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BMC Health Services Research
Published in: BMC Health Services Research 1/2018

Open Access 01-12-2018 | Research article

Establishing Sexual Assault Care Centres in Belgium: health professionals’ role in the patient-centred care for victims of sexual violence

Authors: Anke Vandenberghe, Bavo Hendriks, Laura Peeters, Kristien Roelens, Ines Keygnaert

Published in: BMC Health Services Research | Issue 1/2018

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Abstract

Background

Having ratified the Convention of Istanbul, the Belgian federal government commits itself to the foundation of Sexual Assault Care Centres (SACC). In the light of researching the feasibility of these centres, this study aimed to evaluate the care for victims of sexual violence (SV) in Belgian hospitals anno 2016 as well as to formulate recommendations for the intended model.

Methods

Between April and October 2016, a questionnaire was distributed to 159 key health professionals active in 17 different hospitals attached to an AIDS Referral Centre. The survey covered four parts, i.e. the health professionals’ profile, their knowledge, attitude and practices, an assessment of the hospital’s policy and the caregivers’ opinion on the care for victims of SV and on the intended SACCs. Subsequently, a descriptive analysis using ‘IBM SPSS Statistics 23’ was performed.

Results

A total of 60 key health professionals representing 15 different hospitals completed the questionnaire resulting in a response rate of 38%. The results showed a lack of knowledge and practical experience of caregivers’ regarding the care for SV victims. Approximately 30% of responders face personal or professional difficulties upon provision of care to victims of SV. Participants evaluate the current care as good, despite the limited psychosocial support, follow-up, insight for the needs of vulnerable groups and support for family, relatives and health professionals. Yet, the majority of health professionals appraise the SACCs as the best approach for both victims and caregivers.

Conclusions

By introducing a SACC, the Belgian federal government aims to provide holistic and patient-centred care for victims of SV. Essential in patient-centred health care is an extensive and continuous education, training and supervision of health professionals concerning the care for victims, support for family, relatives and caregivers.
At the end and as a result of a participatory process with many professional experts as well as victims, a specific Belgian model, adjusted to the health care system anno 2016 was developed for piloting. The main challenges in establishing SACCs are situated at the institutional and policy level. Collaborating with other institutions and further research are herewith required.
Appendix
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Footnotes
1
‘na/Na’: variable frequency/sample size regarding the availability of a certain test/treatment
‘nu/Nu’: variable frequency/sample size regarding the use of a certain test/treatment
 
