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Journal of Interpersonal Violence
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Sexual Assault Nurse Examiner (SANE) Programs

Alternative Systems for Service Delivery for Sexual Assault Victims

COURTNEY E. AHRENS

University of Illinois at Chicago

REBECCA CAMPBELL

University of Illinois at Chicago

SHARON M. WASCO

University of Illinois at Chicago

GLORIA APONTE

Michigan Public Health Institute

LORI GRUBSTEIN

Michigan Public Health Institute

WILLIAM S. DAVIDSON, II

Michigan State University

In recent years, new programs have emerged in hospital emergency departments to care for sexual assault victims. These programs, collectively known as Sexual Assault Nurse Examiner (SANE) programs, improve the treatment of sexual assault victims through explicit attention to the medical, emotional, and legal needs of sexual assault survivors. Although SANE programs have proliferated over the past several years and now number nearly 100 nationwide, details about how these alternative services were developed have been missing in the literature. In this article, two recently established SANE programs are studied in depth to reveal how rape crisis centers in different communities created these services. Factor associated with the successful implementation of these SANE programs included (a) strong organizational history, (b) use of sexual assault councils and task forces, (c) affiliation with larger organizations, (d) positive relationships with hospitals, (e) engaging in training and collaboration with community systems, and (f) strategies for resolving differences. Implications for the health care of sexual assault victims are discussed.

Journal of Interpersonal Violence, Vol. 15, No. 9, 921-943 (2000)
DOI: 10.1177/088626000015009002


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