does a doctor have to report sexual assault if the patient is an adult

by Pablo Farrell 7 min read

Doctors & Sex Abuse: Reporting your doctor - what …

21 hours ago  · Sexual assault is a traumatic event that affects people in different ways, both mentally and physically. So doctors and nurses know care immediately after an assault needs to be understanding ... >> Go To The Portal


Anyone, including physician colleagues, may report instances of suspected physician sexual misconduct to the state licensure or disciplinary boards. State boards are obligated to investigate such complaints. Often patients do not report sexual misconduct to the authorities because of feelings of shame, humiliation degradation and self-blame.

Full Answer

What should a doctor do immediately after sexual assault?

Sexual assault is a traumatic event that affects people in different ways, both mentally and physically. So doctors and nurses know care immediately after an assault needs to be understanding, compassionate and sensitive.

Is it my fault if I was sexually assaulted?

In the United States, one in three women has experienced some type of sexual violence. 1 If you have been sexually assaulted, it is not your fault, regardless of the circumstances. What is sexual assault? Sexual assault is any type of sexual activity or contact, including rape, that happens without your consent.

How do I report an assault at a hospital?

If you want to report the assault to the police, hospital workers can help you contact the local police. If you are in immediate danger, call 911. If you want to report sexual assault that happened in the past, call your local police non-emergency number or make a report in person at the police station.

What should a doctor do before reporting suspected violence or abuse?

Before reporting suspected violence or abuse, the Code says physicians should: Inform patients about requirements to report. Obtain the patient’s informed consent when reporting is not required by law.

image

What happens regarding sexual assault response in adulthood?

Adulthood sexual trauma is associated with short-term and long-term psychological consequences. Short-term effects include shock, fear, anxiety, confusion, and withdrawal. Many survivors experience a reduction in symptoms within a few months, whereas some women experience distress for years.

What does sexual assault mean in health?

Sexual assault is any sexual activity to which you haven't freely given your consent. This includes completed or attempted sex acts that are against your will. Sometimes it can involve a victim who is unable to consent. It also includes abusive sexual contact. It can happen to men, women or children.

What is sexual assault survey?

This is a survey that consists of 7 questions about Rape & Sexual Assaults, it should take you no more than a couple of minutes to complete. Answer it frankly and honestly, your answers are confidential, and nobody will be able to judge you as to your answers/results.

Where is the first place a victim will usually go to for treatment after having been sexually victimized select one?

To locate a center that provides medical care after rape, call a local or national sexual assault hotline, available in the United States by calling 1-800-656-4673 (HOPE). Some hotlines offer a trained crisis counselor to accompany you to the hospital; alternately, a supportive friend or family member can go with you.

What is sexual assault 1st Degree?

A person is guilty of first degree sexual assault if he or she engages in sexual penetration with another person, and if any of the following circumstances exist: (1) The accused knows or has reason to know that the victim is mentally incapacitated, mentally disabled, or physically helpless.

What is sexual experience questionnaire?

The best known of these, the Sexual Experiences Questionnaire (SEQ) (Fitzgerald, Shullman, Bailey, Richards, Swecker, Gold, et al., 1988) is a suite of closely related self-report inventories (cf. Gutek, Murphy, & Douma 2004) designed to assess sexual harassment in a variety of settings.

What is the National intimate partner violence survey?

CDC's National Intimate Partner and Sexual Violence Survey (NISVS) is an ongoing, nationally-representative telephone survey that collects detailed information on sexual violence, stalking, and intimate partner violence victimization from adult women and men in the United States.

What is secondary Victimisation?

Secondary victimisation occurs when the victim suffers further harm not as a direct result of the criminal act but due to the manner in which institutions and other individuals deal with the victim.

Can you go to jail for sexually harassing someone?

Commission of sexual harassment is a criminal offense. A person found guilty of sexual harassment shall be penalized by imprisonment of not less than one (1) month nor more than six (6) months, or a fine of not less than Ten thousand pesos (P10,000) nor more than Twenty thousand pesos (P20,000), or both.

What do predators look for in victims?

One of the better representations of this cycle is: Targeting the victim: In this phase, the predator will 'size up' their prey. Specifically, the predator is looking for vulnerabilities such as physical or mental disabilities, single-parent families, low self-confidence, or emotional neediness.

