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Systems Change Analysis of Sexual Assault Nurse Examiner (SANE) Programs in One Midwestern County of the United States, 1994-2007
The purpose of this study was to determine whether adult sexual assault cases in a Midwestern community were more likely to be investigated and prosecuted after the implementation of a Sexual Assault Nurse Examiner (SANE) program, and to identify the 'critical ingredients' that contributed to that increase. Part 1 (Study 1: Case Records Quantitative Data) used a quasi-experimental, nonequivalent comparison group cohort design to compare criminal justice systems outcomes for adult sexual assault cases treated in county hospitals five years prior to the implementation of the Sexual Assault Nurse Examiner (SANE) program (January 1994 to August 1999) (the comparison group, n=156) to cases treated in the focal SANE program during its first seven years of operation (September 1999 to December 2005) (the intervention group, n=137). Variables include focus on case outcome, law enforcement agency that handled the case, DNA findings, and county-level factors, including prosecutor elections and the emergence of the focal SANE program. Part 2 (Study 2: Case Characteristics Quantitative Data) used the adult sexual assault cases from the Study 1 intervention group (post-SANE) (n=137) to examine whether victim characteristics, assault characteristics, and the presence and type of medical forensic evidence predicted case progression outcomes. Part 3 (Study 3: Police and Prosecutors Interview Qualitative Data) used in-depth interviews in April and May of 2007 with law enforcement supervisors (n=9) and prosecutors (n=6) in the focal county responsible for the prosecution of adult sexual assault crimes to explore if and how the SANEs affect the way in which police and prosecutors approach such cases. The interviews focused on four main topics: (1) whether they perceived a change in investigations and prosecution of adult sexual assault cases in post-SANE, (2) their assessment of the quality and utility of the forensic evidence provided by SANEs, (3) their perceptions regarding whether inter-agency training has improved the quality of police investigations and reports post-SANE, and (4) their perceptions regarding if and how the SANE program increased communication and collaboration among legal and medical personnel, and if such changes have influenced law enforcement investigational practices or prosecutor charging decisions.Part 4 (Study 4: Police Reports Quantitative Data) examined police reports written before and after the implementation of the SANE program to determine whether there had been substantive changes in ways sexual assaults cases were investigated since the emergence of the SANE program. Variables include whether the police had referred the case to the prosecutor, indicators of SANE involvement, and indicators of law enforcement effort. Part 5 (Study 5: Survivor Interview Qualitative Data) focused on understanding how victims characterized the care they received at the focal SANE program as well as their expriences with the criminal justices system. Using prospective sampling and community-based retrospective purposive sampling, twenty adult sexual assault vicitims were identified and interviewed between January 2006 and May 2007. Interviews covered four topics: (1) the rape itself and initial disclosures, (2) victims' experiences with SANE program staff including nurses and victim support advocates, (3) the specific role forensic evidence played in victims' decisions to participate in prosecution, and (4) victims' experiences with law enforcement, prosecutors, and judicial proceedings, and if/how the forensic nurses and advocates influenced those interactions. Part 6 (Study 6: Forensic Nurse Interview Qualitative Data) examined forensic nurses' perspectives on how the SANE program could affect survivor participation with prosecution indirectly and how the interactions between SANEs and law enforcement could be contributing to increased investigational effort. Between July and August of 2008, six Sexual Assault Nurse Examiners
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Testing the Efficacy of the SANE-SART Programs in Kansas, Massachusetts, and New Jersey, 1997-2001
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The purpose of the study was to explore the impact of interventions by Sexual Assault Nurse Examiners/Sexual Assault Response Teams (SANE/SART) on the judicial process. The goal was to test the efficacy of SANE/SART programs as a tool in the criminal justice system. The American Prosecutors Research Institute and Boston College tested the hypotheses that SANE/SART exams increase arrest and prosecution rates. The researchers collected case information from SANE/SART, police, and prosecution files in three jurisdictions: Monmouth County (Freehold), New Jersey, Sedgwick County (Wichita), Kansas, and Suffolk County (Boston), Massachusetts. At each study site, the project team randomly selected up to 125 sexual assault cases in which there was a SANE or SART intervention and 125 cases in which there was no SANE/SART intervention from cases that were opened and closed between 1997 and 2001. Comparisons were sought between SANE/SART cases (both SANE only and SANE/SART combined) and non-SANE/SART cases to determine if the intervention predicted the likelihood of certain criminal justice system outcomes. These outcomes included identification/arrest of a suspect, the filing of charges, case disposition, type of penalty, and length of sentence. In addition, researchers collected information on a number of other variables that could impact or mitigate the effect of SANE/SART interventions and case outcomes. The researchers abstracted information from case files maintained by SANE programs, police incident/arrest reports, and prosecution files during intensive five-day site visits. Three standardized records abstraction forms were developed to collect data: (1) the incident form was designed to collect data from police reports and the prosecution files about the actual sexual assault, (2) the case abstraction form was designed to collect prosecution data and case outcome data from the prosecutors' case files, and (3) the SANE/SART data collection form collected information from the SANE/SART files about the SANE/SART intervention. Specific information regarding the evidence collected during the victim's exam, nature of the assault, evidence/forensic kits collected, victim's demeanor, weapon(s) used, number of assailants, and the victim/offender relationship were collected.
