would prefer to communicate directly with a helpline counselor without a third party present, especially when discussing sensitive or private issues. Written communication directly between the deaf person and an organization’s volunteer or staff member may help them feel more connected with the agency and, by extension, any plans, referrals, or problem-solving strategies they arrived at with the specialist’s help.
Adding new communication channels to your service offerings requires a culture shift and open mind among leadership, program managers, and frontline staff alike. While there are some who need convincing, we hope by now the evidence is clear: Use of communication channels like chat or SMS/texting is not a passing fad. They have become widely adopted, permanent fixtures in our society. Offering these service alternatives is not just smart business practice needed to remain relevant, but a vital form of outreach to populations that find themselves cut off from needed services only offered on traditional channels.
DMAX Foundation has launched its “Everybody Has Stress Survey.” Tell us what stresses you out, how you cope, and who you talk to about it. Take our survey, and you can find out what others who have already taken the survey think AND you could have a chance to win: www.dmaxfoundation.org/survey
If you feel stressed, you are not alone. According to the American Institute of Stress, 73% of Americans regularly experience psychological symptoms caused by stress. The definition of stress is hard to pin down, but most people associate stress with the negative thoughts and feelings it causes which can result in anxiety, depression, trouble sleeping, anger, and difficulty regulating emotions.
What’s worse is that chronic stress can lead to serious chronic auto-immune diseases, hormonal imbalances, and weight gain. And what a cruel cycle this causes, as worry over health is the #3 largest stressor among Americans, after Job (#1) and Money (#2). Yes, stressing about your health can lead to illness, which will in turn increase your stress about health.
According to the National Alliance on Mental Illness, over 70 percent of mental health conditions, including anxiety from stress, have an onset before age 24. Research reveals that over the past 12 months, 61% of college students have felt overwhelming anxiety, 39% have felt so depressed they can’t function and 12% have contemplated suicide. Yet college counseling services are often overburdened and understaffed. College students need alternative resources to help them with the difficult emotional concerns that late adolescence and young adulthood often bring.
DMAX Foundation is establishing DMAX Clubs on college campuses as trusting environments for students to have honest everyday conversations about mental health so they can understand and help each other. DMAX Clubs help reduce the sense of isolation and hopelessness for students who may be suffering from mental or emotional issues and can’t or don’t seek the help they need.
Do you know a college student who might be interested in a DMAX Club:
Starting a new Club at their college? Joining an existing Club at Penn State University Park, Temple, Drexel or Elon? Would you like to be involved with DMAX Foundation as a volunteer, donor or sponsor?
If you think the media does a poor job covering sexual violence today, check out how it was done 45 years ago, when BARCC was founded. Few media outlets wrote about sexual assault and when they did, the language is rudimentary and lacks nuance—a direct reflection of the fact that up until the rape crisis center movement of the 1970s, U.S. society had yet to grapple in a meaningful way with an epidemic of sexual violence that we are still living with today.
The Boston Globe’s coverage of BARCC’s opening consists of six short paragraphs devoid of context, statistics, survivor stories, or even quotes from the founders. The piece assumes that the only people in need of services are women.
Fortunately, as survivors and advocates broke the silence surrounding sexual violence and educated the public, law enforcement, policy makers, and the media on the issue, our vocabulary expanded and made its way to the mainstream. Now, major media outlets consider nuances like when to use the term “survivor” rather than “victim.”Journalism watchdogs and other stakeholders have created resources to aid reporters in reporting on sexual violence. Colleges and universities publish vocabulary lists to contextualize their sexual assault response and prevention work, defining terms like “affirmative consent” and “bystander intervention” for the campus community. And social media is amplifying the unfiltered voices of hundreds of thousands of survivors through viral phenomena like the #MeToo, #TimesUp, and #BelieveSurvivors movements.
But change like this takes time, and we see evidence of that in coverage of sexual violence through the years. Consider this 1977 headline from a Boston Globe front page story:
Written early in her career by Judy Foreman, now the author of several books and a highly regarded medical specialist and science writer, the piece opens: “Rape isn’t supposed to happen to nice, quiet people who leave the city for the suburbs. Even more important, rape is not supposed to be talked about, even if it happens. That kind of hysteria is for city people.”
Buried deeper in the story was the less sensational—and more important—truth of the matter: “What is clearly happening is that the taboos surrounding rape and sexual assault, the shrouds of silence in which rape was hidden in suburbia, are falling away under the combined pressure of new state laws and the growing demand for rape crisis services.”
In July 1981, the biased and myth-laden media coverage of a case in which three Boston physicians were convicted of raping a nurse prompted BARCC to hold a press conference to point out problems with the reporting. Among other complaints, BARCC’s Aileen O’Neill blasted the media for identifying and sympathizing with the defendants while ignoring the “effects of rape and the trial experience on the woman,” according to Globe coverage of the press conference.
