Bell Work Talks

In this Bell Work Talk, Rachel Lapp will discuss harm reduction as it pertains to Forensic Nursing Practice. Rachel is a forensic nurse from Chicago, Illinois. She has been a registered nurse for 11 years. Her background is in emergency and trauma nursing. She began her journey into forensic nursing 7 years ago when she decided to become a sexual assault nurse examiner. Rachel is a board-certified emergency nurse, board-certified trauma nurse, licensed trauma nurse specialist, and is a nationally certified adult/adolescent sexual assault nurse examiner. Rachel is currently the Forensic Nurse Examiner Program Manager for Advocate Health's Central Chicagoland Region. Rachel oversees three urban hospital sites and leads a team of nearly 60 forensic nurses who care for patients who are survivors of sexual assault and other forms of interpersonal violence. Rachel has been a member of the Academy of Forensic Nursing since 2018. She is currently serving on the Academy of Forensic Nursing's board of directors and is the chair of the Harm Reduction Special Interest Group (SIG). Resources: The HR SIG meets the second Monday of each month at 6pm EST. Visit https://www.goafn.org for more information. We always welcome new members! Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8

In this Bell Work Talk, Dr. Vela will discuss risks and issues experienced by children that face homelessness. She will explain suitcase living and treatment leading to a hopeful mindset with an emphasis on trauma informed care. She will give examples of how to add hope to the interactions that forensic nurses have with patients. Dr. Christina Vela, CEO of St. Jude's Ranch for Children, has 20+ years of human and social service experience that includes administering foster care, homeless, and supportive services to children, transition age-youth, and their families. She has worked at the non-profit level as the Executive Director and the Chief Program Officer for St. Jude's Ranch for Children, a Manager for the Clark County Department of Family Services, Social Services Program Specialist for the State of Nevada and a Program Specialist for the Federal Administration for Children and Families-Children's Bureau in Washington DC. More recently, Christina has been the Coordinator for the State of Nevada Coalition to Prevent the Commercial Sexual Exploitation of Children. Christina holds her Doctorate in Public Policy and a master's degree in public administration from the University of Nevada Las Vegas. She is a proud alumnus of Emerge Nevada, Leadership Las Vegas Class of 2013, Jameson Fellows and Clark County Leadership Academy. Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8 (EXPLICIT CONTENT WARNING)

In this Bell Work Talk, Antoinette discusses the critical intersection of mental health and non-fatal strangulation in the context of intimate partner violence (IPV). Drawing from the latest research, this episode highlights how strangulation is often an overlooked yet severe form of violence that leaves lasting physical and psychological effects. Antoinette also discusses the importance of enhancing mental health assessments, the role of healthcare providers in identifying subtle indicators of strangulation, and how trauma-informed care can lead to better outcomes for survivors. Join us as we shed light on this silent yet significant issue and offer insights into improving care for vulnerable populations. Antoinette Janson is an experienced forensic nurse with specialized training in intimate partner violence. With a focus on improving forensic medical documentation and patient care, she is actively involved in forensic nursing education through a mobile simulation lab and in-person clinical simulation events. As a published co-author on non-fatal strangulation and mental health assessments, Antoinette brings both practical and research-based expertise to the Bell Work Talk podcast. Resources: National Domestic Violence Hotline Call 1-800-799-SAFE (7233) Text: START to 88788 Love is Respect (for teens and young adults) Call 1-866-331-9474 Test: LOVEIS to 22522 Strong Hearts Helpline (Native American and Alaska Native survivors) Text or call: 1-844-7NATIVE (1-844-762-8483) Chat online at: strongheartshelpline.org Centers for Disease Control and Prevention (CDC): Intimate Partner Violence https://www.cdc.gov/intimate-partner-violence/about/ American Psychiatric Association (APA) https://www.psychiatry.org/patients-families/domestic-violence Brain Injury Association of America (BIAA) www.biausa.org Training Institute on Strangulation Prevention https://www.strangulationtraininginstitute.com/ Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8 (EXPLICIT CONTENT WARNING)

In this Bell Work Talk, Kory will talk about addiction and how it is a very stigmatized disease. In his last podcast, he defined addiction, neurobiology of addiction, discussed brain failure, and how the cravings of addiction change our body. He will now discuss the harm reduction strategies and treatment for substance use disorder. Addiction can happen to anyone, and we must really learn the science behind it, and reduce the stigma that this group faces. Many times patients with addictions will avoid medical care because of the stigma that they often receive. Kory Scheideman is an Emergency Department nurse manager that has been in the emergency world for over 18 years as a nurse, and prior to that an EMT/Fire Fighter for 5 years. For the last 6 years, Kory has helped develop an ALTO program, Medication Assisted Treatment program in 6 different Emergency Departments. He also is an active community member and sits on the Northern Colorado Harm Reduction Alliance, Northern Colorado Collaborative for Addiction and Recovery Supports, and the Colorado Emergency Nurses Association (ENA) Quality, Safety and Injury Prevention Committee Chair. He was recently awarded a “Rethinking Addiction and Recovery Event” Award and the Colorado ENA Inspire award in 2023 for his work in the community and the Colorado ENA. Kory was also inducted in the Academy of Emergency Nurses earlier this month for the work with addiction medicine among Emergency Nurses Association and community. Kory is also engaged with the Naloxone Project as a Nurse Leader. Resources: https://changingmindslarimer.org/how-addiction-changes-the-brain/ https://cha.com/opioid-safety/ https://www.naloxoneproject.com/ Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8 (EXPLICIT CONTENT WARNING)

In this Bell Work Talk, we talk about Forensic Nursing in Switzerland. History, current situation and an outlook into the future. - Hints on how to implement Forensic Nursing - The importance of Networking to implement Forensic Nursing - Obstacles in implementing a new nursing specification - Get an overview how Forensic Nursing is developing in Switzerland or other European countries My name is Dominice, I am 40 years old and I work as a Forensic Nurse since two years at the Institute of Forensic Medicine in Zurich. Since April we have a project at the Canton of Zurich where hospital emergency room staff can call us Forensic Nurses when they have people affected by sexual or domestic violence. We Forensic Nurses go out into the hospitals to document injuries, do DNA-swabs and talk with the people affected about next steps that can be done, mostly connect them to victim counselors. In Europe there is the “Istanbul Convention” who needs to be realized by the countries who signed the Convention. Goal of the convention is, to bring better support for victims of domestic or sexual violence. Switzerland has developed an Action Plan to implement the goals of the Istanbul Convention over the next few years. Forensic Nurses are or can be part of the plan. Forensic Nursing itself is relatively new in Switzerland and there are not a lot of possibilities to work as a FN in Switzerland at the moment. But we are working on it. Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8 (EXPLICIT CONTENT WARNING)

In this Bell Work Talk, Dr. Dahl-Jacinto explores the critical issue of youth suicide, emphasizing the growing need for individuals to take an active approach in understanding, assessing, and intervening. The discussion focuses on how to ask about suicide, practical tools for assessing risk, recognizing risk and protective factors, and creating safe, supportive environments for youth experiencing suicidality. Throughout the discussion there is an emphasis on the importance of empathy and cultural awareness when responding to youth experiencing suicidality. Dr. Heather Dahl-Jacinto is an Associate Professor of Counselor Education at the University of Nevada, Las Vegas. She has multiple peer-reviewed publications and presentations and over $8 million dollars in grant funding. Her research interests are focused on mental health and include crisis intervention (e.g., suicide prevention and assessment), mental health education, and qualitative research methodology. She has held service positions at the local, regional, national, and international level, including president of the Western Association of Counselor Education & Supervision (2018-2019). Resources: National Suicide Hotline (English): 9-8-8, can also text, accessible for deaf & hard of hearing National Suicide Hotline (Spanish): 9-8-8 (no text available yet) Crisis Text Line: Text HOME to 741741 The Trevor Project for LBGTQ Youth: 1-866-488-7386, or text: 678-678 Risk and Protective Factors Handout: https://drive.google.com/file/d/1f1nyhwlVKlkXUYqTKN7SfYfbA8hBGpaj/view?usp=sharing Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8

In this Bell Work Talk, Dr. O'Briant will discuss that violence and abuse in rural America is exacerbated by limited access to support services for victims of intimate partner violence (IPV) due to family connections with people in positions of authority, geographic isolation, transportation barriers, stigma of abuse, lack of available shelters and affordable housing, poverty as a barrier to care, and other challenges. Victims of abuse who live in small communities may be well-acquainted with local health care providers and often voter-elected law enforcement officers. Individuals may fear being seen walking into a mental health clinic, with subsequent (and reality-based) fear that deter them from seeking help. Thus, advances in technology are becoming a much-needed option. Although telehealth has been used for some time in rural health settings, only in more recent years has there been an increase toward quality trauma-informed care. With increasing focus on the impact of social determinants of health, agencies continue to shift to telehealth to provide virtual support. Specifically, telehealth visits can potentially extend the reach of the limited number of primary care and mental health providers to those who are significantly in need of services. Deborah O'Briant is a nursing educator with over 20 years as an RN and 13 years of experience as a family nurse practitioner working in a variety of clinical settings, including the Emergency Room. She currently teaches at Texas A&M University College of Nursing and is the coordinator for the Family Nurse Practitioner Master degree (MSN) program and the interim coordinator for the Doctor of Nursing Practice (DNP) program. She has a strong interest in rural healthcare and helps provide care to women in underserved communities in Texas using grant funds awarded to Texas A&M College of Nursing. Resources: A signal for help: Visit: https://canadianwomen.org/signal-for-help “CUES” Strategy for Safe and Effective Telemental Health Assessments for Violence and Abuse. Visit: https://www.futureswithoutviolence.org/ Tips to help you ID intimate partner violence via telehealth: Visit: https://www.ama-assn.org/delivering-care/public-health/tips-help-you-id-intimate-partner-violence-telehealth Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8

In this Bell Work Talk, bitemark analysis in sexual assault and child abuse cases will be discussed. The standards and protocols involved will be covered. James Frizzell attended McGill University in 2019 for a degree in dental forensics. The Quebec Provincial police (Surete du Quebec) also trained in forensic photography. Received education also from Detroit Morgue (Wayne Co. Medical Examiner Center) and from University of Tennessee Body Farm (Research Center on Human Decomposition) Resources: 1. ABFO Standards and Guidelines (American Board of Forensic Odontology (they set the standards and protocols) https://abfo.org/wp-content/uploads/2012/08/ABFO-DRM-Section-4-Standards-Guidelines-Sept-2017-New-page-numbers.pdf 2. ASFO (American Society of Forensic Odontology) https://asfo.org/contact/ Any of these two aforementioned resources (organizations) may be contacted for help with a bite mark case, if you are seeking a local forensic dentist in your geographic location. 3. Bite mark documentation and analysis: the forensic 3D/CAD supported photogrammetry approach (Forensic Science International Volume 135, Issue 2, 12 August 2003, Pages 115-121) https://www.google.com/imgres?q=human%20bitemark%20patterned%20flow%20chart&imgurl=https%3A%2F%2Fars.els-cdn.com%2Fcontent%2Fimage%2F1-s2.0-S0379073803002056-gr4.jpg&imgrefurl=https%3A%2F%2Fwww.sciencedirect.com%2Fscience%2Farticle%2Fpii%2FS0379073803002056&docid=456ysnzZNmganM&tbnid=YSnugvqwwzW3LM&vet=12ahUKEwjJ5ZGfyo2IAxUFhIkEHVMeA7EQM3oECD8QAA..i&w=447&h=356&hcb=2&ved=2ahUKEwjJ5ZGfyo2IAxUFhIkEHVMeA7EQM3oECD8QAA Bell Work Talks Listener Survey: We'd really like to learn more about what you think of the podcast, and what you'd like to hear in future episodes. https://forms.gle/dos4a11PEmCgth7Z8

