An Integrated, Trauma-Informed Care Model for Female Survivors of Sexual Violence
| Autor: | Judy A. Greene, Stephanie X. Wu, Brian Goddard, Veronica Ades, Emily P. Rabinowitz, Savannah Pearson Ayala, Sonya Chemouni Bach |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Poison control Ambulatory Care Facilities Vulnerable Populations Suicide prevention Stress Disorders Post-Traumatic Young Adult Patient Education as Topic Nursing Acute care Outcome Assessment Health Care Health care Humans Medicine Medical history Survivors Patient participation Sexual violence business.industry Sex trafficking Sex Offenses Obstetrics and Gynecology Middle Aged Human Trafficking Models Organizational Practice Guidelines as Topic Female New York City Patient Participation business Delivery of Health Care |
| Zdroj: | Obstetrics & Gynecology. 133:803-809 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0000000000003186 |
| Popis: | This article describes the Engage, Motivate, Protect, Organize, self-Worth, Educate, Respect (EMPOWER) Clinic for Survivors of Sex Trafficking and Sexual Violence located at Gouverneur Health in New York, New York, as a model for integrated gynecologic and psychiatric care of survivors of sexual and gender-based violence. Although patients with a history of sexual trauma often have critical health needs that persist long after the traumatic event, most existing services for survivors of sexual violence focus solely on the provision of acute care immediately after the violence has occurred. There are very few clinics in the United States dedicated to managing the significant long-term medical consequences and sequelae of sexual violence in a trauma-informed setting. We report on best practices for the provision of trauma-sensitive medical care to this patient population based on those employed at the EMPOWER Clinic. In particular, we outline some of the unique considerations for treating survivors relating to taking a patient history, conducting the physical and gynecologic examinations, ensuring confidentiality, and managing legal issues. Finally, we reflect on the challenges faced in sustaining the EMPOWER Clinic and the importance of the existence of a clinic dedicated to this specific population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|