A week before the press conference, for example, the Globe had published a story headlined, “For 3 Doctors, Future Is Uncertain,” that detailed the financial, employment, and personal troubles that had befallen the convicted rapists, quoting their attorneys and family members—including a parent who portrayed his son as the victim: “The stigma, the emotion, the trauma, is something you can’t forget,” he said of his son’s rape conviction.
Of course, we still see this focus on the harm done to perpetrators when they are held to account for their actions. The most prominent recent example is probably that of Brock Turner, the former Stanford University student who was convicted of having raped a 23-year-old woman on the school’s campus in 2015. Turner’s father petitioned the court to sentence him to probation, writing, “His life will never be the one that he dreamed about and worked so hard to achieve. That is a steep price to pay for 20 minutes of action out of his 20 plus years of life.” Although his crime was punishable by up to 14 years in prison, the judge in the case sentenced Turner to six months (he served just three), citing the “severe impact” that prison would have on Turner.
More favorable shifts in tone and balance were evident by the 1990s and 2000s, when media championed the privacy rights of sexual assault survivors who sought mental health treatment as part of their recovery. Coverage of the issue was prompted by a Supreme Judicial Court (SJC) ruling in favor of making survivors’ records available to defendants in a 1991 ruling and another 2000 decision prompted by BARCC’s refusal to hand over a rape victim’s records to her accuser.
With each ruling, in addition to reporting that focused primarily on how the ruling would affect sexual assault survivors as opposed to how it would serve defendants, media gave ample space to critics of the decisions.
After the 1991 ruling, Boston Globe columnist Bella English wrote a scathing critique that featured the voices of survivors and advocates, including then–BARCC Executive Director Sharon Vardatira. The “dubious ruling” robbed survivors of hard-won privacy rights, English wrote. “A defense attorney is not going to subpoena a victim’s psychiatric record to ‘determine if she had motive to lie,’ as the SJC naively believes. A defense attorney is looking for dirt, period, whether it’s relevant or not.”
After the ruling against BARCC in 2000, the Globe not only published an op-ed by then–BARCC Executive Director Charlene Allen, it also editorialized that the SJC had “unnecessarily lowered the bar for protecting” the privacy rights of rape victims against due-process claims by defendants. “What happens now?” asked the Globe. “To protect clients, crisis centers may keep even less detailed written records, so they have less to surrender—even though this threatens to hurt the continuity of care.”
Such concern for sexual assault survivors is a far cry from sympathetic coverage of convicted rapists. Though we still have far to go in dismantling a culture that enables sexual violence, it’s clear that the conversation about sexual assault has shifted in a direction more favorable to survivors.
Today, BARCC is a go-to source for reporters covering issues related to sexual violence. We regularly share our expertise in media outlets, including national publications like the Hill and Huffington Post, as well as local outlets like NBC Boston, WBUR, and of course, the Globe.
This article first appeared on the Boston Area Rape Crisis Center (BARCC) website and is reprinted with permission from the staff at Boston Area Rape Crisis Center. The views and opinions expressed in guest blogs are those of the guest blog author and do not necessarily reflect the official position of CharityLogic and iCarol.
iCarol offers multiple ways for you to retrieve the data you put into your system. You can use our Statistics area to access dozens of available-on-demand charts and graphs that present information that our clients most commonly need to meet their reporting requirements. You can also apply numerous filters to these reports, drilling directly in to uncover the desired information. This area is a sufficient source of information for most of your basic reporting needs.
But, we understand that others may want or need to run cross tabulations, pivot tables, or otherwise customize their reporting experience a bit further. Our users can extract their raw data files for further analysis in external programs like Microsoft Access or Excel, or simply export the data for offline storage. These data tables contain every last detail about activities like your shifts, volunteer and staff profiles, the records in your resource database, and contact records including the data from contact record text entry fields, among other activities.
Our philosophy is this: The data you put into iCarol is YOUR data— we are simply the stewards of it by keeping it stored and protected for you, and so of course you should have access to it as needed. Many of our users choose to go to the Admin Tools area of iCarol to export this data on a regular basis. However, this does require taking a few steps to initiate the download, then waiting for the export to complete before you can begin your analysis.
We’ve created an enhancement to the Admin Tools export area: Scheduled Exports. Using this feature, our users can schedule an automatic export to occur. This export can be delivered in your iCarol system just as the manual exports, or you can set a path to a S/FTP that you’ve provided for this data to be delivered to.
Each iCarol customer is allotted one free monthly scheduled export to use in their system.
This feature is also available as a subscription — you may add on several scheduled exports to your iCarol system for a nominal monthly cost. When you subscribe to this feature, you may choose from multiple time frames for the scheduled exports to occur: Weekly, Monthly, Quarterly, or Annually. If you find yourself needing to export information on a repeat basis throughout your reporting cycles, having these files exported automatically is a convenient and time-saving solution.
To add your free monthly scheduled export, log into iCarol and navigate to the Help area to read our detailed Help Articles with step-by-step instructions (simply search for “Scheduled Export”).