Lauren F. Lichty

The effectiveness of sexual assault nurse examiner (SANE) programs: a review of psychological, medical, legal, and community outcomes.

In sexual assault nurse examiner (SANE) programs, specially trained forensic nurses provide 24-hour-a-day, first-response medical care and crisis intervention to rape survivors in either hospitals or clinic settings. This article reviews the empirical literature regarding the effectiveness of SANE programs in five domains:(a) promoting the psychological recovery of survivors, (b) providing comprehensive and consistent postrape medical care (e.g., emergency contraception, sexually transmitted disease [STD] prophylaxis), (c) documenting the forensic evidence of the crime completely and accurately, (d) improving the prosecution of sexual assault cases by providing better forensics and expert testimony, and (e) creating community change by bringing multiple service providers together to provide comprehensive care to rape survivors. Preliminary evidence suggests that SANE programs are effective in all domains, but such conclusions are tentative because most published studies have not included adequate methodological controls to rigorously test the effectiveness of SANE programs. Implications for practice and future research are discussed.

Youth ReACT for Social Change: A Method for Youth Participatory Action Research

Although participatory action research has become an increasingly popular method with youth, involving them in problem identification, analysis, intervention, and/or feedback, few PAR projects tend to involve youth in all of these phases—particularly the data analysis phase. Yet involvement in the data analysis phase of a research effort can help to promote critical awareness of the targeted issues, potentially increasing the effectiveness of subsequent PAR stages. In addition, although many YPAR projects aim to promote the critical consciousness of their youth participants, some projects struggle to promote this awareness, often because the methods used are not well matched to the developmental needs of their participants. In this paper we present the ReACT Method, a PAR approach specifically designed to promote local knowledge production and critical consciousness by engaging youth in the problem identification, data analysis, and feedback stages of research. Given the lack of attention in the literature to the methods used for engaging youth in these processes, we provide detailed descriptions of the methods we developed to engage youth in problem identification and qualitative data analysis.

School Staff Responses to Gender-Based Bullying as Moral Interpretation An Exploratory Study

Gender-based bullying is the most common form of violence that students encounter in U.S. public schools. Several large-scale surveys reveal its consequences for students. Fewer studies examine how school staff members make sense of and respond to such violence. The authors address this knowledge gap by presenting analyses of interviews conducted with high school faculty and staff. Synthesizing sociological studies of violence and positioning theory, the authors illuminate the webs of relationships and cultural narratives in which school staff responses to gender-based bullying are situated. The authors find that, although school staff members felt compelled to intervene when male students sexually harassed quiet girls, they were reluctant to intervene in abusive heterosexual dating relationships and were ambivalent about their responsibility toward gay and lesbian targets of bullying. The authors argue for expanding prevention efforts beyond intervention to engage school staff in critically examining sexist and heterosexist roles, norms, and practices.

The Impact of School-Based Health Centers on the Health Outcomes of Middle School and High School Students

OBJECTIVES We studied the direct and indirect effects of school-based health centers (SBHCs) on the health and health behaviors of middle and high school students. METHODS We used a prospective cohort design to measure health outcomes annually over 2 consecutive years by student self-report. Cohorts of middle school and high school students were recruited from matched schools with and without SBHCs. Data were obtained from 744 students in both year 1 and year 2 of the study. We used 2-level hierarchical linear models to estimate the effects of the presence of SBHCs at the school level and of SBHC use at the student level. RESULTS At year 2, users of SBHCs experienced greater satisfaction with their health, more physical activity, and greater consumption of healthy food than did nonusers of SBHCs. CONCLUSIONS Students who used SBHCs were more satisfied with their health and engaged in a greater number of health-promoting behaviors than did students who did not use SBHCs. These findings indicate that SBHCs are achieving their goal of promoting childrens health.

Targets and Witnesses Middle School Students’ Sexual Harassment Experiences

School-based peer-to-peer sexual harassment (SH) emerged as an issue of concern in the early 1990s. As a developing field, this literature has several notable gaps. The current study extends previous research by, (a) exploring the understudied experiences of middle school students, (b) assessing students’ experiences witnessing SH, and (c) evaluating how SH is related to students’ emotional well-being and academic outcomes. Survey findings indicate that the vast majority of middle school students are both SH targets and witnesses. SH experiences were negatively associated with psychological well-being and academic performance. Psychological distress mediated the relationship between direct SH and academic outcomes; however, no significant relationship was found between witnessing SH and psychological or academic outcomes. Students’ incident reports offered insight into the context of SH. Most perpetrators are male, victims are both male and female, and SH occurs in public spaces with few adult witnesses. Implications for research, practice, and interventions are discussed.

