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Category Professional Insights & Experiences

A Day in the Life of a Counselor at a Child Advocacy Center

by brian in Professional Insights & Experiences, SAFETY

A Day in the Life of a Counselor at a Child Advocacy Center

Kendall Circle Headshot

By Kendall Wolz
Mental Health and Wellness Manager at Mosaic Georgia

When I was in graduate school, I regularly heard my peers talk about their dreams of owning a private counseling practice, working in a school system with students, or working on a behavioral health unit of a hospital. I do not recall anyone talking about opportunities to work as a therapist/counselor at a Child Advocacy Center.

A Child Advocacy Center (CAC) is a child-friendly, safe and neutral location where law enforcement and other investigators conduct and observe forensic interviews with children who are victims of crimes. The center is also a place where children and non-offending caregivers receive support, crisis intervention, and referrals.

Working as a therapist/counselor at a Child Advocacy Center is a unique opportunity that requires dedication, patience, and a willingness to walk with people through their significant traumatic experiences. Some days are filled with sadness for the child who has been hurt, outrage at systems and policies that still fail children, and anger towards perpetrators that have grossly harmed little ones. Amid the hard days, there are many glimmers of hope and celebrations. Our “why” reignites when we hear how a child effectively managed a trauma trigger using coping skills practiced in session. Our hearts are filled with joy when a child completes their trauma narrative signifying, they are ready to graduate from therapy. Each time a child shows up to session, willing to do the work of therapy, we are reminded of the resilience and strength children possess.

So, what is a day like for a therapist/counselor at Mosaic Georgia?

We rarely have two days that look the same in a given week at Mosaic Georgia. Our therapists manage a caseload of individual clients and schedule weekly sessions with each of them. We also facilitate various support groups during the week for non-offending caregivers and adult survivors of sexual trauma.

We participate once a month in multi-disciplinary team (MDT) meetings which allow us to interact with our partner agencies to ensure the clients we serve are receiving the assistance they need. Child Advocacy Centers work within a multi-disciplinary team of law enforcement, child protection agencies, district attorney’s offices, and other organizations involved in cases where child maltreatment has been disclosed. Multidisciplinary teams are integral for trauma-informed responses to children and their families. One way the MDT serves children and their families is that the intergroup communication prevents a child from having to tell their story multiple times to each agency involved in the response.

Our team of therapists/counselors also provide crisis counseling intervention when a child or adult comes to the center and needs immediate mental health support. Between sessions with clients, leading support groups, and meeting with the rest of the Mosaic Georgia staff and partner organizations, our team is busy building treatment plans for clients, attending trainings to increase awareness of best practices, and building resources for clients and the community.

Did you know that there are 47 Child Advocacy Centers in Georgia?

Throughout the United States there are Children’s Advocacy Centers providing critical services to children and families after outcries of abuse. If you know someone pursuing a career in the mental health field, I encourage you to share with them and make sure they are aware of the opportunity to provide therapy/counseling to children at a Child Advocacy Center.

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Someone’s Gotta Say it- Insights from 30 Years at the Forefront of Medical Care for Victims of Sexual Harms

by Susan Nerenbaum in Professional Insights & Experiences, Uncategorized

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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SANE Spotlight: Remember the SANEs during National Nurses Week

by brian in HEALTH, Professional Insights & Experiences

SANE Spotlight: Remember the SANEs during National Nurses Week

By Marina Sampanes Peed
Executive Director of Mosaic Georgia

Mosaic Georgia SANEs in action. From left to right: Melissa Drinkard, Kathy Carter, Teresa Bullard

As National Nurses Week is upon us, we call attention to a small but mighty forensic nursing specialty: Sexual Assault Nurse Examiners (SANEs). SANEs are specially trained registered nurses who provide compassionate care to survivors of sexual violence including assault, abuse, and sex trafficking.

The SANE practice is at the intersection of health care and criminal investigation. Their patients are both people and evidence. They collect evidence, document injuries, and provide treatment and support to survivors in a way that is trauma-informed and respectful. When cases proceed to court, SANEs are often called to testify in proceedings.

