Crisis Center Research Articles

Knowledge and Attitude Toward One Stop Crisis Center Among Students Studying in Selected Nursing College in Puducherry

Introduction: One Stop Crisis Center (OSCC) is an integrated health-care model that aims to provide comprehensive care to women experiencing physical, emotional, and sexual violence. The multilevel crisis interventions provided in OSCC include identification, diagnostic and therapeutic care, counseling and emotional support, legal support, medical reporting as well as provision of temporary shelter.Aim: This study aimed to assess the level of knowledge and attitude toward the One Stop Crisis Center (OSCC) among nursing students.Materials and Methods: Aquantitative research approach was used. A descriptive cross-sectional research design was used to assess the level of knowledge and attitude toward OSCC. One hundred students were selected using a purposive sampling technique. A semi-structured and self-administered questionnaire was used to assess the level of knowledge and attitude regarding OSCC among nursing students. The purpose of the study was explained to all the samples and the data were collected. Descriptive and inferential statistics were used to analyze the data.Results: The study results revealed that out of 100 subjects, regarding their level of knowledge, only 10% had adequate knowledge of OSCC. Moreover, regarding the attitude around 91% of students had a favorable attitude toward the services of OSCC. There is a statistically significant association between the level of knowledge and attitude with gender at P < 0.001 level.Conclusion: The study concluded that the nursing students have moderate knowledge and favorable attitudes toward the services of OSCC. Nursing students should be aware of OSCC services and provide integrated support, including medical, legal, psychological, and counseling services to find against any forms of violence against women (VAW)

The Archival Phase in Feminist Organizations: Methodological Suggestions

The article is based on a series of interviews (61) and a multi-sited ethnography conducted during 2019–2021 which traced archival records of 20 feminist organizations in Israel: local women’s peace organizations (FPAs) and Rape Crisis Centres (RCCs). We describe the study and the complex methodological concerns and meta-questions relating to the study of feminist community archives in relation to content (types of testimonials or records), method of organization (archival practices like cataloging or digitization) and activists’ perspectives concerning future preservation and access. In order to overcome these challenges, we suggest six methodological principles which may apply to the study of civil society organizations that were established between the 1970s–1990s: the importance of identifying researchers’ positionality vis a-vis the archive; the politics of knowledge and intersectional identities; avoiding judgment of informal archival practices; identifying who sets the rules; silence and self-silencing; and recognition of invisible labor.

Student’s perception of gender equality, stereotypes, and women in sports

The Constitution of the Kyrgyz Republic from May 5, 2021, as well as all previous ones, enshrined the equality of rights and freedoms of men and women. Moreover, Kyrgyzstan had real experience of gender equality during the USSR. However, the positive experience of the past and the constitutional and legal consolidation of gender equality today cannot solve the problem of discrimination against women’s rights in society and the family. The government’s loyalty to the active dissemination of Islamic values, low GDP, and unemployment have led to an increase in domestic violence against women. More than 10 thousand women annually turn to crisis centers, because of domestic violence, polygamy, bride kidnapping, and underage marriage. Involving women in sports could significantly increase women’s self-confidence and improve their physical and therefore mental health. If the feminization of sports is happening all over the world, then in Kyrgyzstan patriarchal values with corresponding gender stereotypes put a woman before an existential choice - family or career, family or sport. The study is aimed at finding out what students think about gender equality in its socio-political, economic, and cultural aspects.

Narrating Institutional Logics into Effect: Coherence Across Cognitive, Political, and Emotional Elements

Through an ethnographic study of decision making in a rape crisis center, I explore how institutional logics come to be through interactions. Zooming in on storytelling interactions and slowing down to follow their evolution, I find that collective cognitive, political, and emotional elements mediated the narration of logics into effect. While the interactions unfolded within a space of possibilities determined by logics, co-narrators still put much cognitive effort into negotiating which logic was relevant and how it implicated specific ways of understanding and responding to events. Narrators’ subject positions and their perceived interests and emotions also mediated the work of logics on the ground. Decisions were determined by degrees of coherence across these cognitive, political, and emotional elements. When there was high or moderate coherence, the decision followed the resolution implied by the narration. When coherence was low, decision makers rejected the decision implied by the narration. Coherence, then, constrained people’s agency to invoke institutional logic. These results offer compelling new theory about how institutional logics work: logics are neither deterministic nor freely manipulated but instantiated through collective and situated dynamics that set limits on their strategic use.

