1 / 15

Sex & Violence the Health Implications Dr Olwen Williams Consultant Sexual Health

Sex & Violence the Health Implications Dr Olwen Williams Consultant Sexual Health Clinical Director Amethyst SARC North Wales Member EHRC Wales. WHO Definition Sexual Violence

oren
Download Presentation

Sex & Violence the Health Implications Dr Olwen Williams Consultant Sexual Health

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Sex & Violencethe Health Implications Dr Olwen Williams Consultant Sexual Health Clinical Director Amethyst SARC North Wales Member EHRC Wales

  2. WHO Definition Sexual Violence • any sexual act, attempt to obtain a sexual act, unwanted sexual comments or advances, or acts to traffic, or otherwise directed, against a person’s sexuality using coercion, by any person regardless of their relationship to the victim, in any setting, including but not limited to home and work

  3. Rape by strangers; rape within marriage or dating relationships • systematic “war rape" during armed conflict; • unwanted sexual advances or sexual harassment, including demanding sex in return for favours; • sexual abuse of mentally or physically disabled people; • sexual abuse of children; • Forced marriage or cohabitation, including the marriage of children • denial of the right to use contraception or to adopt other measures to protect against sexually transmitted diseases; • Forced abortion • violent acts against sexual integrity, including genital mutilation and obligatory inspections for virginity; • forced prostitution & trafficking of people for the purpose of sexual exploitation

  4. Interlinked domestic abuse /sexual violence • 1:4 Worldwide lifetime risk of sexual assault • 1:20 of UK women have experienced rape (estimated) • 45% Sexual Assault committed by current partner • 74% Sexual Assault occurs in the persons own home • Attacks by partners double risk of physical injury British Crime Survey 2000 • North Wales Police report increase of 3.8% in Sexual Assault in 2011

  5. Potential Health Consequences • Medical • Injuries sustained during the assault • Sexually transmitted infections • HIV & other Blood Born Viruses • Pregnancy and gynaecological complications • Psychosocial • Higher prevalence of mental health issues • Socially ostracised • Impact on family, partner and friends • Effects on children of witnessing sexual violence

  6. Risk Assessment at disclosure • Establish recent or historic sexual assault • Assess need for medical intervention • Assess individuals physical safety • Are there any Child protection issues? • Explain options available • Respect individuals wishes • Be supportive…………………………

  7. Amethyst SARC A one-stop facility to provide a comprehensive and coordinated response to all victims of rape and sexual assault regardless of whether or not a report is made to the police

  8. Police Referral • Refer individual to Police where assault took place • In North Wales, specialist police teams for dealing with sexual offence allegations based at SARC/Amethyst Centre • The police refer to the local sexual assault referral centre (SARC) for forensic medical examination (FME) • Evidence managed by the police • Follow-up at the SARC

  9. Non-police referral to a SARC • Patient, Sexual Health, A+E , Maternity Services contact the SARC - to refer - for advice • SARC discusses options with client • Appointment made for FME or F/U only depending on patient consent and timing • Not a walk-in service, by appointment only

  10. Core Team NHS Standards of Clinical Governance Co-ordinated Interagency arrangements ISVA Dedicated Forensically Approved Premises Gender Choice of FME 24 hour access 10 Key Elements of a SARC Appropriately Trained FME Crisis Workers Risk Assessment Data Collection PEPSE Emergency Contraception Referral for FU

  11. Sarah.Staveley@ nthwales.pnn.police.uk Tel: 01492 805072 Mobile: 07799342695 Amethyst Centre 1 Bryn Eirias Close Colwyn Bay LL29 8AB olwen.williams@ wales.nhs.uk 01978725924 07799342725 Contact Details

More Related