Aware

ACSSA Newsletter No. 7 June 2005
Good Practice Special Edition

Published by the Australian Institute of Family Studies
ISSN 1448-8140 (Print); ISSN 1448-8167 (Online)
ACSSA Coordinator: Melanie Heenan

 

Publications from the Australian Centre for the Study of Sexual Assault (ACSSA) are available from the Australian Institute of Family Studies (AIFS). If you would like to receive future publications as they are released please register your details for the ACSSA mailing list.

The full version of this newsletter can be downloaded in PDF format or accessed as HTML below. To view or download individual sections of the newsletter click on the relevant link in Contents.

Download the full PDF file of AWARE No. 7 (PDF 356KB)

 

Contents

View HTMLDownload PDF
Introduction Introduction - (PDF 131KB)
ACT: Forensic and Medical Sexual Assault Care (FAMSAC) ACT: Forensic and Medical Sexual Assault Care (FAMSAC) - (PDF 47KB)
NSW: Rape Crisis Online NSW: Rape Crisis Online - (PDF 38KB)
NT: Respect Relate Stop Rape NT: Respect Relate Stop Rape - (PDF 53KB)
QLD: Resource book: "Working with young women who self harm" QLD: Resource book: "Working with young women who self harm" - (PDF 42KB)
SA: Sharing community education campaigns: Postcard and bus advertisements SA: Sharing community education campaigns: Postcard and bus advertisements - (PDF 59KB)
TAS: Kids Quest Project TAS: Kids Quest Project - (PDF 42KB)
VIC: CASA Forum Inc. VIC: CASA Forum Inc. (PDF 50KB)
WA: Workshop: "Another Layer of Trauma" WA: Workshop: "Another Layer of Trauma" - (PDF 75KB)
Table: Good Practice Around Australia Table: Good Practice Around Australia - (PDF 144KB)
ACSSA Good Practice Database ACSSA Services - (PDF 94KB)
ACSSA publications  
ACSSA services  

 

Introduction

Welcome to the special "good practice" edition of ACSSA Aware, the newsletter of the Australian Centre for the Study of Sexual Assault. We are keen, in this special one-off edition, to highlight examples of good practice in service provision from each state and territory, in the spirit of sharing information and experiences across the sector.

Sharing "good practice"

In this addition we wanted to cover a diverse range of initiatives, and asked representatives from the National Association of Services Against Sexual Violence to select programs or projects that were particularly innovative. Of course, with all the wonderful work being done by services throughout the country, there were a myriad of good programs to choose from.

However, for the purposes of this special edition newsletter, we have been able to document one program from each state and territory that services felt not only reflected good practice, but also would be important to profile and share with other services in different parts of the country. We will, however, continue our tradition of profiling examples of good practice in regular editions of Aware, so in time we hope to cover many of the high-quality initiatives being carried out by services and policy makers across Australia.

The good practice initiatives presented in this edition have been assessed according to whether they meet the following criteria. They each respectively:

After each state and territory nominated the program or project they would like to have included in the special edition newsletter, ACSSA researchers made direct contact with the specific project workers or organisations involved. Each organisation was then asked to complete ACSSA's "good practice questionnaire". In the questionnaire, organisations: describe the program, its aims and objectives, the area it services, its target groups, how long it has operated and so forth; as well as the program's philosophical framework, the research upon which it draws, the resources produced through the program, and the process through which it is evaluated. The organisation is then asked to nominate which criteria of good practice they believe the program meets. The information provided in this edition was therefore dependent on the information provided by the services themselves. Where appropriate, additional information was sought from individual workers or from those who could detail how the project was developed or established.

We have presented each program in two parts: the first is a checklist of the program's good practice elements as nominated by the organisation or service responsible for the program; the second is a description of the various aspects of the program. Following the presentation of the programs is a table outlining contact details for further information on each program, research upon which the program draws, program outcomes in terms of publications, pamphlets, and funding sources. The programs detailed in the body of the newsletter are arranged alphabetically according to state/territory.

This special edition is by no means the "be all and end all" of good practice in service responses to sexual assault. ACSSA's online Good Practice Database is constantly growing, and can be accessed at www.aifs.gov.au/ acssa/ppdb/promisingpractice.html. This database is a national collection of programs and/or approaches that aim to improve our understanding of, as well as our responses to, sexual assault. We hope that the database will be used to inform the work of other service providers who are developing or refining best practice models in responding to sexual assault.

We encourage service providers, policy and program developers, educators and trainers, researchers and others working to address sexual violence to contribute information about their own projects and programs to our Good Practice Database. ACSSA is happy to assist those with time and resource constraints to complete an application for entry.

Submissions can be made by completing a brief questionnaire, and are assessed by ACSSA research staff against certain criteria (outlined above). The questionnaire can be completed online at the above web address, or downloaded as a Word document. Alternatively, call ACSSA on (03) 9214 7888 to have a copy mailed to you. Questionnaires may be returned to ACSSA at the Australian Institute of Family Studies, 300 Queen Street, Melbourne, VIC 3000. Email: acssa@aifs.gov.au. Fax: (03) 9214 7839.

As always, ACSSA remains keen to receive feedback on how we can better meet the needs of those committed to working against sexual assault, so please continue to provide us with your comments on current or future publications. If this is the first issue of Aware you've read, earlier editions can be requested via email or by returning the form on the back page of this issue and online.

ACSSA Publications

As there are so few forums in which those working in the field can share information with one another, we are very keen to accept articles for publication within the newsletter (we now accept articles up to 5000 words). News of conferences, training, research projects, book reviews and the like are also welcomed (up to 1500 words). If you would like to contribute an article or review to ACSSA Aware, you can access our "contributor's guidelines" from the website or contact ACSSA directly.

Access our online Good Practice Database.