"Pouring From an Empty Cup": Manifestations, Drivers, and Protective Factors of Occupational Stress Among Healthcare Providers of Trauma-Informed Care.

In the United States alone, 10 million people are affected by family and domestic violence (DV). DV survivors experience many forms of victimization, including physical, psychological, and sexual abuse resulting in trauma. The DV workforce, including healthcare providers, social workers, advocates, and other providers, utilize trauma-informed care in a variety of settings to help DV survivors heal and recover from their traumatic experiences. Given the intensity of DV work and occupational stressors associated with navigating complex survivor cases and systems of care, health and mental health professionals can experience burnout, compassion fatigue, and secondary traumatic stress. The purpose of this qualitative study was to explore how professionals in the DV workforce, including healthcare and mental health professionals, experience and mitigate occupational stress. Twenty in-depth interviews were conducted with DV professionals, who worked in medical settings like urban hospitals as well as DV shelters and rape crisis centers in Boston, MA. A semistructured interview guide was developed, and pilot tested and addressed the following topics including experiences of occupational stress, and mitigators of occupational stress. The interviews were audio recorded, transcribed, and analyzed using a thematic analysis approach. Codes were organized into themes and subthemes, which were reviewed and refined during research team discussions. Risk factors of occupational stress included caseload quantity and intensity, workplace isolation, and length of time in the field. Protective factors spanned individual, interpersonal, and organizational level factors. Participants described various strategies for mitigating occupational stress, including training, supervision, and self-care. Findings from this study have the potential to inform policies and practices among healthcare organizations that support professionals in the DV workforce who work with DV survivors.

Peran Zakat Dalam Mengatasi Kemiskinan: Covid-19 Di Indonesia

Zakat is an obligation for a Muslim in managing their wealth and is also a form of social concern that is given when it reaches the threshold. The distribution of zakat to the recipients is not only limited to consumptive forms that meet basic human needs, but also includes productive zakat distribution in the form of capital for businesses that are monitored for their development, so that the recipients can become more self-reliant. The Indonesian economy has experienced a decline due to the Covid-19 pandemic, which has led to an increase in poverty rates in Indonesia. This research utilizes literature research from articles and published journals. The research findings indicate that zakat plays a role in alleviating poverty and ensuring social justice for the community, including during the Covid-19 pandemic. BAZNAS and LAZ throughout Indonesia have created collaborations to assist the government in dealing with Covid-19 by establishing the Covid-19 Crisis Center

Quality Improvement: Increasing SANE Utilization of Evidence-Based Practice.

Background: Varying protocols among sexual assault nurse examiner (SANE) programs lead to inconsistent patient care and indicate that evidence-based recommendations are not being utilized. To address this problem, an evidence-based treatment protocol designed to improve care provided to patients who have experienced sexual assault was implemented at an outpatient rape crisis center (RCC). In addition to implementing the new protocol, a SANE education program was provided. Methods: Retrospective chart reviews were conducted. A total of 21 protocol components were examined pre- and post-implementation of the quality improvement project. Additionally, a knowledge quiz and self-efficacy tool were administered before, immediately after, and 3 months after the SANE education program. Results: Before implementation, the overall compliance with the 21 protocol components was 42.1% for RCC exams and 17.9% for hospital exams. After implementation, the overall compliance increased to 85.3% for RCC exams and 56% for hospital exams. When examining protocol components individually, compliance varied dramatically. There was an improvement in SANE knowledge and self-efficacy when comparing pre- and post-scores; however, the results were not statistically significant and were found to have unequal variances. Conclusion: Nurses are ideally positioned to instigate protocol changes that will positively impact patient outcomes. Other nursing professionals can utilize the quality improvement project content, steps, lessons learned, and results to create similar evidence-based practice quality improvement projects to address gaps in practice.

Crisis center, youth MH program address gaps with key stakeholder support

Fulfilling gaps in mental health service delivery and care, while collaborating with state, payer and stakeholders, are at the heart of a Minneapolis‐based organization's mission to understanding what its community needs and wants and offering creative solutions to address those needs.