In this Bell Work Talk, Kory will talk about addiction and how it is a very stigmatized disease. Before we can start to treat patients with addictions, we must first learn how it works and why our patients act the way they do. In this podcast, I will define addiction, the neurobiology of addiction, discuss a new concept of brain failure and also discuss cravings that addiction causes. Kory Scheideman is an Emergency Department nurse that has been in the emergency world for over 18 years as a nurse, and prior to that an EMT/Fire Fighter for 5 years. For the last 6 years, Kory has helped develop an ALTO program, Medication Assisted Treatment program in 6 different Emergency Departments. He also is an active community member and sits on the Northern Colorado Harm Reduction Alliance, Northern Colorado Collaborative for Addiction and Recovery Supports, and the Colorado Emergency Nurses Association (ENA) Quality, Safety and Injury Prevention Committee Chair. He was recently awarded a “Rethinking Addiction and Recovery Event” Award and the Colorado ENA Inspire award in 2023 for his work in the community and the Colorado ENA. Kory was also inducted in the Academy of Emergency Nurses earlier this month for the work with addiction medicine among Emergency Nurses Association and community. Kory is also engaged with the Naloxone Project as a Nurse Leader. Resources: How Addiction Changes the Brain - Changing Minds https://changingmindslarimer.org/how-addiction-changes-the-brain/ Opioid Safety - Colorado Hospital Association (cha.com) https://cha.com/opioid-safety/ The Naloxone Project https://www.naloxoneproject.com/

In this Bell Work Talk, Dr. Debby Herbenick will discuss recent research focused on strangulation during sex among a group of college-age students. She will discuss the role of pornography, social media influence, prevalence, and health consequences. Dr. Debby Herbenick is an internationally recognized sexual and reproductive health professor, researcher, and educator. For more than 20 years, she has dedicated her efforts to understanding how people experience their bodies and sexual lives. Dr. Herbenick is the Principal Investigator of the National Survey of Sexual Health and Behavior (NSSHB), an ongoing U.S. nationally representative probability survey of Americans' sexual life that began in 2008 and recently completed its 8th wave of data collection. Resources: https://www.debbyherbenick.com/ https://publichealth.indiana.edu/research/faculty-directory/profile.html?user=debby (Explicit Content Warning)

In this Bell Work Talk, Dr. Annette Cannon discusses her role as an elected coroner in her community. Dr. Cannon shares how her vast experiences as a nurse prepared her for the role of coroner and what a day in the life of a coroner looks like. Natalie Evenson has a background in Trauma, Emergency, and Critical Care. She has been a SANE nurse since 2005 and is currently the SANE Program Coordinator at St. Michael Medical Center in Silverdale, Washington. Natalie recorded this podcast to increase awareness of the various roles available to nurses within forensic nursing. Resources: American Board of Medicolegal Death Investigators https://abmdi.org/ Academy of Forensic Nursing Death Investigation SIG Group https://www.goafn.org/sig

In this Bell Work Talk, Dr. Stern will discuss that animal abuse is commonly encountered and there is a well-known link between violence against animals and other types of interpersonal violence including domestic violence, elder abuse, and child abuse. This podcast gives a brief overview of how the veterinary forensic sciences are used to investigate these crimes against animals. Dr. Adam Stern is a Professor of Forensic Pathology at the University of Florida College of Veterinary Medicine and runs the UF Veterinary Forensic Sciences Laboratory. He is a board-certificated Veterinary Pathologist and is an American College of Veterinary Pathologists Founding Fellow in Veterinary Forensic Pathology. He specializes in the forensic death investigation of animals and the performance of forensic autopsies on animals. He is heavily involved in the professional develop of animal forensic sciences and is currently the Director of the International Society of Animal Forensic Sciences and co-leads a large animal cruelty task force in Florida.

In this Bell Work Talk, Dr. Clements discusses what happens to the families of people who go missing and are never found. How can anyone manage to “carry on”, when they have no idea what has happened to their child? When your child has disappeared and you are not even sure if they are just missing, somewhere alone and suffering, or already dead, how do you cope? As heartless as it may seem, life and the lives of others must go on -- for the good of both individuals and families. Everyone involved will find that there is no such thing as “normal”. life as they once knew it has changed forever. However, it is possible to place this nightmare of loss into ones life trajectory, and reinvest in a productive life, whether you choose to never stop looking, keep up hope, or ultimately accept that your child will never return. Paul Thomas Clements is a Board Certified Advanced Forensic Nurse, a Certified Gang Specialist, and Certified in Danger Assessment. Practicing in the forensic nursing arena for over 30 years, Clements has provided consultation for hospital systems, EMTs, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, academic and corporate settings – each regarding vulnerability risk assessment, target-hardening, and decreasing the number of violent incidents in the workplace, as well as bullying and the subsequent sequelae. Clements has provided consultation to public school systems and other child-related agencies related to child abuse assessment and also related to the aftermath of violence and/or violent death (including homicide of a child and gang-related deaths) for teachers and other classmates. Clements has three upcoming textbooks: Gender Violence Across the Spectrum: A Trauma-Informed Approach, Mental Health Issues in Child Maltreatment: A New Perspective, and Violence Against Women: Contemporary Examination of Domestic Violence. Additionally, he has numerous peer-reviewed publications, and a significant number of conference presentations – nationally and internationally – that address assessment and intervention related to the neurobiology of trauma, interpersonal violence and aggression, coping after a violent death, safety assessment, and exposure to interpersonal violence and crime. His work in the field of grief and bereavement spans over thirty years, including being co-director of the homicide bereavement center at the Medical Examiner's Officer at the City of Philadelphia's Department of Public Health, which then expanded to provide free grief services to all families of sudden traumatic death in the City. Dr. Clements was a grief therapist in private practice as well as a Critical Incident Stress Debriefer during the 9/11 tragedy. Dr. Clements has worked closely with a wide variety of cultures, both in the United States and internationally. Clements works as a Professor at the Center of Excellence in Forensic Nursing at Texas A&M University. Resources: National Center for Missing and Exploited Children (2024). Is your child missing? https://www.missingkids.org/gethelpnow/isyourchildmissing Download this checklist of actions to be taken by families in the initial stages of a missing child. https://www.missingkids.org/content/dam/missingkids/pdfs/publications/nc198.pdf For questions call the NCMEC at 1-800-THE-LOST® (1-800-843-5678). National Center for Missing and Exploited Children and the Office of Juvenile Justice and Delinquency Prevention: A Child Is Missing: Providing Support for Families of Missing Children Available from: https://www.missingkids.org/content/dam/missingkids/pdfs/publications/nc172.pdf Office of Juvenile Justice and Juvenile Delinquency Prevention: OJJDP Report: When Your Child Is Missing: A Family Survival Guide Personal and Family Considerations. https://ojjdp.ojp.gov/sites/g/files/xyckuh176/files/pubs/childismissing/ch7.html#:~:text=Keep%20the%20lines%20of%20communication,wedge%20into%20your%20family%20life.

In this Bell Work Talk, Hillary Benanzer, data analyst at TAT, will discuss the realities of human trafficking; the role of key industries and agencies in the anti-human trafficking movement; and how individuals can fight this crime as professionals and as community members. Benanzer completed her master's degree in criminal justice at the University of Cincinnati, with a concentration in law enforcement and crime prevention. At the University of Cincinnati, she contributed research efforts to the field of human trafficking and published research on county-level correlates of human trafficking arrest levels in the state. In her role as data analyst for TAT, Benanzer collects, analyzes and disseminates relevant data to enhance TAT's training materials and facilitate systems change. Along with educating on the realities of human trafficking, she works to navigate development and collaboration with colleagues to implement TAT's vision across the nation. Resources: TAT Training Library https://tatnonprofit.org/training-library/ Community Resources: https://tatnonprofit.org/community-resources/ TAT App: http://bit.ly/TATApp

In this Bell Work Talk, Dr. Bhattarai discusses the impacts of mindfulness practices on forensic nurses. This podcast offers a range of practical tools that forensic nurses can incorporate into their daily clinical practices and personal lives. Dr. Bhattarai is a tenure-track Assistant Professor of Nursing at Texas A&M University. She has an academic background in nursing, psychology, and rehabilitation counseling. With expertise in mental health, mindfulness, and well-being research in people with chronic illnesses and disabilities, Dr. Bhattarai has expanded her research focus to the crucial intersection of mindful self-care and the unique needs of forensic nurses. As she delved deeper into her research and engaged with various populations, it became increasingly evident that forensic nurses could greatly benefit from mindfulness-based self-care. She recently led a comprehensive narrative review exploring the potential benefits of mindfulness among forensic nurses. Her paper provided a diverse array of practical mindfulness tools for forensic nurses. She is dedicated to designing mindfulness-based self-care strategies and integrating mindfulness practices within forensic nursing education. Resources: Bhattarai, M., Clements, P. T., & Downing, N. R. (2023). Mindfulness-based self-care for forensic nurses: A professional lifestyle approach. Journal of Forensic Nursing. Advanced Online Publication. https://doi.org/10.1097/JFN.0000000000000456

In this Bell Work Talk, Dr. Francine Bono-Neri, who is the Co-founder and President of Nurses United Against Human Trafficking, will discuss the vital work of this professional association and how the need is dire to get Anti-Human Trafficking Training into not only state mandated continuing education, but its incorporation into prelicensure nursing education. She will discuss the massive intersection of human trafficking with healthcare and how we, as healthcare professionals, are failing this population. Dr. Francine Bono-Neri, a proud member of the nursing profession for 32 years, is a pediatric nurse practitioner, academic nurse educator, trained sexual assault nurse examiner, researcher, published author, invited speaker, health policy advocate, and nurse leader. She served as a Director-at-Large for the American Nurses Association for the State of New York, and as President for the Long Island Chapter of the National Association of Pediatric Nurse Practitioners. Dr. Bono-Neri is the recipient of the prestigious Jane Eleanor Knox N.E.F. National Scholarship, and was awarded a Nassau County Legislature Citation for her extraordinary efforts in serving her former hometown community. Dr. Bono-Neri is the Co-founder and President of Nurses United Against Human Trafficking, P.A., a professional association created for the sole purpose of abolishing modern-day slavery by educating, equipping, and empowering healthcare professionals on anti-trafficking measures. Resources: www.nuaht.org www.nursesunitedagainsthumantrafficking.org Nursing students' knowledge of and exposure to human trafficking content in undergraduate curricula - ScienceDirect https://www.sciencedirect.com/science/article/abs/pii/S0260691723002149?via%3Dihub Recently Established Scholarships (n-e-f.org) https://n-e-f.org/about-us/recently-established-scholarships.html

