In this Bell Work Talk, we examine emerging trends linking online pornography exposure to a rise in problematic sexual behaviors among youth, including child-on-child sexual assault, strangulation, and escalating sexual violence. We will explore how increasingly aggressive and accessible online content is shaping sexual scripts and contributing to vulnerabilities around online exploitation. Through a forensic and trauma-informed lens, this podcast highlights clinical considerations that support assessing patients for porn exposure and exploitation and brings hope for healing.

Heidi Olson, RN, MSN, CPN, SANE-P is a Certified Pediatric Nurse and Certified Pediatric Sexual Assault Nurse Examiner (SANE), she is also the Founder and President of Paradigm Shift Training and Consulting, which equips healthcare workers to be able to identify victims of human trafficking and exploitation.

Heidi previously managed a forensic program in Kansas City where she performed/reviewed over 1,500 pediatric forensic exams and started her groundbreaking work in sounding the alarm about the role of pornography influencing child-on-child sexual assault. Heidi is a clinical consultant for Culture Reframed and they recently published resources for Child Advocacy Centers related to childhood pornography exposure.

Heidi has testified in favor of bills that have been passed into law, has testified in a briefing on Capitol Hill and the United Nations. Most recently Heidi wrote an amicus brief for the U.S. Supreme Court, which ended up ruling in favor of protecting children from online pornography.

Over the last few years, Heidi has been featured in documentaries, on podcasts, and has won an award for her outstanding anti-trafficking work.

Resources:

www.paradigmshifttc.com

www.culturereframed.org

www.fightthenewdrug.org

www.protectyoungeyes.com

www.defendyoungminds.org

https://acrobat.adobe.com/id/urn:aaid:sc:va6c2:ae82adc2-b935-4b7c-9451-83dd0ded76e0

Survey:

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Warning:

Explicit content warning, trigger warning

In this Bell Work Talk, Nancy Blaney and Claire Coughlin of the Animal Welfare Institute will discuss the relationship between child abuse and animal abuse, which frequently occur in the same homes. Given the special role that pets play in providing both emotional and social support to children, witnessing or being forced to participate in animal abuse is especially traumatic. Asking questions about pets and pet abuse can provide practitioners with unique insights into violent household dynamics and inform their intervention efforts.

Claire Coughlin: Claire Coughlin (she/her) has a master’s degree in human development and family studies and extensive experience in both social services and animal advocacy. For over a decade, she specialized in evidence-based education and support services for children and families impacted by abuse and neglect. She now serves as the director of the Companion Animals Program for the Animal Welfare Institute (AWI) and oversees AWI’s work on the link between animal maltreatment and human violence, including the Safe Havens for Pets program which supports domestic violence survivors with pets.

Nancy Blaney has advocated on behalf of animals for more than 40 years and is currently Director of Government Affairs at the Animal Welfare Institute. She works with federal and state legislators and regulators, the law enforcement community, veterinarians, and other stakeholder groups to improve animal welfare, the prosecution of animal cruelty crimes, and public awareness of the relationship between animal abuse and other forms of violence, particularly all forms of family violence. Nancy serves on a variety of advisory bodies and has co-authored several articles and chapters.

Resources:

Guidelines for Asking Children About Pets and Pet Abuse: https://awionline.org/sites/default/files/uploads/documents/AWI-Asking-Children-About-Pets.pdf

Guidelines for Asking Children About Pets and Pet Abuse(Spanish): https://awionline.org/sites/default/files/uploads/documents/AWI-Asking-Children-About-Pets-Spanish.pdf

When Children Witness Animal Abuse (An Assessment Guide): https://awionline.org/sites/default/files/uploads/documents/AWI-When-Children-Witness-Animal-Abuse.pdf

When Children Witness Animal Abuse (An Assessment Guide in Spanish):

https://awionline.org/sites/default/files/uploads/documents/AWI-When-Children-Witness-Animal-Abuse-Spanish.pdf

Animal Cruelty Issues: What Juvenile and Family Court Judges Need to Know

https://www.ncjfcj.org/wp-content/uploads/2025/12/NCJFCJ_ALDF_Animal-Cruelty-TAB_Final.pdf

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

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In this Bell Work Talk, Dr. Ashleigh Bowman will introduce the key components of a business case, including calculating a return on investment (ROI). Forensic nurses should be able to articulate business components of the program and justify program costs for long-term sustainability. This podcast will help listeners begin thinking about the business model for their program to use in discussions with middle and upper administration and leaders.

