An initial response to rape prevention and control.
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Two model-based interventions designed to reduce the amount of date rape attempted by male college students were developed and evaluated. The Rape Supportive Cognitions (RSC) intervention targeted commonly held false beliefs that promote or condone coercive sexual behavior. The Victim Empathy/Outcome Expectancies (VE/OE) intervention targeted poor victim empathy and problematic rape outcome expectancies. Seventy-four high-risk subjects as determined by scores on the Attraction to Sexual Aggression scale (ASA) (Malamuth, 1989) were randomly assigned to one of the treatment groups (RSC or VE/OE) or to a no-treatment control group. Treatment effects were assessed using subjects' pre- and posttreatment scores on the ASA, the Rape Myth Acceptance, the Acceptance of Interpersonal Violence, and the Adversarial Sexual Beliefs scales (Burt, 1980), as well as subjects' posttreatment scores on the Rape Conformity Assessment (Schewe and O'Donohue, 1995). Results indicated that both treatments were significantly more effective than no treatment. The RSC group showed clinically significant changes on three of the five dependent measures, while the VE/OE group evidenced clinically significant changes on only one measure. This is the first well-controlled rape prevention study to demonstrate clear improvements in treated high-risk males over control group subjects.
Amendments to the Community Mental Health Centers Act (Public Law 94-63) required community mental health centers (CMHCs) to provide such rape-related services as rape prevention and control, and to assure service availability to rape victims and their families. A questionnaire designed to assess how rape-related services are delivered was mailed to directors of 107 federally funded comprehensive CMHCs in a seven-state region. Fifty-five responses were received, indicating that rape-related services were offered by approximately two-thirds of the centers, 65% of which considered their rape-related services to be less comprehensive than other services. The budget for rape services was less than $10,000 in 80% of responding centers, representing less than 0.5% of the average CMHC budget. Services provided, primarily clinical, involved crisis intervention, counseling, and psychotherapy with rape victims and their families. Prevention and educational activities accounted for less than 25% of all rape-related services at most CMHCs. The results of the study question the impact of federal mandates on local mental health services.
This rule establishes requirements for grants and applications for grants under the Community Mental Helath Centers Act (42 U.S.C. 2689 et seq.), excluding Part D thereof ("Rape Prevention and Control"), as amended by the Community Mental Health Centers Amendments of 1975 (Title III of the Act of July 29, 1975; Pub L. 94-63), section 308 of the Health Services Extension Act of 1977 (in Title III of the Act of August 1, 1977; Pub. L. 95-83), the Community Mental Health Centers Extension Act of 1978 (Title I of the Act of November 9, 1978; Pub. L 95-622), and section 8 of the Act of July 10, 1979 (Pub. L. 96-32). Also included are requirements for the development, submission, and approval of State plans.
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Sexual coercion, a topic of relevance to school health personnel, may be as common in high school populations as in university populations. Twenty-one sexuality education curricula were examined for information on the topics of date rape, stranger rape, pressure, incest, sexual harassment, unwanted/inappropriate touch, and exploitation/victimization. Curricula scoring highest in total coverage also were the most comprehensive with six of the seven sexual coercion topics covered. Overall, pressure and exploitation/victimization received the greatest attention, while sexual harassment was not covered in any of the curricula. Common themes occurring within the coercion topic areas included guilt, communication/assertiveness skills, blame, drug use, premeditation, fear, sources of help. Results suggest sexuality education curricula have not responded to the increased concern regarding sexual harassment in schools.
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As rape becomes recognized as a public health issue, new paradigms must be constructed to discover viable solutions to this highly prevalent problem. Although the injury prevention field has begun to examine rape and offer solutions, physical injuries surrounding rape tend to become the focus in injury prevention literature, thereby minimizing the trauma of rape itself. This article applies William Haddon's ten general strategies for injury prevention to rape, in order to shift our focus away from women and their behavior onto the systemic causes of rape. These strategies have the advantage of encompassing a wide variety of injury reduction measures from many hazards and have provided the means to conceptualize solutions to an extensive range of issues. The application of these strategies emphasizes sociocultural factors and perpetrator, not victim, responsibility. Through this process, a broader range of normative and structural changes can be identified to promote rape prevention.