In this Bell Work Talk, Dr. Clements and Ms. Varto will discuss that it is important to continually educate forensic nurses with evolving forensic nursing science, as forensic nursing now approaches being a formally established specialty for 30 years (American Nurses Association recognized Forensic Nursing as a specialty in 1995), it is additionally incumbent for our members to educate others, both interprofessionally and intraprofessionally. As the unique base of forensic nursing science continues to expand, it is critically important for our professional members to share that information to enhance nursing care to both victims and offenders across all settings – not just those settings that may be specifically or directly considered to be “forensic” in nature. This podcast provides several case examples of how forensic nursing knowledge was shared with other healthcare professionals, both intra and inter professionally, in order to heighten awareness toward enhanced and targeted assessment and intervention for patients in healthcare scenarios that may not have necessarily been considered to be acutely forensic, yet, certainly could have medico-legal implications. Paul Thomas Clements is a forensic psychiatric clinical specialist, a Certified Gang Specialist, and Certified in Danger Assessment. Practicing in the forensic nursing arena for over 30 years, Clements has provided consultation for hospital systems, EMTs, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, academic and corporate settings – each regarding vulnerability risk assessment, target-hardening, and decreasing the number of violent incidents in the workplace, as well as bullying and the subsequent sequelae. Clements has provided consultation to public school systems and other child-related agencies related to child abuse assessment, and also related to the aftermath of violence and/or violent death (including homicide of a child and gang-related deaths) for teachers and other classmates. Clements has three upcoming edited textbooks: Gender Violence Across the Spectrum: A Trauma-Informed Approach, Mental Health Issues in Child Maltreatment: A New Perspective, and Violence Against Women: Contemporary Examination of Domestic Violence. Additionally, he has numerous peer-review publications, and a significant number of conference presentations – nationally and internationally – that address assessment and intervention related to the neurobiology of trauma, interpersonal violence and aggression, coping after a violent death, safety assessment, and exposure to interpersonal violence and crime. Nurse Practitioner Hannah Varto works in and led the development of Canada's only outpatient, rapid access specialty clinic providing medical-forensic care to survivors of recent violence. She is an instructor for the local post-secondary forensic health sciences department and a co-investigator in a number of research studies specific to brain injury from head impacts and strangulation in survivors of recent violence.

In this Bell Work Talk, Dr. Neville and Julia Bonfim discuss the emergent public health threat regarding the infiltration of the adulterant xylazine in illicit drugs. A brief overview of the opioid epidemic worsened by fentanyl will be discussed and the impact of the adulterant xylazine will be presented. The historical development of xylazine use, identification of potential xylazine use and implications for nursing practice will be presented. Kathleen Neville is associate dean for graduate studies and research at Seton Hall University College of Nursing in Nutley, New Jersey, and principal investigator of two Substance Abuse and Mental Health Services Administration (SAMHSA) grants, the Seton Hall University and Hackensack School of Medicine Expanded Interprofessional Medication-Assistant Treatment Training Program. This grant is designed to train medical, nurse practitioner and physician assistant students to provide medication assisted treatment to individuals with opioid use disorders. Julia Bonfim is the project coordinator overseeing the grant to train nurse practitioners and physician assistant students at Seton Hall University and Monmouth University in West Long Branch, New Jersey, and medical students at the Hackensack School of Medicine in Nutley, New Jersey, to treat individuals with opioid use disorders. Resources: Manuscript: Infiltration of xylazine in illicit fentanyl, By Kathleen Neville, PhD, RN, FAAN and Julia Bonfim, MPA, published in American Nurse Journal. 2023; 18(11). Doi: 10.51256/ANJ112340, © 2023 HealthCom Media. All rights reserved. Link to manuscript: https://www.myamericannurse.com/infiltration-of-xylazine-in-illicit-fentanyl/

In this Bell Work Talk, Pam Marcus discusses a comprehensive assessment of an individual who is potentially violent, using the Brøset Violent Checklist as well as interventions that can reduce this dangerous behavior. Ms. Marcus is an Advanced Practice Nurse Psychotherapist in Private Practice in Upper Marlboro, Maryland. She provides psychotherapy to individuals and families experiencing a variety of diagnoses, such as Anxiety Disorders, PTSD, Personality Disorders, Gender Dysphoria, Substance Use Disorder and Affect Disorders. Resources: Please contact Kathy Bell at kbell@afnmail.org if you would like the list of resources.

In this Bell Work Talks, Dr. Joyce Williams discusses how standards impact professional practice, what the main purpose is and how it directs professional nursing practice. This is followed by a review of the forensic nursing subcommittee of the Organization of Scientific Area Committees for Forensic Science (OSAC), whose goal is to strengthen the discipline's use of forensic science by drafting standards related to all forms of violence. The team structure strives to provide a robust analysis of each aspect of forensic nursing care that leaves no unanswered questions when caring for a victim of violence and the prosecution of a case. Dr. Joyce Williams received her Doctor of Nursing Practice from the University of Tennessee in forensic nursing. Focusing on injury prevention, her research includes swabbing of the mouth for forensic DNA and reducing combat morbidity and mortality through improved protective armor for the military members. She is an active member of the Disaster Mortuary Operational Response Team (DMORT). As a fellow in the American Academy of Nursing she serves on the expert panels: violence and quality health care. She chairs the forensic nursing subcommittee for OSAC (Organization of Scientific Area Committees), and the Forensic Nursing Science Section in the American Academy of Forensic Science (AAFS). She is a reviewer for the Journal of Forensic Nursing and Journal of Doctoral Nursing Practice. Additional service includes the Maryland Human Trafficking Task Force Victim Services Committee, the Baltimore County Human Trafficking work group, educator for medical providers on identification and protocols to use with trafficked individuals, and Board member - Partnership for a Safer Maryland.

In this Bell Work Talks, Dr. Rosenblatt discusses personal experience and proven training strategies that are making a difference in human trafficking and domestic violence. Dr. Rosenblatt is an Author, Consultant, Trainer and Public Speaker. Board Member-There Is HOPE For Me, Inc.(2011). Dr. Kat created a nonprofit from survivors to survivors™ of human trafficking providing peer mentoring, rescue and restoration, operating in Florida. She has over ten-years of experience empowering survivors of sex & labor trafficking and domestic violence. She has created survivor empowerment workshops and led support groups for adults and minor survivors of sex and labor trafficking. She is an international trainer and speaker. She has developed a human trafficking wheel and assessment tool identifying trafficking within schools. She has created a survivor leadership life coaching program. Dr. Kat has written two books on human trafficking. Dr. Kat has been featured in the Vatican News in 2021 as well as several other articles and news stories worldwide. Research conducted in collaboration with the Thorn Foundation on their 2015 & 2018 studies. Dr. Kat also has a personal testimony of overcoming human trafficking and abuse from the time she was just 13 years of age to 17. Throughout her early life, she experienced several trafficking experiences, each one leaving her with more wounds, abuses, and addictions; recruited first at a hotel in Miami Beach to meet the demands of sex tourists, then through a friend in her middle school to a more organized crime trafficking ring in Miami run by notorious drug lords. After escaping her initial trafficking experiences and drug addiction, she found herself pregnant by a Colombian Cartel family member which soon led her to marry into a domestic violence relationship. This ended in a twenty-year abusive marriage where Kat says that ‘Leaving was harder than staying in that relationship and family'. With so many triumphs over unbeatable obstacles, Dr. Kat is now a much sought-after speaker and trainer in the areas of human trafficking and domestic violence as well as an inspirational leader to women everywhere. Resources: Dr. Kat's books may be purchased at: https://www.thereishopeforme.org/stolen-the-book/ Stolen: The True Story of a Sex Trafficking Survivor (Baker Publishing) Trafficking in America : The Most Undetected Human Rights Violation of Our Time (Lambert Publishing). There Is HOPE For Me, Inc Speaker Website:www.DrKat.net Bookings: info@DrKat.net Nonprofit Website:

In this episode, Dr. Inaba discusses the history and importance of STOP THE BLEED®. From its origins in the military to its lifesaving ability for everyday injuries, STOP THE BLEED® can help anyone be prepared to respond in an emergency. Dr. Inaba shares why STOP THE BLEED® is important for forensic nurses and their patients, and how to learn more about the program and get trained. Kenji Inaba MD, FACS, FRCSC, is Chair of the American College of Surgeons STOP THE BLEED® Steering Committee. He is a Professor and Vice Chair of Surgery, the General Surgery Program Director, and the Chief of Trauma, Emergency Surgery, and Surgical Critical Care at Keck Medicine of the University of Southern California. Dr. Inaba is also Chief Surgeon and a sworn reserve officer with the Los Angeles Police Department. Resources: STOP THE BLEED® website: https://www.stopthebleed.org/ STOP THE BLEED® online interactive course: https://www.stopthebleed.org/training/online-course/ STOP THE BLEED® in-person course search: https://cms.bleedingcontrol.org/class/search History of STOP THE BLEED®: https://www.stopthebleed.org/our-story/

In this Bell Work Talks, AFN's very own School and Public Health Nurse Special Interest Group members discuss their maverick workings of addressing the need and desire to implement forensic education into school nursing practice and improving the identification, response, and care of students impacted by violence. Jen has been a nurse since 1999. She has worked in multiple health care settings including Med-Surg, ICU, Critical care, Acute care, Pediatrics, Emergency Room, Management, Home Health, and School Nursing. She served in the United States Air Force as a nurse. In 2008, she obtained her MSN from the Beth-El College of Nursing at University of Colorado-Colorado Springs as a Forensic Clinical Nurse Specialist and a Forensic Certificate in Death Scene and Investigation. Jen has served as an educator/consultant for the US Air Force Academy Response Team and has been a member of several forensic task forces to include sexual assault, elder abuse, and gangs. She is a member of the Academy of Forensic Nursing (AFN) and International Association of Forensic Nurses (IAFN) and is certified as a Sexual assault nurse examiner (SANE) in both Adult/Adolescent and Pediatrics. From 2009-2011, she served as President-Elect, President, and Past President for the Colorado Chapter of IAFN. She also updated several forensic policies within the military and hospital setting and has presented several forensic topics such as sexual assault, interpersonal violence, filicide, medical-forensic care, non-accidental pediatric trauma, and non-fatal strangulation across multiple healthcare settings. Jen currently works as a SANE at Denver Health Medical Center and is the chairperson for the school and public health nurse special interest group for AFN. Her vision is to introduce medical-forensic care to the school and public health setting to initiate prevention, early intervention, and support the need and expand the role of forensic nursing. Amanda obtained her AND degree in 2016. She is currently employed with Purdue Polytechnic High School in Indianapolis, IN as a school nurse. Prior to this, Amanda was a nurse for pediatric private practice. Amanda also has a degree in Early Childhood Education with 19 years of experience and completed her BSN at the University of Indianapolis in 2022. Amanda became a member of AFN in 2019 with the intend of becoming a members of the School and Public Health Special Interest Group in order to promote early intervention practices in the school setting. Amanda is a child passenger safety technician (CPST) and is passionate about pediatric/adolescent health. Kristin Beers, MSN, RN, SANE has been a nurse in Central Kentucky for over 35 years. Her varied background in Orthopedics, Neurosciences, Pediatrics, Case Management, Home Infusion and Utilization Review prepared her for her most favorite specialties, School Nursing and Sexual Assault Nurse Examiner (SANE). Kristin became familiar with sexual assault response teams (SART) and SANE nursing while in graduate school and she was a hospital advocate for several years which allowed her to observe multiple levels of care before she became a SANE in 2017. She has used her experience as a student, an advocate and a SANE to develop presentations regarding the intersectionality of healthcare, forensics, and social emotional healing. She likes to think that her SANE clinic is where the healing begins. Kristin is currently employed by an elementary school in central Kentucky and the Lexington SANE Program housed at the Lexington Division of Police in Lexington, Kentucky. Resources: https://goafn.thinkific.com/- School nurse boot camp https://www.goafn.org/- Info about AFN and SIG