 

AUSTRALIAN CAPITAL TERRITORY
Forensic and Medical Sexual Assault Care (FAMSAC)

Good practice criteria:

•Has a clearly defined conceptual framework
•Takes account of contemporary research and practice developments in the field of sexual assault
•Positions diversity as key to the development, understanding and delivery of good practice models
•Contributes to improving systems’ responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (i.e. other services/organisations could adapt/re-model the program for their use)
•Aims for postgraduate training for all service providers
•Established a system for clinical peer review and quality assurance

The Forensic and Medical Sexual Assault Care (FAMSAC) service is co-located within Canberra Sexual Health Centre at the Canberra Hospital. FAMSAC is an ongoing, multi-faceted new program serving the Australian Capital Territory and nearby New South Wales centres.

The primary aim of FAMSAC is to provide high quality forensic and medical care to people who have experienced sexual assault. Staff strive to provide evidenced-based forensic and medical care to victims, while treating survivors and those supporting them with compassion and respect. This includes allowing people to choose the gender of the examining medical practitioner, as well as providing streamlined therapeutic and forensic medical procedures with appropriate follow-up.

All forensic, medical treatment and counselling services are available to victims at their initial contact with the health system. This means that clients who have experienced sexual assault undergo only one intimate physical examination with counselling support offered by the Canberra Rape Crisis Centre. Part of FAMSAC staff's commitment to good clinical practice and the implementation of evidence-based practice is through the provision of medical and forensic care combined with counselling services, and in initiating follow-up of clients within 48 hours of the initial consultation and, with consent, to follow them up until 12 weeks. To date, FAMSAC has supported 323 individuals following sexual assault.

Clinical services are supported by pamphlets on "forensic evidence", "rape-related pregnancy", "coping after sexual assault", "supporting a woman after sexual assault", "information for parents whose teenage has experienced sexual assault/rape", "supporting a man after sexual assault", and a pamphlet on "your rights". These resources are based on those developed by staff from Yarrow Place in South Australia.

In addition to providing clinical services FAMSAC offers the community and other service providers awareness and education programs. FAMSAC clinicians have presented aspects of sexual assault care and information on the FAMSAC service at the Australasian Sexual Health Conferences and published articles in peer-reviewed journals. FAMSAC also offers financial support to doctors who provide clinical services in order for them to undertake graduate studies in forensic and sexual assault medicine.

The service is evaluated on two levels, firstly by external stakeholders such as sexual assault and health services, and secondly by clients, via written evaluation following attendance. For the stakeholder evaluation, a postal survey to all involved external services is undertaken annually. FAMSAC has received 68 survey responses over the last three years. Comments have been consistent and positive. Several suggestions on ways to improve community awareness of the service have been implemented. For clients, an anonymous questionnaire is given to them at the 12-week follow-up visit. On completion, this can be placed in the drop box in the front of the clinic or posted for return to the service. Sixty five questionnaires have been completed over the past three years. Data from these questionnaires has again been positive and used to improve the service. A comprehensive report on the past three years of service is available from FAMSAC (for contact details see table on page 13 and 14).

 

NEW SOUTH WALES
Rape Crisis Online

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

Rape Crisis Online is a therapeutic-response program for victims of sexual assault. It offers an alternative way for callers to access New South Wales Rape Crisis Centre counsellors by providing a real time, online, person-to-person crisis intervention service accessed via the Centre's website. The project started in April 2005 and the Internet site will go live in July 2005 at: http://www.nswrapecrisis.com.au/. The program's target group is women and children. The development of Rape Crisis Online has been based on the experiences of the existing online component of Kids Helpline Australia and the New South Wales Rape Crisis Centre telephone service. Kids Helpline is an early intervention service, and three per cent of their online contacts are considered crisis contacts. Sexual assault is considered a crisis contact.

Research indicates that young people feel comfortable in an online environment, so it is envisaged that this project will increase access to counselling particularly for young people. Additionally the family computer is usually situated in a more private part of the house rather than the living area where the telephone, and the rest of the family, are often located.

Online access will be for one to two contacts only, after which callers will be encouraged to make telephone contact with the service. Online contact gives the person the opportunity to "check the Centre out" before committing to the more personal voice-to-voice contact. Information will be provided and counsellors will encourage callers to overcome the shame, fear and other barriers many victims experience and to seek the help they have a right to.

As with all New South Wales Rape Crisis Centre services, Rape Crisis Online is based on feminist principles and aims to be holistic, empowering, accountable and accessible. The Centre operates from a trauma response model. The project has been developed specifically to increase access to counselling services.

One way in which the Rape Crisis Online service reflects good practice is by taking into account contemporary research and practice developments in the field of sexual assault. Research indicates that 65 per cent of people under 25 years use the Internet as their first source of information gathering in relation to health. Rape Crisis Online builds on the 25,000 plus hits to the Centre's website by providing a way for visitors to make contact directly with a counsellor. It also includes a process of accountability and evaluation, in that an internal evaluation has been planned with measures of success being assessed according to the following criteria:

 

NORTHERN TERRITORY
Respect Relate Stop Rape

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Positions diversity as key to the development, understanding and delivery of good practice models
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Includes processes of accountability and evaluation

"Respect Relate Stop Rape" is an ongoing community awareness/education program in the Casuarina local community in the Northern Territory. It is run by the Ruby Gaea Darwin Centre Against Rape and targets young women and men in Years 9 to 10 of high school. The program operates over four in-school sessions and aims to empower young people to break the silence around sexual violence. It gives participants the knowledge and skills to better understand sexual violence and to stay safe.

The program is for Year 9 to 10 students in schools, and is conducted by two outside facilitators. The students are divided into same-sex groups for the first three sessions, with a mixed boys and girls group for the final session.

The logo for 'Respect Relate Stop Rape' was designed in consultation with young people. It is circular and in interconnected like learning, and there is an opening for change.

respect relate stop rape logo

The program aims to:

The objectives of the program are to:

The program is grounded in feminist philosophy and informed by feminist practice. Inherent to the program's design is the idea that feminist philosophy and practice is vitally relevant to young men and women.

