Dual purpose of the exam

Understand the dual purpose of the exam process.[1]  One purpose is to address the needs of individuals disclosing sexual assault. This is accomplished (with their permission) by: 
  • Evaluating and treating injuries;
  • Conducting prompt examinations;
  • Providing support, crisis intervention, and advocacy;
  • Providing prophylaxis against STIs;
  • Assessing female patients for pregnancy risk and discussing treatment options, including reproductive health services; and
  • Providing followup care for medical and emotional needs.

The other purpose is to address justice system needs.  This is accomplished by:  

Obtaining a history of the assault;Documenting exam findings;  Properly collecting, handling, and preserving evidence; and Interpreting and analyzing findings (postexam); and Subsequently, presenting findings and providing factual and expert opinion related to the exam and evidence collection. 

Coordination among involved disciplines is strongly recommended to simultaneously address the needs of both victims and the justice system. Ensuring that victims’ needs are met often can increase their level of comfort and involvement with the legal system.

 

[1] Adapted from the California Medical Protocol for Examination of Sexual Assault and Child Sexual Abuse Victims, 2001, p. 20.

 



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