protocol development 5 2012

SA Protocol SA Protocol developmentdevelopmentVicki YbanezVicki Ybanez

Red Wind Consulting, Inc. Red Wind Consulting, Inc. www.red-wind.net www.red-wind.net

ybanez@red-wind.net ybanez@red-wind.net

POLICY AND PROTOCOL

Policy

• Rules• Guidance

Protocol

• Practice• Action• Steps

PROTOCOL COVERSa) What to do under specified circumstances

b) Guidelines to put cases into appropriate levels of response

c) Methods to ensure practitioner compliance (tracking)

d) Guidelines for making exceptions to the policy

e) How to document actions

f) How and with whom to share information on a case

VICTIM CENTERED APPROACH• Consider the victim first

• Promote victim self-agency

• Coordinate and collaborate in the victim’s interest

• Ensure victim-safety  

• Seek just solutions

• Hold self and others accountable

PROTOCOL WRITINGThe intent and rationale for the policy

Guidelines for processing cases a) what should practitioner do and under what

circumstancesb) using procedures, forms, etc.c) what, when, and how information should be shared

with others d) applicable laws, definitions, authority

Supervision/monitoringa) how will policy be monitored by agencyb) record sharing for external monitoring (how, with

whom)

PROTOCOL PURPOSE• What is the goal of the protocol?

• What is its scope?

• Explain its victim-centered, coordinated approach.

• How are the tribe’s beliefs and practices reflected in the protocol?

PROTOCOL ELEMENTS• Applicable laws, definitions of sex offenses,

reporting requirements, etc.

• Jurisdiction for sex offenses that occur in the community—tribal and federal/state agencies

• Immediate responders to sexual assault victims - roles in response

• Agency coordination of their interventions (streamlined, timely, victim-centered, culturally appropriate and sensitive)

• Why guidelines are needed for multi-disciplinary, multi-agency coordination

OVERARCHING ISSUES

• Coordinated Team Approach

• Jurisdictional Issues

• Victim-Centered Care

• Informed Consent

• Confidentiality

• Reporting

• Call Out

• Examination Payment

OPERATIONAL ISSUES

• Advocacy

• Sexual Assault Forensic Examiner

• Law Enforcement

• Prosecutor

mappingMapping the Response

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Steps involved at each point of intervention

Who intervenes and when

Who takes what actions

The sequence of actions at the point of intervention

Variations of response

CASE PROCESSING

SAMPLE PROTOCOL MAP

Anchor your chart in real people; keep victims/survivors of sexual assault at the center.What are the steps at this point of intervention?Who intervenes, where and when?What is the sequence of the actions?What steps should we include?

STEPS IN CASE PROCESSING

Protocol Focus Areas

IMPLEMENTATION AND INSTITUTIONALIZATION• Develop and/or renew interagency agreements

• Secure approval from Tribal leadership

• Secure approval from department management or supervisor

• Distribute the protocol

• Train other SA Team agencies staff on the protocol:

− Identify who will train

− Identify the materials needed, and

− Plan for when the trainings will occur

• Train additional professionals for each agency

INTERAGENCY AGREEMENTSObtain formal acceptance of protocols by team members:

• Describes and affirms each member’s commitment to the SA Team.

• Details the member agency commitment to adopt SA protocols.

• Describes the SA member agency roles and responsibilities.

AGENCY TRAINING

Ensuring implementation of the protocol with quality trained agencies & programs on the protocol.

Protocol Training:

•Establishes a training committee when needed

•Identifies who will train each of the participating agencies on their specific protocol.

•Describes how the SART trains on each protocol.

EFFECTIVENESS OF RESPONSE

Determine the extent to which the protocols are being implemented then identify any problem areas in the protocol.

Monitoring Protocol Within Agencies:•Designs a process to measure the application & implementation of the protocol.•Determines the extent to which the protocols are being implemented.•Identifies problem areas in the protocol.