Ashleigh F. Bowman, DNP, CRNP, CPNP-AC, SANE-A, SANE-P, is an Associate Professor at the University of South Alabama, College of Nursing, and also maintains a faculty practice at USA Health’s Children’s & Women’s Hospital Pediatric Emergency Department in Mobile, AL. She has been a certified acute care pediatric nurse practitioner since 2016 and became a pediatric SANE in 2020. She obtained her DNP in 2018 from the University of South Alabama.

While Dr. Bowman has focused her clinical career on the care of acute and critically ill pediatric patients since 2012, her research and educational interests are focused on health policy and the intersection of policy impacts on clinical practice. Dr. Bowman is currently the project director for federally-funded grant project centered around pediatric sexual assault.

Resources:

Agency for Healthcare Research and Quality (2017, March). Toolkit for using AHRQ quality indicators. Retrieved from https://www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html

Bartlett Ellis, R. J., Embree, J. L., & Ellis, K. G. (2015). A business case framework for planning clinical nurse specialist-led interventions. Clinical Nurse Specialist, 29(6), 338-347. https://doi.org/10.1097/NUR.0000000000000162

Birken, E. G. (2022). Return on Investment (ROI). Retrieved from https://www.forbes.com/advisor/investing/roi-return-on-investment/

Drenkard, K. N. (2022). The business case for Magnet® designation. The Journal of Nursing Administration, 52(9), 452-461. https://doi.org/10.1097/NNA.0000000000001182

Egan, C. (2024). Break-even point formula and analysis: How to calculate BEP for your business. Retrieved from https://squareup.com/us/en/the-bottom-line/managing-your-finances/how-to-calculate-break-even-point-analysis#:~:text=Revenue%20is%20the%20price%20for,%E2%80%93%20Variable%20Cost%20per%20Unit).

Fernandez, V., Gausereide-Corral, M., Valiente, C., & Sanchez-Iglesias. (2023). Effectiveness of trauma-informed care interventions at the organizational level: A systematic review. Psychological Services, 20(4), 849-862. https://doi.org/10.1037/ser0000737

Gallagher, M. A., & Chraplyvy, N. (2022). Building a business case for hiring wound, ostomy, and continence nurses. Advanced Skin Wound Care, 35, 493-498. http://doi.org/10.1097/01.ASW.0000855028.36575.dc

Green, J. S., Brummer, A., Mogg, D., & Purcell, J. (2021). Sexual assault nurse examiner/forensic nurse hospital-based staffing solution: A business plan development and evaluation. Journal of Emergency Nursing, 47, 643-653. https://doi.org/10.1016/j.jen.2021.03.011

Hollender, M., Almirol, E., Meyer, M., Bearden, H., & Stanford, K. A. (2023). Sexual assault nurse examiners lead to improved uptake of services: A cross-sectional study. Social Emergency Medicine and Populational Health, 24(5), 974-982. https://doi.org/10.5811/westjem.59514

Office for Justice Programs, Office for Victims of Crime. (n.d.). SANE program development and operation guide. Retrieved from https://www.ovcttac.gov/saneguide/introduction/

Vogt, E. L., Jiang, C., Jenkins, Q., Millette, M. J., Caldwell, M. T., Mehari, K. S., & Marsh, E. E. (2022). Trends in US emergency department use after sexual assault, 2006-2019. JAMA Network Open, 5(10), e22236273. https://doi.org/10.1001/jamanetworkopen.2022.36273

Welch, T. D., & Smith, T. B. (2021). Anatomy of a business case. Nursing Administration Quarterly, 46(1), 88-95. https://doi.org/10.1097/NAQ.0000000000000498

In this Bell Work Talk, Sarah Galgano from the Geiger Institute, creators of the Domestic Violence High Risk Team (DVHRT) model will discuss the origin, four core components, goals and lessons learned from the more than 80 communities that have implemented the model. Typical team membership, including the critical role that Forensic Nurse Examiners play will be discussed.