The program uses the traditional tools of social deconstruction and gives them contemporary relevance. The success of the program relies on the young people feeling safe and supported. It aims to create an environment where young people are free to examine and to challenge the relationship between gender, power and violence.

The original program was 12 months in development and extensively researched. In 2003 it was independently evaluated by a youth worker using action research, in consultation with facilitators who delivered the program, participating schools, teachers and students. The method used was a written evaluation following attendance. Feedback on each session was given by students and by facilitators. The data gathered was used to inform the redesign of the program to what it is today. Evaluation is ongoing and reflective to ensure it meets the needs of the target group.

 

QUEENSLAND
Resource book: "Working with young women who self harm"

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Has a clearly defined conceptual framework
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

In 2003, Zig Zag Young Women's Resource Centre developed this book, entitled "Working with Young Women who Self Harm", to serve as a resource for counsellors and other sexual assault workers. The authors discuss concepts for workers supporting young women who self-harm and offer guidelines for the group setting. The book explores the use of the Buddhist notion of mindfulness in supporting young women who self-harm. It outlines young women's understanding of self-harm and how it is used in recovery from sexual assault. The second part of the book describes the group work process from the preparation stage to the evaluation stage. The therapy model that has been incorporated into the groupwork is "dialectical behaviour therapy", based on the work of Marsha Lineham, information on which is included in the book. This therapy is based on Buddhist meditation and practices, and understandings of the mind. The therapy has been evaluated in the United States and has been found to be useful for work with people diagnosed with "borderline personality disorder". Dialectical behaviour therapy is now used in psychiatric institutions in Australia and the United Kingdom.

zigzag graphic

The objective of this resource is to guide counsellors and others in working in a nonharmful, non-judgemental and understanding manner with young women. The book provides guidelines as to what are helpful or unhelpful responses to selfharm, and provides guidance on the self-care and self-knowledge of the counsellor herself.

The philosophies underpinning this resource, which are also the philosophies by which Zig Zag operates, are that of social justice and feminism. These philosophies are articulated strongly throughout the resource, both in the explanations of the process of group work, and also during the critiques of the traditional and more recent medical practices used in work with young women who self harm. The authors recognise the link between violence, abuse, oppression and marginalisation with self-harm, and articulate this link throughout the book. The authors also recognise that many conventional/medical responses to young women who self harm are not helpful, in that they often attempt to spontaneously halt the self-harm from occurring without assisting the young women to find other ways to cope.

The second part of the book describes the group work process from the preparation stage to the evaluation stage, thus enabling its replication by other counsellors or group workers/leaders. The group-work therapy based on the resource book, is evaluated following attendance through written questionnaires.

Rather than rely on textbooks that are written purely from the 'professionals' point of view, the authors of this book reflect back what young women, and their own practices and experiences, have told them works and is useful or not useful in a counselling context. This knowledge is used to underpin the groupwork process outlined.

Throughout the guide the authors emphasise the need for self-reflective practice, as well as the need to respect young women's own choices regarding their healing process. It highlights the need to work in a way that acknowledges and addresses diversity, and to work with individuals rather than "symptoms". It makes a distinction between self-harm and suicidal behaviours, and emphasises the importance of this distinction.

 

SOUTH AUSTRALIA
Sharing community education campaigns: postcard and bus advertisements

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

Women's Health Statewide and Yarrow Place Rape and Sexual Assault Service are running a two-part community awareness and education campaign on childhood sexual assault.

The first is a "Postcard Campaign", which will take place throughout South Australia in 2005 and is based on the "Truthaboutrape" postcard campaign previously run in Manchester in the United Kingdom. The postcard campaign is being coordinated by Yarrow Place Rape and Sexual Assault Service and Women's Health Statewide as part of the new Children, Youth and Women's Health Service in South Australia.

The second part is an Adelaide-metro "Bus Campaign", which started in January 2003 and was developed as part of Women's Health Statewide's activities for the international "16 Days of Activism Against Gender Violence". 1 Both parts of the campaign use a dandelion image, which was chosen as it evoked memories of making childlike wishes, and blowing spores as an indication of the passing of time.

The target group for both parts of the campaign is the general community, including adult survivors, male victims, Indigenous people, people from a diverse range of cultures, people with disabilities, rural populations, service providers, criminal justice and police personnel, and offenders. The bus campaign is limited to Adelaide, and the postcard campaign will cover the whole of South Australia. Both parts of the campaign are based on a philosophy incorporating a feminist view of the rape victim's rights approach and an understanding of the barriers associated with disclosing sexual assault.

A 36-page evaluation of the campaign is available from Yarrow Place (contact details are in the table on page 15). The evaluation criteria that was used measured:

post cards

An unexpected outcome was discovered when an evaluation was undertaken with survivor groups: that of the positive therapeutic impact of the community campaign on women in the groups. Therefore, although the general community was the target group, women and men in the community who have been subjected to sexual abuse during childhood would be expected to benefit. With this in mind, the program developers aimed to be accountable to the general public but ultimately to the women and men it sought to support.

Postcard campaign

The postcards were developed by the United Kingdom "Truthaboutrape" campaign to expose the truth about rape in an imaginative and thought-provoking way. They use humour and "shock tactics" to stimulate and challenge people's perceptions and assumptions about rape. All postcards consist of a pair of myths followed by the "strap-line", for example:

"It's surprising what some people still believe" . . . followed by a "truth-line" or "fact-line".

The final truth-line on the cards read:

The objective is to adapt and/or further develop postcards from the United Kingdom "Truthaboutrape" campaign to a South Australian context.

Bus campaign

The objectives of the bus campaign were: firstly, to develop, design and promote with key stakeholders an advertising campaign that elevates the level of consciousness in the general community about the prevalence of childhood sexual abuse using the "16 Days of Activism Against Gender Violence" international campaign as a platform; and secondly, to build the capacity of the community to respond appropriately to disclosures made by adults subjected to sexual abuse during childhood.