Kathy Carter, director of Forensic Medical Services, is often asked why she chose to practice as a nurse in such a difficult specialty. Kathy shares her Why: “While I cannot end sexualized violence, I can offer trauma informed care to patients after an assault or on-going abuse which promotes a feeling of safety, empowerment and healing. This level of care can make a HUGE difference in the trajectory of the patient’s journey.”

Victims of sex crimes are more likely to report the assaults and participate in investigations after receiving trauma-informed care from SANE and advocates. Like all people who seek medical care, the experience is more effective when the care providers lead with listening and believing.

Mosaic Georgia was the first Sexual Assault Center in Georgia to develop the community-based SANE/medical forensic program. In 1993 (then Gwinnett Rape Crisis), we treated our first patient/victim of rape in our center. Over the last 30 years, our SANEs have provided more than 6,000 medical forensic exams to people ranging in age from 3 months to 90 years. The medical care is enhanced with victim and family advocacy, mental health services, and other supports in one location.

To respond to calls 24/7, the community relies on committed SANEs who go on-call after hours and weekends and respond to our center when needed. These are special people. If you meet a SANE, let them know you appreciate their dedication.

Mosaic Georgia’s SANE Success Institute professional education, peer review, and an online community for SANE practitioners. It is a lively forum of support and connection for SANEs across Georgia and nearby states. For more information, https://www.mosaicgeorgia.org/education-training/

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The Bigger Picture of Recovery: Working with CSEC Clients 

by miguelm in Awareness & Education, Professional Insights & Experiences, Support & Healing, Uncategorized

The Bigger Picture of Recovery: Working with CSEC Clients 

 

Spring is in the air and Mosaic Georgia is ready! The weather is gradually warming up. COVID-19 vaccines are rolling out to our friends and neighbors. It feels like there’s FINALLY light at the end of the tunnel!  While we’re looking forward to “springing” into this new season, we are also eager to engage in more work with a very important group of youth we serve: CSEC clients. Back in October we had the privilege of joining CACGA (Child Advocacy Centers of Georgia) in providing human trafficking intervention services (1-866-ENDHTGA).  But what happens next? What exactly is involved in working with CSEC clients?

When we welcome CSEC victims, we are receiving referrals directly from CACGA or law enforcement. This means that these youth either have experienced or are at high risk of experiencing trafficking or exploitation. Mosaic Georgia’s CSEC response includes a lot of communication and coordination with the youth’s non-offending parent/caregiver, law enforcement, and other state agencies involved with the youth.

Upon arrival, youth are met by our CSEC response team who create a calm environment and get to know the youth and explain why they are at Mosaic Georgia and the next steps. An assessment process begins to better understand the youth’s life circumstances. Our CSEC assessment  may include gathering history, a forensic interview, a medical exam, and advocacy to determine if the commercial sexual exploitation has occurred.

Mosaic Georgia coordinates a Multi-Disciplinary Team (MDT) approach for each youth, based on their circumstances to ensure they don’t fall through the cracks. The MDT is comprised of government partners including law enforcement, and may include DFCS, juvenile court, Guardian Ad Litem, and Mosaic Georgia’s specialists in medical, counseling, legal, and advocacy. This collaborative approach improves law enforcement investigations of perpetrators, raises issues that may not otherwise be expressed, and maintains a focus on the best interests of the child/youth. The CSEC Advocate learns of plans in place or forthcoming resources from partners that inform the youth’s action plan.

After assessment and review by the MDT, the youth and their CSEC Advocate collaborate together on a plan of action, to improve their safety, reduce future risk and move forward from trauma. Plans may include basic life essentials, support for the parent/guardian, education supports, probation or juvenile court issues, mental health and life skills counseling. It’s important to remember that commercial sexual exploitation of a child is traumatic for both the client and their family. CSEC Advocates are dedicated to working with the client’s families as well and connecting them with tangible resources to support health and healing.

In 2020, we began working with eight youth who were sexually exploited for commercial purposes. Surviving trafficking is a long journey. There is no time frame to how long we work with CSEC clients.

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