{"title":"Exploring Ways the Youth Court System Can Address Youth Mental Health and Reduce Youth Offending: A New Zealand Comparative Study.","authors":"Jemma Stephens, Helen Butler, Terryann C Clark","doi":"10.1097/JFN.0000000000000552","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000552","url":null,"abstract":"<p><strong>Background: </strong>Changes to New Zealand's Oranga Tamariki Act in 2019, saw 17-year-olds moved from adult to youth jurisdiction. This study described mental distress experienced by 17-year-olds appearing in Youth Court compared to their high school peers.</p><p><strong>Methods: </strong>Seventeen-year-olds in the youth justice (YJ) system between 2019 and 2021 were compared to 17-year-olds in the Youth19 survey (Y19) by demographic characteristics, types, and prevalence of mental distress.</p><p><strong>Results: </strong>YJ 17-year-olds experienced greater exposure to family violence, parental separation, and child protection compared to their Y19 peers. Depressive symptoms (OR 10.5, p < 0.0001), suicidality (OR 7.8, p < 0.0001), and cannabis use (OR 3.2, p < 0.001) were significantly more common when compared to Y19, with Māori males disproportionately affected.</p><p><strong>Conclusions: </strong>Seventeen-year-olds in YJ experience elevated levels of poverty, trauma, and mental health distress. Criminalizing trauma and mental distress is preventable. Forensic clinicians must facilitate evidence-based culturally safe mental health and addiction rehabilitation as part of a crime prevention strategy.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144304109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Donna Scott Tilley, Eryn Adams, Mikayla Grosz, Macy Hartman
{"title":"Nonconsensual Condom Removal or Stealthing: A Case Study.","authors":"Donna Scott Tilley, Eryn Adams, Mikayla Grosz, Macy Hartman","doi":"10.1097/JFN.0000000000000551","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000551","url":null,"abstract":"<p><strong>Background: </strong>NCCR is a form of sexual violence that complicates the traumatic physical and emotional experience of sexual assault. Correlates to victimization include being a racial or sexual minority and being in nonexclusive, noncommitted relationships, or transactional relationships. Decreased confidence, guilt and worry, fear, depression, or a history of sexual abuse are correlates to being a victim.</p><p><strong>Aim: </strong>To present a case of nonconsensual condom removal (NCCR), also known as stealthing, in a 25-year-old transexual male sexual assault patient.</p><p><strong>Case summary: </strong>A 25-year-old transexual male, hereafter known as AK, presented to the emergency department (ED) requesting to be seen by a sexual assault nurse examiner (SANE). The partner put the condom on; during sex, AK could see that the condom was no longer in place. He asked the man to stop but was ignored. Thoughtful care was given during the exam, with attention to patient preference about use of a speculum. Prophylactic treatment for sexually transmitted infections, human immunodeficiency virus, and pregnancy were indicated and given. Follow-up care with an advocacy agency was provided. Research, policy, and practice must be developed to address this increasingly common practice.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Healthcare Experiences, Perspectives, and Recommendations From Sex Trafficking Victims and Survivors: A Scoping Review.","authors":"Isabella Reitz, Rujuta Takalkar, Cathleen Huang, Ananya Pappu, Juliana M Kling","doi":"10.1097/JFN.0000000000000553","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000553","url":null,"abstract":"<p><strong>Aims: </strong>To synthesize healthcare experiences of victims of sex trafficking, identify common challenges, and inform improvements for healthcare.</p><p><strong>Methods: </strong>Using Arksey and O'Malley's framework and the PRISMA-ScR checklist, we reviewed CINAHL, Embase, and PubMed databases for studies published between 2010 and 2024 involving interviews with trafficked individuals and were categorized for thematic synthesis.</p><p><strong>Results: </strong>Of 155 articles, 16 met inclusion criteria, and involved 669 people who had experienced trafficking. Participants across studies identified reasons for and barriers to seeking healthcare, and their perceptions and recommendations about clinicians' attitudes, law enforcement, and recognizing trafficking. Participants emphasized the need for better clinician training, stronger policies, greater patient autonomy, and a more supportive clinical environment.</p><p><strong>Conclusions: </strong>Gaps persist in healthcare for trafficked individuals. Collaboration among healthcare workers, especially forensic nurses, is essential, along with enhancing trauma-informed interventions and closing gaps in quality care.