In order to achieve these objectives, Women's Health Statewide and Yarrow Place Rape and Sexual Assault Service decided to:

The aim of the Adelaide bus campaign was to link with the international "16 Days of Activism Against Gender Violence", in order to raise community consciousness of the prevalence of adults subjected to sexual abuse during childhood, as well as highlight the importance of listening to and believing adults when they disclose sexual abuse that occurred in childhood. The slogans used were:

One in three women are survivors of childhood sexual abuse; we are your grandmothers, mothers, sisters, daughters, partners, cousins, friends . . .
Listen, believe, make our journey easier . . .

One in six men are survivors of childhood sexual abuse; we are your grandfathers, fathers, brothers, sons, partners, cousins, friends . . .
Listen, believe, make our journey easier . . .

The campaign was important and unique in that it was the first awareness-raising event in the world to focus on the experiences of adults subjected to sexual abuse during childhood.

banner

NOTE 1: The "16 Days of Activism Against Gender Violence" Campaign was a highly successful collaborative venture between government and non-government organisations to raise awareness of the prevalence of adults who have been subjected to childhood sexual abuse and the importance of listening and believing adults who have been subjected to sexual abuse during childhood when they disclose. [back]

 

TASMANIA
Kids Quest Project

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Has a clearly defined conceptual framework
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

The Tasmanian Sexual Assault Support Service (SASS) developed "Kids Quest" as both a community awareness/ education program and a therapeutic-response program for child victim/survivors of sexual assault. The program's target group are children and parent/carers in the Hobart area. SASS is currently running a trial, to be completed by 30 June 2005, which will inform the development of the program for 2005-2006.

Research on the outcomes for children victim/survivors of sexual assault who do not access counselling/ group work interventions indicates that ongoing developmental, behavioural and emotional problems are common. The effects on relationship and parenting skills when children become adults means that the repercussions of child sexual abuse may become inter-generational. The outlook for a child with unresolved sexualised behaviours is especially poor.

The Kids Quest program aims to:

The Kids Quest program is taking a consciously constructionist/narrative approach, and is incorporating other modalities when appropriate. For example, the program incorporates interventions from Cognitive-Behavioural Therapy where behaviour-change is a key objective; Attachment Therapy where disrupted primary attachment is a central issue for the child; and Solution-Oriented Therapy for problem-solving interventions.

Narrative therapy is regarded by SASS as a valuable standpoint in this work. Constructionist philosophy understands that, for human beings, making sense of experiences of the world is mediated through language (cognition). It is by "telling the story" of an event that people come to make meaning of it. How we tell the story reflects and informs our emotional response. Cognitive and emotional narratives are central to how an individual perceives their world and their place in it. Changing a negative narrative to a positive narrative may enhance all aspects of self-image. For children especially, story-telling is a key learning mechanism and SASS is seeking to use vehicles for therapy that are already familiar to children.

The Kids Quest program is composed of two parts - therapeutic group work for children, and information group work for parents/carers.

Therapeutic group work for children

The program recognises that all children are not the same. Over the long term, through the development of a range of groups the program aims to address, for example, the differing needs of boys and girls; the needs and developmental capacities of children at different ages; different cultural values and interests of minority communities; children displaying sexualised behaviours; children who have been severely traumatised; and needs of sibling groups (whether or not all have been subject to abuse).

The program also recognises a number of contra-indications that may militate against group work for an individual child. For example, the presence of psychosis or other mental illness; significant developmental delay; the likelihood of Court action; and the ability of an individual child to participate, at that time, in a particular group. The program trial (March to June 2005) involves 6 weekly sessions of group work for eight girls aged 7 to 11 years. The group will be run on two successive occasions and will take a mainly "narrative" approach.

Anticipated outcomes include:

Information group work for parents/carers

Parents/carers are also involved in the children's group work in a number of ways since SASS seeks to locate the benefits of group work and counselling in the main arena of a child's life. Parents/carers are invited to a preliminary information session where SASS explains the work of the group and discuss ways primary caregivers can be involved and assist their child. This includes supporting the child with a weekly "Quest". For the final session of the group, parents/carers are invited to celebrate the conclusion of the group and the children have the opportunity to share the outcomes of the group with the adults, in a non-threatening way.

The program trial involves three weekly sessions of group work for parents, carers and others having a significant care-taking role for children who have been sexually abused. The group will be run on two successive occasions and is taking a cognitive approach. Several models will be explored for understanding the child's experience and needs, and for promoting wellbeing in the parents/carers. A therapeutic group program is anticipated for the future.

The program recognises a number of contra-indications that may mean group work is not appropriate for an individual adult. These include mental illness, the degree of traumatisation of the adult, and a family being in a crisis stage.

Anticipated outcomes include:

Kids Quest is building on the ideas and findings of previous work in this area. Consultation with others working in this area has been invaluable, and strategies have been developed to fit the local situation. Good practice elements include:

 

VICTORIA
CASA Forum Inc.

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Positions diversity as key to the development, understanding and delivery of good practice models
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Has a clearly defined conceptual framework
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

The Victorian CASA Forum Inc is the peak body of the state's 15 Centres Against Sexual Assault, and the Victorian Sexual Assault Crisis Line (After Hours). It started in 1987 and is ongoing.

Together, members of CASA Forum work to ensure that women, children and men who are victim/ survivors of sexual assault have access to comprehensive and timely support and intervention to address their needs. They also work towards the elimination of sexual violence through community and professional education, informing government policy, advocating for law reform and facilitating research to increase community understanding of the nature and incidence of sexual assault. In addition to therapeutic- response programs and victim/survivor advocacy, CASA's services also provide community awareness/education programs, service provider training, and training for community groups.

The Forum promotes a close working relationship with mutual respect and understanding between services, which allows for the provision of a 24-hour statewide service system, clear catchment areas, joint priorities, a unified voice with funding bodies, and the opportunity for discussion to ensure informed policy and practice. It also facilitates continuing education for workers in the field through the counsellor/advocates forum and occasional workshops and forums.