In this Bell Works Talks, Pam Marcus will discuss the importance of assessing Adverse Childhood Experiences (ACEs) when predicting the risk for suicide. Ms. Marcus is an Advanced Practice Nurse Psychotherapist in Private Practice in Upper Marlboro, Maryland. She provides psychotherapy to individuals and families experiencing a variety of diagnoses, such as Anxiety Disorders, PTSD, Personality Disorders, Gender Dysphoria, Substance Use Disorder and Affect Disorders. Her area of interest is to prevent feelings or thoughts of suicidal by addressing the hopelessness and powerlessness often experienced by these individuals. Ms. Marcus is currently a Professor of Nursing at Prince George's Community College. She was the former Clinical Director for the Crisis Response System where she provided direct patient care as well as clinical supervision for the mobile crisis dispatch team; urgent care clinic; Intensive Family in Home Team; and telephone triage for crisis intervention. Ms. Marcus lectures and consults extensively on psychiatric nursing. She has authored many chapters in several Psychiatric Mental Health nursing textbooks. She has authored two Psychiatric/Mental Health nursing skills, Mosby/Elsevier Nursing Skills Online and is a content expert. Ms. Marcus presently serves on the Peer Review Committee for the periodical Journal of Addictions Nursing: A Journal for the Prevention and Management of Addictions. She has provided peer review on continuing education programs for American Psychiatric Nursing Association. Ms. Marcus provides content expert evaluations for InterQual by McKesson, Clinical Practice Guidelines. Ms. Marcus is currently participating in the American Psychiatric Association's initiative Quality Measures. Ms. Marcus was awarded the national honor of Excellence in Practice – Advanced Practice by American Psychiatric Nurses Association, November 2012. Resources: https://www.cdc.gov/violenceprevention/aces/index.html https://www.cdc.gov/brfss/ https://harvardcenter.wpenginepowered.com/wp-content/uploads/2018/08/ACEsInfographic_080218.pdf (ACEs graphic) National Center for Injury Prevention and Control, Division of Violence Prevention

In this podcast , Deborah Pierce and Doctor Jeremy Ackerman discuss how they got involved in tactical medicine and the types of training and education that is required to serve in this position. Deborah is an RN With multiple trauma certifications and is a certified emergency nurse . She has experience in trauma centers and emergency rooms . She has three years experience as the swat team nurse and is also a sworn law enforcement officer. Doctor Ackerman has years of experience as an emergency room doctor at a level 1 trauma center. He has been the medical director for the swat team for over five years now. He is a sworn law enforcement as well . He serves on many boards and committees including The TCC Guidelines committee.

In this episode, Dr Thimsen describes the prevalence and incidence of forced organ harvesting that is occurring around the world. She describes how human rights and ethical violations are taking place against spiritual followers, based on their beliefs. Join us to learn about the crime against humanity and what you can do to respond. Dr Kathleen Thimsen has demonstrated her expertise, leadership, and dedication in the successful implementation of action-focused research projects focused on specialty populations over the course of her career. She has also been a pioneer in advancing forensic nursing and has a research and clinical consulting practice in elder abuse, neglect, and homicide investigations nationally. Dr Thimsen is an Associate Professor of Nursing and Director of the Doctor of Nursing Practice Program for the School of Nursing at University of Nevada Las Vegas.

In this episode, Dr. Faugno discusses how an occupational therapist can help in the identification and inform treatment for non-fatal strangulate victims' lives who have been unjustly disrupted by traumatic events. Dr. Rebecca Faugno is an occupational therapist who has a vested interest in recent developments within the domestic violence populations and how OT can be an integral part of the recognition and treatment of trauma experiences. As an occupational therapist, Dr. Faugno holds insight into the assessment and treatment of neurological, social-emotional, psychological, and physical aspects that affect meaningful occupations in our lives and those roles and responsibilities that get unjustly disrupted after traumatic events. Dr. Faugno has worked with patients with acquired brain injury and find that each individual's effects on their lives are not only unique but the lasting neurological and neuromuscular effects present differently depending upon where the injury manifested and the duration of time the brain went without oxygen. She is an active follower of the strangulation institute and keeps current with developments and research on the studies of neurological conditions impacted by nonfatal strangulation. Resources: The effects of intimate partner violence and probable traumatic brain injury on central nervous system symptoms. Journal of Women's Health - https://doi.org/10.1089/jwh.2016.6311 Faugno, D. Interview with forensic nurse examiner and author Diana Faugno [personal interview]. June 4, 2021. Domestic violence and nonfatal strangulation assessment: For health care providers and first responders. STM Learning, Inc. Enhancing independence in women experiencing domestic violence and possible brain injury. Occupational Therapy in Mental Health, 20(1), 49-79. DOI: 10.1300/J004v20n01_03 Occupational therapy's role with victims of domestic violence: Assessment and intervention. Occupational Therapy in Mental Health, https://doi.org/10.1300/J004v16n03_04 Traumatic brain injury and PTSD symptoms as a consequence of intimate partner violence. Comprehensive Psychiatry, https://doi-org.prx-usa.lirn.net/10.1016/j.comppsych.2017.01.007 Occupational Needs and Goals of Survivors of Domestic Violence. Occupational Therapy In Health Care, https://doi.org/10.3109/07380577.2015.1109741 Traumatic brain injury in intimate partner violence: A critical review of outcomes and mechanisms. Trauma, Violence & Abuse, https://doi.org/10.1177/1524838011404251 Knowledge and perspectives of domestic violence service providers about survivors with mental health disability. Journal of Family Violence. https://doi.org/10.1007/s10896-019-00053-3 Intimate Partner Violence, Traumatic Brain Injury, and Social Work: Moving Forward. Social Work,. Retrieved from http://search.ebscohost.com.prx-usa.lirn.net/login.aspx?direct=true&db=edsgao&AN=edsgcl.544223479&site=eds-live Provider perceptions and domestic violence (DV) survivor experiences of traumatic and anoxic-hypoxic brain injury: Implications for DV advocacy service provision. Journal of Aggression, Maltreatment & Trauma, https://doi.org/10.1080/10926771.2019.1591562 The Case for Mandatory Training on Screening for Domestic Violence in the Wake of the Affordable Care Act. 17, 28. Patton F.J. (2017). Domestic violence, concussion injuries, and the imaging professional's role in identifying traumatic brain injury. Radiologic Technology. Retrieved from http://search.ebscohost.com.prx-usa.lirn.net/login.aspx?direct=true&db=ccm&AN=124995454&site=eds-live Unilateral anoxic brain injury secondary to strangulation identified on conventional and arterial spin-labeled perfusion imaging. Radiology Case Reports, https://doi.org/10.1016/j.radcr.2018.02.004 Non-fatal strangulation: in physical and sexual assault [Handout]. Produced on behalf of the © Faculty of Forensic & Legal Medicine (FFLM) for HOPE International. The Training Institute on Strangulation Prevention Alliance.

In this episode, Katharine Manning, author of The Empathetic Workplace: 5 Steps to a Compassionate, Calm, and Confident Response to Trauma on the Job, discusses her LASER technique for supporting those in trauma at work: Listen, Acknowledge, Share, Empower, and Return. Katharine Manning is the author of The Empathetic Workplace: Five Steps to a Compassionate, Calm, and Confident Response to Trauma on the Job(HarperCollins Leadership 2021) and the President of Blackbird DC. She has worked on issues of trauma and victimization for more than 25 years. As a Senior Attorney Advisor with the Executive Office for United States Attorneys, for fifteen years Manning guided the Justice Department through its response to victims in cases ranging from terrorism to large-scale financial fraud to child exploitation. Some of the cases she advised on include the Boston Marathon bombing, the Pulse nightclub and South Carolina AME church shootings, the uprising in Charlottesville, the Madoff investment fraud, and the federal case against Larry Nassar, doctor for the U.S. Women's Olympic Gymnastics team. Manning now uses her expertise to help organizations prepare for and respond to the challenges they face involving employees and clients who may be in trauma. Her work has been featured in the Harvard Business Review, Fast Company, Thrive Global, and CEO World. A member of the bar in Washington, D.C. and California, Manning also served as an attorney with the law firm Pillsbury Winthrop in San Francisco, where she represented Fortune 500 companies in class actions, insurance, and media cases. She is a graduate of Smith College and the University of Virginia School of Law and teaches at American University and in the Master's in Trauma-Informed Leadership Program at Dominican University. Resources: One-Pager with Resources to Support Those in Trauma: https:// docs.google.com/document/d/1xgtqXd0xE333yDtLnuwqM_wdhLWa_mDT/ edit?usp=sharing&ouid=118366941708245904525&rtpof=true&sd=true LASER Technique Infographic: https://drive.google.com/file/d/ 1e8BCBE5BLOnVwaGiZTDSDQILWx9wgFw4/view?usp=sharing

