Table of Contents
A. Foundation for Response During the Exam Process
A2. Adapting Care for Each Child
A4. Health Care Infrastructure
A4a. Pediatric Examiners
A4b. Facilities
A4c. Equipment and Supplies
A5. Infrastructure for Justice System Response During the Exam Process
A5a. Reporting
A5b. Confidentiality and Release of Information
A5c. Evidentiary Kits and Forms
A5d. Timing of Evidence Collection
A5e. Evidence Integrity
A5f. Payment Issues
B. Exam Process
B3. Entry into the Health Care System
B9. Sexual Abuse Facilitated by Alcohol and Drugs
B10. Sexually Transmitted Disease Evaluation and Care
B11. Discharge Planning and Follow-Up Care
References
Appendix 1. Tanner Stages of Sexual Maturation
Appendix 2. Illustrations of Exam Positions and Techniques
Appendix 3. Labeled Diagrams of Genital Anatomy
Appendix 4. Customizing a Community Protocol
Appendix 5. Impact of Crawford v. Washington and The Confrontation Clause
Appendix 6. Initial Response Algorithm
Appendix 8. Prepubescent STD Testing Algorithm