The Forum has provided representation and input on every key working group and advisory body that have addressed the issue of legal, policy and social reform for sexual assault in Victoria since its inception. It has also produced two publications: the Victorian Standards of Practice for Centres Against Sexual Assault, and Where Can I Go to If I Am Sexually Assaulted? The latter is available in 7 languages and there is also a version for Aboriginal and Torres Strait Islander communities.

The Forum reflects good practice through various initiatives, such as:

The Victorian Centres Against Sexual Assault Forum is committed to addressing all inequalities within society that result in the perpetration of sexual violence against women, children and men.

The Victorian CASA Forum therefore acknowledges that:

  1. Sexual assault is both a consequence and a reinforcer of the power disparity existing between men and women/children.
  2. Sexual assault occurs along a continuum of violent behaviour which includes: any uninvited sexual behaviour which makes the recipient feel uncomfortable, harassed or afraid; unwanted touching or remarks; sexual harassment; coerced sexual activity; and rape with physical violence and threat to life.
  3. The impact of sexual assault on the lives of victim/survivors is multi-faceted and complex. It includes emotional, social, psychological, legal, health and political consequences.
  4. In order to facilitate a victim/survivor's recovery from sexual violence, the Forum recognises the importance of responding to each aspect in an appropriate and effective manner.
  5. The impact of sexual assault can be compounded by factors relating to the stratification of society by gender, culture, race, ethnicity, age, sexuality, religion, ability and socio-economic class.

Consistent with the above knowledge is the belief that:

 

WESTERN AUSTRALIA
Workshop: "Another Layer of Trauma"

Good practice criteria:

•Takes account of contemporary research and practice developments in the field of sexual assault
•Positions diversity as key to the development, understanding and delivery of good practice models
•Contributes to improving systems' responses to sexual assault, or is directed at preventing sexual assault
•Demonstrates a sensitivity towards the barriers faced by victim/survivors in disclosing and reporting sexual assault
•Has a clearly defined conceptual framework
•Includes processes of accountability and evaluation
•Demonstrates a capacity for replication (that is, other services/organisations could adapt/re-model the program for their use)

The Perth Sexual Assault Resource Centre (SARC) developed a full-day workshop, entitled "Another Layer of Trauma". It is run by Dorinda Cox (Aboriginal Liaison Officer at SARC) and Helen Milroy (Helen Milroy, an Aboriginal woman and psychiatrist who works with children and adolescents).

The workshop focuses on the traumatic impact of sexual abuse in Aboriginal communities. It analyses and discusses this in the context of the multiple layers of trauma, both historical and current, that Aboriginal people have experienced. This validates the experience of Aboriginal people, and recognises the historical issues of dispossession and assimilation that Aboriginal people have suffered. It also enables non-Aboriginal people to be aware of the layers of trauma that may exist for Aboriginal people, especially victim/survivors of sexual assault and abuse. These layers of trauma cannot be underestimated when working with Aboriginal clients, and the workshop serves in this aspect as service-provider training on the issues and the level of sensitivity required. Implications in terms of dealing with sexual abuse are specifically explored.

The workshop can be held in local communities, urban or regional centres. Its target groups are Indigenous communities and service providers. As a good practice program it is multi-faceted. First, the workshop functions as a community awareness/education program on historical and current issues of dispossession and assimilation that create multiple layers of trauma for Aboriginal people. Second, it serves as a training program for service providers, increasing sensitivity to these layers of trauma and providing advice on dealing with this in the context of sexual assault. Finally, the workshop offers the possibility of a therapeutic response for victim/survivors of sexual abuse and other trauma, with evaluation feedback indicating victim/survivors felt their experiences were articulated, validated and respected.

The workshop draws on research by Carol Thomas (1993) in Sexual Assault: Issues for Aboriginal Women, as well as by Jane Lloyd and Nanette Rogers (1993) in Crossing the Last Frontier: Problems Facing Aboriginal Women Victims of Rape in Central Australia.

The initial workshop ran in September 2004, drawing 50 participants, and another was planned for April 2005. Evaluation of the program is external, with written evaluations by participants following workshop attendance. All evaluations received at the last workshop were overwhelmingly positive about the impact of the workshop.

 

GOOD PRACTICE AROUND AUSTRALIA
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
AUSTRALIAN CAPITAL TERRITORY
Forensic and Medical Sexual Assault Care (FAMSAC)
Program funding: Australian Capital Territory Health
Forensic and Medical Sexual Assault Care (FAMSAC)
Building 5 Level 1 Canberra Hospital Canberra 2606 ACT
Contact:
Cassandra Beaumont-Brown Clinical Nurse Coordinator Ph: (02) 6244 2184 Fax: (02) 6285 3395
cass.beaumontbrown@act.gov.au
Pamphlets :
  • FAMSAC Information pamphlets are available at: http://health.act.gov.au/sex ualhealth.
  • Forensic evidence.
  • Rape-related pregnancy.
  • Coping after sexual assault.
  • Supporting a woman after sexual assault.
  • Information for parents who's teenage has experienced sexual assault/rape.
  • Supporting a man after sexual assault.
  • Your rights.
Posters:
  • Sexual Assault Symposium /Australasian Sexual Health Conference Christchurch 2003.
  • Sexual Assault Medicine from Scratch: Forensic education program.
  • Sexual Assault Symposium /Australasian Sexual Health Conference Christchurch 2003. Strong Foundations a Nurse Coordinator.
  • Sexual Assault Symposium /Australasian Sexual Health Conference Adelaide 2004 Forensic and Medical Sexual Assault Clinicians Australia.
Articles:
  • Mein JK, Palmer CM, Shand MC, Templeton DJ, Parekh V. (2003), "Management of acute adult sexual assault" Med J Aust, vol. 178, no. 5, pp. 226-230.
  • Parekh V, Beaumont Brown C. (2003), "Follow up of patients who have been recently sexually assaulted", Sex Transm Infect, vol. 79, p. 349.
  • Parekh V. (2004), A taboo topic for dinner conversation, (eds) Tang S, Ding J, Annual Publication of the Australian Chinese Medical Association Inc. Ivy Printing, Victoria, p.56.
  • Parekh V, Currie M, and Beaumont Brown C. (2005), "A postgraduate sexual assault medicine program: Sexual assault medicine from scratch", Science Medicine and the Law, vol. 44, no. 2 (Accepted for publication).
  • Parekh V., "Responding To Sexual Assault- Medico legal services in the ACT", The Key to Closing the Gap, The Canberra Hospital (June 2002, Aug 2003 Aug 2004).
Conference papers:
  • Sexual Assault Satellite Symposium, Perth 2002 Parekh V. Case presentation.
  • Sexual Assault Satellite Symposium, Adelaide 2004 Parekh V, Martin S, Tyson A, Beaumont-Brown C. Case presentations.
  • Sexual Assault Satellite Symposium, Adelaide 2004 Parekh V and Brennan P. The Great Debate: Should photographs of genital injures be taken.
A postal survey to all involved external services is undertaken annually. Comments have been consistent and extremely positive with suggestions on improving community awareness of the service. This was acted on.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
NEW SOUTH WALES
Rape Crisis Online
Program funding:
  • New South Wales Law and Justice Foundation
  • New South Wales Department of Health
  • National Rugby League (NRL)
  • Private donations
New South Wales Rape Crisis Centre
P.O. Box 555 Drummoyne 2047 NSW
Contact:

