CRISIS LINE

Monthly Archives July 2023

Someone’s Gotta Say It

 

Insights from 30 Years at the Forefront of Medical Care for Victims of Sexual Harms

 

By Marina Sampanes Peed
Executive Director of Mosaic Georgia

We are thrilled to celebrate a significant milestone at Mosaic Georgia – 30 years of providing exceptional medical care for victims of sexual harms. Since July 1993, we have been at the forefront of delivering trauma-informed forensic medical services, setting a new standard of care in Georgia. As we reflect on our journey, we want to share some valuable insights and observations with you. 

Our mission began when the Gwinnett Rape Crisis Center was founded by a dedicated hospital volunteer named Ann Smiley. Our volunteer advocates would respond to calls from the hospital to provide support to survivors who disclosed sexual assault. However, we realized that there were opportunities to improve the process. By shifting the response away from hospitals and establishing a center focused on advocacy support and medical forensic care, we could ensure quicker, more private care for survivors while enabling law enforcement to investigate promptly. 

Our specially-trained Sexual Assault Nurse/Forensic Examiners (SANEs) have conducted over 6,000 sexual assault exams, catering to patients of all ages and genders. By offering specialized care, including prevention of sexually transmitted infections or pregnancy resulting from rape, we ensure that every survivor has access to the support they need. Witnessing the relief in survivors’ eyes when they realize they won’t have to worry about these additional costs is truly heartwarming. 

This community-based approach benefits everyone involved. All our services are provided at no charge to the victims or local law enforcement. We believe that access to quality care should never be hindered by financial constraints. However, we face sustainability challenges as crime victim services funding decreases while the costs of delivering 24/7 response increase. The work we do at Mosaic Georgia sits at the intersection of public safety, healthcare, and addressing the long-term harms caused by sexual violence. 

Looking at the larger picture, we see our work is far from done. Despite the #metoo movement and numerous media reports of high-profile cases, fewer victims are coming forward to report these crimes to the police (2021 estimate is only 25% of sexual assaults for people age 12 and older are reported to police). Myths and misunderstandings surrounding sexual violence persist. Our culture is inundated with sexualized images of girls and women and harmful definitions of masculinity. Additionally, instances of child sexual abuse, incest, and commercial sexual exploitation of children and youth are on the rise. 

The expansion of high-speed internet and the world wide web has facilitated predators in exploiting vulnerable individuals. Arrests and prosecution of perpetrators also remain lower compared to other violent crimes. It is clear that there is still much work to be done to address these pressing issues. 

At Mosaic Georgia, we are committed to making a difference through education and training. Our SANE Success Institute offers comprehensive programs that equip Sexual Assault Nurse Examiners (SANEs) with the knowledge, clinical skills, and court testimony preparation they need. In response to the pandemic, we launched PRO/SANE, an online peer review platform that allows SANEs to learn from one another and discuss unique situations they encounter in their practice. Through these initiatives, we foster shared learning, skill development, and a supportive community of professionals across Georgia. 

Combating sexual harms requires a collective effort from our community. It is crucial that we support survivors, hold perpetrators accountable, and ensure that consent and boundaries are understood by all. Together, let us break the silence and create a world where every individual is safe, respected, and free from the devastating impacts of sexual violence. 

Thank you for being a part of the Mosaic Georgia community. Your support and involvement are instrumental in our continued efforts to make a lasting difference. 

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Secrets vs. Surprises: The Danger of Secrets

By Kendall Wolz
Mental Health and Wellness Manager

“Don’t tell  ______. It’s a secret.” 

“I’ll only tell you if you can keep it a secret.” 

“This is our little secret, you better not tell anyone- or else.” 

Secrets are dangerous. Secrets are heavy. Secrets hurt. 

Most of us grew up with secrets. I definitely remember keeping secrets with my friends and siblings in early elementary school and even throughout middle and high school. Whether it was a secret about kissing a boy on the playground or about my plans for my next trick to play on my siblings, my secrets seemed fairly innocent and inconsequential. It was not until I was threatened with serious harm or death that I found myself inside the prison secrets create. 

