VA Health Care: Actions Needed to Prevent Sexual Assaults and Other Safety Incidents
DIANE Publishing, Jul 10, 2011 - 78 pages
Changes in patient demographics present unique challenges for the Dept. of Veterans Affairs (VA) in providing safe environments for all veterans treated in VA facilities. This report examined whether or not sexual assault incidents are fully reported and what factors may contribute to any observed underreporting, how facility staff determine sexual assault-related risks veterans may pose in residential and inpatient mental health settings, and precautions facilities take to prevent sexual assaults and other safety incidents. The report reviewed relevant laws, VA policies, and sexual assault incident documentation from Jan. 2007 through July 2010 provided by VA officials and the VA Office of the Inspector Gen. (OIG); reviewed portions of selected veterans' medical records at five judgmentally selected VA medical facilities chosen to ensure the residential and inpatient mental health units at the facilities varied in size and complexity; and spoke with the four Veterans Integrated Service Networks (VISN) that oversee these VA medical facilities. Tables. This is a print on demand report.
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2007 through July analysis of 2007 assault incidents reported biopsychosocial assessments clinicians command and control computer-based panic alarms control center CWT/TR definition of sexual Deputy Under Secretary ensure facilities we visited five medical facilities forceful medical examinations Health for Operations incidents that occurred inpatient mental health issue briefs leadership officials legal history information management reporting stream medical facility staff medical facility’s medical records mental health units monitoring number of sexual nursing stations Operations and Management oral sex panic alarm systems personal panic alarms physical security precautions police command police files police reporting system portable personal panic potential felonies prevent sexual assaults programs and inpatient reporting sexual assault reports of sexual residential and inpatient residential programs Secretary for Health selected medical facilities Selected VA Medical sexual assault incidents sexual assault-related risks specific VA medical facilities Veterans Health Administration veterans may pose VHA Central Office VHA Office VHA’s women veterans