Tse hootsooi Family Advocacy Center RENEE ORNELAS MD DIRECTOR OF FAMILY ADVOCACY CENTER TSE HOOTSOOI MEDICAL CENTER FORT DEFIANCE, AZ 1/29/2018
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
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 10 31 Yes Yes Common law spouse 11 23 Yes No Friend 12 35 No No former BF 13 35 No No Nephew 14 25 Yes No casual acquaintance 15 38 Yes No Stranger 16 16 Yes Yes Friend
Sexual Assault
Sexual Assault
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 13 11 No Yes Bio-father 14 2 No Yes Step-grandfather 15 13 Yes Yes Neighbor 16 14 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 23 12 Yes Yes Friend of mother 24 20 No Yes Bio-father 25 10 No Yes Father 26 9 No Yes Father 27 14 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 31 15 Yes Yes Neighbor 32 9 No Yes Cousin (bio dad's nephew) 33 7 No Yes Next door neighbor 34 11 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 39 15 No Friend of aunt 40 7 Yes Yes Bio dad and paternal uncles
Child Sexual Abuse
Child Sexual Abuse
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
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
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
Thank you for all you do