(Webinar originally recorded on April 10, 2014)
Medical and Forensic Considerations in Caring for Transgender Sexual Assault Survivors
Navigating medical services and advocacy with transgender survivors may be uncharted territory for forensic nurses and advocates. Transgender sexual assault victims may differ from other survivors in body configurations, high levels of polyvictimization, increased discrimination and denial of services from other providers, as well as often discordant relationships with their body in general. For these reasons and more, it is critical for forensic exam settings and providers to be culturally aware of trans-specific differences in order to provide sensitive and effective services. This webinar will focus on some of the key transgender inclusions in the National Protocol for Sexual Assault Medical Forensic Examinations, case examples of medical advocacy with transgender survivors, and discussion of unique differences (both challenges and solutions) in providing care and advocacy to transgender survivors. Guest presenters include Kim Day (International Association of Forensic Nurses) and Eric Stiles (National Sexual Violence Resource Center).
- National Protocol for Sexual Assault Medical Forensic Examinations
- SAFE Protocol: Trans-specific annotation
In April 2013, the Office on Violence Against Women announced publication of the 2nd edition of the National Protocol for Sexual Assault Medical Forensic Examinations, Adult/Adolescent (SAFE Protocol, 2d.), available at https://www.ncjrs.gov/pdffiles1/ovw/241903.pdf. The 145-page document discusses transgender survivors 25 times. In nearly every case, the content truly is trans-specific (as opposed to “LGBT”), including a major section on pages 38-39. This annotated handout provides additional information about each of the references in the Protocol.http://forge-forward.org/wp-content/docs/SANE-protocol-trans-inclusive-handout-2.pdf
- SAFE Protocol: Trans-specific annotation
- Transgender Medical Forensic Care References/Citations
- Victim Centered Care handout (forensic webinar)
- Gender Neutral Body Map
- What is most important to transgender survivors
- Safety Planning Tool
Guest presenter: Kim Day, International Association of Forensic Nurses
Kim Day, RN, FNE, SANE-A, SANE-P, is a technical assistance provider and forensic nursing clinical content expert at the International Association of Forensic Nurses (IAFN). Mrs. Day provides assistance around the National Protocol for sexual assault forensic examinations of adults and adolescents through the SAFEta project. She is a Sexual Assault Nurse Examiner, certified as a SANE-A and SANE-P by the International Association of Forensic Nurses. Ms. Day coordinated a local community hospital SANE program and the county wide Sexual Assault Response Team (SART) for 8 years before beginning her current position in 2006.
Mrs. Day has worked on many national level projects such as: the Prison Rape Elimination Act medical protocol advisory committee, the National Sexual Violence Resource Center’s SANE Sustainability project, the National Commission on Correctional Healthcare’s PREA standards training for correctional healthcare personnel, the Southwest Center for Law and Policy’s SAFESTAR project’s curriculum development and the advisory group for the Dartmouth Interactive Media Lab’s interactive DVD: Sexual Assault: Forensic and Clinical Management. She also has participated as a roundtable participant in the Office on Violence Against Women’s (OVW) DNA Backlog Roundtable and the White House Roundtable on Sexual Violence. Mrs. Day also participated in the Office for Victims of Crime’s (OVC) Vision 21 project. She is a member of the National Coordination Committee on the American Indian/Alaska Native SANE-SART initiative and the Attorney General’s Violence Against Women Federal/Tribal Prosecution Task Force and the NIJ SAFER Working Group Steering Committee.
Mrs. Day worked with SAFEta project partners to author and present a training called: Creating a Community Protocol for community teams working to develop sexual assault protocols. She has also spoken at many national, state and local conferences and webinars on the National SAFE Protocol, VAWA Forensic Compliance and the medical forensic examination. She has authored chapters and/or contributed to the textbooks: The Atlas of Sexual Violence, The Adolescent and Adult Sexual Assault Assessment SANE/SAFE Forensic Learning Series, Sexual Assault Victimization Across the Lifespan and co-authored The Clinical Management of Children and Adolescents Who Have Experienced Sexual Violence: Technical Considerations for PEPFAR Programs in 2013. Mrs. Day participated in a two day collaborative multidisciplinary capacity building meeting in Dar es Salaam, Tanzania with USAID and in country stakeholders. She has written articles for Sexual Assault Report, Women Police and Forensic Healthcare on Line, and been featured in interviews in Cosmopolitan Magazine and Nursing Spectrum. She also has delivered multiple webinars on topics related to the National Protocol such as: victim centered care, forensic compliance and the medical forensic exam.
Guest presenter: Eric Stiles, National Sexual Violence Resource Center
Eric is the Rural Project Specialist for the National Sexual Violence Resource Center (NSVRC). Eric provides training and technical assistance for rural grantees. He also is involved in providing training and technical assistance to the Sexual Assault Demonstration Initiative. Areas of focus for Eric are: working with child sexual abuse intervention and working with rural areas on anti-sexual violence work. He also provides training in the following areas of working with anti-oppression, working with male survivors of sexual violence and those from the LGBTIQAH Communities. Through his involvements in college as an activist, a sexual assault counselor, mental health counselor, and prevention educator/educator, Eric has been in the movement to end sexual violence/all forms of violence for 14 years. He holds a BA of Sociology from Pennsylvania State University and MS of Community Counseling from Shippensburg University.
michael munson is the co-founder and Executive Director of FORGE, an organization focused on improving the lives of transgender individuals by building stronger connections, providing resources, and empowering growth through knowledge. His educational background is in psychology, with an emphasis in trauma. Munson’s work on violence against transgender and gender non-conforming individuals is groundbreaking, stressing the intersectionality between complex components of identity, experience, and societal constructs that can both spur violence, as well as catalyze healing for individuals and communities. He is passionate about engaging professionals to embrace these complexities and learn key skills to better serve their clients/constituents.
Loree Cook-Daniels has been training about and working on policy changes to better address the needs of members of the transgender community since 1995. Prior to that, she worked for more than a decade on elder abuse and domestic violence issues. The two came together in 2004, when FORGE founded its Transgender Sexual Violence Project.
This project was supported by Grant No. 2011-TA-AX-K121 awarded by the Office on Violence Against Women, U.S. Department of Justice. The opinions, findings, conclusions, and recommendations expressed in this publication/program/exhibition are those of the author(s) and do not necessarily reflect the views of the Department of Justice, Office on Violence Against Women.