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How To Handle A Rape Crisis

Rape Crisis Checklist & Help:

Rape Center Hotline Links 

Defining Sexual Assault

First Steps If You've Just Been Sexually Assaulted

Female Victims
Child Victims
Male Victims

Reporting to Law Enforcement
What Happens in a Rape/Medical Exam


About Date Rape Drugs & Alcohol
After The Assault - Common Reactions
Ways to Take Care of Yourself

How To Protect Yourself Against Sexual Assault

"....nearly one out of every seven adult women,
 or about 340,000 women in
 Massachusetts, has been the victim of forcible rape sometime in her lifetime."*

*Rape In Massachusetts: A Report to the State - Prepared by the Violence Against Women Prevention Research

Officer Richard Gilchrest
Rape Specialist Consultant


                                                        
Defining Sexual Assault

Legally defined, a sexual assault is sexual relations against a person's will and without consent committed by a stranger, date, friend, partner, spouse or casual acquaintance and may included aggression, control, and/or power inequality.  Most people only think of Sexual Assault as rape or coerced and/or forced sexual intercourse, sometimes with added physical violence.  Sexual Assault may also include: unwelcome, non-consensual jokes, voyeurism ("Peeping Tom"), exhibitionism, undisclosed sexual photographing or videotaping, forced touching in a sexual manner and/or forcing someone to engage in unwanted sexual touch. Adult sexual assault/abuse can be male on female, male on male, female on female, or female on male and can happen to anyone regardless of race, socio-economic status, sexual preference, age or gender. 

You are not to blame, even if you have been sexually intimate with that person or with others before. You were drinking or using drugs. You froze and did not or could not say "no". You were unable to fight back physically.  You were wearing clothes that others may see as seductive. 

 

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 First Steps If You've Just Been Sexually Assaulted

  1. Get to a safe place.
  2. Contact the police (911), a friend, family member or a Rape Crisis Center to help you.  Rape Center Hotline Links 
  3. DO NOT change your clothes, bathe, shower, douche, comb your hair, go to the bathroom, drink, eat, smoke, brush your teeth or gargle, before you go to the hospital or see a doctor.  (Please see: What Happens in a Rape/Medical Exam)
  4. Be sure to get Medical Attention.  You may have hidden injuries that a doctor will need to check and you may need to inquire about preventing pregnancy or sexually transmitted diseases.
  5. Write down everything that happened to you.  This journaling can help with your own healing process and will provide written information for any legal action you may decide on later.  
  6. Being Sexually assaulted is never your fault even if your attacker was your spouse, date, friend or an acquaintance.

 

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Female Sexual Assault/Abuse 

Whether you choose to report your assault or not, seek immediate medical attention.  The medical exam is conducted for your protection.

Timing is very important and should be performed immediately after the assault, but can be performed up to 72 hours after, while the evidence is still able to be collected. IMPORTANT:  DO NOT change your clothes, bathe, shower, douche, comb your hair, go to the bathroom, drink, eat, smoke, brush your teeth or gargle, before you go to the hospital or see a doctor.  Bring a change of clothes to wear home after the exam as your clothing may be sealed as evidence.  If you have already changed your clothes, place the worn clothing in a paper bag to take to the hospital.  A description of the assault will help the physician with the rape exam.  It may also be used as evidence if there is a prosecution.  (Please see: What Happens in a Rape/Medical Exam)

  • Emotional shock, disbelief or denial
  • Feelings of powerlessness and/or helplessness
  • Why me? Confusion
  • Shame and/or embarrassment
  • Anxiety/panic attacks
  • Anger
  • Guilt or embarrassment
  • Depression
  • Hysteria or extreme calm
  • Excessive lethargy 
  • Sleeplessness
  • Nightmares/reliving the event
  • Bed wetting
  • Stomach aches/headaches not previously present
  • Obsessive/compulsive behavior
  • Excessive movement
  • Disorientation
  • Muscular tension
  • Nausea
  • Loss of appetite or overeating
  • Lack of concentration
  • Flashbacks
  • Feeling overwhelmed or dirty
  • Difficulties being intimate with their partner
  • Fear of telling family and friends
  • Fear of being blamed for the attack
  • Fear that you are secretly to blame for the attack
  • Fears of being left alone
  • Fear of being around men
  • Fear of not being believed it wasn't their fault
  • Fear that no one will "ever love them" if they knew
  • Fear of pregnancy and/or sexually transmitted diseases
  • Religious issues