“This is our little secret, you better not tell anyone- or else.” -My Abuser 

 

When my abuser sternly uttered those words after we watched the first episode of Who Wants to Be a Millionaire in August 1999, I knew exactly what he meant when he told me this was our secret. I also knew what he was implying when he said “or else.” I was consumed with making sure I kept this secret. I worked hard at making everything look normal. I did not say things that would cause one to question me about my secret. In health class, I did not dare make eye contact with the teacher when we talked about the chapter in our textbook on abuse. 

Take a moment and think about a secret you have been holding? 

A secret about something in your life or in someone else’s life. 

What is the weight of holding that secret? 

At a young age, many of us learn that secrets are things you do not break. If you tell a secret, someone gets mad at you or someone gets in trouble. Secrets are meant to be unspoken. 

My secret placed me in a prison that was filled with pain, isolation, loneliness, worry, fear, and immense hopelessness. Breaking that secret only occurred when I was more afraid of keeping the secret than sharing it with another person. Breaking the secret is the only way I escaped the prison my abuser built. 

I wholeheartedly believe that we should live a life without secrets. But, how is this possible when secrets are normalized and it seems to be a routine part of growing up? 

A while back, I came across an incredible graphic from The Mama Bear Effect  which distinguishes between secrets and surprises. It is included at the end of this post; however, I would like to add another category to consider. Privacy. 

So, what does this mean for us and more importantly, what does this mean for the children in our lives?
 

Let’s look at secrets first. 

Secrets  are tactics abusers regularly employ to ensure a child will not disclose their criminal acts to someone else. Often, a threat is included with the instruction to keep a secret. In general, secrets are rarely positive, healthy, or encouraging. Research has identified 38 types of secrets that people tend to keep, ten of which are referenced in this Psychology Todayarticle. As you can see from the list, many are painful. Most secrets are intended to be kept forever. We do not say, “okay, I’m going to keep this secret for two weeks.” Breaking a secret can feel dangerous and very frightening. There are major consequences for telling a secret. If the secret is ever revealed, it involves as few people possible. 

Surprises  are those things that we do not want someone to find out about, yet. We throw surprise parties and purchase gifts that will be the ultimate surprise. Surprises are usually positive and exciting. We may tell someone to keep a certain gift a secret from someone, but what we really mean is that we want them to keep it a surprise. Surprises are temporary and time limited. When we share the surprise, we typically invite multiple people to participate. We do have to exercise some caution with surprises because abusers may provide a child with a surprise (a gift or special time together) and then instruct that the “surprise” must be kept a secret from their family and friends. While it may seem strange to say “let’s keep this a surprise” because we are accustomed to using the word secret, it is something we should challenge ourselves to implement.  

 The next time you and the kids make or purchase a birthday present for someone, let’s teach the kids that we are making a surprise and when that person’s birthday arrives, that is when we can tell/show the person the surprise we made. 

Private  things or privacy is fluid. When we were children, we had very little privacy. Someone put us in bed, someone helped us in the bathroom, and someone helped us get dressed. As we got older, our privacy increased. We began shutting the door when we used the bathroom. We were able to talk on the telephone without a parent being in the room. We could use the computer on our own. We begin to learn what conversations are appropriate for which environments. Privacy for children and teens is a privilege. Parents increase and decrease the amount of privacy allowed in order to balance freedom and independence with safety and discipline. Privacy includes who is allowed into our houses and our bedrooms. Clothing keeps some of our body parts private, exercising modesty. Privacy will look different in each family. 

Let’s empower our children by making a “No Secrets” rule in our families. Take away a tactic abusers use to control their victims and give that power to the children. Lift that burden of secrecy from a child’s arms so they do not grow weary and more frightened. 

Let’s challenge ourselves to use the appropriate terminology. Am I asking someone to keep a secret or a surprise? Is this something that should stay private, or can it be publicized? 

Most importantly, have regular, intentional, honest conversations about abuse with your child, encouraging them to always tell an adult when someone asks them to keep a secret.  

For more information, I encourage you to check out the Mama Bear Effect for more resources. 

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