Sexual Assault Nurse Examiner (SANE)

This file is provided for reference purposes only. It was current when produced, but is

no longer maintained and may now be outdated.

S

G OVC

RA

MS

DE

PA

N

BJ A C E

I

OF F

Office of Justice Programs

NT OF J

ME

US

RT

CE

TI

U.S. Department of Justice

IJ

J

O F OJJ D P B RO

J US T I C E P

Office for Victims of Crime

Sexual Assault

Nurse Examiner

SANE

Development

&

Operation Guide

Sexual Assault Resource Service

Minneapolis, Minnesota

Office for Victims of Crime

NCJ 170609

Advocating for the Fair

Treatment of Crime Victims

The information in this document is archived and provided for reference purposes only.

U.S. Department of Justice

Office of Justice Programs

810 Seventh Street NW.

Washington, DC 20531

Janet Reno

Attorney General

Raymond C. Fisher

Associate Attorney General

Laurie Robinson

Assistant Attorney General

No?l Brennan

Deputy Assistant Attorney General

Kathryn M. Turman

Acting Director, Office for Victims of Crime

Office of Justice Programs

World Wide Web Homepage



Office for Victims of Crime

World Wide Web Homepage:



For grant and funding information contact

U.S. Department of Justice Response Center

1¨C800¨C421¨C6770

This document was prepared by the Sexual Assault Resource Service, under grant number

96¨CVF¨CGX¨CK012, awarded by the Office for Victims of Crime, Office of Justice Programs,

U. S. Department of Justice.The opinions, findings, and conclusion or recommendations

expressed in this document are those of the authors and do not necessarily represent the

official position or policies of the U. S. Department of Justice.

The Office for Victims of Crime is a component of the Office of Justice Programs, which also

includes the Bureau of Justice Assistance, the Bureau of Justice Statistics, the National Institute of

Justice, and the Office of Juvenile Justice and Delinquency Prevention.

IJ

J

O F OJJ D P B RO

J US T I C E P

Office for Victims of Crime

Sexual Assault

Nurse Examiner

SANE

Development

&

Operation Guide

Linda E. Ledray, PhD, RN, FAAN

Sexual Assault Resource Service

Minneapolis, Minnesota

Office for Victims of Crime

Advocating for the Fair

Treatment of Crime Victims

S

G OVC

RA

MS

DE

PA

N

BJ A C E

I

OF F

Office of Justice Programs

NT OF J

ME

US

RT

CE

TI

U.S. Department of Justice

SANE Development and Operation Guide

CONTENTS

Chapter 1: Introduction ..................................................................................................1

¡ö Project Goals and Objectives ................................................................................................................................ 1

¡ö Scientific Basis of This Guide ............................................................................................................................... 2

¡ö Terminology ......................................................................................................................................................... 2

? She or He .......................................................................................................................................................... 2

? Rape, Sexual Assault, or Abuse? ......................................................................................................................... 2

? Victim or Survivor? ........................................................................................................................................... 2

¡ö SANE Guide Evaluation ...................................................................................................................................... 2

Chapter 2: History and Development of SANE Programs .........................................3

¡ö Rape in the United States ..................................................................................................................................... 3

¡ö Demonstrating the Need for SANE Programs ...................................................................................................... 5

¡ö History of SANE Program Development ............................................................................................................. 5

Chapter 3: SANE Program Model .................................................................................7

¡ö What Is a SANE? SANC? SAFE? FNE? ............................................................................................................... 7

¡ö SANE Program Values, Mission, and Goals .......................................................................................................... 7

? Values Statement ............................................................................................................................................... 8

? Mission Statement ............................................................................................................................................ 8

? Program Goals .................................................................................................................................................. 8

¡ö SANE Scope of Practice ....................................................................................................................................... 9

? Medical Care ..................................................................................................................................................... 9

? Reporting and Victim Support .......................................................................................................................... 9

¡ö Education, Training, Research, and Program Evaluation ...................................................................................... 9

¡ö SANE Standards of Practice ................................................................................................................................. 9

¡ö How a Model SANE Program Operates ............................................................................................................. 10

? Hospital-Based SANE Programs ..................................................................................................................... 10

? Community-Based SANE Programs ................................................................................................................ 10

? Community Response and Responsibilities ..................................................................................................... 11

? SANE Responsibilities .................................................................................................................................... 11

¡ö Community Impact and Benefit ........................................................................................................................ 12

iii

Contents

Chapter 4: SART: A Community Approach ...............................................................13

¡ö Who Is on a SART? ........................................................................................................................................... 13

¡ö The Sexual Assault RESPONSE Team Model .................................................................................................... 13

? How a Sexual Assault RESPONSE Team Operates ......................................................................................... 13

? Sexual Assault RESPONSE Team Model Limitations ...................................................................................... 14

¡ö The Sexual Assault RESOURCE Team Model ................................................................................................... 14

¡ö Summary ........................................................................................................................................................... 15

Chapter 5: Assessing the Feasibility of a SANE Program ......................................17

¡ö Needs Assessment .............................................................................................................................................. 17

? Identifying Allies ............................................................................................................................................. 17

? Determining the Extent of the Community Problem of Rape ......................................................................... 17

¡ö Assessing Community Services and Developing Community Support ................................................................ 18

? Law Enforcement ............................................................................................................................................ 18

? Rape Crisis Center .......................................................................................................................................... 18

? Medical Facility ............................................................................................................................................... 18

? Prosecuting Attorney ....................................................................................................................................... 19

? Other Agencies ................................................................................................................................................ 19

¡ö Identifying and Overcoming Obstacles: ............................................................................................................. 19

? Concerns About Costs ..................................................................................................................................... 19

? Fear of Interference ......................................................................................................................................... 20

? Concern the SANE Will Not Do the Exam as well as the Physician ................................................................ 20

? Concern the SANE Will Not Be a Credible Witness ....................................................................................... 21

¡ö Deciding to Proceed ........................................................................................................................................... 22

¡ö Starting a Formal Task Force .............................................................................................................................. 22

¡ö Developing a SART ........................................................................................................................................... 23

Chapter 6: A Look at Funding ....................................................................................25

¡ö Program Development and Operation Costs ...................................................................................................... 26

? Needs Assessment ............................................................................................................................................ 26

? Facilities and Utilities ...................................................................................................................................... 27

? Supplies and Equipment ................................................................................................................................. 27

? Staff Advertising and Selection ........................................................................................................................ 29

? Staff Training .................................................................................................................................................. 29

? Program Media Promotion .............................................................................................................................. 29

? Staff Salaries .................................................................................................................................................... 29

¡ö Current SANE Program Funding ....................................................................................................................... 29

iv

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download