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Victim Services Needs Assessment:

A Study of Victim Services in the Community

by

Dan Petersen, PhD

and


Thomas Underwood, PhD



Copyright 2000
Joint Center on Violence and Victim Studies

All rights reserved. No part of this report may be reproduced or utilized in any form or means without written permission of the copyright owner.

This research was funded by Washburn University, the Shawnee County Medical Society, the Shawnee County Medical Society Alliance, and Target.


Assessment of Practitioner Perspectives

        Three focus groups were conducted in order to determine practitioner perspective regarding the availability services for crime victims in the Topeka/Shawnee County, Kansas area. One focus group consisted of practitioners from criminal justice, one from practitioners from social services organizations, and another from the advocacy center steering committee. The reports from all three focus groups identify different issues and needs. Some of the differences between practitioners from the criminal justice system and from social services are significant.

        Each focus group was run by a Washburn University faculty or staff with expertise in group facilitation. As the facilitator discussed issues with the group, a cohort documented the responses. Three general areas were presented for discussion:

  (1) Identification of services currently provided for crime victims and an assessment of the effectiveness and efficiency of the services.
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  (2) Identification of the gaps in these services, the impediments to provide services, and characteristics that keep things from being more effective.
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  (3) Discussion of "ideal" victim services in the community and how the ideal services can these be accomplished.


Service Gaps

  bullet The potential for a victim to get lost in the process of
    services and criminal justice response was a consistent issue identified. There is no single point of contact to ensure that a victim gets needed services and understands the process, rights, and resources.
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  bullet There is a lack of resources for special needs victims.
    The elderly, the disabled, and victims of certain categories face barriers to services. For example, males over age fifteen cannot stay at the Battered Women's shelter and a parent may be unwilling to separate the family.
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  bullet Substance abuse was identified as a theme that needs
    to be addressed for victims and offenders. There is a lack of resources for the needs at all levels - outpatient as well as inpatient. This lack may be due to location, space availability, and cost.
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  bullet Community information and awareness was identified.
    People do not know how to access existing services and the community needs to be aware of the issues and causes of crime and victimization.
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  bullet Finally, one of the most significant gaps identified was
    lack of congruency within an area as well as between agencies. Attitudes range from extreme victim blaming to just as extreme victim defending. Assuming the goal of comprehensive victim services that are effective and responsive to needs, a collaborative "team" effort by practitioners and service organizations is needed. The existing professional environment in this community, however, is not wholly supportive of this effort.

Ideal Services

        Centralized service delivery was identified in two of these groups. This refers to a physical location that provides comprehensive essential services that is readily available to the public. This would not only improve collaboration but would make the experience for the victim much less stressful. In addition, increased shelter services that are family based also are needed.

        Education of practitioners regarding victim issues and organizational resources was identified as a need. This includes cross-training between all agencies. This would also address, at least in part, the divergent philosophies between service providers. It may also lend greater understanding as to how decisions are made by certain agencies, such as the decision to prosecute.


Assessment of Victim Perception

        A phone survey of crime victims was conducted to explore victim perceptions of the services actually received. The phone survey was conducted by Washburn students who used a scripted interview. Since crime victimization is a process that is often protracted, there was a need to access victims whose victimization had occurred a different times. Names and phone numbers of crime victims from 1997 through 1999 were provided by the Topeka Police Department, the YWCA Battered Womens Task Force, the SANE/SART program, and CASA. Except for the police department lists, which are public record, the victims were first contacted by the referring agency to advise of the nature of the research and to obtain permission. Most of the names called were obtained from the police department.

        Over the course of a three week period, forty individuals were interviewed. The offenses represented by the victims included theft, residential burglary, assault, domestic assault, and rape. Twenty-two of the respondents were female and eighteen were males.

  bullet All but one of the cases were reported to law
    enforcement. Respondents were generally satisfied with law enforcement though victims of assault tended to have less favorable attitudes than others. In most cases law enforcement did not provide any resource information to the victims, they did not make referrals to other services, and they did not provide any follow-up to the victim. Of the thirty-one respondents who reported that there was not any follow-up, fifteen stated that they would have liked to have been contacted for follow-up.
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  bullet Only seven of the respondents accessed emergency
    health care. Overall assessment of emergency health care was very good. Resource information was provided in most cases though most did not receive any follow-up contact.
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  bullet Only about a third of the cases accessed social services
    of any kind. The overall rating of social services was very good. Follow-up contacts were made in about half of the cases. Of those not contacted, all indicated that they would have liked to have received follow-up contact.
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  bullet Fourteen percent of the cases reported accessing
    mental health services. Mostly the report was good to very good though there was a rating of very poor across the board. Over half of those who accessed mental health services noted that there were restrictions to services. Of those, the majority indicated that the restrictions limited their access.
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  bullet Only one of the respondents accessed non-emergency
    health care services.
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  bullet About a third of the respondents were contacted by the
    prosecutor's office. Of those cases where there was a conviction, most were the result of a plea negotiation. Of those cases, forty-three percent were not consulted prior to the plea. For those who were consulted, the outcomes were consistent with the victims' wishes. Most respondents reported no follow-up by the prosecutor's office though eighty percent of those not contacted would have liked to have been. A third of the respondents reported restrictions of the prosecutor's office that limited access.
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  bullet Responses regarding the judiciary were generally
    positive. Marginal areas were in regards to ease of competing a victim impact statement and satisfaction of outcomes.
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  bullet Only one person was receiving victim's compensation.
    About forty percent received insurance compensation.