Developing a University-Wide Institutional Response to Sexual Assault and Relationship Violence

SUMMARY This article presents a process case study for developing a university-wide response to sexual assault and relationship violence. Following Kellys (1988) approach to prevention work in community-settings, we began our work with in-depth ecological reconnaissance to understand our local context. Our case study described the processes used to develop an inclusive task force, conduct an environmental scan, and carry out a quantitative-qualitative needs assessment. Our processes for developing an institutional response for both direct services interventions and prevention are discussed in the context of Kellys (1966, 1968, 2006) ecological principles of interdependence and cycling of resources.

Sexual Harassment Policies in K-12 Schools: Examining Accessibility to Students and Content.

BACKGROUND Peer sexual harassment is a significant social problem with consequences for both students and schools. Four out of 5 students report experiencing sexual harassment. These experiences have been linked to poor psychological health and academic withdrawal. Recognizing the seriousness of sexual harassment in schools, Supreme Court rulings have established school liability for known instances of sexual harassment under Title IX of the Education Amendments of 1972. Federal guidelines established by the Office for Civil Rights of the US Department of Education mandate schools to develop sexual harassment policies; however, the implementation of these guidelines has not been examined. Therefore, this study assessed the degree to which sexual harassment policies in primary and secondary schools adhered to said guidelines. METHODS This study evaluated 784 primary and secondary school sexual harassment policies across 4 states on 3 key factors: accessibility to students (ie, via the Internet), consistency with federal guidelines regarding their content and the inclusion of 10 key components, and consistency of content across educational levels. RESULTS Only 14% of sexual harassment policies were available online; the majority of policies incorporated only 5 of the 10 critical components, and elementary school policies contained significantly fewer components than all other educational levels. CONCLUSIONS The Internet is an underused resource for disseminating school sexual harassment policies to students. When policies are available, they rarely incorporate the key elements specified in the federal guidelines. Particularly troubling are the inaccessibility and incompleteness of elementary school policies. Greater attention to policy accessibility and comprehensiveness is needed.

Photovoice as a Pedagogical Tool in the Community Psychology Classroom

Constructivist perspectives contend that individuals actively extract and make meaning from the world around them. In the classroom this means that students are not passive recipients or repositories for our theories and empirical findings; instead, they actively redefine and relate to (or not) the concepts presented. To simultaneously stimulate and build on this process, I adopted Photovoice as a pedagogical tool to situate students as observers of their own community and create space for them to engage in participatory, community-focused meaning making activities. By employing strategically crafted framing questions, students generated Photovoice data that served as a powerful jumping off point for discussing key community psychology concepts. In addition, the Photovoice process provided students the opportunity to directly experience a participatory research process as well as engage in basic qualitative data analysis. This article presents the general process my class undertook as well as qualitative feedback from students.

Youth Response to Rape: Rape Myths and Social Support

Adolescents and young adults face the highest incidence of sexual assault, yet only limited research focuses on the experience of adolescent survivors, adolescent rape myth acceptance, or the ways youth respond to rape. Survivors tend to disclose to at least one person, typically peers, and the response, whether positive or negative, can impact well-being and help-seeking behaviors. Focus groups across Oregon, a leader in state-level comprehensive sexuality education policy, solicited high school-student reactions to an alcohol-involved rape scenario. These rich-case participants had taken comprehensive sexuality education classes and were affiliated with health and sexuality organizations. These youth were anticipated to showcase best possible outcomes resulting from current sexuality education practices. After hearing a hypothetical scenario involving a friends experience with alcohol-involved sexual assault, participants were asked how they would respond. Participants spontaneously discussed whether the actions described constituted rape, often relying on victim-blaming rape myths as evidence. Alcohol use was a critical factor in interpretations. Female use increased her perceived culpability and male use decreased his. After assessing blame and whether the incident constituted rape, youth described three types of support (informational, instrumental or practical, and emotional support) they would offer as well as barriers when responding to the victim and intentions to hold victims accountable. These responses paint a concerning portrait of the ways youth make sense of sexual violence and consider responding to a friends disclosure. Sexuality education policy mandates and intervention programs must target the problematic links between alcohol, rape, and rape myths while reinforcing non-victim-blaming support.

Shifting Lenses to Deepen Reflection and Connection in Human Sexuality Education

ABSTRACT Photovoice, a participatory action research method, supports deep, personal reflection through the use of photography, personal narrative development, and group discussion. This lesson plan describes the use of Photovoice as a pedagogical tool in an undergraduate human sexuality course. The goal of this activity is to encourage students to 1) think beyond the texts presented in class, 2) make critical connections to their own lived experience and community context, and 3) deepen reflection through sharing and discussing with others. The lesson plan describes the process of bringing Photovoice into the classroom as well as student insights on the activity.