title: 'I was raped by Santa Claus': responding to disclosures of sexual assault in mental health inpatient facilities.
abstract: Sexual violence is significantly higher among those with mental illness than the rest of the population. The risk of sexual violence posed to patients during inpatient admissions is now also beginning to be recognized, but remains a challenging area of practice. This paper introduces a trauma-informed care approach for responding to disclosures of sexual violence by people with serious mental illness, taking into account the complexities of caring for individuals who might be unable to provide coherent accounts of assaults and/or who might be experiencing varying degrees of psychosis. A framework for understanding and responding to disclosures of sexual violence that occur in mental health facilities is described, recognizing that such disclosures take many forms, including plausible and implausible accounts of recent sexual violence, as well as disclosures of past abuse triggered by current traumatic experiences. Illustrated by case studies, the practice implications for each type of disclosure described in the framework are explored in relation to investigation, care planning, and prevention.
authors.affiliation: NSW Health Education Centre Against Violence, Cumberland Hospital, Parramatta, New South Wales, Australia.
authors.forename: Toni
authors.initials: T
authors.lastname: Ashmore
authors.forename: Jo
authors.initials: J
authors.lastname: Spangaro
authors.forename: Lorna
authors.initials: L
authors.lastname: McNamara
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019548:Crime Victims / Q000523:psychology; D003419:Crisis Intervention / Q000379:methods; D003702:Delusions / Q000451:nursing* / Q000523:psychology; D005162:Factitious Disorders / Q000451:nursing / Q000523:psychology; D005260:Female; D006778:Hospitals, Psychiatric; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000451:nursing* / Q000523:psychology*; D008875:Middle Aged; D011618:Psychotic Disorders / Q000451:nursing / Q000523:psychology; D011902:Rape / Q000523:psychology*; D012094:Repression, Psychology; D012650:Self Disclosure; D013313:Stress Disorders, Post-Traumatic / Q000451:nursing / Q000523:psychology; D014342:Truth Disclosure
keywords: false allegations; mental health; sexual assault; trauma; trauma informed care