Service Delivery

Description of an early intervention to prevent substance abuse and psychopathology in recent rape victims.

Resnick et al. (2005) · Behavior modification 2005
★ The Verdict

The rape-exam room is a reachable moment to start a quick preventive mental-health session.

✓ Read this if BCBAs in emergency departments, crisis centers, or outpatient clinics who see clients after sexual assault.
✗ Skip if Practitioners who only work with child autism or school-only cases.

01Research in Context

01

What this study did

Resnick et al. (2005) outline a brand-new program for women who have just been raped. The team meets the woman during the hospital rape-exam visit. Right there, they start a short mental-health intervention.

The goal is to stop later substance abuse and other mental-health problems. The paper only describes the plan; no results are given yet.

02

What they found

The paper is a trial plan, not a finished study. No numbers are reported. The authors simply show how the program will run.

03

How this fits with other research

Falligant et al. (2022) looked back at 29 out-patient cases and found that severe problem behavior usually returns. They urge teams to build 'renewal and resurgence' safeguards. Heidi's plan tries to do just that—start help before relapse can happen.

Faught et al. (2021) tested a drug-use prevention program in youth with mild ID. Their 'Take it Personal!' plan cut rule-breaking but did not touch anxiety or withdrawal. Heidi's rape protocol also aims to prevent drug use, yet it adds mental-health pieces for anxiety and PTSD that 'Take it Personal!' left out.

Reid et al. (2017) showed that a home-based parent-training program is feasible for kids with FASD. Both studies are early-phase: they test if the plan can be carried out, not if it works. Together they signal that brief, reach-them-where-they-are programs are practical to launch.

04

Why it matters

If you work in a hospital or crisis center, you can copy this reach-in-the-exam-room idea. Hand the client a short session right after the medical exam. Cover coping skills and link to free counseling. One extra hour may cut later drug use and PTSD. No extra referral trip is needed—the client is already in front of you.

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02At a glance

Intervention
not applicable
Design
other
Population
mixed clinical
Finding
not reported

03Original abstract

Approximately 683,000 adult women are raped each year. Only one in seven of these victims report the assault to police and receive forensic exams and other professional services. For many rape victims, this may be the only professional contact with service providers; however these services are typically limited to evidence collection and prophylactic STD treatment. Yet this exam also presents a unique opportunity for a preventive intervention to help prepare women to cope with potential stress related to rape-exam procedures and to address potential post rape psycho-pathology. This article reviews psychological interventions for trauma victims used in the acute post rape time frame and provides data from an ongoing clinical trial that evaluates delivery of a preventive intervention for victims presenting for forensic rape exams.

Behavior modification, 2005 · doi:10.1177/0145445504270883