{"id":29283,"date":"2023-09-29T07:00:20","date_gmt":"2023-09-29T07:00:20","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=29283"},"modified":"2024-01-03T20:16:13","modified_gmt":"2024-01-03T20:16:13","slug":"lutheran-community-services-northwest-lcsnw-helps-sexual-assault-survivors","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/lutheran-community-services-northwest-lcsnw-helps-sexual-assault-survivors\/","title":{"rendered":"Spokane program empowers survivors of sexual assault","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

From the time a sexual assault survivor walks into an emergency department (ED) to the moment they leave, they\u2019ve likely told their story three to five times \u2014 each in varying degrees of detail.<\/p>\n

They\u2019ve shared it at the patient intake desk, to the nurse checking their vitals, to the provider who treats them, to the sexual assault nurse examiner collecting evidence and to the officer taking their report.<\/p>\n

The last thing a survivor needs is more questions.<\/p>\n

Lutheran Community Services Northwest (LCSNW) advocates are there instead as a nonjudgmental and unbiased shoulder to lean on.<\/p>\n

\u201cOur most important duty as an advocate is that we\u2019re entirely there on [the survivor\u2019s] terms,\u201d says Kristina Poffenroth, LCSNW victim advocate. \u201cWe\u2019re there as much or as little as they want \u2026 We\u2019re the one person who is entirely on their side and not there to gather information, evidence or give opinions.\u201d<\/p>\n

\n

Lutheran Community Services Northwest by the numbers<\/strong><\/h3>\n

(7\/1\/22-6\/30\/23)<\/em><\/p>\n

    \n
  • 188 advocate responses to hospital<\/li>\n
  • 270 sexual assault survivors received medical advocacy<\/li>\n
  • 3,940 calls to 24-hour support line<\/li>\n
  • 640 sexual assault survivors received legal advocacy<\/li>\n<\/ul>\n<\/blockquote>\n

    That support continues for as long as a survivor wants, whether just during those first few hours, at peer groups months later or through the years that follow in court.<\/p>\n

    As Spokane County\u2019s dedicated community sexual assault program, LCSNW is available 24 hours a day with a hotline and emergency resources for any sexual assault that occurs within the community or against someone who lives locally, explains Roshelle Cleland, LCSNW director of advocacy and education.<\/p>\n

    Services are free, confidential and require no religious affiliation.<\/p>\n

    \u201cWe know that sexual assault is about control and power,\u201d Cleland says. \u201cAnd we want to give that back to survivors \u2026 to empower them.\u201d<\/p>\n

    The moments after<\/h2>\n

    Some survivors may choose to go to the emergency department (ED) or call the police immediately, while others may wait days or never report the assault to their doctor or law enforcement. The survivor makes the choice.<\/p>\n

    For those who seek medical care at a Spokane County ED within the first five days of an assault, an LCSNW advocate is called. They answer questions, ensure survivors know their options and rights, provide resources, or may simply be there to sit or talk with, says advocate Poffenroth.<\/p>\n

    The medical exam alone can be a three- to four-hour long and often re-traumatizing process, says Juliane Rohr, BSN, RN, SANE-A, sexual assault nurse examiner with LCSNW.<\/p>\n

    Rohr walks survivors through what to expect and the purpose of each step \u2014 and remind them it\u2019s their body and choice, she says.<\/p>\n

    \u201cThe purpose is to address any medical needs and collect any DNA evidence, if present,\u201d Rohr says. \u201cThat way [adult patients] have what they need and can decide then or later if they want to report to law enforcement.\u201d<\/p>\n