In this podcast, Dr. Carter-Snell provides an overview of dating violence, in particular within the post-secondary context. Risks for victimization and perpetration are discussed, as well as current approaches to prevention and intervention. Implications for further research are also identified. Dr. Cathy Carter-Snell is a Professor in the School of Nursing and Midwifery at Mount Royal University in Calgary. She has worked with victims of trauma since 1977, including Emergency, Intensive Care, flight teams, and has worked with sexual assault and domestic violence teams since 1998. Cathy is internationally certified as a sexual assault nurse examiner of adolescents and adults (SANE-A) and as a Distinguished Fellow of the Academy of Forensic Nursing (DF-AFN). She developed Mount Royal's distance courses and curricular for both the Emergency nursing and Forensic studies programs and continues to teach both SANE courses and a rural sexual assault program (Enhanced Emergency Sexual Assault Services-EESAS) across Canada. Cathy also teaches an interdisciplinary undergraduate course on violence across the lifespan. Her program of research is focused on prevention of violence or its' consequences. She created the injury identification system called BALD STEP which is in the new RCMP sexual assault kit and in the international forensic core curriculum. Cathy has been recognized nationally and internationally for her work improving sexual assault services and forensic nursing. In addition to her research on injuries with interpersonal violence and rural sexual assault programs, she has also conducted research on prevention of sexual assault in disasters and pandemics, male victims of intimate partner violence, effectiveness of a university based dating violence prevention program (Stepping Up), and the impact of mental illness after sexual assault and intimate partner violence. Cathy also serves as a recognized expert in court on sexual assault and injury identification. Resources: Bennett, E. R., Snyder, S., Cusano, J., McMahon, S., Zijdel, M., Camerer, K., & Howley, C. (2021). Supporting survivors of campus dating and sexual violence during COVID-19. https://doi.org/10.1080/00981389.2021.1885566 Carter-Snell, C. (2022) Enhanced Emergency Sexual Assault Services (EESAS). www.forensiceducation.ca/courses/EESAS Conroy, N. E., & Crowley, C. G. (2021). Extending Johnson's Typology. https://doi.org/10.1177/08862605211005149 DeKeseredy, W. S., Nolan, J., Hall-Sanchez, A., & Messinger, A. M. (2019). Intimate Partner Violence Victimization among Heterosexual, Gay, Lesbian and Bisexual College Students. http://libproxy.mtroyal.ca/login?url=https://search.ebscohost.com/login.aspx?direct=true&AuthType=ip,url,cookie,uid&db=a9h&AN=138988338&site=ehost-live Echevarria, S. G., Peterson, R., & Woerner, J. (2022). College Students' Experiences of Dating App Facilitated Sexual Violence and Associations with Mental Health Symptoms and Well-Being. https://doi.org/10.1080/00224499.2022.2130858 Kostouros, P., Warthe, D. G., & Carter-Snell, C. B., C. (2016). Stepping Up: A Focus on Facilitator Development. Journal of Student Affairs Research and Practice, 53(2), 1-12. Lysova, A., & Dim, E. E. (2022). Severity of Victimization and Formal Help Seeking Among Men Who Experienced Intimate Partner Violence in Their Ongoing Relationships. https://doi.org/10.1177/0886260520922352 Piolanti, A., & Foran, H. M. (2022). Psychological violence in dating relationships among adolescents: A systematic review and meta-analysis of prevention programs. https://doi.org/10.1016/j.ypmed.2022.107053 Varlioglu, R., & Hayes, B. E. (2022). Gender differences in the victim-offender overlap for dating violence: https://doi.org/10.1016/j.chiabu.2021.105428 Watkins, L. E., Benedicto, R. C., Brockdorf, A., & DiLillo, D. (2022). Physical and Sexual Intimate Partner Aggression Among College Students. https://doi.org/10.1177/0886260520912593

In this Bell Work Talks Dr. Goolsby discusses the processed used to develop consensus recommendations for healthcare in mass shootings. This project was based in part on the fact that in 2021 702 people died in mass shooting incidents in the US. To define best healthcare response to these incidents, the Uniformed Services University's National Center for Disaster Medicine and Public Health hosted a consensus conference of emergency medical services (EMS) clinicians, emergency medicine physicians (EM), and surgeons who provided medical response to six of the nation's largest recent mass shootings. The eight recommendations addressed readiness training, public education, triage, communication, patient tracking, medical records, family reunification, and mental health services for responders. Craig Goolsby, MD, MEd, MHCDS, FACEP is Chair of the Department of Emergency Medicine at Harbor-UCLA Medical Center and a Professor of Clinical Emergency Medicine at the David Geffen School of Medicine at UCLA. He is a member of the International Liaison Committee on Resuscitation's First Aid Task Force, the American Red Cross Scientific Advisory Council, and is a leader in medical education and military-to-civilian knowledge transfer, particularly for the Stop the Bleed Campaign. His multi-million-dollar research portfolio has focused on bleeding control, tourniquet usage, first aid and public response, mass casualty incidents, and developing novel educational programs and tools. Dr. Goolsby is a distinguished graduate of the United States Air Force Academy (BS), an AOA graduate of the Tulane University School of Medicine (MD), earned his Master of Education in the Health Professions degree from Johns Hopkins University, and completed a Master of Healthcare Delivery Science degree at Dartmouth College's Tuck School of Business. He has received many awards celebrating his work. Dr. Goolsby served in the Uniformed Services University's Department of Military and Emergency Medicine for a decade prior to his current position. He also previously served as an active-duty military officer, including two tours as the flight commander and medical director of the Air Force's emergency department in Balad, Iraq. Dr. Goolsby is the author or co-author of more than 70 peer-reviewed articles, chapters, editorials, and other scholarly publications. He is a board-certified, practicing emergency physician. Resources: Goolsby, Craig MD, MEd, FACEP1; Schuler, Keke PhD2; Krohmer, Jon MD3; Gerstner, David N EMT-P4; Weber, Nancy W DO, MBA, FACOEP, FACEP5; Slattery, David E MD, FACEP, FAEMS6; Kuhls, Deborah A MD, FACS, FCCM, FRCST (Hon)7; Kirsch, Thomas D MD, MPH, FACEP8. Mass Shootings in America: Consensus Recommendations for Healthcare Response. Journal of the American College of Surgeons: July 18, 2022 - Volume - Issue - 10.1097/XCS.0000000000000312 doi: 10.1097/XCS.0000000000000312

In this Bell Work Talks, Dr. Farst will discuss common challenges faced in courtroom settings by medical providers when presenting the facts that the majority of children who have been sexually abused will not have residual visible physical injuries on examination. This could include being summoned to pre-trial hearings, formulating strategies to explain the issue to judges/jurors and use of published articles to mis-represent the established standard of care that the absence of physical findings does not discount the possibility of prior sexual abuse. Dr. Farst has worked as a child abuse pediatrician with the Team for Children at Risk at Arkansas Children's Hospital since 2004. She completed undergraduate and medical school training at Texas Tech University. Following residency training in internal medicine and pediatrics, she was in primary care private practice for 3 years. During this time, she served as a volunteer medical provider for a community-based CAC and decided to pursue child abuse pediatrics as a career. After completing a fellowship in child abuse pediatrics at Cincinnati Children's Hospital she returned to practice at AR Children's Hospital and now serves as the medical director for the Team for Children at Risk and is a professor of pediatrics with the Department of Pediatrics of the University of Arkansas for Medical Sciences. Dr. Farst has provided numerous local and national presentations regarding the medical evaluation and management of child abuse and neglect and directs the Support for Health Involved Professionals at Safety Centers for the CAC's of Arkansas. Resources: * Adams J, et al. Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018. J Pediatr Adolesc Gynecol 2018. Jun;31(3):225-231 https://pubmed.ncbi.nlm.nih.gov/29294380/ (open access) * Hornor G. A normal ano-genital exam: Sexual abuse or not? J Pediatr Health Care 2010;24(3). * Smith T. Anogenital Findings in 3569 Pediatric Examinations for Sexual Abuse/Assault. J Pediatr Adolesc Gynecol 2018;31:79e83 * Kotze. Child sexual abuse: The significance of the history and testifying on non-confirmatory findings. PHCFM, 2019 https://phcfm.org/index.php/phcfm/article/view/1954/3152 (open access) * Frasier and Makoroff. Medical evidence and expert testimony in child sexual abuse. Juv and Family Court Journal 2006;57(1)

In this podcast, Drs. Holt and Clements examine the related factors toward this increase risk for IPV occur during pregnancy, including the increased stress and potential for loss of control after the birth. Additionally, they explore what can we do as nurses and other direct providers to enhance assessment and promote safety. Ultimately, the most critically important first step is to screen for violence during interface with any pregnant person. 44% of all women in the United States report experiencing unwanted sexual contact. However, in spite of this significantly high rate, currently, only 16% of nurses report regularly screening for violence. The CDC's national and annual examinations of pregnancy and homicide have been lauded by public health experts for recognizing this pervasively overlooked phenomenon. Dovetailing with the Healthy People 2030 objective/target regarding the reduction of physical abuse of assaults by a current or former intimate partner for people aged 12 years or older (U.S. Department of Health and Human Services [USDHHS], 2020, it is imperative for nurses and other care providers to expand their awareness of this often overlooked group in significant need for targeted and consistent assessment and referral. Dr. Karyn Holt is a Professor in Residence at the University of Nevada, Las Vegas in the School of Nursing. She is an Advanced Practice Nurse in the field of nurse midwifery (CNM) earning her Masters in Nursing with a specialization in Nurse Midwifery at Georgetown University and her Doctor of Philosophy degree from Touro University, New York. Holt spent the first part of her nurse midwifery career delivering over 1000 newborns while in the Air Force. While serving in the Air Force, she began teaching in the maternal child arena within higher education and developed a passion for playing a part in assisting in students' educational endeavors as well as her obstetric midwifery practice. She shares many stories about these times. Dr. Paul Thomas Clements is a forensic psychiatric clinical specialist, and Certified in Danger Assessment. Clements has provided hospital consultation for EMT's, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, hospital systems, and corporate executives - each regarding vulnerability risk assessment, bullying, and decreasing the number of violent incidents in the workplace. Clements has three edited textbooks, including: Violence against women: Contemporary examination of intimate partner violence (co-authored with Dr. Holt) and he has numerous peer review publications and conference presentations. Clements has also spent time in Bolivia, working with provincial judges, prosecutors and forensic psychologists regarding enhanced assessment and intervention with children victimized by sexual aggression and other forms of violence. Resources: RAINN (Rape, Abuse, and Incest National Network) the nation's largest anti-sexual violence organization, helps survivors recover through the National Sexual Assault Hotline (1-800-656-HOPE or 4673) and the Department of Defense (DoD) Safe Helpline (877-995-5247).

In this Bell Works Talks, the producers of the Sexual Assault Medical Forensic Examination Virtual Practicum, Grace Frances and Jacque Basset, and forensic nursing expert Tamara Jackson discuss how the new online program improves care for diverse patient populations, including transgender and incarcerated sexual assault survivors. The Practicum's Interactive lessons and patient simulations teach each step of the medical forensic exam. Presenters also describe other popular features of the Practicum like the Crime Lab and the Courtroom that teach DNA analysis and prepare medical professionals to testify in court. They provide information for how to download the free program that offers up to 19.5 hours of continuing nursing education. Jacque Bassett, MNLM is the Chief Operations Officer for End Violence Against Women International (EVAWI). In that role, she supervises staff and volunteers, and maintains organizational policies and procedures. She oversees all live training events, including the annual conference, regional trainings, and online webinars. She focuses on developing corporate partnerships to expand EVAWI's work to improve criminal justice and community responses to sexual assault survivors. Jacque also serves as grant manager for cooperative agreements awarded by the Office for Victims of Crime and the Office on Violence Against Women at the US Department of Justice. Since 2020, she has co-managed the Sexual Assault Medical Forensic Examination (SAMFE) Virtual Practicum project to update and expand the program first launched in 2008. Grace Frances, MPA is the Director of Community Partnerships for End Violence Against Women International and leads the collaborative partnership that created the new Sexual Assault Medical Forensic Exam Virtual Practicum. She also focuses on fund development to expand EVAWI's ability to improve criminal justice and community responses to sexual assault survivors. She worked for the Florida Council Against Sexual Violence (FCASV) for 16 years, where she initiated and ran the state's first trauma-informed sexual assault investigations program for law enforcement, dispatchers, and prosecutors, which trained thousands of professionals. She also helped establish and oversaw the Council's Sexual Assault Nurse Examiner Training Program. Tamara Jackson, MSN, RN, SANE-A, SANE-P, SANE is a forensic nurse examiner and the Clinical Programs Coordinator for Ascension Illinois. She oversees 10 sites that offer medical forensic services to survivors of sexual assault/abuse, child abuse, domestic violence, elderly abuse, strangulation, and human trafficking. Ms. Jackson graduated with her Bachelor's degree in Nursing in 2012 and began working as an emergency department nurse in 2005. In 2018, Ms. Jackson earned her Master's degree in Nursing. Ms. Jackson is a Board Member of the Academy of Forensic Nursing. She has been a long-standing member of the International Association for Forensic Nursing and is a current member for the Illinois chapter and has worked as a forensic nurse for over fifteen years. Ms. Jackson is the co-chair for the Ascension Health Peer Review Committee. In 2018, she introduced the organization's Non-Fatal Strangulation policy and procedure. She is a contributor for the workbook Resilience 2018 Training Supplement for Medical Professionals. She was recognized by Ascension Health (formerly Amita Health) as a person to know in 2018, and she was a finalist in the 2010 Nursing Spectrum Excellence Award for clinical care. Resources: SAMFE Virtual Practicum https://evawintl.org/vp/

