Twice Harmed: A Descriptive Analysis of Illinois Crime Victim Compensation After Sexual Assault and Domestic Violence

IF 1.8 3区医学 Q2 SURGERY

Journal of Surgical Research Pub Date : 2025-03-24 DOI:10.1016/j.jss.2025.02.036

Ezra F. Moos , Charlotte Kvasnovsky MD, PhD , Rachel Nordgren PhD , Marion C. Henry MD, MPH , Carmelle Romain MD , Kylie Callier MD , Joy Ayemoba MD, MSc , Fatima Bouftas BS , Clarice Robinson MSW , Myles Francis BA , Carla Galvan BA , Franklin Cosey-Gay PhD, MPH , Tanya L. Zakrison MD, MPH , Phillip M. Dowzicky MD, MSHP

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引用次数: 0

Abstract

Introduction

Trauma centers are often the first access portal for victims of sexual assault (SA) and domestic violence (DV), with many requiring surgery or long-term follow-up. In Illinois, crime victim compensation (CVC) offers up to $45,000 to cover victim medical expenses. We hypothesized that CVC claims in Illinois following SA and DV result in significant delays, high rejection rates, and small rewards.

Methods

Illinois CVC data (2012-2024) was obtained via a Freedom of Information Act request. CVC data related to SA and DV, including claim types and awards, was compared between genders using descriptive statistics and the Wilcoxon rank-sum test. Award rates were compared to the most recent publicly available set of potential cases from 2012 to 2020.

Results

Of 46,792 CVC claims, 45.1% were for assault/battery. Females filed 18,657 claims, of which significantly more were for DV (18.8% versus 2.3%; P < 0.001) and SA (6.8% versus 0.4%; P < 0.001) compared to male claims. Median SA awards were similar for females and males ($947.7 versus $1079.4; P = 0.78). SA claims took a median of 272 ds (>8 mos) to process. In 2020, despite 4733 publicly-reported SA cases in Illinois, 113 (2.4%) SA-related CVC claims were filed with 14 (0.3%) awarded. SA and DV-related claims were most frequently denied for “failure to substantiate” across both genders (67.8% female versus 60.9% male).

Conclusions

CVC is underutilized to support SA and DV victims in Illinois. Frontline trauma providers should include CVC education and application assistance as part of wraparound care to better assist patients in their global injury recovery.

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导言创伤中心通常是性侵犯（SA）和家庭暴力（DV）受害者的第一入口，许多受害者需要手术或长期随访。在伊利诺伊州，犯罪受害者赔偿（CVC）最高可为受害者提供 45,000 美元的医疗费用。我们假设，在伊利诺伊州，SA 和 DV 后的 CVC 索赔会导致严重的延误、高拒绝率和小额赔偿。方法伊利诺伊州的 CVC 数据（2012-2024 年）是通过《信息自由法》申请获得的。使用描述性统计和 Wilcoxon 秩和检验对与 SA 和 DV 相关的 CVC 数据（包括索赔类型和赔偿金）进行了性别比较。结果在 46,792 起 CVC 索赔中，45.1% 涉及人身攻击/殴打。女性提出了 18,657 起索赔，其中 DV（18.8% 对 2.3%；P <；0.001）和 SA（6.8% 对 0.4%；P <；0.001）索赔明显多于男性。女性和男性的 SA 赔偿金中位数相似（947.7 美元对 1079.4 美元；P = 0.78）。赔偿申请的处理时间中位数为 272 天（8 个月）。2020 年，尽管伊利诺伊州公开报告的 SA 案件有 4733 起，但与 SA 相关的 CVC 索赔有 113 起（2.4%），其中 14 起（0.3%）获得了赔偿。在伊利诺伊州，与 SA 和家庭暴力相关的索赔最常因 "未能证实 "而被拒绝（女性为 67.8%，男性为 60.9%）。一线创伤医疗服务提供者应将 CVC 教育和申请援助作为综合护理的一部分，以更好地帮助患者进行全面的创伤恢复。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Research 医学-外科

CiteScore

3.90

自引率

4.50%

发文量

627

审稿时长

138 days

期刊介绍： The Journal of Surgical Research: Clinical and Laboratory Investigation publishes original articles concerned with clinical and laboratory investigations relevant to surgical practice and teaching. The journal emphasizes reports of clinical investigations or fundamental research bearing directly on surgical management that will be of general interest to a broad range of surgeons and surgical researchers. The articles presented need not have been the products of surgeons or of surgical laboratories. The Journal of Surgical Research also features review articles and special articles relating to educational, research, or social issues of interest to the academic surgical community.