        Respondents reported on the overall impact of the crime physically, financially, socially, and emotionally. One theft victim reported feeling uncomfortable around African-American males; another reported being "more suspicious of people." A burglary victim reported that he installed a security system in the home do to the victimization; another reported to feeling vulnerable; and another said that they felt scared "to stay home alone." A domestic violence victim reported a physical impact of a broken nose, another a cracked skull; financially, domestic violence victims reported losses, such as no income for three weeks, loss of employment, and an $800 doctor bill; social implications include being humiliated and embarrassed when friends found out and being leery of people; emotional impact included sever depression. Sexual assault victims reported being "scared to get to know anyone very well..."; emotional impact included feeling that the person may not ever get over the traumatic event and that the current sexual relationship has been affected. Finally, regarding assault, one victim reported getting "spooked easily"; another of being scared because did not think that this could happen to them.

Assessment of Services

        The organizational aspect of the research collected information regarding existing services, usage of services, and gaps in services from various service organizations in the community. The surveys intended to provide definition of the victims served, define types of services to victims, determine utilization of services, estimated the number of victims not served, describe exclusionary restrictions, describe service limitations, and describe ideal services.

        Surveys were mailed out to administrators and managers from a variety of service agencies, including mental health, social services, emergency services, schools, substance abuse programs, law enforcement, community offender supervision services, health care, judicial, and legal services. Multiple surveys were sent to some of the larger agencies, especially those with specialty departments. Of the seventy-one (72) surveys that were mailed to thirty-two agencies, twenty-five (25) were returned for an overall return rate of 35%.

        The agencies can be categorized into six (6) types: victim services, justice system, schools, health care, mental health / substance abuse, and financial. Table 1 shows the distribution and responses of the agencies.

  Table 1: Survey Distribution and Return
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 Victim
Services
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 Justice
 System
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 Schools
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 Health Care
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 M H / S A
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 Financial
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 TOTAL
No. of Agencies Received Survey Range of Surveys per Agency No. of Surveys Distributed No. of Responses
8 1-5 14 4
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7 1-6 34 9
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1 6 6 2
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4 1-2 6 3
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11 1-2 11 6
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1 1 1 1
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32 --- 72 25


Types of Crime Victims

        Nothing significant was discovered from this first area. That is, there is nothing from the cumulative response that suggests that there is a major gap in the types of crime victims served. Restrictions that were noted were typically for certain characteristics, such as those with chemical dependency problems, or children. As expected, victims of violent crime were more likely to have been identified as the focused clientele.

Services/Supports

        A range of services was provided for respondents to indicate whether the agency provided any level of service. These services were identified and defined as:

  bullet Investigative (Inv) -
    gathering of physical evidence and/or accounts from victims and witnesses
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  bullet Resource Information (RI) -
    providing information about social, health care, mental health, legal, financial and other services
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  bullet Crisis Intervention (CI) -
    emergency short-term response activated for victim protection; physical and psychological first-aid; debriefing
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  bullet Medical (Med) -
    non-crisis health care and treatment for recovery from injuries associated with the crime
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  bullet Counseling (Cn) -
    non-crisis mental health care for recovery from trauma associated with the crime
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  bullet Case Advocacy (CA) -
    actual assistance in securing social, health care, mental health, legal, financial, and other services
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  bullet Financial Reparation (FR) -
    providing or coordinating funds available to crime victims
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  bullet Environmental Support (ES) -
    provision of emergency or short-term accommodations (food, lodging)
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  bullet Prosecution (Prs) -
    activities associated with the goal of offender conviction

        Table 2 shows the responses per agency types for each of these functions.

  Table 2: Agency Functions
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 Victim
 Services
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 Justice
 System
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 Schools
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 Health Care
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 MH / SA
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 Financial
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 TOTAL
Inv RI CI Md Cn CA FR ES Prs
2 4 3 1 1 4 2 3 1
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7 8 8 0 1 5 2 1 4
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1 2 2 1 1 2 0 1 0
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3 3 3 4 3 1 2 1 0
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1 3 2 1 6 3 1 1 1
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0 0 0 0 0 0 1 0 0
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14 20 18 7 12 15 8 7 6

        Agencies were asked whether any follow-up services were provided to crime victims. The method of follow-up was listed per one of three ways: face-to-face, phone, and mail. The agency was also asked to estimate what percentage of clients actually received follow-up services. Table 3 shows the reported follow-up activities per agency type.

Numbers Served

        This area netted very inconsistent data due to the variety of ways in which cases are counted and tracked. Justice agencies, for example, typically reported that data based on crime victim status was not collected.