Adolescent Sexual Assault Victims' Experiences with SANE-SARTs and the Criminal Justice System, 1998-2007
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The study examined adolescent sexual assault survivors' help-seeking experiences with the legal and medical systems in two Midwestern communities that have different models of Sexual Assault Nurse Examiner (SANE)/Sexual Assault Response Team (SART) interventions. In Dataset 1 (Qualitative Victim Interviews), investigators conducted qualitative interviews with N=20 adolescent sexual assault victims 14-17 years old. From these interviews, investigators identified three distinct patterns of survivors' post-assault disclosures and their pathways to seeking help from SANE programs and the criminal justice system: voluntary (survivors' contact with the legal and medical system was by their choice), involuntary (system contact was not by choice), and situational (circumstances of the assault itself prompted involuntary disclosure). Interviews included responses that described the assault, their experience with both the SANE/SART programs and the criminal justice system, and victim and offender demographic information. In Dataset 2 (SANE Programs Quantitative Data), investigators obtained SANE program records, police and prosecutor records, and crime lab findings for a sample of N=395 (ages 13-17) adolescent sexual assault victims who sought services from the local SANE programs in two different counties. The data collected examined victim's progress through the criminal justice system. Factors that could potentially affect case progression were also examined; age of victim, relationship to offender, assault characteristics, number of assaults on victim, and evidence collected. Differences between the two different counties' programs were also examined for their effect on the case progression.
Sexual Assault Response Team (SART) Implementation and Collaborative Process: What Works Best for the Criminal Justice System? 2010-2013 [UNITED STATES]
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Sexual Assault Response Teams (SARTs) are interventions that were created to coordinate efforts of the legal, medical, mental health systems, and rape crisis centers, in order to improve victims' help seeking experiences and legal outcomes. This study examined the relationship between SART structure and effectiveness by conducting a national scale study of SARTs and a smaller detailed network analysis of four SARTs.
Impact of Rape Reform Legislation in Six Major Urban Jurisdictions in the United States, 1970-1985
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Despite the fact that most states enacted rape reform legislation by the mid-1980s, empirical research on the effect of these laws was conducted in only four states and for a limited time span following the reform. The purpose of this study was to provide both increased breadth and depth of information about the effect of the rape law changes and the legal issues that surround them. Statistical data on all rape cases between 1970 and 1985 in Atlanta, Chicago, Detroit, Houston, Philadelphia, and Washington, DC, were collected from court records. Monthly time-series analyses were used to assess the impact of the reforms on rape reporting, indictments, convictions, incarcerations, and sentences. The study also sought to determine if particular changes, or particular combinations of changes, affected the case processing and disposition of sexual assault cases and whether the effect of the reforms varied with the comprehensiveness of the changes. In each jurisdiction, data were collected on all forcible rape cases for which an indictment or information was filed. In addition to forcible rape, other felony sexual assaults that did not involve children were included. The names and definitions of these crimes varied from jurisdiction to jurisdiction. To compare the pattern of rape reports with general crime trends, reports of robbery and felony assaults during the same general time period were also obtained from the Uniform Crime Reports (UCR) from the Federal Bureau of Investigation when available. For the adjudicated case data (Parts 1, 3, 5, 7, 9, and 11), variables include month and year of offense, indictment, disposition, four most serious offenses charged, total number of charges indicted, four most serious conviction charges, total number of conviction charges, type of disposition, type of sentence, and maximum jail or prison sentence. The time series data (Parts 2, 4, 6, 8, 10, and 12) provide year and month of indictment, total indictments for rape only and for all sex offenses, total convictions and incarcerations for all rape cases in the month, for those on the original rape charge, for all sex offenses in the month, and for those on the original sex offense charge, percents for each indictment, conviction, and incarceration category, the average maximum sentence for each incarceration category, and total police reports of forcible rape in the month. Interviews were also conducted in each site with judges, prosecutors, and defense attorneys, and this information is presented in Part 13. These interviewees were asked to rate the importance of various types of evidence in sexual assault cases and to respond to a series of six hypothetical cases in which evidence of the victim's past sexual history was at issue. Respondents were also presented with a hypothetical case for which some factors were varied to create 12 different scenarios, and they were asked to make a set of judgments about each. Interview data also include respondent's title, sex, race, age, number of years in office, and whether the respondent was in office before and/or after the reform.