Sarah is a Senior Project Specialist for the Geiger Institute where she supports communities’ efforts to implement intimate partner homicide reduction strategies and evaluate their effectiveness.

Before joining the Institute, Sarah provided customized technical assistance to jurisdictions throughout the country to help them improve justice system outcomes for victims and defendants, reduce racial and ethnic disparities in the justice system, and increase community engagement with justice initiatives.

She has managed a variety of projects, including the implementation of justice reform legislation, program implementation, model fidelity, institutionalizing the use of data and reporting on programmatic outcomes, and reducing the unnecessary use of incarceration.

Sarah has B.A.’s from the University of Iowa and received her Master of Science degree from Carnegie Mellon University in Pittsburgh.

Resources:

The Geiger Institute: Domestic Violence Homicide Prevention | The Geiger Institute

https://geigerinstitute.org/

SAPD & Metro Health Discussing DA-LE: La Mesa: Intervening in Domestic Violence

https://www.youtube.com/watch?v=0gSxgV2Z2Gk&t=1426s

Danger Assessment: The Danger Assessment: Validation of a Lethality Risk Assessment Instrument for Intimate Partner Femicide - PMC

https://pmc.ncbi.nlm.nih.gov/articles/PMC7878014/

DA-LE: Danger Assessment for Law Enforcement | Geiger Institute

https://geigerinstitute.org/da-le/

DVHRT: Domestic Violence High-Risk Team Model | Geiger Institute

https://geigerinstitute.org/dvhrt-model/

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

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In this Bell Work Talk, Dr. Jamie Lewis Saye discusses her team’s pilot study comparing blind swab and speculum-assisted evidence collection during sexual assault forensic medical examinations. She highlights how both methods yield similar rates of Y-screen positivity and CODIS-eligible DNA profiles, underscoring the potential of less invasive approaches to improve survivor participation in evidence collection while maintaining forensic integrity.

Dr. Jamie Lewis Saye, DNP, CNM, APRN, SANE-A, is an Assistant Professor in the Wellstar School of Nursing at Kennesaw State University and Clinical Director of the SAFE Center. A certified nurse-midwife and experienced Sexual Assault Nurse Examiner, Dr. Saye brings over a decade of experience in forensic nursing, trauma-informed care, and interdisciplinary community-academic collaboration.

Her research focuses on strengthening forensic evidence collection practices, advancing survivor-centered policies, and improving health and legal outcomes for victims of violence. Dr. Saye recently led a multi-site pilot study across 13 sexual assault centers in the Southeastern U.S. that compared blind swab and speculum-assisted vaginal/cervical specimen collection methods. These findings inform both clinical training and policy, supporting survivor-centered and trauma-informed approaches in forensic nursing practice.

Resources:

Saye, J. L., et al. (2025). From Kit to CODIS: Comparing DNA Profile Yields from Blind Swabs and Speculum-Guided Collection. [Manuscript in development / forthcoming publication]

Office on Violence Against Women (OVW). (2024). National Protocol for Sexual Assault Medical Forensic Examinations: Adults/Adolescents (3rd ed.).

Campbell, R., Javorka, M., Gregory, K., Vollinger, L., & Ma, W. (2021). The Right to Say No: Why Adult Sexual Assault Patients Decline Medical Forensic Exams and Sexual Assault Kit Evidence. Journal of Forensic Nursing, 17(1), 3-14.

RAINN (2025). Sexual Assault Statistics. https://www.rainn.org/statistics

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

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Warning:

Mentions of sexual assault, forensic examination procedures, and trauma.

In this Bell Work Talk, Nancy Blaney and Claire Coughlin of the Animal Welfare Institute will discuss the connection between human and animal welfare and implications for the practice of Forensic Nursing. By incorporating questions about animals into their work, practitioners can identify people and pets at risk, positively impact service engagement, and make the most of available resources.