  Table 3: Agency Follow-Up
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 Victim
 Services
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 Justice
 System
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 Schools
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 Health Care
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 Mental
 Health /
 Substance
 Abuse
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 Financial
Follow-Up Services Provided Methods:
Face-to-Face
Phone
Mail
Average Time of Follow-Up Percentage Receiving Follow-Up
- 3 Yes
- 1 No
- 2 F-to-F
- 2 Phone
- 1 Mail
- 18-24 mo.
- unlimitted
- 100%
- 10-15%
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- 5 Yes
- 4 No
- 4 F-to-F
- 5 Phone
- 3 Mail
- 3 mo.
- as reqstd.
- 50%
- 100%
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- 1 Yes
- 1 No
- 1 F-to-F Unknown - minimal
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- 1 Yes
- 2 No
- 1 F-to-F
- 1 Phone
Unknown Unknown
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- 5 Yes
- 1 No

- 3 F-to-F
- 3 Phone
- 2 Mail

- 2 hrs
- 1 week
- unlimited
- 10%
- 90%
- 100%
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- 1 Yes Unkown - indefinite, or until $25,000 has run out Unkown

Secondary Victims

        Agencies were asked whether services were provided to secondary (that is, not direct) victims. Secondary victims can be generally classified into two levels: (1) individual includes parent, child, sibling, and friend, (2) group includes small group, such as work or classroom, neighborhood, and community. Table 4 shows the distribution of agency responses per type of secondary victim served.

  Table 4: Service to Secondary Victims
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 Victim
 Services
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 Justice
 System
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 Schools
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 Health Care
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 MH / SA
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 Financial
Prnt Chld Sblg Frnd Grp Ngh Com
x x x x x x x
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x x x x x x x
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x x x x x x x
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x
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x x x x x x x
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x x x

        Victim service agencies described services to individual secondary victims as support services and basic provisions and safety/prevention education for group levels. The justice system responses focused on counseling and resource referrals for individual secondary victims and service programs, such as Neighborhood Watch Programs, for group level secondary victims. An additional comment regarding group secondary victims by a justice system representative, "In a sense, prosecuting cases provides safety/preventative relief for community, neighbors, etc." Mental health and substance abuse responses predictably focused on counseling and crisis support at all levels. Financial support given to individual secondary victims in terms of grief counseling.

Service Limitations

        Respondents were asked to assess whether there were any policy or resource restrictions in their particular agencies or program area that prevented the delivery of services. Though not all agencies reported limitations each category did note restrictions that limit services. Most of the types of limitations were those imposed by third parties, such as insurance companies, or by program limits, such as length of program.
Justice agency responses suggested a lack of resources to address all cases fully especially if the crime has scant evidence, is not a high priority, or if the victim is uncooperative or has continued association with an offender. In spite of these conditions, it was noted that very few victims are not served sufficiently.


Service Exclusions

        Service exclusion refers to the existence of an organizational policy that excludes a certain type of victim. Most responses indicated that there were not any exclusions though it was noted by some mental health/substance abuse agencies that the services provided were for adults only.

Other Agency Interactions

        Respondents were asked to comment problem areas in regards to other agencies in which they interact that may create impediments or barriers to services. A wide variety of responses were offered in this area.

        School and mental health/substance abuse respondents noted that confidentiality was an issue. As agencies cannot discuss a case without a release of information, there is often a lack of information in the provision of service. This requirement at time impedes the collaborative work between agencies. One respondent from a mental health/substance abuse service noted that the biggest barrier is the lack of information about other services. Similarly, a health care respondent noted impaired communication.

        Most justice agency responses were highly complimentary of other service agencies. The only comment that warrants note is the complaint that "support agencies that want to make and/or lobby victims to make legal judgements and assess legal strategies on matters they're unqualified to make - in other words, agencies that exceed their areas of expertise and mission."

        Victim service respondents did not respond to this question.

Professional Education/Training

        Organizations were asked to identify the extent of participation and type of professional education programs/training per year. Table 5 notes the responses regarding hours of professional education required for direct service staff per year by category of organization.

  Table 5: Professional Education Requirements
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 Victim
 Services
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 Justice
 System
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 Schools
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 Health Care
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 MH / SA
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 Financial
No Rqrmt 1-5 Hours 6-10 Hours 11-20 Hours 21-40 Hours 41 Plus
2 1
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3 3 2 1
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1
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1 1 1
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2 1 1 2
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1

        Respondents were asked to assess of the hours attended, how many were directly related to victim services, such as trauma assessment or victim compensation. The only response for a victim service agency was an estimate of 10 hours. The justice system responses ranged from 0, less than 4, half, and all. Mental health/substance abuse respondents reported a range from none to a fourth.

Assessment

        The effects of crime victimization are multi-facted. The purpose of this area was to gauge the extent in which providers can identify problem areas for appropriate referral or intervention. Respondents were asked to assess the extent in which they believed the agency or program is equipped to assess needs regarding substance abuse, mental illness, medical issues, and legal issues. Table 6 - 9 shows the responses for these areas per each agency classification.

  Table 6: Organizational Competence to Assess Substance Abuse
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 Victim
 Services
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 Justice
 System