Implementation of RA 9262 Otherwise Known as Anti-Violence Against Women and Children

This study assessed the impact and effect of implementation of RA 9262 otherwise known as Anti-Violence Against Women and Children in selected barangays in Calapan City, Oriental Mindoro, Philippines. The study employed descriptive research design. The sample size of respondents was taken from the total population using non-proportional sampling, with the Pearson’s Product Moment of Correlation. The respondents of the study were the 25 family members from the total number of 5 police officers who are involved in the Implementation of R.A.9262 in the Calapan City Police Station. From the 25 family members 10 are the women and 15 are the children. This study used the non-proportional sampling. The survey data gathered employing the self-structured questionnaire revealed that the implementation of the law in terms of healthcare, penalty, protection order, rights of the victim and duties of law enforcers and barangay officials was to a high extent. The effect of implementation of the law in terms of physical, sexual, psychological and economic violence was high. The issues, kinds and forms of abuses that considered as violation against women and their children used various strategies and approaches that could help to solve the said issues. Thus, the study recommended to promote gender equality, support women and help to move towards more peaceful cultural norms and address indiscrimination against women, establish a crisis center that may help women who is a victim suffering against violence, strengthen the Philippines enacted several laws protecting women from violence.

Krizių centrų veikla teikiant socialinę pagalbą nuo smurto artimoje aplinkoje nukentėjusioms moterims

The article analyzes the activity of a social worker in a crisis center working with women who experience domestic violence. Based on the results of the research, the functions and roles of the social worker, social services provided in the crisis center were analyzed. Based on the analysis of scientific information sources and after conducting a structured interview survey, the aim was to determine the types of violence experienced by women, aspects of cooperation with other institutions. Difficulties experienced by the social worker when working in the crisis center with women who have experienced domestic violence have been identified. Keywords: social worker roles, functions, crisis center.

Variation in rates of sexual assault crisis counsellor usage during forensic examination in California: an observational study

ObjectivesA critical asset to post-assault care of survivors is support from sexual assault crisis counsellors (SACCs). We sought to elucidate variation in implementation between California counties in SACC accompaniment during...

COVID-19 crisis and the incidence of hospital admissions for psychosis in France

ObjectivesWe aimed to assess the impact of the COVID-19 crisis on the occurrence of new hospital admissions for cases of psychosis in France. MethodWe conducted a retrospective observational study from the French national PMSI database. We included patients hospitalized between 2018 and 2020 with a principal diagnosis of schizophrenia or delusional disorder with no history of psychosis in the previous 10 years. In total, we included 77,172 inpatients at crisis centers and/or in full-time hospitalization at 465 French hospitals. We assessed the number of inpatients during the year of the Covid crisis (2020) and the two years prior (2018, 2019). ResultsThe number of inpatients in full-time hospitalization decreased gradually from 2018 to 2020 by 10.6%. This downward trend was observed in all age groups. In contrast, in crisis centers the number of inpatients increased by 13.4% between 2019 and 2020, while a 7.6% decrease was seen between 2018 and 2019. The greatest increase was observed in the 31–60-year age category, and particularly amongst 46–60-year-olds, i.e. 38.0%. ConclusionThe COVID-19 crisis was associated with an increase in the number of inpatients with a new episode of psychosis in crisis centers but not in full-time hospitalization. The profile of patients in crisis centers was different from that seen in preceding years and included more middle-to-late age adults. Particular attention should be given to this category of patients in the crisis environment to prevent the occurrence of new cases of psychosis in France.

"Are You-?" "Are You?" Queer Advocacy at Contemporary Neoliberal Rape Crisis Centers.

Antirape scholarship has largely focused on survivors and their needs. However, little is known about victim advocates, who support survivors, and how advocates' identities can affect their work. This article draws on semistructured interviews with 23 LGBTQ+ advocates to explore how they navigate their sexual, gender, and racial identities at rape crisis centers today. Results show that LGBTQ+ advocates choose the ways that their sexual and gender identities are visible or invisible at their agency, usually to improve LGBTQ+ survivor services. By examining LGBTQ+ advocacy, this article critically evaluates normativity in antirape work and advocates for a queer transformation of rape victim services.

Flying Sensor and Edge Network-Based Advanced Air Mobility Systems: Reliability Analysis and Applications for Urban Monitoring

Typical structures of monitoring systems (MSs) that are used in urban complex objects (UCOs) (such as large industrial facilities, power facilities, and others) during the post-accident period are combined with the technologies of flying sensor networks (FSNets) and flying edge networks (FENets) (FSNets and FENets); cloud/fog computing and artificial intelligence are also developed. An FSNets and FENets-based MS, composed of one of the Advanced Air Mobility (AAM) systems classes, which comprise main and virtual crisis centers, fleets of flying sensors, edge nodes, and a ground control station, is presented and discussed. Reliability and survivability models of the MS for the UCOs, considering various operation conditions and options of redundancy, are developed and explored. A tool to support the research on MS reliability, survivability, and the choice of parameters is developed and described. Crucially, this paper enhances the technique for assessing systems using the multi-parametrical deterioration of characteristics as a class of multi-state systems. Problems that may arise when using FSNets/FENet-based AAM systems are discussed. The main research results comprise a structural basis, a set of models, and a tool for calculating the reliability and survivability of FSNets/FENet-based AAM systems, with various options for distributing the processing and control resources between components, their failure rates, and degradation scenarios.