Karen Willis Manager Ph: (02) 9819 7357 Fax: (02) 9819 6295
karen@nswrapecrisis.com.au
Website:
www.nswrapecrisis.com.au
Rape Crisis Online will be up and running in July 2005. The service will be promoted once staffing has been finalised.
Research indicates that young people feel comfortable in an online environment.
Australian Bureau of Statistics (2000), Use of the internet by householders, August 2000, catalogue no. 8147, ABS, Canberra.
Better Health Channel, Health information on the internet, Victorian Government.
Evaluation has not yet been completed, but an internal evaluation is planned along the following criteria:
  • an increase in the number of callers who make contact for the first time;
  • an increase in the number of callers who indicate they may speak with Police;
  • number of callers who indicate they would not have made initial contact by phone; and
  • service user feedback.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
NORTHERN TERRITORY
Respect Relate Stop Rape
Program funding: Northern Territory Department of Health and Community Services
Ruby Gaea Darwin Centre Against Rape
PO Box 42082
Casuarina 0811 NT
(No website)
Contact:
Naomi Brennan Coordinator Ph: (08) 89450155 Fax: (08) 89452783 rubygaea@octa4.net.au
Schools education program. The program is grounded in feminist philosophy and informed by feminist practice. It uses the traditional tools of social deconstruction and gives them a contemporary relevance.
The program was initially trialled using external action research by a youth worker in consultation with facilitators who delivered the program, participating schools, teachers and students. Data gathered was used to inform the redesign of the program to what it is today. Feedback on each session was given from students and from facilitators.
Evaluation is ongoing and reflective to ensure it meets the needs of the target group. It takes the form of written questionnaires completed by participants and facilitators.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
QUEENSLAND
Working with young women who self harm Program funding:
  • Queensland Health Sexual Assault Support and Prevention Program
  • ZONTA Club of Brisbane North
Zig Zag Young Women's Resource Centre Inc.
575 Old Cleveland Road Camp Hill 4152 QLD
www.zigzag.org.au
Contact:
Erica Fernandez Sexual Assault Worker
Ph: (07) 3843 1823 Fax: (07) 3398 5400
Book "Working with Young Women Who Self Harm" available from Zig Zag through phone, fax or email.
Cost $10.00.
Dialectical Behaviour Therapy (DBT) has been evaluated in the United States and has been found to be useful for work with people diagnosed with "borderline personality disorder'. DBT is now used in psychiatric institutions in Australia and the United Kingdom. Written evaluations following attendance at workshops based on the book.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
SOUTH AUSTRALIA
Sharing community education campaigns: Bus advertisements and postcard advertisements
Program funding:
Bus Campaign - South Australian Department of Health plus donations from a multiple of services, including NGOs.
Postcard Campaign - seeking support from the South Australian Government and "Avant Cards".
Women's Health Statewide and
Yarrow Place Rape and Sexual Assault Service
55 King William Rd North Adelaide 5063 SA
Contact:
Vanessa Swan Director: Yarrow Place, Ann-Marie Hayes Director: Women's Health Statewide
Ph: (08) 8226 8777
Fax: (08) 8226 8778 swanv@mail.wch.sa.gov.au
"It's not my shame", Holden Evaluation

"Truthaboutrape" website
A research project was carried out in Adelaide in 2002 to explore the current service needs of adults subjected to child sexual abuse, which indicated that the most unhelpful responses that survivors had to deal with in the community were disbelief or minimisation of their experience.
This research presented in the Women's Safety Australia (Australian Bureau of Statistics 1996) found that many women felt guilt and shame following rape because they blamed themselves for the assault.
Evaluated by various methods, including:
  • demand and distribution for posters and postcards;
  • creation of an identity, for example, dandelion; and
  • anecdotal stories from workers.

