Transcript Mapping and Measuring the Mental Health Services Available

Mapping and Measuring the Mental
Health Services Available to
Survivors of Sexual Violence in NYC
Faculty:
Enrique Delamonica and Alberto Minujin
Students: Katia Araujo-Natt, Alexis Bourgeois,
Vishal Greenaway, Louisa Lippi,
Jessenia Pillasagua and Anna Williams
Alliance:
Debi Fry and Tamara Pollak
Alliance’s Research Question
What is the availability of crisis and post
crisis mental health intervention services
for survivors of sexual violence in NYC?
Goal of Class
Students learn to use quantitative
methods—including surveys—to answer
questions like the Alliance’s.
Survey Design
 59 question survey designed by the Alliance
covering the following domains:
General program information
Screening
Specific counseling services
Populations served
Staffing
Training needs
Survey feedback (debrief)
 Survey could be completed by any staff member
of the organization
Sampling
 Sampling Universe created from 3 main
sources:
NYS Office of Mental Health Licensed Outpatient
programs, (removed child-only services)
Current list of rape crisis programs in the Alliance’s
resource guide,
List of organizations receiving Crime Victims Board
(CVB) funding
Sampling universe consisted of 469 programs (some
organizations have multiple programs)
Sampling continued
Sampling Method
Convenience sample
Students filled out information on which
boroughs/neighborhoods they could travel to
conduct interviews
Each student given a list of 10 organizations from
sampling universe.
Each student conducted between 3-5 interviews
from their list
This method undersampled organizations that are
further away from student’s location (Staten Island,
Bronx and Queens)
 Sampled 25 organizations
Key Findings:
General Program Information
 24% of sampled programs consider themselves
Rape Crisis Programs (based on definition)
 Accessibility
 92% of programs in this sample are wheelchair
accessible
16% of programs in this sample have TTD/TTY services
available
 52% of programs in this sample charge a fee for
services
 70% of programs in this sample can facilitate intake and
answer general questions in a language other than
English
Key Findings:
Screening
 More organizations screen for sexual violence
than domestic violence
Past vs. current victimization
# orgs. that Standard
ask standard
screening asked
questions
domestic violence vs
questions
byabout
organizations
about sexual violence
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Domestic violence
Sexual violence
Key Findings:
Screening Questions
If they answered yes to screening, survey
participants were asked to provide their
screening questions:
 (see handouts)
Key Findings:
SV Intervention Services
68% programs in this sample offering
short term, individual, in-person rape crisis
counseling,
84% programs in this sample offering long
term individual psychotherapy
76% programs in this sample offering long
term, group psychotherapy
Populations Served:
Adolescents
Confidentiality
Service providers lacked standard protocol
Question seemed hostile to interviewee
Populations Served:
Undocumented Immigrants
 ALL of programs in this sample provide
confidential counseling services to
undocumented immigrants (except federal
services)
 70% (17 of 25) of programs in this sample
provide crisis counseling in a language other
than English
 Top four languages after English:
 Spanish (80%)
 French ( 24%)
 Creole (16%)
 Hindi (16%)
Populations Served
 Programs in this sample serve more women
than men
Men
39%
Women
61%
Key Findings:
In-house services
Services offered in-house
Services offered
on-site at surveyed clinics
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Nonemergency
health
services
Emergency
health
services
Shelter
Substance
abusing
programs
Psychiatric
assesment
and
medication
Inpatient
services
Legal
advocacy
Rape crisis
counseling
Child abuse
counseling
Key Findings:
Additional training
Organization
in recieving
additional
trainingof sexual violence
Organizations interested
in more interested
training around
caring
for survivors
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
No
Yes
Debriefing the Survey
Survey was very comprehensive
Overall, the terminology was appropriate
 Linkages/referral between various service
providers was important
Need up-to-date and accurate information
Scaling Up:
Full mapping of NYC services
 Launching a citywide survey will help improve
services for victims of sexual violence by:
Creating a comprehensive resource guide
Detecting gaps in services
Assessing training needs for community mental
health professionals
Recommendations for Accomplishing Full
Mapping of NYC Services: Budget Lines
Use of Survey:
- Extent of the survey coverage and method of
survey will depend on resources
- Face-to-face vs. on-line
Budget Lines:
- Research Assistants to conduct survey, enter data
and update resource guide accordingly
- Travel expenses (Metrocards)
- Printing
- Bound copy of survey for interviewees
Thank You!
Questions?