VICTIM CONTACT IN NON-REPORTED SEXUAL ASSAULT CASES VERMONT SANE PROGRAM GUIDELINES PURPOSE This document and flow chart describes the procedure for contacting a sexual assault victim through the SANE program in non-reported (confidential) cases in the event of a DNA match between the patient’s evidence kit and the national DNA databank (CODIS, or Combined DNA Index System). OVERVIEW Victims who have experienced sexual assault can seek care at Vermont hospitals for a medicalforensic examination which includes evidence collection. Adult victims may choose to report the crime to law enforcement or they may choose to have the examination without reporting to police. Samples taken from the victim’s body as part of evidence collection are packaged in a Sexual Assault Evidence Kit following a chain of custody procedure to ensure the integrity of the samples. By having the kit collection, a victim will have any potential evidence preserved while she/he determines what next steps are in her/his best interest. The kit from a non-reported case is turned over to the law enforcement agency in which jurisdiction the assault occurred. The agency creates a case number for assault without a name associated with the report. The kit is transferred by the agency to the Vermont Forensic Lab (VFL). At the VFL the kit is processed and if there is any forensically useful biological evidence (specifically DNA) recovered, the evidence is entered into the national DNA databank—CODIS (Combined DNA Index System). Should there be a match between DNA from the kit and DNA already in CODIS, a mechanism for contacting the patient is required since the police do not have the patient’s name or contact information. The SANE is the link between the patient and law enforcement and can relay important information to the patient without requiring direct contact with the police. STEPS 1. Patient arrives at Emergency Department and request medical-forensic examination with evidence collection. a. If patient chooses to report event to police, patient signs Attachment A from the documentation tool which includes a consent allowing hospital to release copy of medical record and documentation tool from evidence kit. b. If patient chooses not to report event to police, patient signs Attachment A-1 from the documentation tool which does not include a consent to release information to the police. Final 12/17/2014 1 (The remainder of this outline refers to non-reported cases) 2. After the patient has been examined and cared for, evidence kit is sealed a. A mark is made on the “not reported” check box on the front of the box b. A large “X” is made in the check box square on the red sticker which says, “If this box is checked, this is a Confidential/Non-Reported Kit. Do not contact the patient directly. For communication about this kit, contact the SANE coordinator at 802.223.1302 X 111.” c. The kit is placed in a secure place following a chain of custody procedure and police, in which jurisdiction the assault occurred, are called to pick up the kit and transport it to the VFL. 3. The police department creates a case number for the kit and documents the kit number, then transports the kit to the VFL. 4. The VFL accepts the kit and examines the kit according to their procedures. 5. If suspect DNA is discovered, the VFL enters this information into CODIS and sends a report to the law enforcement agency notifying them of the finding. The reporting form has the same language as the kit regarding contacting the patient. 6. If there is a match in CODIS another report is generated by VFL to the police informing them of this information and with the same language regarding contacting the patient. 7. The police contact the SANE Program where the examination took place. They provide the kit number and the date of the examination and/or the date of the assault. 8. The SANE Program looks up the kit number and matches it to the patient’s medical record number. With this information, they can look up the patient’s demographics and call the patient. a. Contact with the patient could happen months or years after the original assessment. Care must be taken to protect the patient’s privacy and the SANE must anticipate that the patient may need some support when receiving this information. b. The SANE reviews that DNA found in the kit matches a person on the national DNA databank. c. The SANE explains that the police would be interested in speaking to the patient regarding this information and the previously unreported case. d. Police contact information is given to the patient. e. The patient can choose to make contact with the police or choose to remain anonymous. f. Contact information for local advocacy group should be given to the patient. Final 12/17/2014 2 arrives at hospital afterthe possible sexual assault. Patient chooses to have aPatient forensic kit done, but to keep kit confidential. Sticker on the Kit reads: “If this box is checked, this is a Confidential/non-reported Kit. Do not contact the patient directly. For communication about this kit, contact the SANE coordinator at 802.223.1302 x111” Patient chooses to have a forensic kit done, but NOT to keep the kit confidential. Police transfer the kit to the crime lab. Police should not see the contents of the kit. A case number is created based on the police jurisdiction where the assault occurred. Lab gives the case a #, but the Victim’s personal information is not affiliated with the kit. Kit is examined for biological evidence. If NO biological evidence is found, kit is returned to sending police department and patient will never be contacted regarding the kit. If biological evidence (DNA) IS found, DNA is run through CODIS. Kit is returned to sending police department. If and when there is a DNA match in CODIS (immediate or delayed) Victim will never be contacted. The VFL contacts the “responsible officer” for the case. Officer reads KIT sticker, contacts SANE Coordinator who provides guidance for contacting SANE SANE matches kit number with medical record number and makes contact with patient if able. SANE explains CODIS match and provides law enforcement contact information so that patient can make contact with them if she/he chooses. SANE provides advocacy information to patient. Final 12/17/2014 3