Ending a Treatment Relationship

Ending a Treatment Relationship

Emergency Department Preparedness to Care for Sexual Assault Survivors: A Nationwide Study.

Emergency departments (ED) provide trauma-informed care to sexual assault (SA) survivors and connect them with comprehensive services. Through surveying SA survivor advocates, we aimed to 1) document updated trends in the quality of care and resources offered to SA survivors and 2) identify potential disparities according to geographic regions in the US, urban vs rural clinic locations, and the availability of sexual assault nurse examiners (SANE). We conducted a cross-sectional study between June-August 2021, surveying SA advocates who were dispatched from rape crisis centers to support survivors during ED care. Survey questions addressed two major themes in quality of care: staff preparedness to provide trauma-response care; and available resources. Staff preparedness to provide trauma-informed care was assessed through observations of staff behaviors. We used Wilcoxon rank-sum and Kruskal-Wallis tests to analyze differences in responses according to geographic regions and SANE presence. A total of 315 advocates from 99 crisis centers completed the survey. The survey had a participation rate of 88.7% and a completion rate of 87.9%. Advocates who indicated that a higher proportion of their cases were attended by SANEs were more likely to report higher rates of trauma-informed staff behaviors. For example, the recalled rate of staff asking patients for consent at every step of the exam was significantly associated with SANE presence (P < 0.001). With respect to access to resources, 66.7% of advocates reported that hospitals often or always have evidence collection kits available; 30.6% reported that resources such as transportation and housing are often or always available, and 55.3% reported that SANEs are often or always part of the care team. The SANEs were reported to be more frequently available in the Southwest than in other US regions (P < 0.001) and in urban as opposed to rural areas (P < 0.001). Our study indicates that support from sexual assault nurse examiners is highly associated with trauma-informed staff behaviors and comprehensive resources. Urban-rural and regional disparities exist regarding access to SANEs, suggesting that elevating nationwide quality and equity in care of survivors of sexual assault requires increased investments in SANE training and coverage.

Advocacy of violence against women through the implementation of cyber public relations at the Rifka Annisa women's Crisis Center

This research examines the implementation of Cyber Public Relations at the Rifka Annisa Women's Crisis Center (Rifka Annisa WCC) in advocating public awareness of violence against women. This study aims to identify the obstacles Rifka Annisa WCC faces in managing Cyber Public Relations activities, analyze how they address those obstacles, and examine the impact of Cyber Public Relations implementation on advocacy of violence against women.. This research employs a qualitative case study method through observation and in-depth interviews with Rifka Annisa WCC's media officer. The study objectives are presented using the concepts of Cyber Public Relations and Social Media. The study results found that the lack of human resources in managing social media hindered Rifka Annisa WCC in optimizing Cyber Public Relations activities to advocates public awareness. To address this obstacle, Rifka Annisa WCC focuses on using Instagram as an online advocacy tool. Furthermore, the application of Cyber Public Relations in Rifka Annisa WCC's advocacy activities had a significant impact on aspects of community literacy regarding the discourse on violence against women, as well as changes in the behavior of victims of violence and the larger community in responding to violence against women.

A Systematic Review of Sexual Assault Referral Centers (SARC)

Background: Sexual violence against women is a commonly prevalent human rights violation and a widespread public health problem. It is associated with substantial short and long-term ill consequences for women and their families. As the response of the community is increasing day by day to sexual assault, new interventions have evolved in the form of sexual assault centers. These centers are community-based organizations that work to counteract the potential negative impacts of sexual assaults on the physical, mental, and psychological health of the victims. Objective: The objective of the study is to find out the multi-disciplinary professional services provided by these centers globally to treat sexual assault victims. Methods: The information is collected from secondary sources. This systematic review was prepared according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Online databases were searched including, Research Gate, Taylor &amp; Francis, Wiley Online Library, Scopus, and Google Scholar, and the search included the term ‘sexual assault centers, rape crisis centers, integrated services at sexual assault centers’. Results: The important post-assault services provided by these centers include medical treatment, forensic examination, police services, and psychological counseling to the sufferers of the tragic event. In addition, these centers are also involved in carrying out significant research and educational work. Practical Implication: These rape crisis centers are providing multidisciplinary services to rape victims including services of specially trained nurses, treatment and care of medical injuries, forensic medical examination, police services, counseling by psychologists and a highly organized follow-up. Conclusion: These centers are providing valuable multidisciplinary services including medical treatment, forensic examination, police services, and psychological counseling to the sufferers of sexual abuse under one roof. The understanding of these multidisciplinary services could be used to endorse the development of sexual assault centers in different parts of the world Keywords: Sexual assault, sexual assault centers, multidisciplinary services