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Child Sexual Assault/Abuse

Child Sexual Assault/Abuse is any situation in which an adult or someone significantly older than the victim threatens, forces, or manipulates a child into sexual activity including:  inappropriate touching, sexual contact, including through clothing:, sexual intercourse, exposing one's sexual organs in an  inappropriate manner, engaging in activities related to child pornography, child prostitution, permitting, encouraging or forcing a child to watch sexual activities of others, allowing others to sexually abuse/exploit a child; encouraging or forcing a child to engage in sexual activity with any person or with animals; or other sexually explicit conduct.  Many offenders take advantage of their position of trust and/or authority and don't need to use physical force with children.  

Children are usually assaulted by an acquaintance, a family member or other care-taking adult.  Children are often coerced into sexual activity by their assailant, and are manipulated into silence by the assailant's threats and /or promises and their own feelings of guilt. 

  Approximately 1 in 4 females and 1 in 7 males are reported to have been sexually abused by the age of 18.

 Several indicators of possible abuse include:

  • Withdrawn or aggressive behavior
  • Inappropriate sexual behavior
  • Inappropriate sexual knowledge for age
  • Self-destructive behavior
  • Excessive fears, hysteria
  • Problems with peers
  • Difficulties at school
  • Poor self-esteem / lack of confidence
  • Chronic depression
  • Suicide attempts
  • Torn, stained or bloody underclothing
  • Pain or itching in the genital area
  • Difficulty walking or sitting
  • Bruises and/or bleeding in external genitalia
  • Venereal disease
  • Frequent urinary or yeast infections
  • Threatened by physical contact or closeness
  • Significant weight change
  • Eating disorder
  • Bed wetting

Having one or more of these symptoms does not necessarily mean that a child is being abused.

Children rarely talk about sexual abuse they are experiencing due to many factors, such as fear, shame, guilt or not having the vocabulary to be able to explain what has happened to them.    Develop a vocabulary for body parts with your child, so s/he will have the proper words to express what has happened to them.  Teach your child that their bodies belong to them and it's OK to say "NO".  Help your child learn the difference between good secrets and bad secrets.  If abuse does occur;  let your child know that you believe them and that it is not her or her fault that they were assaulted.  

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Male Sexual Assault/Abuse

 Men fall victim for the same reasons as women: they are incapacitated, coerced, and/or overwhelmed by threats of acts of physical and emotional violence.  It is a myth that gay men are more likely to perpetrate sexual assault on males.  The facts exist to support that perpetrators can be anyone.  In 98% of rape cases, rapists are heterosexual men. 24% of male victims of sexual molestation were victimized by females.  Sexual assault/abuse can be emotionally devastating because many victims may feel partially responsible .  Common response to male sexual assault/abuse will be many of the same reactions as females have as well as: 

  • Being confused about their masculinity
  • Being confusion about their sexual identity
  • Believe that help is only available for female victims
  • Fear that others will not believe them

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About Date Rape Drugs & Alcohol:

About 75% of men and 55% of women involved in acquaintance rape had been drinking prior to the attack.

ROHYPNOL ("ROOFIES") - The date rape drug Rohypnol, also commonly know as "roofies," "la rocha," or "roachies"  is a prescription sleeping medication that is illegal in the United States.  It is an odorless, colorless and tasteless tablet that dissolves quickly in liquid and can easily be slipped into a victim's drink without their knowledge.  An individual who has been slipped a "roofie" may appear to be very drunk, after drinking a small amount or no alcohol at all. The effects of "roofies" include: lowered inhibitions, impaired judgment, confusion, drowsiness, dizziness, lethargy, impaired motor skills and  memory loss while drugged such as temporary amnesia.  Serious complications, including coma and death, can occur if Rohypnol is consumed in high amounts and/or combined with alcohol.

