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Taiwan’s “One-Stop Service” for Victims of Sexual Assault: Experience with a Hospital- Based Model for Integrated Client-Centered Care Cho, Chun-Ying Associate Professor Department of Social Work Chang Jung Christian University
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Background Promotion of gender equality and the elimination of discrimination against women: Millennium Summit of the UN 2000. Taiwan’s Sexual Assault Crime Prevention Act
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History of Taiwan’s Sexual Assault Crime Prevention Act Prior to 1994, sexual assault was regarded by the Taiwanese legal system as a general crime The 1996 murder-rape of Peng Wan-ru, director of Women’s Affairs for the Democratic Progressive Party In January 1997, Sexual Assault Crime Prevention Act Provisions for services for victims and relocation of offenders
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Sexual Assault: A Grossly Underreported Crime “Client-Centered” Service: Making It Easier for Victims to Report Sexual Assault From 2008 to 2012, the number of reported cases of sexual assault increased from 8,521 to 15,102/year (annual growth rates > 10%) Official number of sexual assaults is much lower than the actual number The main cause of underreporting: victims fear a long process of repeated interrogations “Client-centered” service model is essential
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Taiwan’s “One-Stop Service” for Victims of Sexual Assault: A Hospital-Based Model for Integrated, Client-Centered Care “One-stop service" for victims of sexual assault brings together police, medical professionals, and social workers in a hospital setting. Efficiently brings together professional expertise from the fields of medicine, law enforcement, and social work.
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1. “Sexual Assault Prevention Centers” lead to the development of a hospital- based model In 1997, Taiwan passed the "Sexual Assault Crime Prevention Act" In 1998, the author persuaded Chang Gung Memorial Hospital to provide space for a "Sexual Assault Prevention Center" Although Kaohsiung County was the last to set up a "Sexual Assault Prevention Center," its Center was recognized as a model for other local governments.
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2. Sexual Assault Response Stations at Designated Hospitals (not permanently staffed) Limited manpower and transportation difficulties for victims in locations: “single-station, multistage service” To give victims a greater sense of security First in Taipei and Kaohsiung in 2010; Kaohsiung County later
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victims policejustice Social worker medical One-stop Service Team
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Operating Procedures Taipei Sexual Assault Prevention Center Police Hospital-Based Response Station Sexual Assault Prevention Center Client-Friendly Room 1. Physician conducts medical examination and collects evidence 2.Hospital staff hand evidence over to police The victim’s statement is transcribed in the client-friendly room Ordinary transcript Slow-speed transcript Prosecutor goes to the hospital to visit the victim Prosecutor verifies the transcript by fax Prosecutor makes an appointment to interview the victim
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Client-Friendly Examination Room: Décor and Equipment
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“One-Stop Service” for Victims of Sexual Assault: Evaluation The hospital-based “Sexual Assault Prevention Center” established for Kaohsiung County in 1998 Drew wide praise raised the percentage of sexual assault victims to bring suit After a switch in 2010 to a “Single-Station, Multistage” model, more hospitals were recruited as response centers and the service network was significantly expanded In Taipei and Kaohsiung, 90% satisfied
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Conclusions Services for victims of sexual assault must be given greater attention. Services should be comprehensive in nature, delivered through a single portal, have a client- centered design, and be linked to a network that allows for an integrated team response. The service environment should ensure the dignity of victims and provide them with a sense of security.
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Recommendations for Future Improvements Increase the percentage of sexual assault victims making use of services Improve police techniques for the collection of evidence Teach medical units How to maintain the quality of medical examinations Concepts of victim protection Work to clarify the division of labor between hospital social workers and the staff of the SAPCs Push for judicial reforms
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