Create a simple intake form for victim advocates who are working with sexual assault survivors

1. Preparation and Planning

Identify the purpose of the intake form.

Determine the target audience and their needs.

Research best practices for intake forms in the context of sexual assault advocacy.

2. Design and Layout

Choose a clear and accessible format (print or digital).

Use a trauma-informed design approach, ensuring a supportive tone.

Organize sections logically to facilitate ease of use.

Personal Information

Include fields for name, contact information, and preferred pronouns.

Incident Information

Create questions related to the date, time, and location of the incident.

Include options for the type of assault (if comfortable).

Here's a checklist for the Incident Information section of the intake form for victim advocates working with sexual assault survivors, with additional steps included

Inquire about any weapons involved or threats made

Ask if the survivor received any medical attention post-incident

Include a section for the survivor to describe the incident in their own words

Provide space for the survivor to mention any prior incidents or patterns of behavior

Ask if the survivor has reported the incident to law enforcement or other authorities

Include a question about the survivor's relationship with the perpetrator (if known)

Provide a checkbox for the survivor to indicate if they would like assistance with legal support or reporting

Ask if the survivor has any ongoing concerns for their safety following the incident

Include a question about any immediate support or resources the survivor may need (e.g., counseling, shelter, etc.)

Support Needs

Ask about immediate needs (medical, legal, emotional support).

Include a section for additional support services (counseling, advocacy).

Certainly! Here are some additional steps you could include in the Support Needs section of the intake form for victim advocates working with sexual assault survivors

Include a section for additional support services (counseling, advocacy)

Inquire about transportation needs for accessing services or appointments

Assess the survivor's safety concerns and develop a safety plan if necessary

Determine if the survivor has a support network (friends, family) available to them

Provide information on crisis hotlines and support groups

Ask if the survivor requires assistance with housing or shelter services

Assess the need for financial assistance or resources for basic needs (food, clothing)

Include a section for self-care strategies the survivor is interested in exploring

Provide options for follow-up support and check-ins after the initial meeting

Evaluate cultural or language considerations that may affect the survivor's support needs

Ensure the survivor is aware of their rights and available legal options

Offer to connect the survivor with peer support or mentorship programs

Include a section for the survivor to express any specific preferences or requests for support

These additional steps can help ensure that the intake process is thorough and responsive to the diverse needs of sexual assault survivors

Consent and Confidentiality

Include a statement about confidentiality and consent for sharing information.

Provide options for survivors to indicate how they wish to be contacted.

4. Review and Feedback

5. Testing and Implementation

6. Training and Resources

Develop training materials for advocates on how to use the intake form effectively.

Provide resources on trauma-informed care to ensure advocates are prepared.

Encourage ongoing education on the needs of sexual assault survivors.

6. Training and Resources

Develop training materials for advocates on how to use the intake form effectively

Provide resources on trauma-informed care to ensure advocates are prepared

Encourage ongoing education on the needs of sexual assault survivors

Compile a list of community resources, including hotlines and support services, for advocates to reference

Develop role-playing scenarios to practice intake conversations in a safe environment

Provide training on active listening and empathetic communication skills

Share case studies to illustrate the application of the intake form in real situations

Offer training on cultural competency to address the diverse backgrounds of survivors

Encourage participation in relevant conferences or seminars to keep advocates informed about the latest research and practices in the field

AI Checklist Generator

Create a simple intake form for victim advocates who are working with sexual assault survivors

1. Preparation and Planning

2. Design and Layout

Personal Information

Incident Information

Support Needs

Consent and Confidentiality

4. Review and Feedback

5. Testing and Implementation

6. Training and Resources

7. Evaluation and Revision