Tse hootsooi Family Advocacy Center
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1 Tse hootsooi Family Advocacy Center RENEE ORNELAS MD DIRECTOR OF FAMILY ADVOCACY CENTER TSE HOOTSOOI MEDICAL CENTER FORT DEFIANCE, AZ 1/29/2018
2 Child Sexual Abuse All cases must be reported Ages 17 and younger Sexual Assault Adults have choices: report/not report/anonymous Ages teen to adult Issues relating to safety assessed by agencies Very serious penalties CSA occurs many times over a period of months-years Individual is responsible for their safety Penalties vary according to enhancements Usually a one time event
3 Sexual Assault Cases 7/1/16-6/30/17 Patient number Patient Age time of Incident SAEK Police Report 1 22 No No BF 2 29 Yes Yes Friend 3 30 Yes Yes Friend of BF 4 21 Yes Yes Acquaintances 5 49 Yes Yes Stranger Relationship of offender to patient 6 21 No Yes Clan relative of BF 7 17 No Yes Clan relative, paternal GF 8 34 Yes Yes Hitchhiker/ stranger 9 20 No Yes Maternal Uncle Yes Yes Common law spouse Yes No Friend No No former BF No No Nephew Yes No casual acquaintance Yes No Stranger Yes Yes Friend
4 Sexual Assault
5 Sexual Assault
6 Patient number Patient Age time of Incident Child Sexual Abuse Cases 7/1/16-6/30/17 SAEK Police Report Relationship of offender to patient 1 6 No No Grandfather, grandfather's friend 2 4 No Yes Step-father's brother 3 4 No Yes Maternal 2nd or 3rd cousin 4 15 No Yes Mat. cousin 5 9 No Yes Family friend 6 4 Yes Yes Step-grandfather 7 17 No Yes Maternal cousin 8 14 Yes Yes Half brothers 9 13 No Yes Bio- brother 10 8 No Yes Bio-brother 11 4 No Yes Maternal great-uncle 12 4 No Yes Bio-father No Yes Bio-father 14 2 No Yes Step-grandfather Yes Yes Neighbor Yes Yes Bio-father 17 9 No Yes Bio- brother 18 9 Yes Yes Step-father 19 7 No Yes Bio brothers 20 8 No Yes Father's GF's sons Patient number Patient Age time of Incident SAEK Police Report 21 4 No Yes Acquaintance 22 2 No Yes Acquaintance Yes Yes Friend of mother No Yes Bio-father No Yes Father 26 9 No Yes Father No Yes Older sister's BF Relationship of offender to patient 28 9 No Yes Paternal Grandfather 29 5 No Yes Bio-brother 30 4 No Yes Lived next door and was a babysitter Yes Yes Neighbor 32 9 No Yes Cousin (bio dad's nephew) 33 7 No Yes Next door neighbor No Yes Step-GF 35 5 No Yes Child goes to the same school 36 9 No Yes Step-GF 37 4 Yes Yes Paternal GF 38 5 No Yes Paternal grandmother's BF No Friend of aunt 40 7 Yes Yes Bio dad and paternal uncles
7 Child Sexual Abuse
8 Child Sexual Abuse
9 Challenges from a Medical Perspective Many links in the chain, opportunities for information/cases to fall between links in the chain Communication between agencies/providers Poor communication with victims and families Perception in the community that offenders aren t brought to justice Use of temporary funding (grants) to support services which need permanent funding Overburdened personnel/resources
10 Recommendations from a Newbie Coordinator for CSA/SA medical services for NN Advocates who respond with law enforcement to call outs Training in the trauma informed response to child sexual abuse and sexual assault Multi-disciplinary meetings to include case review MORE OFFICERS AND CRIMINAL INVESTIGATORS
11 This presentation would not have been possible without the brilliance and patience of: Julia Dennison ITS Web Developer/SP Administrator Information Technology Service Tse hootsooi Medical Center
12 Thank you for all you do
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