Policy Analysis and Application

 

Policy Analysis and Application
According to the NASW Code of Ethics section 6.04 (NASW, 2008), social workers are ethically bound to work for policies that support the healthy

development of individuals, guarantee equal access to services, and promote social and economic justice.
For this Discussion, review this week’s resources, including Working with Survivors of Sexual Abuse and Trauma: The Case of Rita. Consider what change you

might make to the policies that affect the client in the case you chose. Finally, think about how you might evaluate the success of the policy changes.
Post by Day 3 an explanation of one change you might make to the policies that affect the client in the case. Be sure to reference the case you selected in

your post. Finally, explain how you might evaluate the success of the policy changes.

 

Working With Survivors of Sexual Abuse and Trauma: The Case of Rita
Rita is a 22-year-old, heterosexual, Latina female working in the hospitality industry at a resort. She is the youngest of five children and lives at home

with her parents. Rita has dated in the past but never developed a serious relationship. She is close to her immediate and extended family as well as to

her female friends in the Latino community. Although her parents and three of her siblings were born in the Dominican Republic, Rita was born in the United

States.
A year ago, Rita was sexually assaulted by an acquaintance of a male coworker. Rita and a female coworker met Juan and Bob after work at a local bar for a

light meal and a few drinks. Because Rita had to get up early to work her shift the next day, Bob offered to drive her home. Instead of taking Rita

directly home, however, he drove to a desolate spot nearby and assaulted her. Afterward, Bob threatened to harm her family if she did not remain silent and

proceeded to drive her home. Although Rita did not tell her family what happened, she did call our agency hotline the next day to discuss her options.

Because Rita’s assault occurred within the 5-day window for forensic evidence collection of this kind, Rita consented to activation of the county’s sexual

assault response team (SART). Although she agreed to have an advocate and the sexual assault nurse examiner (SANE) meet her at the hospital, Rita tearfully

stated that she did not want to file a police report at that time because she did not want to upset her family. The nurse examiner interviewed Rita,

collected evidence, recorded any injuries, administered antibiotics for possible sexually transmitted infections, and gave Rita emergency contraception in

case of pregnancy. The advocate stayed with Rita during the procedure, supporting her and validating her experience, and gave her a referral for individual

crisis counseling at our agency.
My treatment goals for Rita included alleviation of rape trauma syndrome symptoms that included shame and self-blame, validation of self-worth and

empowerment, and processing how it would feel to disclose to others when the time felt right. In addition, Rita would receive important information

regarding state policy and procedure for victims of sexual assault that would assist her in deciding when and how to report the crime if she chose to do

so.
My treatment involved crisis intervention and stabilization along with emotional support and validation surrounding her experience. Managing her trauma and

acute stress symptoms were key to her recovery. Those symptoms included guilt, shame, emotional shock, powerlessness, anxiety, fear, anger, and doubting

her judgment. We processed Rita’s emotional dysregulation and sense of outrage over what happened. Over the weeks that followed, we also explored Rita’s

relationship to her immediate and extended family and how they had high expectations for her and her future. Rita’s shame over the assault prevented her

from telling her family for fear they would also be shamed and judge her for accepting a ride from someone she did not know well. We discussed the policy

for reporting a sexual assault to the police in our state and how Rita only had a 90-day window to report the crime after her forensic evidence was

obtained. After 90 days, the forensic kit would be destroyed.
The problem with the current 90-day hold policy in our state for victims like Rita is that a person in crisis experiences strong and conflicting emotions

and is faced with an acute sense of disequilibrium and disorientation. This, in turn, affects her or his ability to retain information and make decisions.

The person, therefore, has barely enough time to make sense of what happened to her or him, let alone decide what to do about it. The 90-day hold policy

may not afford a traumatized victim of sexual assault enough time to make a decision to report to law enforcement.
I utilized a strengths-based model in my treatment with Rita to help her address the decision to report the crime. A strengths-based framework is client-

led with a focus on future outcomes and strengths that the client brings to a problem or crisis. It is an effective helping strategy that builds on a

person’s resiliency and ego strength. An integrative strengths-based intervention can contribute to the development of a positive outcome for clients in

crisis.
I counseled Rita for 6 months. After 5 months, Rita felt strong enough to disclose to her family and file a report with the police. However, because the

90-day window had closed by the time she was stabilized and emotionally ready to file, her forensic evidence was unavailable.

 

 

WE ACCEPT