Literature
1.
2.
Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World report on violence and health. Geneva: World Health Organization; 2002.
3.
WHO. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and nonpartner sexual violence. Geneva: World Health Organization; 2013.
4.
Buysse A, Enzlin P, Lievens J, T'Sjoen G, Van Houtte M, Vermeersch H, et al. Sexpert: basisgegevens van de survey naar seksuele gezondheid in Vlaanderen. Gent: Academia Press; 2013. p. 458.CrossRef
5.
Krahé B, Berger A, Vanwesenbeeck I, Bianchi G, Chliaoutakis J, Fernandez-Fuertes AA, et al. Prevalence and correlates of young people's sexual aggression perpetration and victimisation in 10 European countries: a multilevel analysis. Cul Health Sex. 2015;17(6):682–99.CrossRef
6.
D'haese L, Dewaele A, Van Houtte M. Geweld tegenover holebi's - een online survey over ervaringen met holebigeweld in Vlaanderen en de nasleep ervan (tweede tussentijds rapport). Antwerpen: Steunpunt Gelijkekansenbeleid; 2014.
7.
Motmans J, T'Sjoen G, Meier P. Geweldervaringen van transgender personen in België. Antwerpen: Steunpunt Gelijkekansenbeleid; 2015.
8.
Keygnaert I, Wilson R, Dedoncker K, Bakker H, Van Petegem M, Wassie N, et al. Hidden violence is a silent rape: prevention of Sexual & Gender-Based Violence against Refugees & Asylum Seekers in Europe: a participatory approach report. Gent: International Centre for Reproductive Health; 2008.
9.
10.
Pieters J, Italiano P, Offermans AM, Hellemans S. Ervaringen van vrouwen en mannen met psychologisch, fysiek en seksueel geweld. Brussel: Instituut voor de gelijkheid van vrouwen en mannen; 2010.
11.
McCall-Hosenfeld JS, Freund KM, Liebschutz JM. Factors associated with sexual assault and time to presentation. Prev Med. 2009;48(6):593–5.CrossRef
12.
Hawkins AP. Sexual assault and rape. Obstretics Gynaecol Reprod Med. 2012;22(7):199–204.CrossRef
13.
Jina R, Thomas LS. Health consequences of sexual violence against women. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):15–26.CrossRef
14.
Mason F, Lodrick Z. Psychological consequences of sexual assault. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):27–37.CrossRef
15.
WHO. Guidelines for medico-legal care for victims of sexual violence. Geneva: World Health Organization; 2003.
16.
WHO. Responding to intimate partner violence and sexual violence against women. Geneva: World Health Organization; 2013.
17.
WHO. Health care for women subjected to intimate partner violence or sexual violence. Geneva: World Health Organization; 2014.
18.
Ingemann-Hansen O, Charles AV. Forensic medical examination of adolescent and adult victims of sexual violence. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):91–102.CrossRef
19.
Newton M. The forensic aspects of sexual violence. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):77–90.CrossRef
20.
Cybulska B. Immediate medical care after sexual assault. Best Pract Res Clin Obstet Gynaecol. 2013;27(1):141–9.CrossRef
21.
Robinson JH, Callister LC, Berry JA, Dearing KA. Patient-centered care and adherence: definitions and applications to improve outcomes. J Am Acad Nurse Pract. 2008;20:600–7.CrossRef
22.
23.
McGregor MJ, Du Mont J, White D, Coombes ME. Examination for sexual assault: evaluating the literature for indicators of women-centered care. Health Care Women Int. 2009;30:22–40.CrossRef
24.
Levesque J, Harris MF, Russell G. Patient-centered access to health care: conceptualising access at the interface of health systems and populations. Int J Equity Health. 2013;12:18.CrossRef
25.
NICE. Domestic violence and abuse: how health services, social care and the organisations they work with can respond effectively. London: National Institute for Health and Care Excellence; 2014.
26.
Milliken J, Paul LA, Sasson S, Porter A, Hasulube J. Sexual assault disclosure Recipients’ experiences: emotional distress and changes in the relationship with the victim. Violence Vict. 2016;31(3):457–70.CrossRef
27.
Developing Sexual Assault Referral Centres (SARCs) – National Service Guidelines. London: Department of Health Children and Mental Health Division and Home Office Violent Crime Unit; Oktober 2005.
28.
Sarwat B, Ruhi J. Management of sexual assault and the importance of sexual assault referral Centres (SARCs). J Fam Plann Reprod Health Care. 2010;36(3):115–6.CrossRef
29.
30.
National SATU. Guidelines Development Group. Rape/Sexual Assault: National Guidelines on Referral and Forensic Clinical Examination in Ireland. 3rd ed; 2014. Available from: www.​hse.​ie/​satu
31.
Keygnaert I. Naar een holistische aanpak van seksueel geweld in België: haalbaarheidsstudie centra seksueel geweld. Gent: International Centre for Reproductive Health; 2016.
32.
33.
34.
NICE. The management of PTSD in adults and children in primary and secondary care. Manchester: National Institute for Health and Care Excellence; 2005.
35.
36.
Brooker C, Durmaz E. Mental health, sexual violence and the work of sexual assault referral centres (SARCs) in England. J Forensic Legal Med. 2015;31:47–51.CrossRef
37.
Havens Information and KPI Report Financial Year 2014-15. London: King’s College Hospital; 2015.
38.
Greeson MR, Campbell R. Coordinated community efforts tot respond to sexual assault: a National Study of sexual assault response team implementation. J Interpers Violence. 2015;30(14):2470–87.CrossRef
39.
Bramsen RH, Elklit A, Nielsen LH. A Danish model for treating victims of rape and sexual assault: the multidisciplinary public approach. J Aggress Maltreat Trauma. 2009;18:886–905.CrossRef
40.
Vanoni M, Lünnemann KD, Kriek F, Drost L, Smits van Waesberghe E. Meerwaarde intergrale opvang en hulpverlening aan slachtoffers van seksueel geweld. Amsterdam: Regioplan; 2013.
41.
Nesvold H, Worm AM, Vala U, Agnarsdottir G. Different Nordic facilities for victims of sexual assault: a comparative study. Acta Obstet Gynecol Scand. 2005;84(2):177–83.CrossRef
42.
Keygnaert I. Naar een holistische aanpak van seksueel geweld: zijn referentieziekenhuizen seksueel geweld in de provincie Oost-Vlaanderen een haalbaar en wenselijk model? Gent: International Centre for Reproductive Health; 2014.
43.
Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13(117):1–8.
44.
De Munnynck K, De Houwer L, Bronselaer K, Hanssens M, Van de Voorde W. Medico-legal approach to sexual assault victims: the Belgian situation. J Clin Forensic Med. 2006;13:211–4.CrossRef
45.
Roelens K, Verstraelen H, Van Egmond K, Temmerman M. Disclosure and health-seeking behaviour following intimate partner violence before and during pregnancy in Flanders, Belgium: a survey surveillance study. Eur J Obstet Gynecol Reprod Biol. 2008;137(1):37–42.CrossRef
46.
Roelens K, Verstraelen H, Van Egmond K, Temmerman M. A knowledge, attitudes and practice survey among obstetrician-gynaecologists on intimate partner violence in Flanders. Belgium BMC Public Health. 2006;6:238–48.CrossRef
47.
Fehler-Cabral G, Campbell R, Patterson D. Adult sexual assault Survivors’ experiences with sexual assault nurse examiners (SANEs). J Interpers Violence. 2011;26(18):3618–39.CrossRef
48.
Kennedy KM. The case in favour of educating medical students about sexual violence. Med Teach. 2014;36:267–8.CrossRef
49.
Nielson MH, Strong L, Stewart JG. Does sexual assault nurse examiner (SANE) training affect attitudes of emergency department nurses toward sexual assault survivors? J Forensic Nurs. 2015;11(3):137–43.CrossRef
50.
Raunick CB, Lindell DF, Morris DL, Backman T. Vicarious trauma among sexual assault nurse examiners. J Forensic Nurs. 2015;11(3):123–8.CrossRef
51.
Cole J, Logan TK. Negotiating the challenges of multidisciplinary responses to sexual assault victims: sexual assault nurse examiner and victim advocacy programs. Res Nurs Health. 2008;31:76–85.CrossRef
52.
53.
Kennedy KM, White C. What can GPs do for adult patients disclosing recent sexual violence? Br J Gen Pract. 2015;65:42–4.CrossRef
54.
Bossuyt N, van Casteren V. Domestic violence: variation in case-management by the general practitioner in Belgium. Int J Public Health. 2009;54:106–11.CrossRef
Metadata
Title
Establishing Sexual Assault Care Centres in Belgium: health professionals’ role in the patient-centred care for victims of sexual violence
Authors
Anke Vandenberghe
Bavo Hendriks
Laura Peeters
Kristien Roelens
Ines Keygnaert
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2018
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-018-3608-6

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