Rape myth acceptance, likelihood of raping, and sexually coercive behavior of 145 fraternity men randomly assigned to a control group or a rape-prevention program were surveyed. One third of 23 fraternities on a mid-Atlantic public university campus volunteered to participate in the study. The rape-prevention intervention consisted of "the men's program," a victim empathy-based presentation titled "How to help a sexual assault survivor: What men can do." Although no evidence of change in sexually coercive behavior was found, significant 7-month declines in rape myth acceptance and the likelihood of committing rape were shown among program participants. In the case of rape myth acceptance, the 7-month decrement remained lower in the participant group than in the control group. Implications of using these initial findings from the men's program for rape-prevention programming are discussed.
The present study argues that a greater understanding of the factors which contribute to a youth's sexual victimization is likely to not only be based on what we know about the youths who are victimized but also on comparative information on youths who are not. Selected social background variables from a sample of young victims (n = 20) and nonvictims (n = 21) representing a population of youths with histories of antisocial behavior were compared. Using stepwise discriminant analysis several factors relating to youths' home environment significantly discriminated victims from nonvictims. The results suggest that the probability of being sexually victimized is increased when the home environment is unstable and lacks adequate control over youths' activities. The need for improved research methodologies to achieve better identification of determinants of risk is discussed. Multivariate assessment of social, situational, and personal factors of victims and nonvictims is recommended as a potentially promising approach for improving current rape prevention efforts.
A randomized, posttest-only experimental design was used to compare the date-rape attitudes of university students who were exposed to a mixed-gender date-rape workshop (n = 163) with those of students who were not exposed (n = 168). A previously validated instrument, the 25-item Date Rape Attitudes Survey (DRAS), was used as the criterion measure. Three hypotheses were tested, with the following results: (1) Men reported attitudes that were more tolerant of date rape than those reported by women (ie, the men were more likely to condone date rape); (2) students in the control group reported attitudes that were more tolerant of date rape than those reported by students in the treatment group; and (3) men exhibited a greater effect from the program than did women. Finally, the authors discuss implications of the study and offer recommendations for future research evaluating date-rape prevention programs.
This paper describes an evaluability assessment of CDC's Rape Prevention and Education (RPE) Program conducted to establish a baseline description and understanding of the current activities and goals of the program, revisit and update program performance measures, and identify opportunities for CDC to provide training and technical assistance to states. Data were collected using (1) a web-based survey of all state and territory health departments, other government agencies involved in the administration of the program, and sexual assault coalitions, (2) in-depth interviews with the same respondents during site visits to a sample of 14 states, and (3) focus groups in 5 of these states with local providers. This paper highlights the findings and summarizes recommendations to improve the program. It concludes with examples of steps CDC is taking to implement the recommendations.
This study analyzed data from the 1995 National College Health Risk Behavior Survey (NCHRBS) to assess the prevalence of lifetime rape among female college students and to examine the association between rape and health-risk behaviors. The NCHRBS used a mail questionnaire to assess health-risk behaviors among a nationally representative sample of undergraduate students. Twenty percent of female students reported ever having been forced to have sexual intercourse, most often during adolescence. When analyses controlled for demographic characteristics, female students who had ever been raped were significantly more likely than those who had not to report a wide range of health-risk behaviors. These results highlight a need to improve rape prevention and treatment programs for female adolescents.
The prevalence of date rape among college students is a major concern. Although much research has been done on risk factors for date rape, few researchers have specifically described interventions for the various stages of developing a date-rape prevention program. Previous programs have often relied on educational videos that feature a "typical" date-rape scenario, a format that some researchers suggest may have a negative effect on the way people engage in aggressive sexual behavior. A less violent theatrical production based on social learning theory and risk-factor reduction that resulted in a significant improvement in attitudes related to date rape among both male and female students at an elite Texas university is described.
Rape has a substantial impact on the health of victims, including a broad spectrum of physical, psychologic, and social sequelae (1-3). The development of appropriate and effective rape-prevention programs is assisted by consistent collection of information about and by accurate estimation of the incidence of rape. In North Carolina, as in many other states, the only source of statewide and county-specific population-based data on rape incidence is the Uniform Crime Reporting Program (UCR), coordinated by the Federal Bureau of Investigation (FBI); however, these data may underestimate the actual incidence of rape (4,5) because they include only assaults that have been reported to police and that conform to the UCR definition of forcible rape. To assess the usefulness of rape crisis centers (RCCs) as an additional potential source of data for determining the incidence of rape, in 1994 the Injury Control Section, North Carolina Department of Environment, Health, and Natural Resources (NC-DEHNR), surveyed RCCs in North Carolina, then compared estimates of the annual incidence based on RCC and UCR data for selected counties during 1989-1993. This report summarizes the results of the survey and comparative analysis.