Clinical Care Guidelines

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Sexual Abuse
Sexual Assault
Teen Dating Violence


National Consensus Guidelines on Identifying and Responding to Domestic Violence Victimization in Health Care Settings
Futures Without Violence, 2004
These guidelines address responding to intimate partner violence victimization in health settings as well as provide quality improvement goals and implementation measures. The appendix contains a number of clinical tools.

Preventing Sexual Violence on College and University Campuses
American College Health Association, 2011
This position statement is intended to assist college health professionals in developing and sustaining strong and high quality health programming, health care, and health services in support of college students and their institutions. The ACHA recognizes sexual violence as a serious campus and public health issue.

Sexual Abuse

Protecting Adolescents: Ensuring Access to Care and Reporting Sexual Activity and Abuse
American Academy of Family Physicians, American Academy of Pediatrics, American College of Obstetricians and Gynecologists and Society for Adolescent Health and Medicine, 2004
A medical evaluation that addresses sexual and reproductive health includes a careful assessment for abusive or unwanted sexual encounters and the reporting of such cases to the proper authorities. Protection of children and adolescents from predatory, coercive, or inappropriate sexual contact is an important goal of all physicians and health professionals.

Guidelines for the Clinical Evaluation for Child and Adolescent Sexual Abuse
American Academy of Child and Adolescent Psychiatry, 1988
This publication offers guidance to clinicians performing evaluations of child and adolescent sexual abuse.  The purpose of the clinical evaluation of child sexual abuse is to determine whether abuse has occurred, if the child needs protection, and if the child needs treatment for medical or emotional problems.

Sexual Assault

UK National Guidelines on the Management of Adult and Adolescent Complainants of Sexual Assault 2011
Clinical Effectiveness Group of the British Association for Sexual Health and HIV, 2011
These guidelines provide information on the initial assessment and aftercare (including psychosocial support) of those who disclose a history of sexual assault to healthcare professionals.

Care of the Adolescent Sexual Assault Victim
American Academy of Pediatrics, 2008
Since the AAP published its 2001 policy statement on sexual assault, additional information and data have emerged about sexual assault and rape in adolescents and the treatment of the adolescent who has been a victim of sexual assault. This report provides new information to update physicians and focuses on assessment and care of adolescent sexual assault victims.

Teen Dating Violence

Hanging Out or Hooking Up: Clinical Guidelines on Responding to Adolescent Relationship Abuse
Futures Without Violence, 2013
These guidelines focus on the transformative role of the adolescent health care provider in preventing, identifying and addressing adolescent relationship abuse. These guidelines are applicable to providers working in a range of settings serving adolescents, including adolescent health, pediatrics, family planning clinics, and school-based health centers.

Addressing Intimate Partner Violence, Reproductive and Sexual Coercion: A Guide for Obstetric, Gynecologic, and Reproductive Health Care Settings
Futures Without Violence and the American College of Obstetricians and Gynecologists, 2013
This publication focuses on the crucial role of the health care provider in identifying and addressing IPV and reproductive coercion and provides guidelines for identifying and responding to victimization.  It includes a clinical quality assessment and quality improvement tool. Technical assistance is also available to providers.

Reproductive and Sexual Coercion
American College of Obstetricians and Gynecologists, 2013
This Committee Opinion (No. 554) highlights the unique position of obstetrician–gynecologists to address reproductive and sexual coercion and provide screening and clinical interventions to improve health outcomes. Health care providers should screen women and adolescent girls for intimate partner violence and reproductive and sexual coercion at periodic intervals.

Intimate Partner Violence
American College of Obstetricians and Gynecologists, 2012
This Committee Opinion (No. 518) highlights providers’ unique position to assess and provide support for women who experience IPV and the many opportunities for intervention that occur during health visits. Physicians should screen all women for IPV at periodic intervals, offer ongoing support, and review available prevention and referral options. (See section on adolescents under special populations.)

The goal of the AHRQ-funded project, Youth Providers 2.0 (YP2.0), is to improve the use of evidence-based practices among health care providers caring for adolescents and young adults. To accomplish this goal, SAHM will engage in a number of activities using new media to improve the dissemination of patient-centered outcomes research (PCOR) to health professionals.