What does a forensic practitioner do?

The forensic practitioner will then explain the process and seek your consent to proceed. They will ask you for an account of the assault to know which evidence to collect. They will examine you, document injuries and collect the evidence.

What is in a swab kit?

This kit contains the necessary material, including swabs, forceps, collection bags, labels and seals. Evidence may consist of your clothing; swabs of your skin; swabs taken from the anus and genital region including the vagina; fingernail scrapings; and samples from any biological or other external material found.

What do doctors and nurses do after leaving hospital?

Doctors and nurses will co-ordinate your medical care and make sure you have a safe place to go after leaving hospital. www.shutterstock.com. Their final task is to write a medico-legal report detailing what they found when they examined you and what evidence was collected.

What is the purpose of a morning after a pregnancy?

That might include treating your injuries, giving you medicine (prophylaxis) to prevent sexually transmitted infections and giving you the morning-after-pill to prevent pregnancy.

What is the meaning of sexual assault?

Sexual assault is a traumatic event that affects people in different ways, both mentally and physically. So doctors and nurses know care immediately after an assault needs to be understanding, compassionate and sensitive.

Why is competent evidence collection important?

Without this evidence, convictions may fail and perpetrators may be set free. Although often tedious and at times uncomfortable and tiring, these examinations are essential to ensure justice.

What is required to support a conviction for sexual assault?

The general principles, however, remain the same. To support a conviction, evidence is required to connect the victim to the offender at a particular location.

What is ACOG pelvic exam?

The American College of Obstetrics and Gynecology’s (ACOG) has denounced this practice, stating pelvic exams on an anesthetized patient that are performed for teaching purposes should be done only with informed consent.

Why was Ashley Weitz sedated?

When Ashley Weitz went to the emergency room at a local hospital in Utah in 2007 for severe nausea and vomiting, she was sedated with IV medication to help the vomiting subside. While the medication was intended to bring her relief from her symptoms, what happened while under sedation had nothing to do with her illness: Weitz later woke up ...

Is it illegal to have pelvic exams?

Performing pelvic exams without consent is illegal. Trusted Source. in Hawaii, Virginia, Oregon, California, Iowa, Illinois, Utah, and Maryland. Legislation prohibiting this recently passed the New York legislature and is pending in other states, including Minnesota and Massachusetts.

Can pelvic exam be done without consent?

Patients who do find out postop that a pelvic exam was done without their consent report feeling violated and experience significant trauma as a result. Sarah Gundle, a clinical psychologist and the clinical director of Octav in New York City, says that medical trauma can be just as significant as other types of trauma.

Is it legal to push two fingers into a vagina?

However, what happened to Weitz wasn’t an uncommon practice. In fact, it was legal. In the majority of U.S. states, it’s legal. Trusted Source. for medical providers, typically medical students, to go into an operating room and, without a patient’s consent, push two fingers into an anesthetized patient’s vagina and perform a pelvic exam.

Do you need to give consent for pelvic exam?

There’s also a common view in hospitals that if a patient already consented to surgery, and since surgery in and of itself is invasive, then an additional consent for a pelvic exam isn’t needed.

Does Barnes say a patient is involved in an internal exam?

Barnes highlights how patients signed forms written in vague terms that stated a medical student may be “involved” in their care, but didn’t tell patients this “care” included an internal exam while they’re under anesthesia.

Why is it important to speak up?

It’s important that you stay strong and speak up. Not only for you, but also to ensure that other patients do not suffer the same type of abuse in the future. Sexual abusers are seldom first-time offenders, and sexual assault is often a reflection of behavior that harks back years (if not decades).

What can I claim for emotional distress?

Through a civil claim (or lawsuit) you can seek monetary compensation for your related damages, including: pain and suffering, the intentional infliction of emotional distress (IIED), the cost of counseling and/or therapy, and possibly even punitive damages.

How to contact Rasansky Law Firm?

If we can help with your claim, we’ll do so for no out-of-pocket cost to you. Call us 24/7 at (214) 651-6100, or toll-free at 1-877-405-4313.

What happens when a doctor abuses his position of trust?

When a doctor abuses their position of trust to commit an act of indecency or sexual assault, you have every right to hold them accountable both criminally and civilly. Sexual Assault by a Doctor.

