Sexual Assault Evidence Collection Protocol

 
 
 
 
 
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STEP 13 VICTIM INFORMATION FORM
See Appendix E.
The discussion of follow-up services for both medical and counseling purposes is an important aspect of treating the sexual assault victim.
Before the victim leaves the hospital, a "Victim Information Form" should be completed. The type and dosage of any medication prescribed or administered should be recorded on the first portion of this form.
Victims should be encouraged to obtain follow-up tests for possible pregnancy, sexually transmitted infection, and urinary tract or other infections at two weeks, three months, and six months after the initial hospital visit. Many hospitals report that the majority of sexual assault victims initially treated at their facility do not return for these follow-up tests.
One reason for failure of a victim to return is self-denial of the assault or of the need for follow-up testing especially if no unusual symptoms are experienced, are two reasons for the failure of a victim to return. Another reason is inadequate information provided by many hospitals concerning the necessity for follow-up treatment.
Therefore, it is vital that both written and verbal information be provided at the initial visit, including the location of a public health clinic or a referral to a private physician for medical follow-up if the victim does not wish to return to the treating hospital. SANE and victim advocates can be helpful in explaining the need for a return visit and what kinds of tests should be performed.
The second portion of the "Victim Information Form" should be used for the recording of follow-up counseling information. An appointment should be recommended or scheduled with a trained hospital counselor, social worker or psychologist in the community who is known to provide quality service. The advocate can assist in scheduling the appointment.
While encouragement should be given to seek follow-up counseling, the victim’s decision to do so must be voluntary. For many reasons, some victims may be reluctant to talk with a counselor. However, they are more likely to participate in follow-up counseling if counseling has been coordinated with the examination process.
The original copy of the "Victim Information Form" should be given to the victim and a second copy retained for the hospital’s records.
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