National Guidelines on Management of Sexual Violence in Kenya

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Psychological Assessment (Should be done by: -Psychiatrists, Medical Doctors, Psychologists, Psychiatry- trained nurses, Psychiatry social workers or Counseling psychologists of repute) P S Y C H O L O G I C A L A S S E S S E S M E N T PREMORBID HISTORY (state the mental condition of survivor prior to assault) ________________________________________________________________________________________ ________________________________________________________________________________________ Mental Status Evaluation (Tick as appropriate) • Appearance (kempt, unkempt, other)(specify)__________________________________________________________________________ • Behaviour (appropriate, restless, calm, absent mindedness, other) (specify)______________________________________________________________________________ _____________________________________________________________________________________ • Mood (low, excited, depressed, tense, irritable, tearful, anxious, angry, other)_____________________________________________________________________________ • Speech (flow, tone, amount )(specify)__________________________________________________________________________ _ • Perception (hallucinations, illusions, derealization, depersonalization, dissociation, other) (specify) (specify)___________________________________________________________________________ • Thought (Preoccupation, Stream of thought, suicidal thoughts, helplessness, hopelessness, worthlessness, odd beliefs, flashbacks, specific fears e.g.. of open places, enclosed spaces, men, women, adults, strangers, other) (specify)___________________________________________________________________________ Diminished capacity to enjoy life_________________________________________________________ • Cognitive Disturbance (Orientation in time, place, person, Level of attention, Concentration (use serial seven subtractions ____________________________________________________________________ Memory: short term __________, long term _________________ Judgement_____________________________________________________________________ Insight – does the survivor understand what happened to her/him, possible consequences, any legal implications, any wishes of the survivor? Diagnosis: ________________________________________________________________________________________ 44
FOR CHILD SURVIVORS: Evaluate behaviour, mood and speech as above but use the following to evaluate thought:- • Drawing – allow child to draw (e.g...) family members and let her/him comment on the drawing. report verbatim. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ • Play – by use of toys and dolls allow child to give comments on the play and report verbatim. _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ • Assess the unconscious world of the child by asking about: • Feelings e.g. ask the child to report the feeling that h/she commonly experiences and ask what makes him/her feel that way. ______________________________________________________________________________ ______________________________________________________________________________ • Wishes (let child state her/his wishes) ______________________________________________________________________________ ______________________________________________________________________________ Diagnosis ______________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Forensic Did the survivor change clothes? State of clothes (stains, tears, colour, etc) Yes No Were the clothes put in a non-plastic paper bag? Were the clothes given to the police? Did the police sign the rape register at the health facility? Yes No Yes No Yes No Did the survivor have a bath? Did the survivor go to the toilet? Yes No Long call? Short call? Comments: 45
Page 1:
Ministry of Public Health & Sanitat
Page 5:
Table of Content Acknowledgements F
Page 8 and 9: The actual writing of the guideline
Page 10 and 11: Acronyms 3TC AZT CCC Cr D4T DCT DNA
Page 12 and 13: Executive Summary Sexual violence i
Page 14 and 15: the policy framework from which spe
Page 16 and 17: Medical Management 1 Introduction M
Page 18 and 19: 3.1.1 Head to Toe Examination for A
Page 20 and 21: • Establish ground rules for the
Page 22 and 23: • Examine the anus. Look for brui
Page 24 and 25: 6. Post Exposure Prophylaxis (PEP)
Page 26 and 27: Weight Band Dose AZT Dose 3ZT 10-20
Page 28 and 29: Drugs used for STI Prophylaxis Non-
Page 31 and 32: Psycho-Social Support 1. Introducti
Page 33 and 34: 3. Counseling Different Groups Affe
Page 35 and 36: 7. Types of Counseling • Trauma c
Page 37 and 38: Adherence counseling Effective coun
Page 39 and 40: Forensic Management of Sexual Viole
Page 41 and 42: Crime scene: This is a scene- eithe
Page 43 and 44: Table 3: Possible specimens, method
Page 45: 4.2 Documentation and Reporting In
Page 48 and 49: Humanitarian Issues of Sexual Viole
Page 50 and 51: For effective short and long-term p
Page 52 and 53: Quality Assurance and Quality Impro
Page 54 and 55: 4040
Page 56 and 57: Annex 1: Consent Form Name of Facil
Page 60 and 61: Does the survivor have any details
Page 62 and 63: o r a tory s a m pl es Blood Pubic
Page 64 and 65: PART 11-MEDICAL DETAILS - (To be co
Page 66 and 67: This P3 Form is free of charge SECT
Page 68 and 69: Annex 4. SV Community Awareness Inf
Page 70 and 71: Remember: you have the right to ask
Page 72 and 73: RAPE TRAUMA COUNSELING DATA FORM Se
Page 74 and 75: Annex 7. Information on Mental Asse
Page 76 and 77: Annex 8. Useful Resources General i
Page 80: Ministry of Public Health & Sanitat
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National Guidelines on Management of Sexual Violence in Kenya

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