GAMMA-HYDROXYBUTYRATE (GHB) - The date rape drug Gamma-Hydroxybutyrat (GHB), also commonly know as  "Georgia Home Boy" or "Grievous Bodily Harm," has never been approved for any medical uses in the United States.  While GHB is not currently listed as a federally controlled substance, it is illegal in many states to manufacture, possess or sell GHB.  Most GHB used today is "homegrown" by non-professionals in their homes thus allowing for significant differences in purity, concentration and potency, making its effects extremely unpredictable.  GHB is most commonly a clear, liquid that is colorless, odorless, with a salty taste.  It can be easily mixed into a drink.  The effects of GHB include: deep sedation, unconsciousness, nausea, vomiting, vertigo, acid burns, respiratory depression, respiratory arrest, seizures, coma and death.  

ALCOHOL - The impact of alcohol is frequently underestimated.  Drinking alcohol may put a person at a higher risk for sexual assault due to lowered inhibitions, uneven judgment, their perceptions becoming blurred, confusion, dizziness - impaired coordination/ motor functioning, memory loss, blackouts or unconsciousness, These effects can leave a person vulnerable to sexual assault, making one's ability to resist an attack lessened.  Some people may purposefully "feed" others alcohol before coercing of forcing sex in order to reduce their defenses.  People who consume too much alcohol and are alone, often become targets for individuals or groups of individuals who are "scouting" for a victim.

An individual cannot consent to sexual intercourse when intoxicated or drugged to the point that one cannot make, clear, rational decisions or has passed out.

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What Happens in a Rape/Medical Exam 

The rape/medical exam is conducted for your protection. Timing is very important and should be preformed immediately after the assault, but can be performed up to 72 hours after, while the evidence is still able to be collected. IMPORTANT:  DO NOT change your clothes, bathe, shower, douche, comb your hair, go to the bathroom, drink, eat, smoke, brush your teeth or gargle, before you go to the hospital or see a doctor.  Bring a change of clothes to wear home after the exam as your clothing may be sealed as evidence.  If you have already changed your clothes, place the worn clothing in a paper bag to take to the hospital.  A description of the assault will help the physician with the rape exam.  It may also be used as evidence if there is a prosecution.  Even if you do not intend to prosecute, seek medical attention immediately. 

Common elements of a typical rape/medical exam?

  1. The medical professional will access any physical injuries.

  2. The medical professional will have you undress while standing on a clean white cloth.  The purpose of this is to allow the nurse or physician to note torn clothing, rips, tears, stains, moss, leaves, sand, or other foreign materials.

  3. All of your clothing will be put into separate paper bags and then sealed.  When you have undressed, any debris and the white cloth will be collected as evidence.  You will not get your clothes back while the case is being prosecuted.

  4. The Medical professional must complete the exam according to forensic protocol, which includes taking swabs, hair samples, fingernail scrapings, and a blood sample.

The last step will be the follow-up procedures for the medical and/or rape exam:

  1. Referral to a sexually transmitted infections (STI's) clinic or your private physician for repeat cultures in six weeks.

  2. Referral to a clinic or your private physician to test for pregnancy.

  3. Referral to a clinic or your private physician for an HIV test in 6 months.

  4. Follow-up examine on any other physical injuries, if needed.

Even if you choose not to have the rape exam, seeking a medical exam at any time after the assault is very important for your personal health.  If you think you may have been drugged, a free drug test is available and requires a urine sample within 72 hours of suspected drug ingestion.  This test will also screen alcohol, amphetamines, barbiturates, benzodiazephines, cocaine, GHB, marijuana, and opiates.  