What to do if you have been sexually assaulted by a doctor?

If you’ve been sexually assaulted by your doctor, it’s important to understand that you have help available to you. It’s not your job to collect evidence and prove your claims, but it’s vital that you report the incident to the authorities (and the Texas Medical Board) as soon as possible.

Does malpractice insurance cover sexual abuse?

Because most medical malpractice insurance policies specifically exclude liability for an intentional act, these types of claims can be quite complex. To have the best chance at winning your case, you need an attorney in Dallas who’s familiar with the ins and outs of the law as it pertains to doctor-patient sexual abuse.

Is sexual assault a criminal offense?

Sexual assault is clearly a very serious criminal charge. Doctors who commit this heinous act may face imprisonment, the withdrawal of their medical license, as well as be required to register as a sex offender. This egregious act can leave lasting physical and emotional scars that must be treated as a matter of urgency.

What is the relationship between the physician and patient?

The physician-patient relationship is the central focus of all ethical concerns. The orthopaedic surgeon should be dedicated to providing competent medical service with compassion and respect.”

What is an AAOS opinion?

An AAOS Opinion on Ethics and Professionalism is an official AAOS statement dealing with an ethical issue, which offers aspirational advice on how an orthopaedic surgeon can best deal with a particular situation or circumstance. Developed through a consensus process by the AAOS Ethics Committee, an Opinion on Ethics and Professionalism is not a product of a systematic review. An AAOS Opinion on Ethics and Professionalism is adopted by a two-thirds vote of the AAOS Board of Directors present and voting.

What are ethical concerns related to physician sexual misconduct?

Ethical concerns related to physician sexual misconduct exist, even if the patient consents to the relationship or terminates the physician-patient relationship in order to then enter into a sexual relationship with his or her physician.

Can a physician report sexual misconduct?

Anyone, including physician colleagues, may report instances of suspected physician sexual misconduct to the state licensure or disciplinary boards. State boards are obligated to investigate such complaints. Often patients do not report sexual misconduct to the authorities because of feelings of shame, humiliation degradation and self-blame.

Can a physician lose his or her medical license?

State licensing or disciplinary boards have a range of sanctions that may be applied to physician sexual misconduct. In cases of forced sexual contact, it is likely that the physician will lose his or her medical license. Current national tracking systems of licensing actions may lead to similar action by other states where a physician may have a license or prevent a license from being acquired elsewhere. In other situations, a physician found guilty of sexual misconduct may be allowed to retain his or her medical license on probation and be monitored by the state medical licensure or disciplinary board. Many state boards require a special evaluation of the physician and attendance at specific courses on ethics and boundary violations.

What is sexual assault?

Sexual assault is any type of sexual activity or contact, including rape, that happens without your consent. Sexual assault can include non-contact activities, such as someone “flashing” you (exposing themselves to you) or forcing you to look at sexual images. 2

What does sexual assault include?

Sexual assault can also be verbal, visual, or non-contact. It is anything that forces a person to join in unwanted sexual activities or attention. Other examples can include: 4

What is NOT considered consent in sexual activity?

Silence. Just because someone does not say “no” doesn’t mean she is saying “yes.”

Who commits sexual assault?

Sexual assault is most often committed by someone the victim knows. 1 This may be a friend, an acquaintance, an ex, a relative, a date, or a partner. Less often, a stranger commits sexual assault.

What is the average age a woman is sexually assaulted?

Four of every five women who are raped are raped before age 25. About 40% of women who have been raped, or two in every five, were assaulted before age 18. 1

Can I be sexually assaulted by my partner or spouse?

Yes. Sexual assault is any sexual activity you do not consent to — no matter whom it is with.

How can I get help after a sexual assault?

After a sexual assault, you may feel fear, shame, guilt, or shock. All of these feelings are normal, and each survivor can feel a different range of emotions at different times in the recovery process. Sexual assault is never your fault. It may be frightening to think about talking about the assault, but it is important to get help.

Who should be held accountable for sexual assault?

If they choose to abuse that power and trust, they should be held accountable. Physicians, dentists, child psychiatrists, therapists, and other medical professionals who commit sexual assault against their patients rarely do it only once. In many cases, there is a long chain of victims.

