Meeting Complex Needs of Sexually Assaulted Incarcerated Individuals: Impact of Expert Sexual Assault Nurse Examiner Care via Telehealth.

Sheridan Miyamoto, Stacey Shipe, Jennifer Delwiche, Cameron Richardson, Katherine Veerhusen, Cynthia Bittner
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Abstract

Sexual violence within prisons is a complex issue. The Prison Rape Elimination Act identifies standards to guide the provision of care to meet the medical and forensic needs of individuals who experience sexual assault (SA) while incarcerated. The standards include access to care by a Sexual Assault Nurse Examiner (SANE) whenever possible. Telehealth is one solution to ensure expert SANE access. This brief report addresses the pre-examination concerns/worries and immediate post-examination perceptions and experiences of six individuals who experienced SA while incarcerated. Findings show resolution of pre-examination worries, high satisfaction with care, high telehealth acceptability rates, and universal endorsement that examinations should occur outside of correctional facilities. Although not generalizable, this report provides preliminary insight into care in an understudied population with unique health care needs.

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满足遭受性侵犯的被监禁者的复杂需求:通过远程医疗提供性侵犯法医专家护理的影响。
监狱中的性暴力是一个复杂的问题。消除监狱强奸法》确定了指导提供护理的标准,以满足在监禁期间遭受性侵犯 (SA) 的个人的医疗和法医需求。这些标准包括在可能的情况下由性侵犯护士检查员 (SANE) 提供护理。远程保健是确保获得专业 SANE 的一种解决方案。这份简短的报告讨论了六名在监禁期间遭受过性侵害的人在检查前的担忧/忧虑以及检查后的感知和体验。研究结果表明,检查前的担忧得到了解决,对护理的满意度很高,对远程医疗的接受率很高,并且普遍认为检查应在惩教设施外进行。这份报告虽然不具有普遍性,但对具有独特医疗保健需求的未充分研究人群的护理提供了初步见解。
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