Claire Coughlin: Claire Coughlin (she/her) has a master’s degree in human development and family studies and extensive experience in both social services and animal advocacy. For over a decade, she specialized in evidence-based education and support services for children and families impacted by abuse and neglect. She now serves as the director of the Companion Animals Program for the Animal Welfare Institute (AWI) and oversees AWI’s work on the link between animal maltreatment and human violence, including the Safe Havens for Pets program which supports domestic violence survivors with pets.

Nancy Blaney has advocated on behalf of animals for more than 40 years and is currently Director of Government Affairs at the Animal Welfare Institute. She works with federal and state legislators and regulators, the law enforcement community, veterinarians, and other stakeholder groups to improve animal welfare, the prosecution of animal cruelty crimes, and public awareness of the relationship between animal abuse and other forms of violence, particularly all forms of family violence. Nancy serves on a variety of advisory bodies and has co-authored several articles and chapters.

Resources:

Including Pets in Orders of Protection (State-Specific Guides): https://awionline.org/content/including-pets-protection-orders

Safety Planning for People with Pets: https://awionline.org/sites/default/files/uploads/documents/AWI-Safety-Planning-Pets.pdf

Safety Planning for People with Pets (Spanish): https://awionline.org/sites/default/files/uploads/documents/AWI-Safety-Planning-Pets-Spanish.pdf

Searchable Database of Safe Havens (shelters and other services that help get people and pets to safety)

https://awionline.org/content/safe-havens-pets

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

https://forms.gle/dos4a11PEmCgth7Z8

We’d be interested to hear practitioners’ experiences with patients whose abusers have harmed or threatened to harm their pets and what it was like getting everyone to safety; what resources did they have access to, what obstacles did they face?

In this Bell Work Talk, Dr. Barol will help us to reach past the overshadowing diagnosis of autism to talk about how to respond to the neurodiverse/autistic child who has experienced trauma.

Dr. Barol has devoted the past 49 years to serving and supporting individuals with intellectual, developmental, and neurological differences (ID) who have experienced trauma and, as a result, often exhibit challenging behaviors and co-occurring mental health issues.

Dr. Barol received the National Association for Dual Diagnosis (NADD) Earl L. Loschen, MD Award for clinical practice in 2020. She has been the co-director of the Capacity Building Institute for Pennsylvania for the past eight years. Dr. Barol consults regularly in both the U.S. and internationally.

Resources:

Barol, B. (2019). Revisiting the fourfold positive approaches paradigm: environment, communication, assessment, and hanging in there. Positive Approaches Journal, 8(1), 12-26.

Barol B., & Focht-New, G. (2019). Understanding, identifying, and effectively responding to trauma: Opening opportunities to heal, grow, and learn. TASH Connections, 44(1),42-48.

Barol, B. & Seubert, A. (2010). Stepping stones: EMDR treatment of Individuals with intellectual and developmental disabilities and challenging behavior. Journal of EMDR Practice and Research. 4(4), 156-169.

Focht-New, G., Clements, P.T., Barol, B., Service, K. & Faulkner, M. (2008). Persons with developmental disabilities exposed to interpersonal violence and crime: Strategies and Guidance for assessment. Journal of Psychiatric Mental Health Nursing. 44(1), 3-13.

Barol B. & Buffie, S. (2024). Biographical Timelines. In P.T. Clements, D.T. Solomon, B. Barol, C. Schoonover, and S. Seedat. New perspectives in mental health issues in child maltreatment. STM Learning.

Barol, B. & Focht-New, G.(2023). Biofeedback: Harmonizing the Brain and the Body for a Happier Life. In Price, U. & Baker, D.(Eds.), The Good Stuff (pp. 509-557). NADD Press.

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

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In this Bell Work Talk, Rachel Lapp will discuss harm reduction as it pertains to Forensic Nursing Practice.

