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Mapping and Measuring the Mental Health Services Available to Survivors of Sexual Violence in NYC. Faculty : Enrique Delamonica and Alberto Minujin Students : Katia Araujo-Natt, Alexis Bourgeois, Vishal Greenaway, Louisa Lippi, Jessenia Pillasagua and Anna Williams
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Mapping and Measuring the Mental Health Services Available to Survivors of Sexual Violence in NYC Faculty: Enrique Delamonica and Alberto Minujin Students: Katia Araujo-Natt, Alexis Bourgeois, Vishal Greenaway, Louisa Lippi, Jessenia Pillasagua and Anna Williams Alliance: Debi Fry and Tamara Pollak
Alliance’s Research Question What is the availability of crisis and post crisis mental health intervention services for survivors of sexual violence in NYC?
Goal of Class • Students learn to use quantitative methods—including surveys—to answer questions like the Alliance’s.
Survey Design • 59 question survey designed by the Alliance covering the following domains: • General program information • Screening • Specific counseling services • Populations served • Staffing • Training needs • Survey feedback (debrief) • Survey could be completed by any staff member of the organization
Sampling • Sampling Universe created from 3 main sources: • NYS Office of Mental Health Licensed Outpatient programs, (removed child-only services) • Current list of rape crisis programs in the Alliance’s resource guide, • List of organizations receiving Crime Victims Board (CVB) funding • Sampling universe consisted of 469 programs (some organizations have multiple programs)
Sampling continued • Sampling Method • Convenience sample • Students filled out information on which boroughs/neighborhoods they could travel to conduct interviews • Each student given a list of 10 organizations from sampling universe. • Each student conducted between 3-5 interviews from their list • This method undersampled organizations that are further away from student’s location (Staten Island, Bronx and Queens) • Sampled 25 organizations
Key Findings:General Program Information • 24% of sampled programs consider themselves Rape Crisis Programs (based on definition) • Accessibility • 92% of programs in this sample are wheelchair accessible • 16% of programs in this sample have TTD/TTY services available • 52% of programs in this sample charge a fee for services • 70% of programs in this sample can facilitate intake and answer general questions in a language other than English
Key Findings:Screening • More organizations screen for sexual violence than domestic violence • Past vs. current victimization # orgs. that ask standard screening questions about domestic violence vs about sexual violence
Key Findings:Screening Questions • If they answered yes to screening, survey participants were asked to provide their screening questions: • (see handouts)
Key Findings: SV Intervention Services • 68% programs in this sample offering short term, individual, in-person rape crisis counseling, • 84% programs in this sample offering long term individual psychotherapy • 76% programs in this sample offering long term, group psychotherapy
Populations Served:Adolescents • Confidentiality • Service providers lacked standard protocol • Question seemed hostile to interviewee
Populations Served:Undocumented Immigrants • ALL of programs in this sample provide confidential counseling services to undocumented immigrants (except federal services) • 70% (17 of 25) of programs in this sample provide crisis counseling in a language other than English • Top four languages after English: • Spanish (80%) • French ( 24%) • Creole (16%) • Hindi (16%)
Populations Served • Programs in this sample serve more women than men
Key Findings:In-house services Services offered on-site at surveyed clinics
Key Findings: Additional training Organizations interested in more training around caring for survivors of sexual violence
Debriefing the Survey • Survey was very comprehensive • Overall, the terminology was appropriate • Linkages/referral between various service providers was important • Need up-to-date and accurate information
Scaling Up: Full mapping of NYC services • Launching a citywide survey will help improve services for victims of sexual violence by: • Creating a comprehensive resource guide • Detecting gaps in services • Assessing training needs for community mental health professionals
Recommendations for Accomplishing Full Mapping of NYC Services: Budget Lines • Use of Survey: • Extent of the survey coverage and method of survey will depend on resources - Face-to-face vs. on-line • Budget Lines: - Research Assistants to conduct survey, enter data and update resource guide accordingly - Travel expenses (Metrocards) - Printing - Bound copy of survey for interviewees
Thank You! • Questions?