Relationship between Behavior, Occupation and Abuse of Psychotropic Drugs and Addictive Substances with Cases of Sexual Violence by Partners Against Women Recorded at the Women Crisis Center in Padang City

Background : One of the main issues affecting reproductive health is sexual violence. Sexualviolence is the third most common form of violence against women (30%) of all cases. Basedon data from the Woman Crisis Center (WCC) in Padang, cases of sexual violence havecontinued to increase. There are four main determinants of sexual violence including thesocial environment, community, individual and relationship.Methods: A case-control study is designed to help determine if an determinants is associatedwith an outcome. This study was conducted on 66 samples, 33 of whom were female victimsof sexual violence by partners registered at the WCC. The B-SAFER questionnaire is used asan instrument to assess descriptions of sexual violence committed and psychosocialassessment of the factors underlying the occurrence of sexual violence. Chi-Square test andlogistic regression are used to analyze the relationship between variables.Results: There is no significant relationship between the abuse of psychotropic drugs and theincidence of sexual violence. However, there is a significant relationship between a history ofnegative behavior (p = 0.0001) and disruption of job stability (p = 0.0002) to incidents ofsexual violence. Between this two, negative behavior is the factor that most contributes to theincidence of sexual violence against women, but it is not statistically significant.Conclusion: Behavior is the most important factor in the occurrence of sexual violence, butstatistically it is not significant. There is no variable that determines sexual violence becausethe concept of sexual violence is a complex and polymorphic phenomenon. Further studiesare needed in determining the role of other factors that play a role.

Applying the Surgical Checklist Approach for Psychiatric Trainees to a Busy, Time Sensitive Psychiatric Crisis Environment

IntroductionThe Jackson Hospital Crisis (Psychiatric ED) Center serves the entirety of Miami-Dade County in Florida and is considered one of the top three busiest and per capita of clinical staff likely the busiest nationally across the United States. Simultaneously, the management of mental health emergencies has ascended near the top of international priorities driven by multiple trends (e.g., growing social isolation associated with the pandemic, de-stigmatization). The crisis environment presents a uniquely difficult challenge in applying high quality medical care: frequent suicidal gestures, impulsive often intoxicated or psychotic patients, unprecedented demand, diminishing staff capacity, and requirements to consistently apply specific medical and psychiatric protocols. These challenges are specifically difficult for new trainees who are not yet accustoms to the high acuity situations found in psychiatry. Moreover, academic, institutional, and governmental policies change on a monthly, or even weekly basis, often with the objective of improving care. Nevertheless, such constant shifts in workflow result in opportunities for errors that impact patient trajectories.ObjectivesAs such we endeavored to apply an evidence-based approach to improving the likelihood of success. One such vetted approach, the use of checklists, benefits from 10+ years of peer-reviewed research in “operational” medical specialties (e.g., surgery, ED, ICU) where work is segmented around interventions or time-shifts which share commonalities with the Psychiatric ED model. Yet the difficulty in implementing such models is typically not in the “hard” aspects of defining the checklist, but in the “soft” implementation dimensions of syndication, distribution, and enablement in the context of the individual unique settings.MethodsWe developed a checklist that will be implemented on the Jackson Crisis emergency department, with the aim of having first year trainees complete the check list on each individual patient. Surveys were administered before implementation of checklist and will be distributed on a quarterly basis to trainees to evaluate for changes in resident confidence and clinical care.ResultsOver six months, we launched this initiative with drivers of adoption focused on accelerating and easing new resident training, safety incident targeting, and in the balancing of “push” top/down and “pull” bottom/up dynamics. Initial learnings include rapidly improving resident satisfaction as well as various other impacts currently being observed throughout the institution.ConclusionsOverall reception to the checklist has been positive from attendings and new trainees alike, further evidence will be analyzed and presented as the checklist is utilized throughout the psychiatric ED.Disclosure of InterestNone Declared