What does it mean to speak out against a doctor?

By speaking out, you can stop the perpetrator from sexually assaulting anyone else. Any inappropriate sexual behavior by a doctor to a patient gives rise to a claim against the doctor, as these individuals are not permitted to have sex with their patients. Consent is never an adequate defense in such a case.

What happens when you go to a doctor?

When a person goes to a doctor or other healthcare provider, they trust that they will be treated properly. The medical provider is put in a position of power, and they are assumed to be trusted by their patient. If they choose to abuse that power and trust, they should be held accountable. Physicians, dentists, child psychiatrists, therapists, ...

What is the abuse in the exam room?

Patients in your exam room may be experiencing one of a number of forms of abuse—domestic violence, human trafficking or other violence— and identifying those being abused can sometimes be tough.

What to consider before reporting suspected violence?

What to consider before reporting. Before reporting suspected violence or abuse, the Code says physicians should: Inform patients about requirements to report. Obtain the patient’s informed consent when reporting is not required by law.

How many victims of trafficking had contact with a health professional?

The authors noted research showing that 88% of victims had contact with a health professional while being trafficked, but none were identified or offered help in getting out of their situation during the medical encounter.

Do you have to see one on one for a trafficked patient?

Dr. Ravi said it is also important to establish a policy—even putting it in writing in the exam and waiting rooms—that says a patient needs to be seen one-on-one for part of the visit. Trafficked patients may come in with a man or woman who is trafficking them; sometimes that person could even be a relative.

Can a physician make exceptions to patient privacy?

Exceptions can be made if a physician reasonably believes that a patient’s refusal to authorize reporting is coerced and therefore does not constitute a valid informed treatment decision. Physicians should also protect patient privacy when reporting by disclosing only the minimum necessary information.

What to do if someone complains about something?

If you hear about something, if someone complains, I think your duty is to report it to the medical board. Report it also, in certain instances, to child welfare and child abuse authorities. Let them take the investigation from there. You're not convicting anybody. It's just going to trigger an investigation.

Do patients report sexual assault?

Most patient-victims do not report sexual violations. [ 1] It is estimated that fewer than 1 in 10 patient-victims choose to report sexual assault, a rate significantly lower than the overall rate of 36% of cases of rape or sexual assault in the United States reported to police by female victims. [ 1]

Did USA Gymnastics tell coaches they should report abuse?

USA Gymnastics did not tell its coaches that they should report. There was no obligation on the part of sports physicians and other therapists to report suspicions of abuse. That's going to be changing. I think medicine has to get closer to a zero-tolerance posture as well.

Should everyone get an explanation of what a physical exam is?

They're owed that explanation, and I think we shouldn't presume that they know.

Is Larry Nassar in prison?

As you probably know, Dr Larry Nassar, who was the [national team doctor] to the USA Olympic gymnastics team and many other aspiring gymnasts, is going to spend the rest of his life in prison. Dr Nassar sexually molested hundreds of young girls, sometimes with their parents present in the examining room.

What happens if a therapist fails to take reasonable steps to protect the intended victim from harm?

“If a therapist fails to take reasonable steps to protect the intended victim from harm, he or she may be liable to the intended victim or his family if the patient acts on the threat ,” Reischer said.

Do you have to report child abuse to a therapist?

“If a client experienced child abuse but is now 18 years of age then the therapist is not required to make a child abuse report, unless the abuser is currently abusing other minors,” Mayo said.

Can a therapist report a patient's intent to harm someone else?

A therapist may be forced to report information disclosed by the patient if a patient reveals their intent to harm someone else. However, this is not as simple as a patient saying simply they “would like to kill someone,” according to Jessica Nicolosi, a clinical psychologist in Rockland County, New York. There has to be intent plus a specific identifiable party who may be threatened.

Do therapists have to disclose information in court?

For instance, Reed noted that even if a wife is cheating on her husband and they are going through a divorce, the therapist has no legal obligation whatsoever to disclose that information in court. The last thing a therapist wants to do is defy their patient’s trust.

Should clients withhold anything from their therapist?

“Clients should not withhold anything from their therapist, because the therapist is only obligated to report situations in which they feel that another individual, whether it be the client or someone else, is at risk,” said Sophia Reed, a nationally certified counselor and transformation coach.

image