See full evaluation report for a detailed evaluation.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
TASMANIA
Kids Quest Project
Program funding:
Department of Health and Human Services, Tasmania
Sexual Assault Support Service Inc
PO Box 217
North Hobart 7000
Contact:
Karen Jones Chief Executive Officer
Ph (03) 6231-1811
Fax (03) 6231-5370 ceo@sass.org.au
Workshop. The Sexual Assault Support Service has provided its Children's Counselling Service for three years. The experience and understanding gained during this time has been invaluable in directing the group work program.
A literature search of group programs has been conducted for the pilot stage of the project. A more extensive review of practice and experience in Australia and elsewhere will be carried out in the development phase.
Research on the outcomes for children who do not access counselling/group work interventions indicates that ongoing developmental, behavioural and emotional problems are common. The effects on relationship and parenting skills when children become adult means that the repercussions of child sexual abuse may become inter-generational.
For the final session of the group, parents/carers are invited to celebrate the conclusion of the group and the children have the opportunity to share the outcomes of the group with the adults, in a nonthreatening way.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
VICTORIA
CASA Forum Inc
Program funding:
Individual services funded by the Victorian Department of Human Services
CASA House
270 Cardigan Street
Carlton 3053 VIC
Contact:

Marg D'Arcy / Helen Makregiorgos
Ph: (03) 9347 3066 marg.darcy@rwh.org.au
Service network, and CASA forum website Publications:
  • Victorian Standards of Practice for Centres Against Sexual Assault.
  • Where Can I Go to If I Am Sexually Assaulted? Available in seven languages and a version for Aboriginal and Torres Strait Islander communities.
Informal feedback from services.
Initiative/program and funding Contact details Resources and program outcomes Informing research Evaluation
WESTERN AUSTRALIA
Another Layer of Trauma
Program funding:
Western Australian Department of Health
Sexual Assault Resource Centre
PO Box 842, Subiaco 6902 WA No website
Contact:
Dorinda Cox Aboriginal Liaison Officer
Ph: (08) 9340 1820
Fax: (08) 9340 1815 dorinda.cox@health.wa.gov.au
Workshop. Thomas, Carol (1993), "Sexual Assault: Issues for Aboriginal Women", in P.W. Easteal (ed.), Without consent: confronting adult sexual violence; proceedings of a conference held, 27-29 October 1992. Canberra, ACT: Australian Institute of Criminology, 1993, pp. 139-147.

Lloyd, Jane and Rogers, Nanette (1993), "Crossing the Last Frontier: Problems facing Aboriginal Women Victims of Rape in Central Australia", in P.W. Easteal (ed.), Without consent: confronting adult sexual violence; proceedings of a conference held, 27-29 October 1992, Canberra, Australian Institute of Criminology, pp. 149-164.
Written evaluations following attendance. All evaluations received were very positive and there are currently 80 people registered for the next workshop in April 2005.

 

ACSSA Good Practice Database

ACSSA has a number of other Good Practice programs featured on the ACSSA Good Practice online Datatbase. We are always inviting Submissions or suggestions to build the database.

 

ACSSA Publications

PREVIEWS

Issues Paper Number 4

The law and sexual offences against adults in Australia This issues paper aims to provide a plain language account of the current status of the law relating to key penetrative sexual offences against adults in Australia..It also aims to outline the legal issues relating to some parts of the law of evidence which have significant impacts upon procedures in sexual offence trials and on victim-complainants’ experiences in court..It seeks to provide an accessible introduction to the current status of the laws governing sexual offences to allow sexual assault workers, counsellors and victim-complainants to more readily understand the relevant criminal law..In doing so, it aims to supplement existing guides which provide support and information about going to court as a complainant witness in a sexual offence trial.

Briefing Paper Number 5

Trafficking in Women for Sexual Exploitation: Recent years have seen many changes in international and national responses to, and legislation on, trafficking in persons. In this paper we review some of the theoretical approaches to trafficking for the purposes of sexual exploitation, as well as legislative, policy and service responses.We aim to provide an overview of recent developments and navigate the varied and often opposing modes of analysis surrounding the issue. ACSSA intends this paper to serve as an informative resource for services, policy makers and researchers on the subject of trafficking in women for sexual exploitation in Australia.

ACSSA Aware 8

Feature: Prevention of Sexual Assault:Working with Adolescents within the Education System Aware 8 includes a feature article that focuses on preventing and responding to the sexual assault of young people. The article reflects on past sexual assault prevention initiatives with young women and men, and considers these in the light of the changes in adolescent behaviour reported in the Sex in Australia study. There is also an overview of state/territory-based policies covering sexual assault, and a number of updates from around the sector, including a discussion of the report, A Fair Chance, on proposals for sexual assault law reform in New South Wales.

REVIEW

Issues Papers

Home Truths: A Conference in Review Issues Paper Number 3: March 2005
This Issues Paper provides a review of some of the major themes and issues that emerged during the recent Home Truths Conference held in Melbourne on September 15-17, 2004. The paper aims to convey the hum of ideas that were expressed and challenged throughout the three days.We aim to highlight how delegates variously responded to new ideas or challenges, and to consolidate what areas participants say are obvious next steps for governments, policy workers, service providers and communities to extend their collective efforts.

Mapping Health Sector and Interagency Protocols on Sexual Assault Issues Paper Number 2: March 2005
In response to broad enquiry from sexual assault services around Australia this ACSSA Issues Paper looks at the range of formal health sector protocols that currently exist to guide service responses to victim/survivors of sexual assault, throughout Australia's different states and territories. The specific protocols reviewed here tend to be those that guide interaction between medical, counselling and police services who respond to sexual assault in terms of crisis care and, sometimes, beyond.

Just "Keeping the Peace" - A Reluctance to Respond to Male Partner Sexual Violence Issues Paper Number 1: March 2004
The first ACSSA Issues Paper examines the issue of male partner sexual violence through considering: the historical and contemporary legal treatment of male partner sexual violence; current gaps in researching the incidence and prevalence of male partner sexual violence; the difficulties women face in recognising or naming their experience of sexual violence by a male partner as rape; the impact and consequences of sexual violence on women's physical health and emotional well-being; and the reluctance of support services to respond to the specific issue of sexual violence by male intimates.

Briefing Papers

Sexual Assault and Family Violence in Indigenous Communities:Walking the Talk Briefing Paper 4: September 2004
ACSSA's fourth Briefing Paper looks at family violence and sexual assault in Indigenous communities. It provides a brief overview of state and federal policies on Indigenous family violence and reviews a number of relevant documents on sexual assault. The Briefing Paper also provides a literature review and contains "snapshot" interviews with a number of Indigenous and non-Indigenous sexual assault service providers about the developments that are happening in their communities to address sexual assault.