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After Being Assaulted - Common Reactions

Common Reactions - Victims of sexual assault/abuse may experience a wide range of  various physical and emotional reactions to their trauma.  Individuals vary in the way they handle and cope with their victimization.   Some reactions may be triggered by people, places or things connected with the assault.  Other reactions may happen "out of the blue."  Most reactions are normal and temporary reactions to an abnormal event.  Some typical reactions include:

Common Emotional Reactions Common Physical Reactions
  • Emotional shock, disbelief or denial
  • Feelings of powerlessness and/or helplessness
  • Shame 
  • Embarrassment
  • Fears of being alone
  • Fear of being with men
  • Anxiety/panic attacks
  • Anger
  • Guilt
  • Fear that you are to blame 
  • Depression
  • Sleeplessness
  • Nightmares/reliving the event
  • Bed wetting
  • Stomach aches
  • Obsessive/compulsive behavior
  • Excessive movement
  • Disorientation
  • Hysteria or extreme calm
  • Muscular tension
  • Nausea
  • Loss of appetite or overeating
  • Lack of concentration

Being Sexually assaulted is never your fault.

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Ways To Take Care Of Yourself

  

 

  • Get support from friends and family or a rape support group to help you talk about and validate your feelings.

  • Disclose only the information that feels safe for you to reveal.

  • Reduce stress by practicing techniques like exercising, aerobics, yoga, massage, music, hot baths, prayer or meditation, etc. and/or, allow yourself quite moments when you think you need them.

  • Writing in a journal can be very therapeutic and is a way of expressing your feelings privately.

  • Write a detailed letter to your attacker or draw pictures to release some of your anger about how you still feel about the assault.   You can either send the letter or not but just the act of writing it will help release some of the emotional pain.

  • Remember that the rape is over and you are safe now.

  • Don't practice self blame, being sexually assaulted is never your fault.

 

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How to Protect Yourself Against Sexual Assault:

  • Clearly communicate your sexual limits to your partner
  • Trust your "gut feelings" about a person or place
  • Notice your own fears
  • Be cautious in a new place
  • Consider paying your own way on dates
  • Don't let someone into your home that you don't feel comfortable with
  • Be assertive about your wants and needs
  • Be very aware of your limits when drinking or using drugs
  • Open your own drinks and never leave them unattended
  • Do Not share or exchange drinks with anyone
  • Do Not drink from any container that is being passed around or an open punch bowl 
  • Choose drinks that you are familiar with and don't drink them if the have an unusual taste or appearance
  • Don't assume that anyone else is looking out for you or can protect you from harm
  • Practice caution and  moderation in all that you do.

Being Sexually assaulted is never your fault.

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Reporting to Law Enforcement

Even if you get a medical exam or a rape exam, you still do not have to report the sexual attack to Law Enforcement unless you want to.  If you seek medical attention, a  police report may be taken at the hospital or you may file a report with your local police department, if you choose.  

If you require medical or mental health treatment as a direct result of being a victim of a violent crime such as sexual assault/abuse, domestic violence or child abuse, you may be eligible to receive assistance from the Crime Victims Compensation Program. 

 

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RAPE CRISIS CENTER HOTLINES

Worcester County
(Worcester Area)
Rape Crisis Center of Central MA
799 Boylston Street
Worcester MA 01606
HOTLINE (800) 870-5905
Office (508) 852-7600
TTY/TDD (508) 852-7600

 

Worcester County
(Fitchburg Area)
Rape Crisis Center of Central Mass
275 Nicholas Road
Fitchburg MA 01402
HOTLINE (800) 870-5905
Office (978) 343-5683
TTY/TDD (978) 852-7600

 

Framingham Area Voices Against Violence
300 Howard Street
Framingham, MA  01702
HOTLINE (800) 593-1125
Office (617) 626-8686
TTY/TDD (617) 820-0834

 

North Shore North Shore Rape Crisis Center
156 Cabot Street
Beverly MA 01915
HOTLINE (800) 922-8772
Office (978) 927-4506
TTY/TDD (978) 921-8729

 

Greater Boston Area Boston Area Rape Crisis Center
99 Bishop Allen Drive
Cambridge MA 02139
HOTLINE (800) 841-8371
Office (617) 492-8306
TTY/TDD (617) 492-6434

 

Assabet Valley & /Blackstone Valley Wayside Blackstone Valley RC Program
10 Asylum Street
Milford MA  01757
HOTLINE (800) 511-5070
Office (508) 478-6888
TTY/TDD (508) 478-6275

 

 

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