Reporting Sexual Assault to the Police in Honolulu, Hawaii, 1987-1992
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This study was undertaken to investigate factors facilitating and hindering a victim's decision to report a sexual assault to the police. Further objectives were to use the findings to assist in the design of effective intervention methods by sexual assault treatment centers and community education projects, and to present significant findings useful for community policing and other criminal justice initiatives. Survey data for this study were collected from female victims of nonincestuous sexual assault incidents who were at least 14 years of age and sought treatment (within one year of being assaulted) from the Sex Abuse Treatment Center (SATC) in Honolulu, Hawaii, during 1987-1992. Data were collected on two types of victims: (1) immediate treatment seekers, who sought treatment within 72 hours of an assault incident, and (2) delayed treatment seekers, who sought treatment 72 hours or longer after an assault incident. Demographic variables for the victims include age at the time of the assault, marital status, employment status, educational level, and race and ethnicity. Other variables include where the attack took place, the victim's relationship to the assailant, the number of assailants, and whether the assailant(s) used threats, force, or a weapon, or injured or drugged the victim. Additional variables cover whether the victim attempted to get away, resisted physically, yelled, and/or reported the incident to the police, how the victim learned about the Sex Abuse Treatment Center, whether the victim was a tourist, in the military, or a resident of the island, the number of days between the assault and the interview, and a self-reported trauma Sexual Assault Symptom Scale measure.
Evaluation of Sexual Assault Medical Forensic Exams: Payment Practices and Policies in the United States, 2011
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These data are part of NACJD's Fast Track Release and are distributed as they there received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except of the removal of direct identifiers. Users should refer to the accompany readme file for a brief description of the files available with this collections and consult the investigator(s) if further information is needed. The qualitative Case Study data is not available as part of this data collection at this time.The purpose of the study was to examine: (1) which entities pay for sexual assault medical forensic exams (MFEs) in state and local jurisdictions throughout the United States, and the policies and practices around determining payment; (2) what services are provided in the exam process and how exams are linked to counseling, advocacy, and other services; (3) whether exams are provided to victims regardless of their reporting or intention to report the assault to the criminal justice system; (4) how MFE kits are being stored for victims who choose not to participate in the criminal justice system process; and (5) whether Violence Against Women Act (VAWA) 2005 requirements are generally being met throughout the country.Researchers conducted national surveys to obtain state-level information from state Services Training Officers Prosecutors (STOP) administrators (SSAs), victim compensation fund administrators, and state-level sexual assault coalitions. Surveys were distributed to potential respondents in all 50 states, the District of Columbia, and United States territories that held these state-level positions. Researchers also distributed local-level surveys though an extensive listserv maintained by the National Sexual Violence Resource Center (NSVRC). Researchers also conducted case studies in 19 local jurisdictions across six states were selected for case studies.Interviewees included the victim compensation fund administrator, state STOP administrator, state coalition director (or an appointed staff member) and sometimes crime lab or other state justice agency personnel, at the state level, and;law enforcement, prosecution, victim advocacy staff, and healthcare-based exam providers at the local level. Finally, researchers concluded each local jurisdiction visit with a focus group with victims of sexual assault. Data collection efforts included: a national survey of crime victim compensation fund administrators (Compensation Data, n = 26); a national survey of Services Training Officers Prosecutors (STOP) grant program administrators (SSA Data, n = 52); a national survey of state sexual assault coalitions (Coalitions Data, n = 47); and a survey of local community-based victim service providers (Local Provider Data, n = 489).
Implementation of a Sexual Assault Nurse Examiner (SANE) Practitioner Evaluation Toolkit, 2010-2012 Six Sites
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These data are part of NACJD's Fast Track Release and are distributed as they were received from the data depositor. The files have been zipped by NACJD for release, but not checked or processed except for the removal of direct identifiers. Users should refer to the accompanying readme file for a brief description of the files available with this collection and consult the investigator(s) if further information is needed. To address the under-reporting and under-prosecution of adult sexual assaults, some communities in the United States implemented the Sexual Assault Nurse Examiner (SANE) Program whereby specially trained nurses provide comprehensive psychological, medical, and forensic services for sexual assault to improve post-assault care for victims and the criminal justice system response. The SANE Practitioner Toolkit was created to teach SANE program staff how to evaluate whether prosecution rates increased in their communities after the implantation of their SAME program. Six SANE programs were selected and provided with comprehensive technical assistance to help them work through the steps in the Toolkit in order to evaluate whether the program was having a beneficial impact on prosecution rates. This study evaluated the effectiveness of the SANE program to increase prosecution rates of sexual assaults through the SANE Practitioner Evaluation Toolkit, and the technical assistance process and resources provided to the sites improved their evaluative abilities.