In this Bell Work Talk, Dr. Clements discusses the traumatic responses – both obvious and subtle – that repeated exposure to current national events (shootings at schools, hospitals, churches, places of employment) can have on the daily lives of those exposed directly or through ongoing media coverage. He discusses the importance of a significant shift toward providing self-care and care for others (especially children) to minimize traumatic affective impact and to maintain healthy daily living. Dr. Paul Thomas Clements is a forensic psychiatric clinical specialist, a Certified Gang Specialist, and Certified in Danger Assessment. Clements has provided hospital consultation for EMT's, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, hospital systems, and corporate executives - each regarding vulnerability risk assessment, bullying, and decreasing the number of violent incidents in the workplace. Clements has three textbooks: Violence against women: Contemporary examination of intimate partner violence, Mental health issues in child maltreatment, and Nursing approach to the evaluation of child maltreatment. Additionally, he currently has a forthcoming book: Gender violence across the spectrum: A trauma-informed approach. Dr. Clements has numerous peer review publications and conference presentations regarding stress, trauma, violence and aggression, coping after violent death, safety promotion, and exposure to interpersonal violence and crime. Clements has also spent time in Bolivia, working with provincial judges, prosecutors and forensic psychologists regarding enhanced assessment and intervention with children victimized by sexual aggression and other forms of violence. Clements holds a Doctor of Philosophy in Forensic Psychiatric Nursing from The University of Pennsylvania with research and clinical practice that have examined the traumatic presentations and behaviors of children exposed to the homicide of a family member or other forms of violent crime and death. Clements was inducted as a Distinguished Fellow in the International Association of Forensic Nurses in 2002, and more recently, as a Distinguished Fellow in the Academy of Forensic Nurses in 2021. Resources: Disaster distress helpline 1-822-985-5990 https://www.samhsa.gov/find-help/disaster-distress-helpline

In this Bell Works Talks, Dr. Nicole Short discusses findings from a large, multisite, prospective observational cohort study on the prevalence of acute and persistent pain post-sexual assault, and how posttraumatic stress symptoms may account for the transition from acute to chronic pain. She will focus on the clinical implication of these findings for healthcare providers working with sexual assault survivors. Nicole A. Short, PhD is an Assistant Professor of Anesthesiology at the University of North Carolina at Chapel Hill. She earned her PhD in clinical psychology from Florida State University in 2019 after completing her clinical internship at the Charleston Consortium. Dr. Short's research focuses on the etiology and prevention of trauma and anxiety-related disorders utilizing a translational approach. She is interested in identifying and characterizing cognitive-affective and other risk factors (e.g., anxiety sensitivity, sleep disturbance) for the development of posttraumatic stress and related symptoms (e.g., substance use disorder); better understanding how these risk factors relate to underlying biological processes; and utilizing this knowledge to develop novel preventions and treatments for these disorders, particularly by leveraging technology-based interventions. She is especially interested in improving mental health and substance use outcomes post-sexual assault. She has published over 70 peer-reviewed articles in these areas, and has received funding from the National Institute on Drug Abuse (NIDA), American Psychological Foundation, and MayDay Fund to support her work. Clinically, Dr. Short is a licensed psychologist focused on cognitive behavioral treatments for posttraumatic stress, anxiety, and sleep disturbance, as well as comorbid chronic pain. Resources: Short, N. A., Tungate, A. S., Bollen, K. A., Sullivan, J., D'Anza, T., Lechner, M., ... & McLean, S. A. (2022). Pain is common after sexual assault and posttraumatic arousal/reactivity symptoms mediate the development of new or worsening persistent pain. Pain, 163(1), e121-e128. McLean, S. A., Soward, A. C., Ballina, L. E., Rossi, C., Rotolo, S., Wheeler, R., ... & Liberzon, I. (2012). Acute severe pain is a common consequence of sexual assault. The Journal of Pain, 13(8), 736-741. Ulirsch, J. C., Ballina, L. E., Soward, A. C., Rossi, C., Hauda, W., Holbrook, D., ... & McLean, S. A. (2014). Pain and somatic symptoms are sequelae of sexual assault: results of a prospective longitudinal study. European journal of pain, 18(4), 559-566. Better Tomorrow Network: https://www.med.unc.edu/itr/better-tomorrow-network/

In this Bell Work Talks Debra Holbrook discusses the practice of forced organ harvesting. She will discuss how breaking down silos and working with various stakeholders to advocate for victims. Awareness of what healthcare should be alert for in identifying potential victims is discussed. As a form of human trafficking Doctors Against Forced Organ Harvesting aims to provide the medical community and society with objective findings of unethical and illegal organ harvesting. Forced organ harvesting, the removal of organs from a donor, without obtaining prior free and voluntary consent, is considered a crime against humanity, as well as a threat to medical science in general. Mrs. Holbrook attended The Union Memorial Hospital School of Nursing, in Baltimore, Maryland and completed both undergrad and graduate studies through the Wilmington University. After working in the field of critical care, Mrs. Holbrook founded a Forensic Nurse Examiner Program in Delaware that became a model of the United States (US Senate Subcommittee / Biden, 2002). In 2002 she testified on Capital Hill before a Senate Judicial Subcommittee on Crime and Drugs on behalf of the Bill that was signed into law in 2005 as the DNA Justice Act. She is the recipient of numerous international awards, including the ANCC Magnet International Nurse of the Year, the Delaware Nurse of the year, the International Association of Forensic Nurses Pioneer Award, the 2014 Most Influential Marylanders in Healthcare, Distinguished Fellow – Academy of Forensic Nursing, and the prestigious Fellow American Academy of Nursing. She has authored grants totaling over 15 million dollars to benefit victims of major person's crimes and lectures nationally for the Office for Victims of Crime, educating medical professionals across the country. She has conducted over 200 pediatric and adult SANE educational offerings both nationally and internationally. She recently presented at the World Summit on combating and preventing forced organ harvesting. Resources: https://dafoh.org/

In this Bell Works Talks, Dr. Tanner will identify and explain the four major approaches adult sex offenders use to groom and manipulate child victims. Regardless of your profession, anyone who works with victims or perpetrators will come away with a deeper understanding of critical elements of the grooming process and how it relates to their occupation. Dr. Tanner has been a justice system professional since 1970. He earned his Ph.D. in Sociology from the University of Illinois with specialties in Cognitive Social Psychology, Sociology of Law, and Evaluation Research. His applied experience includes operating secure detention facilities, halfway houses for juveniles and adults, day reporting centers, probation/parole services, intensive treatment programs, and computer forensics. His primary interests are the adaptation of cognitive sciences in treatment of offender populations, secondary trauma, cyber crime analysis, and improving the efficacy of sex offender management. He is an internationally recognized authority on sex offender management and sex offenders in a digital world. He is court qualified as an Expert Witness in the areas of Cognitive Sets and Grooming Strategies of Sex Offenders, Corrections, and Computer Forensics. He additionally serves as an invited member of the Europol Panel of Experts on Child Exploitation and was the recipient of the American Probation and Parole Association's University of Cincinnati Award in Corrections in 2017 for his life-time contributions to corrections in the US and Canada. Dr. Tanner has presented hundreds of seminars and workshops for the U.S. Department of Justice, U.S. Department of Defense, U.S. Secret Service, U.S. Department of Homeland Security, American Probation and Parole Association, Center for Sex Offender Management, National Law Enforcement and Corrections Technology Center, High Technology Crime Investigation Association (HTCIA), Internet Crimes Against Children Task Force (ICAC), Crimes Against Children Conference, Conference on Crimes Against Women, Probation/Parole Departments in 32 states, Irish Penal Reform Trust, Northern Ireland Police Service, U.K.'s National Policing Improvement Agency, Correctional Services of Victoria Australia, Correctional Services of Australian Capital Territory, Mental Health Organizations in 13 states, Child Advocacy Centers in 12 states, Child Welfare agencies in 15 states, and a wide variety of private organizations. Resources: Exploring Sex Offender Grooming by Jim Tanner, Ph.D. and Stephen Brake, Ph.D. http://www.kbsolutions.com/Grooming.pdf Colorado Special Conditions Report, Jim Tanner, Ph.D. http://www.kbsolutions.com/SAC.pdf Additional materials found on Dr. Tanner's website, available at: http://www.kbsolutions.com/html/resources.html

In this Bell Work Talks, Dr. Tabor discusses stalking and correlation with intimate partner violence and stalker's behaviors. There will also be discussion about The Stalking and Harassment and Risk Profile Tool. Dr. Tabor holds a DNP in forensic practice, is a Board-Certified Advance Forensic Nurse and holds an RN license. She served two terms on the Board of Directors for the International Association of Forensic Nurses and earned the Distinguished Fellow recognition. Dr Tabor lectures at the state, national and international level; and serves the Department of Defense in military trials. She served as the inaugural director for two programs: Arkansas Infant & Child Death Review Program and the first hospital-based sexual assault unit in Arkansas. She has testified before the legislature on numerous occasions and has consulted at the Pentagon. Resources: Stalking and Harassment Assessment and Risk Profile (SHARP) https://ukcdar.uky.edu/ls/index.php/57925/ Stalking and Harassment Assessment and Risk Profile Available at www.stalkingrisk.com Coercive Control SHARP can be found at this site plus articles and data www.coercivecontrol.org Stalking Laws by State available at: http://victimsofcrime.org/our-programs/stalking- resource-center/stalking-laws/criminal-stalking-laws-by- state Stalking Resource Center (2018) available at https://www.google.com/search?q=stalking+resource+center&oq=stalking+resource+&aqs=edge.0.0j69i57j0j0i22i30l4.8369j0j7&sourceid=chrome&ie=UTF-8