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Disturbing the Sound of Silence With Forensic Nursing Courage: Erratum.","authors":"Carolyn M Porta","doi":"10.1097/JFN.0000000000000556","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000556","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing Follow-up Care of Sexually Assaulted Children: Outcomes of a Forensic Nurse Care Coordination QI Initiative.","authors":"Mary Smith, Sandra P Spencer, Antonia Chiesa","doi":"10.1097/JFN.0000000000000546","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000546","url":null,"abstract":"<p><strong>Background: </strong>Nurse care coordination for children and adolescents experiencing acute sexual assault is rarely done but could yield positive outcomes. Demonstrating the value of forensic nurse care coordination (RNCC) is challenging: No benchmarks or metrics existed to measure the impact of RNCC on patient care or outcomes. Hours could be tracked, contact attempts could be tallied, but evaluating the value and outcomes of a forensic RNCC was lacking.</p><p><strong>Methods: </strong>Using quality improvement (QI) methodology, we identified measures to quantify the impact of care coordination by a forensic nurse for pediatric and adolescent patients who had experienced acute sexual assault. Measures included attending follow-up clinic, obtaining follow-up labs at 6 weeks and 3 months post-assault, and patient concordance with an established clinical care follow-up pathway. We implemented the forensic RNCC between October 2022 and June 2023, with pre- and post-QI intervention chart review to establish baseline and post-QI outcome measures.</p><p><strong>Results: </strong>The forensic RNCC role was successfully implemented. All measures demonstrated improvement from pre- to post-intervention. Clinic follow-up increased from 70% to 98% of patients. Patients obtaining screening labs 6 weeks post-assault increased from 53% pre-intervention to 92% post-intervention. The pathway recommends patients obtain labs 3 months post-assault as well, and we saw an increase from 67% to 89% of the post-intervention group obtaining labs at 3 months. Overall concordance to the system's evidence-based clinical care pathway increased from 45% to 83% of the post-intervention group.</p><p><strong>Conclusions: </strong>This QI initiative achieved measurable improvement in patient care and outcomes by leveraging the expertise of a forensic RNCC.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camille Brown, Julianne Pekala, Barbara J McMorris, Knoo Lee, Emily Singerhouse, Lauren Martin
{"title":"School Nurse Perspectives on Interventions Supporting Youth at Risk for or Experiencing Sex Trading.","authors":"Camille Brown, Julianne Pekala, Barbara J McMorris, Knoo Lee, Emily Singerhouse, Lauren Martin","doi":"10.1097/JFN.0000000000000548","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000548","url":null,"abstract":"<p><strong>Background: </strong>School nurses work in interprofessional teams to identify and care for youth involved in commercial sex trading. However, the school nurse role in the care of these youth is not well documented despite evidence suggesting youth who trade sex are attending U.S. public schools.</p><p><strong>Study aim: </strong>To describe licensed school nurses' (LSNs) perspectives on interventions implemented to support youth who trade sex in Minnesota.</p><p><strong>Methods: </strong>Twenty-one LSNs participated in an online focus group discussing their role in the support of youth who trade sex. Thematic analysis was used to identify and synthesize details about the interventions described.</p><p><strong>Results: </strong>Four themes were identified: independent nursing interventions, collaborative interventions, barriers to intervention, and suggested support for improved intervention.</p><p><strong>Conclusions and implications: </strong>School nurses rely on developing positive relationships with students, school staff, and community partners to intervene with youth who trade sex. Such relationships can facilitate identification of sexually exploited youth and may promote trauma-informed care when youth seek care from forensic nurses. Collaboration between forensic and school nurses is a promising yet underutilized school-based intervention for youth who trade sex.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Influencing Intention to Use Mental Health Services among Persons in Custody in South Korea.","authors":"Joonyeong Lee, Moonhee Gang","doi":"10.1097/JFN.0000000000000547","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000547","url":null,"abstract":"<p><strong>Purpose: </strong>To identify factors influencing the intention to use mental health services by persons in custody.</p><p><strong>Methods: </strong>Two hundred and three adult male and female persons in custody in South Korea completed a written questionnaire. Data were collected between May 1 and October 31, 2023. Descriptive statistics, t-tests, ANOVA, and multiple regression were completed.</p><p><strong>Results: </strong>Regression analyses indicated that mental health literacy (ß = 0.20, p = 0.003), social support (ß = -0.15, p = 0.018), and the need for mental health services (ß = 0.16, p = 0.021) were significant factors contributing to intention to use mental health services (F = 11.12, p < 0.001).</p><p><strong>Conclusion: </strong>To increase use of mental health services, it is essential to assess what persons in custody need, identify health literacy levels and tailor information as needed, and establish mental health systems that connect to social resources.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Duncan Stewart MacLennan, Gerri Lasiuk, Diane Kunyk, Maria Mayan