    \n

    Benefits of an advocate<\/strong><\/h3>\n

    (Courtesy of End Violence Against Women International) <\/em><\/p>\n

      \n
    • Survivors more likely to receive STD treatment (86 vs. 56 percent)<\/li>\n
    • Survivors more likely to be tested for pregnancy (42 vs. 22 percent) and receive emergency contraception to prevent pregnancy (33 vs. 14 percent)<\/li>\n
    • Survivors less likely to be treated \u201ccoldly\u201d when advocate present (36 vs. 69 percent)<\/li>\n
    • Medical providers less likely to conduct exam because assault occurred \u201ctoo long ago\u201d (24 vs. 36 percent) \u2014 all in study were reported within 96 hours<\/em><\/li>\n<\/ul>\n<\/blockquote>\n

      Those who choose not to seek medical care can access support through the hotline or by contacting LCSNW directly during business hours. LCSNW also partners with many local colleges, including Gonzaga University, where Poffenroth holds office hours for students and Title IX staff.<\/p>\n

      Every decision is driven by the survivor, Cleland says. Survivors don\u2019t need to undergo an exam or evidence collection or file a police report to receive support. (Keep in mind there are mandatory reporting laws in place for minors.)<\/p>\n

      LCSNW does, however, advocate for medical care and education to ensure survivors can make informed decisions, she adds. There are many choices to make during what is already a stressful situation, and it\u2019s helpful to have an advocate there as a guide.<\/p>\n

      The years after<\/h2>\n

      Whether immediately after or years later, every person\u2019s response to trauma is different, Poffenroth says. It\u2019s not uncommon for a victim to talk to their abuser in the days after, become hypersexual or completely abstain from sex as a way to take back control. Some may feel anxious or depressed, while others may block out the memory entirely.<\/p>\n

      \u201cWe often have a picture of a victim and how they should act,\u201d she adds. \u201cWe tell people, though, that everything is a normal response to trauma.\u201d<\/p>\n

      LCSNW also works with survivors identified through backlogged kits from the Spokane Police Department, or those who never reported their assault but are seeking support, Cleland explains.<\/p>\n

      \u201cOur hotline is used a lot by people who are being triggered or have unhealthy coping mechanisms,\u201d she says. \u201cOr maybe they\u2019ve done all the coping, but something has brought the memory back and they need confidential support for a few moments.\u201d<\/p>\n

      LCSNW offers a variety of additional support services, including psycho-educational support groups, education, coping tools, and assistance with navigating the criminal justice system, locating safe housing and building safety plans.<\/p>\n

      While LCSNW can\u2019t meet every need, the most important thing Cleland says they can do is believe survivors and show kindness.<\/p>\n

      Changing our mindset<\/h2>\n

      As a community, we need to improve how we approach and care for sexual assault survivors, Cleland says. Every conversation is an opportunity to create an environment of belief and support, rather than blame and shame.<\/p>\n

      That change begins with reducing the long-held stigmas around sexual assault and survivors \u2014 which can be directed at others and oneself.<\/p>\n

      Many of the college students Poffenroth works with have feelings of self-blame if substances like alcohol were involved, or they accept assault as part of college culture.<\/p>\n

      \u201cIt makes the trauma more insidious, and you think it\u2019s bothering you more than it should,\u201d she says. \u201cYour feelings are valid, and you\u2019re allowed to feel however you feel.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

      From the time a sexual assault survivor walks into an emergency department (ED) to the moment they leave, they\u2019ve likely told their story three to five times \u2014 each in varying degrees of detail. They\u2019ve shared it at the patient intake desk, to the nurse checking their vitals, to the provider who treats them, to […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":115,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[39,15,99,143],"tags":[],"class_list":["post-29283","post","type-post","status-publish","format-standard","hentry","category-behavioral-health","category-community","category-primary-care","category-community-stories"],"acf":[],"yoast_head":"\nSpokane program empowers survivors of sexual assault - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Spokane County\u2019s community sexual assault program, Lutheran Community Services Northwest, is available 24 hours a day with hotline and emergency resources.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/updates-www.mccdn.io\/vitals\/lutheran-community-services-northwest-lcsnw-helps-sexual-assault-survivors\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spokane program empowers survivors of sexual assault - 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