Preventing Sexual Violence
An Educational Toolkit for Health Care Professionals
WEB VERSION

Introduction
What Is Sexual Violence?
How Do I Prevent It?
Overview of Web version

Tools

Conclusion


Sexual Violence Prevention Toolkit
Older Adolescent Visit Vignette Script

Focus:  Personal safety
Scenario:  Amy, an 18 year-old female freshman in college returns for a 3-day weekend visit in September and comes to the practice to get her third HPV shot

Green light
General assessment as part of visit; Amy has always been a good student and responsible, seems to be getting off to a good start at school; discussion about drug/alcohol use, personal safety as part of anticipatory guidance

Dr:                   Hi, Amy.  I understand you’re here for your 3rd HPV shot?
Amy:                Yep.
Dr:                   Did you have any problems with the last one?
Amy:                Well, it hurt like hell, but otherwise it was OK.
Dr:                   Alright.  We’ll get you set with that in a few minutes.  But first, I’d love to hear how school’s going.  I know you just started college.
Amy:                It’s good.
Dr:                   How are you getting along with your roommate?
Amy:                Pretty good.  It’s an adjustment, you know.  I’m used to having my own space.
Dr:                   Sure, and how’s the class work?
Amy:                It’s kinda hard.  It’s a lot more reading than high school, but I think I’m getting used to it.
Dr:                   What do you do to relax?
Amy:                I run most days, and I hang out in the dorm with my friends.
Dr:                   What do you guys do?
Amy:                You know, just hang out and watch DVDs ‘n’ stuff.
Dr:                   Is there any drinking?
Amy:                Yeah, I guess. 
Dr:                   How much do you drink?
Amy:                Not much.  I only drink on weekends and only just a couple drinks.
Dr:                   Do you ever get drunk or drink so much that you don’t know what you’re doing?
Amy:                No.  I don’t like to feel out of control like that.  I usually stop when I start to feel buzzed. 
Dr:                   Does anyone use drugs?
Amy:                Well, there are some guys down the hall that smoke a lot of pot, but none of my friends do.  I don’t either!
Dr:                   When you and your friends are drinking, how do you stay safe?
Amy:                You know me, I’ve always been careful.  I usually just have a couple drinks, and I try to look out for my friends too.  If we go to parties or anything, we don’t let anyone leave alone and we’re careful not to put our drinks down or anything.  Plus, no one ever drives – we mostly walk or take the campus shuttle.
Dr:                   It sounds like you’re being pretty smart about things.  However, I do want to mention what you certainly already know – that you aren’t old enough to drink legally yet. 
Amy:                Yeah, I know.
Dr:                   Well, I wouldn’t be doing my job right if I didn’t point out that there could be consequences from this.  You could get arrested or get in trouble with school.
Amy:                Yeah, I heard there was this guy who got kicked out of my dorm last year for underage drinking. 

Yellow light
Amy describes her new group of friends, who are getting her into some uncomfortable situations

Dr:                   Have any of your friends ever gotten so drunk that they’ve gotten into a risky or unsafe situation?
Amy:                Well, my roommate got really drunk a couple weekends ago and puked all over the room.  It was really gross.  And she didn’t remember that she almost went off with this random guy.  She’s lucky I was there to stop her.
Dr:                   How did you feel about that?
Amy:                Well, I was pretty pissed that I had to clean up after her.
Dr:                   I can certainly understand that!
Amy:                Plus, I’m not sure I can handle this if it keeps up.  I mean, it’s only September!
Dr:                   So what do you think you’re going to do?
Amy:                Well, it’s not only her.  It’s some other girls from my floor too.  They just like to party more than I do.  I guess I feel like I need to stop spending so much time with them.  I’ve started to go to this running club, and I’ve met a couple girls there who seem kinda cool.  One of them even lives on the floor below me.
Dr:                   That sounds promising.  Is there any way you can move down a floor?
Amy:                Maybe, I would have to talk to my RA. 
Dr:                   Well, if you can’t move down, are there other things you can do to get away from the situation on your floor when it gets out of hand?
Amy:                Well, I could go crash with the girl from my running club. 
Dr:                   Good idea.  Maybe you could set something up with her for when the need arises.

 

Red light
Amy reveals that at a recent party, a friend of a friend followed her into the bathroom and nearly raped her

Dr:                   I know you’re pretty careful, but hearing you talk about your roommate makes me worried.  Have you gotten into any scary situations?
Amy:                Looks away.
Dr:                   What’s the matter?
Amy:                Well, actually, that’s kinda why I came home this weekend.  I just didn’t really want to be on campus after last weekend…
Dr:                   What happened?
Amy:                Well, I was at a frat party…  I wasn’t really drinking or anything, but I needed to use the bathroom.  And this guy followed me into the bathroom.  He kind of, like, cornered me and started touching me.  But then my friend Stacy walked in the bathroom and I was able to get away from him.  He said something stupid about how he thought I was someone else or something, but it was really scary.
Dr:                   Thank you for sharing this with me.  I know it must have been really hard.
Amy:                Nods.
Dr:                   So, first, it’s good that Stacy walked in when she did.  What were you thinking about how you might get away before she walked in?
Amy:                Like yelling or kicking him; he was kinda drunk so I think I could have pushed him over.
Dr:                   Okay, good, do you carry anything like mace for walks at night around campus?
Amy:                No but I have this keyring that makes an obnoxious sound if I push the button.  I keep it on my purse
Dr.:                  Good idea, maybe that’s something you could use if you couldn’t push him off.  Are you okay?  Physically?  Mentally?
Amy:                Well, I’m a little scared to walk around campus now.  I really don’t want to see this guy again.
Dr:                   So what are you doing?
Amy:                Well, I’m probably going to avoid parties.  And not just by coming home every weekend.  Smiles a little.
Dr:                   Well, that’s good.  What else?
Amy:                I guess I’ll always try to walk with a friend or use the campus shuttle…and take a friend with me to the restroom too maybe when I’m at a party.
Dr:                   Does your school have an escort service or a system you can call to get a ride back to your dorm?
Amy:                Yeah, there’s this number I can call.
Dr:                   Good.  It sounds like you have a good plan, but you still seem pretty stressed out.  Is there someone you can talk to?
Amy:                Shrugs.
                        I’m not sure.
Dr:                   Well, at most schools they have counseling services for students and sometimes even peer counselors.  You might also want to see if the women’s center has someone you can talk to or a group or something.
Amy:                Yeah, I can look into that.
Dr:                   Great!  Why don’t you e-mail me in a couple weeks just to let me know how things are going?  Here’s my card with my e-mail address.
Amy:                OK.
Dr:                   Alright, now let’s get you that shot.