{"title":"Pain During Incarceration: Searching for Safety in Hypermasculine Correctional Settings.","authors":"Duncan Stewart MacLennan, Gerri Lasiuk, Diane Kunyk, Maria Mayan","doi":"10.1097/JFN.0000000000000514","DOIUrl":"10.1097/JFN.0000000000000514","url":null,"abstract":"<p><strong>Introduction: </strong>Hypermasculine prison culture produces hierarchies based on individuals' ability to assert dominance through strength and violence. Pain can impact physical strength, thereby limiting the ability to elevate or maintain social status within such hierarchies.</p><p><strong>Aim: </strong>The aim of the study was to explore the pain experiences of incarcerated men who were embedded into hypermasculine prison culture.</p><p><strong>Methods: </strong>Interpretive description co-positioned with relational ethics informed the study design. Twelve males participated in 1-hour interviews, which were transcribed verbatim and analyzed inductively to identify themes. The data analysis occurred in three phases: sorting and organizing, making sense of patterns, and transforming patterns into findings.</p><p><strong>Results: </strong>We found that correctional settings were characterized by a social culture of toxic hypermasculinity that influenced the pain experiences of people who were incarcerated. Individuals who experienced pain were more vulnerable to self-isolation in situations in which pain threatened their ability to defend themselves and their previously established social status within the prison hierarchy. Yet, those who felt secure in subordinate hierarchical positions and had effective peer relationships perceived greater safety in communal settings, which proved to be a distraction from pain.</p><p><strong>Conclusion: </strong>In the context of incarceration, positive peer relationships and perceptions of safety positively influenced individuals' experience of pain.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":" ","pages":"114-119"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142335246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Child maltreatment data after implementation of hospital-wide protocol and sexual assault forensic examiners.","authors":"","doi":"10.1097/JFN.0000000000000550","DOIUrl":"https://doi.org/10.1097/JFN.0000000000000550","url":null,"abstract":"","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"21 2","pages":"E41"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trauma-Related Shame: An Evolutionary Concept Analysis.","authors":"Lisa M Laughlin","doi":"10.1097/JFN.0000000000000527","DOIUrl":"10.1097/JFN.0000000000000527","url":null,"abstract":"<p><strong>Background: </strong>Feelings of shame after interpersonal assault directly impact survivor well-being. Although the concept of trauma-related shame has been well defined and applied in psychology, the direct application to nursing care for victims of sexual assault is unclear.</p><p><strong>Objective: </strong>The aim of this study was to perform an interdisciplinary concept analysis to clarify and synthesize the concept of trauma-related shame as it relates to interpersonal assault.</p><p><strong>Method: </strong>A multidisciplinary literature search was conducted using the term \"trauma-related shame.\" Article titles and abstracts were reviewed for significance to interpersonal assault. Rodgers' evolutionary method of concept analysis was used to identify attributes and related concepts and also clarify the contextual basis of trauma-related shame.</p><p><strong>Results: </strong>The search resulted in 150 articles, 15 of which met the specified inclusion criteria. Fourteen of the selected articles were research studies, and one was a systematic review. A thematic analysis was used, and two attributes were identified: self-devaluation and self-isolation. An experience of trauma, fear, multivictimization, preexisting shame, low self-esteem, stigmatized events, and negative reactions from others were identified as antecedents. Finally, when reviewing for consequences, anxiety, depression, posttraumatic stress disorder, acute stress disorder, distress, poor health outcomes, social withdrawal, and suicidal tendencies were identified as common themes.</p><p><strong>Conclusion: </strong>This concept analysis is a first step in the further development and implementation of trauma-related shame in nursing. It will be vital to the provision of holistic care for the profession to conduct research and publish literature related to shame for survivors of interpersonal traumatic events.</p>","PeriodicalId":94079,"journal":{"name":"Journal of forensic nursing","volume":"21 2","pages":"104-113"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}