African American Experience of Sexual Assault in Maryland, 2003-2006
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The purpose of this study was to better understand the problem of sexual assault among African American women in Maryland, assess their use of available resources in response to sexual assault, and explore their use of alternative sources of care. Researchers interviewed 223 female victims of sexual assault (Part 1 and Part 2) between January 2004 and July 2005 and conducted 21 focus groups (Part 3) with sexual assault resource service providers between 2003 and 2006. Criteria for inclusion in the interview component (Part 1 and Part 2) of the study included: African American or Caucasian female, aged 18 and over, resident of Maryland, and victim of sexual assault. There were four streams of recruitment for the interview portion of the study: Victims receiving services at one of 18 rape crisis centers located throughout the state of Maryland; Community outreach sessions conducted by rape crisis center community educators; Through community service providers, including those working in domestic violence centers, forensic nurse examiners (SAFE programs), probation and parole offices, reproductive health centers, county health departments, community services agencies, Historically Black Colleges and Universities, and local colleges; and Through three detention centers housing female inmates. For Part 3 (Focus Group Qualitative Data), rape crisis center representatives and other community service provider representatives received a letter informing them that a focus group was going to be conducted at the end of their study training session and asked them for their participation. Part 1 (Victim Quantitative Data) includes items in the following categories: Personal Demographics, Details of the Sexual Assault, Medical Care, Law Enforcement, Prosecution/Court Process, Sexual Assault Center Services, Other Counseling Services, and Recommendations for Improvement. Part 2 (Victim Qualitative Data) includes responses to selected questions from Part 1. The data are organized by question, not by respondent. Part 3 (Focus Group Qualitative Data) includes questions on the needs of African American women who have been sexually assaulted, whether their needs are different from those of women of other racial/ethnic backgrounds, unique barriers to reporting sexual assault to police for African American women and their treatment by the criminal justice system, unique issues concerning the use of available resources by African American women, such as post-rape medical care and counseling services, and recommendations on how the state of Maryland could improve services for African American women who are the victims of sexual assault.
Evidence-Based Review of Rape and Sexual Assault Preventive Intervention Programs in the United States, 1990-2003
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This study was an evidence-based review of sexual assault preventive intervention (SAPI) programs. A total of 67 publications including articles, government reports, and book chapters (excluding dissertations) representing 59 studies met the inclusion criteria and were included in the data abstraction process. In order to be included in the review, the resource had to be an English-language publication, published between 1990 and June 2003, of a SAPI evaluation of a primary or secondary preventive intervention program that targeted people who were adolescent-age or older, and which included outcome measures and a pre-test/post-test or between-group differences design. The findings for the article reviews are presented in evidence tables, for the general population in Part 1 and the evidence tables for individuals with disabilities in Part 2.
Prevalence, Context, and Reporting of Drug-Facilitated Sexual Assault on Campus of Two Large Public Universities in the United States, 2005-2006
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The primary research objective of this study was to examine the prevalence, nature, and reporting of various types of sexual assault experienced by university students in an effort to inform the development of targeted intervention strategies. In addition, the study had two service-oriented objectives: (1) to educate students about various types of sexual assault, how they can maximize their safety, and what they can do if they or someone they know has been victimized and (2) to provide students with information about the campus and community resources that are available should they need assistance or have any concerns or questions. The study involved a Web-based survey of random samples of undergraduate students at two large public universities, one located in the South (University 1) and one located in the Midwest (University 2). Researchers drew random samples of students aged 18-25 and enrolled at least three-quarters' time at each university to participate in the study. The survey was administered in the winter of 2005-2006, and a total of 5,446 undergraduate women and 1,375 undergraduate men participated for a grand total of 6,821 respondents. Sampled students were sent an initial recruitment e-mail that described the study, provided a unique study ID number, and included a hyperlink to the study Web site. During each of the following weeks, students who had not completed the survey were sent follow-up e-mails and a hard-copy letter encouraging them to participate. The survey was administered anonymously and was designed to be completed in an average of 15 minutes. Respondents were provided with a survey completion code that, when entered with their study ID number at a separate Web site, enabled them to obtain a $10 Amazon.com gift certificate. The survey was divided into six modules. The Background Information module included survey items on demographics, school classification (year of study, year of enrollment, transfer status), residential characteristics, academic performance, and school involvement. An Alcohol and Other Drug Use module generated a number of measures of alcohol and drug use, and related substance use behaviors. A Dating module included items on sexual orientation, dating, consensual sexual activity, and dating violence. The Experiences module was developed after extensive reviews of past surveys of sexual assault and generated information on physically forced sexual assault and incapacitated sexual assault. For both physically forced and incapacitated sexual assault, information was collected on completed and attempted assaults experienced before entering college and since entering college. For male respondents, a Behaviors module asking about the perpetration of the same types of sexual assault covered in the Experiences module was included. The final module of the survey covered attitudes about sexual assault and attitudes about the survey. The data file contains 747 variables.
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