Responding to Sexual Assault in Rural Communities Briefing Paper 3: June 2004
The third briefing paper looks at many of the problems faced by rural communities in responding to sexual assault, which mirror those that confront victims and service providers who live in cities. However, responding to issues of isolation, the levels of rural conservatism, and the denial of sexual assault within rural communities remains distinct. Beyond "Drink Spiking": Drug and Alcohol Facilitated Sexual Assault Briefing Paper 2: November 2003 The second Briefing Paper critically examines a very topical area in the sexual assault field: the issue of drink spiking. The paper seeks to situate the problem of drink spiking in the broader context of drug and alcohol facilitated sexual assault.

What Lies behind the Hidden Figure of Sexual Assault? Issues of Prevalence and Disclosure Briefing Paper 1: September 2003
The first Briefing Paper looks at the hidden prevalence of sexual assault and considers how the experiences of victim/survivors of sexual assault are even less visible if they speaking from the position of being homeless, or as victims whose first language is not English, or where they were assaulted as children.

Newsletters

ACSSA Aware 6: May 2005 Feature: Sexual Assault and Mental Health in Australia
Aware 6 includes a feature article that looks at the relationship between mental health and sexual assault, both in terms of how sexual assault impacts on women's mental health as well as looking at the vulnerability of people with mental illness to sexual assault.

ACSSA Aware 5: January 2005 Feature: Sexual Offences Law and Procedure The feature article in Aware 5 looks at some of the major findings of the Final Report of the Victorian Law Reform Commission: Sexual Offences Law and Procedure, released in August 2004. The Report contains over 201 recommendations to the Victorian Attorney-General, aimed at ensuring the criminal justice system is more responsive to the needs of victim-complainants.

ACSSA Aware 4: September 2004 Feature: Making Rights a Reality:The Human Rights Approach to Stopping Violence Against Women
The feature article in Aware 4 examines how such conceptual changes to human rights may mark the beginning of a new era of human rights activism of greatly increased relevance to women, and looks at what Amnesty International's Stop Violence Against Women campaign means in terms of raising awareness and promoting better responses to sexual assault in Australia.

ACSSA Aware 3: February 2004 Feature: HIV/AIDS and Violence Against Women
Aware 3 honours the global campaign that marks the thirteenth year of 16 Days of Activism Against Violence Against Women where individuals and groups around the world unite in positioning violence against women, in all its forms, as a violation of human rights. The main feature examines the links between violence against women and HIV/AIDS.

ACSSA Aware 2: November 2003 Features: Our Chance to Tackle Indigenous Family Violence and Differing Perspectives on 'Preventing' Adult Sexual Assault
Aware 2 has two main features. The first is a keynote address that was delivered by Aboriginal activist and co-chair of Reconciliation Australia, Jackie Huggins at a conference in Queensland.The second article is a discussion piece that looks at notions of prevention in responding to adult sexual assault.

ACSSA Aware 1: September 2003 Feature: Sexual Offences Interim Report
Aware 1 introduces the aims, operations and services and services of ACSSA. The feature article outlines some of the key recommendations for legislative change contained in the Victorian Law Reform Commission's Sexual Offences Interim Report.

For all ACSSA publications visit the Publications menu on the ACSSA website.

 

ACSSA Services

The Australian Centre for the Study of Sexual Assault is funded by the Australian Government Office of the Status of Women, under the National Initiative to Combat Sexual Assault. ACSSA provides stakeholders with a variety of services (see below). ACSSA is located at the Australian Institute of Family Studies in Melbourne.

Resources

ACSSA is building a collection of publications and best practice literature, reports, and training resources to inform initiatives and programs directed at improving the understanding of, and response to, sexual assault. These materials are available for browsing at the Australian Institute of Family Studies Information Centre, or may be borrowed through the interlibrary loan system. Bibliographic information on these resources may be searched online via the Institute's catalogue.

Advisory service

ACSSA's research staff can provide specialist advice and information, including detailed analysis and interpretation of current issues that impact on the response to sexual assault. Email research queries to acssa@aifs.gov.au or fill in the online request form.

Policy advice

ACSSA offers policy advice to the Australian Government and other government agencies on matters relating to sexual assault, intervention and pathways to prevention.

Publications

ACSSA produces Issues Papers, Briefing Papers and Newsletters which are mailed free of charge to members of the mailing list. Publications can also be received electronically.

Good practice database

ACSSA is developing a Good Practice database, to document and publicise best practice projects and activities being undertaken in relation to sexual assault.

Research

ACSSA staff undertake primary and secondary research projects, commissioned by Government or non-government agencies.

Email alert and discussion lists

ACSSA-Alert and ACSSA-Discuss keep members posted on what's new at the Australian Centre for the Study of Sexual Assault and in the sexual assault field generally, and allow networking and communication among those working on issues related to sexual violence against women.

 

Contribute to ACSSA Aware

Service providers, researchers and those interested in working against sexual assault are encouraged to contribute to the ACSSA Aware newsletter.We are interested in short reviews (no more than 1500 words of books, conferences, workshops and projects.We will also consider more substantial articles (no more than 3000 words) on significant issues in understanding, responding to, or preventing sexual assault.

ACSSA Aware aims to provide a lively forum for ideas, argument and comment: thus we welcome readers' letters, comments and feedback on issues discussed in ACSSA publications.

Please email contributions in a Microsoft Word document to acssa@aifs.gov.au, or post to the Australian Centre for the Study of Sexual Assault, 300 Queen Street, Melbourne, Victoria 3000.

 

We welcome your feedback

Help to shape the work of the Australian Centre for the Study of Sexual Assault. We are interested in hearing your views on the best way to meet the needs of our stakeholders. If you have any comments on services that could be offered, or possible topics for publications or areas of research, please fill in the online feedback form or email us at acssa@aifs.gov.au

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