Rachel is a forensic nurse from Chicago, Illinois. She has been a registered nurse for 11 years. Her background is in emergency and trauma nursing. She began her journey into forensic nursing 7 years ago when she decided to become a sexual assault nurse examiner. Rachel is a board-certified emergency nurse, board-certified trauma nurse, licensed trauma nurse specialist, and is a nationally certified adult/adolescent sexual assault nurse examiner.

Rachel is currently the Forensic Nurse Examiner Program Manager for Advocate Health’s Central Chicagoland Region. Rachel oversees three urban hospital sites and leads a team of nearly 60 forensic nurses who care for patients who are survivors of sexual assault and other forms of interpersonal violence. Rachel has been a member of the Academy of Forensic Nursing since 2018. She is currently serving on the Academy of Forensic Nursing’s board of directors and is the chair of the Harm Reduction Special Interest Group (SIG).

Resources:

The HR SIG meets the second Monday of each month at 6pm EST. Visit https://www.goafn.org for more information. We always welcome new members!

Survey:

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In this Bell Work Talk, Dr. Vela will discuss risks and issues experienced by children that face homelessness. She will explain suitcase living and treatment leading to a hopeful mindset with an emphasis on trauma informed care. She will give examples of how to add hope to the interactions that forensic nurses have with patients.

Dr. Christina Vela, CEO of St. Jude’s Ranch for Children, has 20+ years of human and social service experience that includes administering foster care, homeless, and supportive services to children, transition age-youth, and their families.

She has worked at the non-profit level as the Executive Director and the Chief Program Officer for St. Jude’s Ranch for Children, a Manager for the Clark County Department of Family Services, Social Services Program Specialist for the State of Nevada and a Program Specialist for the Federal Administration for Children and Families-Children’s Bureau in Washington DC. More recently, Christina has been the Coordinator for the State of Nevada Coalition to Prevent the Commercial Sexual Exploitation of Children. Christina holds her Doctorate in Public Policy and a master’s degree in public administration from the University of Nevada Las Vegas. She is a proud alumnus of Emerge Nevada, Leadership Las Vegas Class of 2013, Jameson Fellows and Clark County Leadership Academy.

Survey:

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(EXPLICIT CONTENT WARNING)

In this Bell Work Talk, Antoinette discusses the critical intersection of mental health and non-fatal strangulation in the context of intimate partner violence (IPV). Drawing from the latest research, this episode highlights how strangulation is often an overlooked yet severe form of violence that leaves lasting physical and psychological effects. Antoinette also discusses the importance of enhancing mental health assessments, the role of healthcare providers in identifying subtle indicators of strangulation, and how trauma-informed care can lead to better outcomes for survivors. Join us as we shed light on this silent yet significant issue and offer insights into improving care for vulnerable populations.

Antoinette Janson is an experienced forensic nurse with specialized training in intimate partner violence. With a focus on improving forensic medical documentation and patient care, she is actively involved in forensic nursing education through a mobile simulation lab and in-person clinical simulation events. As a published co-author on non-fatal strangulation and mental health assessments, Antoinette brings both practical and research-based expertise to the Bell Work Talk podcast.

Resources:

National Domestic Violence Hotline

Call 1-800-799-SAFE (7233)

Text: START to 88788

Love is Respect (for teens and young adults)

Call 1-866-331-9474

Test: LOVEIS to 22522

Strong Hearts Helpline (Native American and Alaska Native survivors)

Text or call: 1-844-7NATIVE (1-844-762-8483)

Chat online at: strongheartshelpline.org

Centers for Disease Control and Prevention (CDC): Intimate Partner Violence

https://www.cdc.gov/intimate-partner-violence/about/

American Psychiatric Association (APA)

https://www.psychiatry.org/patients-families/domestic-violence

Brain Injury Association of America (BIAA)

www.biausa.org

Training Institute on Strangulation Prevention

https://www.strangulationtraininginstitute.com/

Survey:

We’d really like to learn more about what you think of the podcast, and what you’d like to hear in future episodes.

https://forms.gle/dos4a11PEmCgth7Z8

(EXPLICIT CONTENT WARNING)