In this Bell Work Talks, Coroner O'Neal will discuss the role of nurses in the medicolegal death investigation professions. Coroner O'Neal will discuss her background and training which led to her election as the Charleston County Coroner in November of 2020, the importance of nurses in this profession and her role as the President of the International Association of Coroners and Medical Examiners (IACME) Bobbi Jo O'Neal, a Registered Nurse and a Board-Certified Fellow with the American Board of Medicolegal Death Investigators, has served in the Coroner's Office since 1998, including serving as Chief Deputy Coroner from 2011-2020. She was elected Charleston County Coroner in 2020. With her leadership, the Charleston County Coroner's Office is one of only 26 coroner offices in the country that is accredited by the International Association of Coroners and Medical Examiners. Additionally, as a grant writer for the Coroner's Office, O'Neal has successfully brought in over $840k in funds to Charleston County. O'Neal is the President of the International Association of Coroners and Medical Examiners and serves on the Executive Committee for the Lowcountry Healthcare Coalition, which has taken a lead in the coronavirus preparation and response locally. An experienced emergency room nurse, O'Neal received her Bachelor of Science in Nursing from Belmont University in Nashville, Tennessee. She is and has been actively involved in the specialty of forensic nursing, first in the area of sexual assault and then as a death investigator. She is a member of the National Association of Medical Examiners, a Fellow with the American Academy of Forensic Science, a member of the South Carolina Coroner's Association, and a member of the Organization of Scientific Area Committees for Forensic Science Medicolegal Death Investigation subcommittee among others. A former Director-at-Large for the International Association of Forensic Nurses, O'Neal is the author of the book "Investigating Infant Deaths" and has had the unfortunate distinction of working the mass fatalities of the Charleston Super Store fire and the Emanuel AME church mass shooting. Resources: The International Association of Coroners and Medical Examiners (IACME), www.theiacme.org American Board of Medicolegal Death Investigators (ABMDI), www.abmdi.org Death Investigation: A Guide to Scene Investigators https://www.ojp.gov/pdffiles/167568.pdf Sudden Unexpected Infant Death Investigation Reporting Form https://www.cdc.gov/sids/SUIDRF.htm

In this Bell Work Talk Dr. Dugan will discuss what TBI is, how to screen for it during the forensic medical exam, and considerations for Nurse Forensic Medical Examiners who testify in court. Dr. Dugan is a Board Certified Pediatrician, Fellow of the American Academy of Pediatrics, Credentialed Adult/Pediatric Forensic Medical Examiner, General Child Abuse Pediatrician, and Director of Forensic Services of the Shasta Community Forensic Care Team. He is Medical Director of the California Clinical Forensic Medical Training Center (CCFMTC) and an instructor for both adult and pediatric Sexual Assault Forensic Examination (SAFE) training courses. He has been working full time at Shasta Community Health Center in Redding, CA since 2012. His areas of expertise include Child and Family Maltreatment, ACEs, Physical/Sexual/Emotional Child Abuse and Neglect, Domestic Violence, Strangulation, Traumatic Brain Injury, Elder Abuse, and Human Trafficking. After taking charge of the pediatric sexual assault medical team in 2016, Dr. Dugan founded the SCAN (Suspected Child Abuse or Neglect) program in 2017. He authored the SCAN policy that was implemented at many hospitals and clinics across the north state. Dr. Dugan expanded the program to include adults in 2019 and is the founder of the Shasta Community Forensic Care Team. He is a founding member of the Children's Legacy Center, the first Child Advocacy Center in Shasta County. He is the Board Chair of Pathways to Hope for Children aka the Shasta County Child Abuse Prevention Coordinating Council. He is the founder of the Strangulation/Domestic Violence Clinic at One Safe Place. Dr. Dugan is a member of the Helfer Society and the Medical Advisory Committee for the Training Institute on Strangulation Prevention. Within the institute he has conducted several nationwide and international trainings on Strangulation and Traumatic Brain Injury. Dr. Dugan also serves as the Medical Director for the Siskiyou, Shasta, and Tehama Sexual Assault Response Teams. In 2021, Dr. Dugan received the Neal Snyder Outstanding Service Award from the California Professional Society on the Abuse of Children.

In this Bell Work Talk Dr. Troy discusses the findings from a study fulfilling requirements for her Doctor of Philosophy degree in Nursing. Nurses are required to utilize trauma- informed practices, often without mitigating their childhood trauma. Forgiveness is a mediator of trauma and does not require benevolence toward the transgressor rather includes release of self from fault and shame. Forgiveness does not imply that justice will not be pursued, only that the motivation is not vengeful. The impact of abuses (ACEs) on nurses' ability to care, was measured by the construct of compassion satisfaction (CS). Demographics in this study predicted forgiveness and (CS). This study evaluated ACEs in nurses and their impact on choice of clinical practice, forgiveness ability and (CS). From a convenience sample of 255 nurses, results indicated the participants had four or more ACEs, (n = 60) 24%, which is double the 12.1% found in the original ACE study. Nurses with high ACEs reported less self-forgiveness. Race predicted self-forgiveness. Correlations were found between forgiveness and (CS). The ACE category of participants statistically significantly correlated to their work specialty. Pointing to resilience, despite multiple childhood adversities, participants achieved academically. Forgiveness has implications for nursing education, practice, and policy. Nursing must take the lead in caring for our own with the same enthusiasm shown to others. Dr. Troy has been a nurse for 44 years. Graduating with a BSN from Rutgers University she has been a life-long student, clinician, and educator. Presently she has the privilege of working daily with the bravest children in Louisiana, as they present to the CARE Center of Children's Hospital. In her role as a forensic pediatric nurse practitioner , Dr. Troy obtains incident histories from children due to concerns for all forms of maltreatment. Often, she is trusted with the first disclosure from the non-offending parents, as they outcry about previously unspoken abuses in their own childhood. Additionally, in her role as Associate Professor of Nursing at the University of Holy Cross, Dr. Troy has heard from generations of students who have voiced that their own childhood experiences greatly impacted their choice of career specialty in Nursing. All of which culminated in her pursuit of knowledge around these constructs, as the survivors of abuse were often more unforgiving of themselves than of their abusers from adversities experienced as children. Dr. Troy has been invited to present these findings to national and international audiences. Her work has involved testifying over a hundred times in criminal and civil courts throughout LA.

In this Bell Works Talk, Executive Director, Scott Henderson, discusses the history and evolution of National DEC. Scott also discusses National DEC's updated mission and vision statement, as well as National DEC's new definition. Scott discusses how the DEC Approach is being used across the United States, as well as new tools, apps, and other resources that National DEC has to offer. Lt. (Ret.) Eric Nation, discusses the importance law enforcement involvement in the DEC mission, as well the positive impact the DEC mission has on children, families, and communities. Eric also discusses the importance and the connection of having Law Enforcement and Forensic Nurses as part of a collaborative DEC alliance. Eric discusses the importance of early identification of drug endangered children, as well as the importance of a DEC Alliance. Stacee Read, BA, MSW, discusses the importance of child welfare involvement in the DEC mission, as well as the importance of the DEC mission for communities and disciplines. Stacee also discusses the importance of collaboration and connection of having Child Welfare and Forensic Nurses as part of a local DEC Alliance. Stacee discusses the scope of the DEC problem, understanding what community members and professionals should be looking for and who to contact. Stacee shares about the National DEC Roadmap and Toolkit and how it is used in developing DEC Alliances by using awareness, implementation, and institutionalization. Stacee shares the trainings offered by the National DEC. Stacee wraps things up with the partnership between National DEC and the Academy of Forensic Nursing and the importance of this partnership to being successful. Scott Henderson, National DEC Executive Director. Scott joined National DEC on February 24, 2020, as a full-time Executive Director. He brings 21 years of nonprofit executive leadership experience to the organization. For fifteen years he served as the executive director for organizations that provided experiential education, leadership development and developed partnerships with organizations serving children and youth at risk. For the next five years, he served organizations in the transition leading strategic planning, board and staff development and clarifying mission, vision, and service. Stacee starting working for National DEC as a consultant in November 2011 and then was hired as the Director of DEC Network Development in May 2013. She is responsible for the development and oversight of State and Tribal DEC Alliances, and she provides technical assistance to National DEC network. Stacee is also an integral member of the training team and has participated in curriculum, online training, and publication development. Additionally, she has trained thousands of professionals on topics involving child welfare issues, collaboration and multidisciplinary teams, evidence/information collection, local alliance development, and other specific drug issues. Lieutenant (Retired) Eric Nation began his career in law enforcement in 1994 where he has held numerous positions, Correctional Officer, Police Officer, Deputy Sheriff, Lieutenant Deputy Sheriff, as was as 6 years in a undercover narcotics unit and then was Commander of that unit for 5 years. Resources: Be sure to visit our website at www.nationaldec.org for current information, resources, publications, and more to assist you! And please contact use anytime at info@nationaldec.org.

In this Bell Work Talks, Dr. Mark Greene interviews Eric Martin, both of NIJ, about a recent NIJ Journal article regarding the offending patterns of serial violent offenders and how investigating and closing cold cases can apprehend these offenders and prevent future victimization. They discuss the benefits of using advanced investigative methods on all crimes, particularly burglaries, due to the offending progression taken by many serial violent offenders. It will also discuss factors that lead to the solving difficult cold cases. Mr. Martin is a social science analyst with the National Institute of Justice, the research, development and evaluation arm of the U.S. Department of Justice. NIJ's mission is to assist state, local and tribal criminal justice agencies with research to inform effective policies and practices. Mr. Martin supports research on policing, corrections and the forensic sciences. Prior to coming to NIJ, Mr. Martin was a crime analyst with the DC Metropolitan Police Department. Resources: NIJ Journal Article: NIJ Journal Issue 282 | National Institute of Justice (ojp.gov) NIJ website: Home | National Institute of Justice (ojp.gov) NIJ NamUs: Justice Department Fights for the Missing | Office of Justice Programs (ojp.gov) MSU Research on Serial Sexual Offenders: Serial Sexual Assaults: A Longitudinal Examination of Offending Patterns Using DNA Evidence (ojp.gov) National Criminal Justice Reference Service: New OJP Resources | Office of Justice Programs

In this Bell Work Talks Debra Holbrook discusses the elements required to seek legal asylum based on torture and/or persecution and assure chronic forensic medical evidentiary evaluation to these persons. As Forensic Programs that traditionally see victims of sexual assault become more integrated in caring for all forms of violence this podcast will assure understanding of how and why chronic evaluations for legal immigration, asylum, T and U Visa examinations are often critical components of creating a comprehensive body of evidence. Participants will review the affidavit preparation and referral process for these foreign nation victims of abuse. Mrs. Holbrook attended The Union Memorial Hospital School of Nursing, in Baltimore, Maryland and completed both undergrad and graduate studies through the Wilmington University. After working in the field of critical care, Mrs. Holbrook founded a Forensic Nurse Examiner Program in Delaware that became a model of the United States (US Senate Subcommittee / Biden, 2002). In 2002 she testified on Capital Hill before a Senate Judicial Subcommittee on Crime and Drugs on behalf of the Bill that was signed into law in 2005 as the DNA Justice Act. She is the recipient of numerous international awards, including the ANCC Magnet International Nurse of the Year, the Delaware Nurse of the year, the International Association of Forensic Nurses Pioneer Award, the 2014 Most Influential Marylanders in Healthcare, Distinguished Fellow – Academy of Forensic Nursing, and the prestigious Fellow American Academy of Nursing. She has authored grants totaling over 15 million dollars to benefit victims of major person's crimes and lectures nationally for the Office for Victims of Crime, educating medical professionals across the country. She has conducted over 200 pediatric and adult SANE educational offerings both nationally and internationally.

In this Bell Works Talks, Dr. Fay-Hillier discusses the results of the qualitative study she conducted with RNs who worked in the emergency department (ED)and shared their experiences in screening for intimate partner violence (IPV). The goal in conducting this study was to increase the understanding of the knowledge and attitudes toward IPV of RNs who work in the ED and to provide recommendations for specific factors that could be included in future training of RNs in screening for IPV. Dr. Theresa Fay-Hillier is an Associate Clinical Professor in the College of Nursing and Health Professions. She earned her Doctorate in Public Health from Drexel University's School of Public Health, her Master's Degree in Psychiatric Mental Health Nursing from the University of Pennsylvania and a Bachelor of Science in Nursing from Holy Family University. Dr. Fay-Hillier is a board certified Clinical Nurse Specialist in Psychiatric and Mental Health Nursing by the American Nurses Credentialing Center and is also certified in completing Danger Assessments with victims of intimate partner violence (IPV). Dr. Fay-Hillier has an interest in working with the chronically mentally ill as well as people who are victims of abuse. Her experience in her areas of interest have been numerous and in a variety of community settings. She was a co-leader of a homicide bereavement group for families at the City of Philadelphia Office of the Medical Examiner. Dr. Fay-Hillier was also a co-owner of a nurse owned business providing critical incident stress debriefing services to employees who worked in both health care agencies and general business facilities. After the 911 tragedy, Dr. Fay-Hillier was involved with debriefing employees who worked in or around the New York City area. She was also responsible for supervising other clinicians who performed debriefments in both New York City and the Washington D.C. areas as a result of the 911 tragedy. She has presented at both national and international conferences on issues related to Intimate Partner Violence, harm-reduction strategies in addressing individuals addicted to opioids, and implementation of collaborate simulation experiences into nursing programs. Dr. Fay-Hillier has also co-authored several peer reviewed articles and is co-editor of a textbook on Child Maltreatment (a 2015 publication).

In this Bell Work Talks Paul Thomas Clements discusses the identification of methods of assessment and intervention when working with the client with Psychopathy which can decrease apprehension/anxiety and increase safety while working with the client with Psychopathy. Dr. Paul Thomas Clements is a forensic psychiatric clinical specialist, a Certified Gang Specialist, and Certified in Danger Assessment. Clements has provided hospital consultation for EMT’s, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, hospital systems, and corporate executives. Clements has three edited textbooks: Violence against women: Contemporary examination of intimate partner violence, Mental health issues in child maltreatment, and Nursing approach to the evaluation of child maltreatment. Additionally, he has numerous peer review publications and conference presentations regarding stress, trauma, violence and aggression, coping after a violent death, safety promotion, and exposure to interpersonal violence and crime. Clements holds a Doctor of Philosophy in Forensic Psychiatric Nursing from The University of Pennsylvania with research and clinical practice that has examined the traumatic presentations and behaviors of victims, including a focus on children, exposed to the homicide. Clements was an inaugural Associate Editor of the Journal of Forensic Nursing from 2005-2012. Clements was recently inducted as a Distinguished Fellow in the Academy of Forensic Nurses. Resources: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Hare, R. (1991) The Hare Psychopathy Checklist-Revised. Toronto: Multi-Health Systems. Reidy, D.E., Kearndm M.C., DeGue, S., Lillienfeld, S.O., Massetti, G., & Kiehl, K.A. (2015)Why psychopathy matters: Implications for public health and violence prevention. Journal of Violent and Aggressive Behavior, 24, 214-225

In this Bell Work Talks Paul Thomas Clements discusses the impact of family member homicide on children including family dynamics and developmental level. Dr. Paul Thomas Clements is a forensic psychiatric clinical specialist, a Certified Gang Specialist, and Certified in Danger Assessment. Clements has provided hospital consultation for EMT’s, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, hospital systems, and corporate executives. Clements has three edited textbooks: Violence against women: Contemporary examination of intimate partner violence, Mental health issues in child maltreatment, and Nursing approach to the evaluation of child maltreatment. Additionally, he has numerous peer review publications and conference presentations regarding stress, trauma, violence and aggression, coping after a violent death, safety promotion, and exposure to interpersonal violence and crime. Clements holds a Doctor of Philosophy in Forensic Psychiatric Nursing from The University of Pennsylvania with research and clinical practice that has examined the traumatic presentations and behaviors of victims, including a focus on children, exposed to the homicide. Clements was an inaugural Associate Editor of the Journal of Forensic Nursing from 2005-2012. Clements was recently inducted as a Distinguished Fellow in the Academy of Forensic Nurses. Resources: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596 Clements, P.T., & Fay-Hillier, T. (2019). The effects of intimate partner violence on children: Navigating targeted therapeutic assessment and intervention. Issues in Mental Health Nursing, 40(6), 486-492 Clements, P.T., Seedat, S., & Gibbings, E.N. (2015). Mental health issues in child maltreatment. St. Louis: STM Learning.

In this Bell Work Talks Paul Thomas Clements discusses a basic introduction to 1) gang code of commitment and 2) various gang levels of membership and implications of both for healthcare providers. Dr. Paul Thomas Clements is a forensic psychiatric clinical specialist, a Certified Gang Specialist, and Certified in Danger Assessment. Clements has provided hospital consultation for EMT’s, Child Protective Agency personnel, trauma/emergency nurses, psychiatric providers, hospital systems, and corporate executives. Clements has three edited textbooks: Violence against women: Contemporary examination of intimate partner violence, Mental health issues in child maltreatment, and Nursing approach to the evaluation of child maltreatment. Additionally, he has numerous peer review publications and conference presentations regarding stress, trauma, violence and aggression, coping after a violent death, safety promotion, and exposure to interpersonal violence and crime. Clements holds a Doctor of Philosophy in Forensic Psychiatric Nursing from The University of Pennsylvania with research and clinical practice that has examined the traumatic presentations and behaviors of victims, including a focus on children, exposed to the homicide. Clements was an inaugural Associate Editor of the Journal of Forensic Nursing from 2005-2012. Clements was recently inducted as a Distinguished Fellow in the Academy of Forensic Nurses. Resources: Clements, P.T., & Akiyama, C. (2011), Youth gangs: Reasons for concern. Journal of Forensic Nursing, 7(3), 105-107 Clements, P.T. SAGE Publications, LTD. SAGE Video Collection – NURSING. Gangs 101 for Healthcare Professionals. (April 2019). Forster, M., Grigsby, T.J., Unger, J.B., & Sussman, S (2015). Associations between gun violence, exposure, gang associations, and youth aggression: Implications for prevention and intervention programs. Journal of Criminology. Available from https://www.hindawi.com/journals/jcrim/2015/963750/

In this Bell Work Talks Debra Holbrook discusses the elements required to seek legal asylum based on torture and/or persecution and assure chronic forensic medical evidentiary evaluation to these persons. As Forensic Programs that traditionally see victims of sexual assault become more integrated in caring for all forms of violence this podcast will assure understanding of how and why chronic evaluations for legal immigration, asylum, T and U Visa examinations are often critical components of creating a comprehensive body of evidence. Participants will review the affidavit preparation and referral process for these foreign nation victims of abuse. Mrs. Holbrook attended The Union Memorial Hospital School of Nursing, in Baltimore, Maryland and completed both undergrad and graduate studies through the Wilmington University. After working in the field of critical care, Mrs. Holbrook founded a Forensic Nurse Examiner Program in Delaware that became a model of the United States (US Senate Subcommittee / Biden, 2002). In 2002 she testified on Capital Hill before a Senate Judicial Subcommittee on Crime and Drugs on behalf of the Bill that was signed into law in 2005 as the DNA Justice Act. She is the recipient of numerous international awards, including the ANCC Magnet International Nurse of the Year, the Delaware Nurse of the year, the International Association of Forensic Nurses Pioneer Award, the 2014 Most Influential Marylanders in Healthcare, Distinguished Fellow – Academy of Forensic Nursing, and the prestigious Fellow American Academy of Nursing. She has authored grants totaling over 15 million dollars to benefit victims of major person’s crimes and lectures nationally for the Office for Victims of Crime, educating medical professionals across the country. She has conducted over 200 pediatric and adult SANE educational offerings both nationally and internationally.

In this Bell Work Talks, Shannon provides an update on contraception use trends and contraceptive patient care, including how the reproductive justice movement is influencing birth control counseling methodology. She will discuss the impact of Covid19 on access and patient care guidelines. And, finally highlight new contraceptive methods to be aware of. Shannon Liew, BSN, RN coordinates clinical training at Take Control Initiative (TCI). TCI is a contraception access and resource agency in Tulsa, Oklahoma. Prior to her current position, Shannon worked as a SANE (sexual assault nurse examiner) Coordinator for 7 years. She coordinated the SANE Program in Oklahoma City for three years and acted as the statewide SANE Training Program Coordinator in Illinois for four years. She is a registered nurse by trade and has over 19 years’ experience in the reproductive health field. She is particularly interested in the intersection between reproductive health and interpersonal violence. Shannon received her Bachelors of Science in Nursing degree at Rush University College of Nursing in Chicago, Illinois. She is currently enrolled in the Masters of Public Health Nursing program at the University of Kansas. References: Besider for birth control information. https://www.bedsider.org/ Reproductive Health Access Project for excellent contraceptive care guidelines and patient education materials (in multiple languages). https://www.reproductiveaccess.org/ Reproductive Health National Training Center for so many great training resources, job-aids, and a Covid19 resource page. https://rhntc.org/ Take Control Initiative for clinical resources on tele-reproductive health and contraceptive care. https://www.takecontrolinitiative.org/telereproductiveforclinics/

This is a very “quick and dirty” overview of human trafficking, what it encompasses and what to do if you come across a victim in the healthcare setting, specifically, in the emergency department. Danielle goes over brief definitions of human trafficking, how to identify potential victims and what to do If you’ve confirmed a victim in your clinical setting. Danielle graduated with a doctorate in nursing practice from Wayne State University in 2018 with a specialty as family nurse practitioner. Her doctoral research was focused on human trafficking. She designed and implemented a protocol for identifying and treating potential victims of human trafficking in the emergency department while working as a registered nurse in the ED at Henry Ford Hospital in Detroit, MI. This was the first project of its kind within the system; 19 victims including 4 minors were identified in the first year of its use. The algorithm was so successful it has since been adapted and implemented at institutions across the US and Canada. Danielle currently works as the coordinator of advanced practice and also as a nurse practitioner in oncology at Henry Ford Hospital in Detroit, MI. She has won several awards for her work in human trafficking including being named a 2019 Health Care Hero by Crains Business Detroit, New Nurse Practitioner of the Year in Michigan 2020 (MICNP), System Innovation Award by ANA 2020 and several others. Danielle continue to improve and disseminate her work in trafficking as well as pilot community projects on trafficking in the city of Detroit. It is her ultimate goal to assist in finding a ‘gold standard’ of care for victims across the country. There are several resources I use regularly: UNODC Trafficking in Persons Report Department of Justice ILO Department of Homeland Security, Blue Campaign National Human Trafficking Hotline Polaris Project Department of Health and Human Services Toolkit Resources: HEAL Trafficking ICMEC Toolkit (Improving Healthcare Services) Genesee County, Victim Identification Toolkit NHTHRC Resources