Pillai Mary, Paul Sheila
Cheltenham General Hospital, Sandford Road, Cheltenham GL53 7AN, United Kingdom.
J Clin Forensic Med. 2006 May;13(4):164-71. doi: 10.1016/j.jcfm.2006.02.010. Epub 2006 Mar 27.
A sexual assault referral centre (SARC) is a model of service established to address the forensic and therapeutic needs arising following sexual assault. As yet, only a minority of urban areas in England are served by one, the rest of the United Kingdom (UK) being served by police victim examination suites.
To examine variations in service offered to complainants of sexual assault within the United Kingdom in 2005.
A purpose designed questionnaire sent to all areas of the United Kingdom. Data were received and analysed from 12 of 13 SARCs and 54 of 58 non SARC services.
Very wide disparities in service, most marked between SARC and non SARC services. SARCs see a proportion of complainants from non-police sources. The non SARC services do not usually offer a forensic examination without police involvement, and a significant minority have so few doctors that they cannot provide a 24h rota for examinations. Inadequate numbers of forensic physicians are available for child examinations, and a robust service for 'acute child sexual assault' is virtually absent. Photodocumentation with appropriate safe storage is available in all SARCs, while 45% of non SARCs have no facility for photodocumentation. DNA contamination issues were perceived to be significant in many of non SARC services. Most non SARC services for adults do not provide baseline screening for sexually transmitted infection (STI) or offer prophylaxis against STIs. Follow up is by referral to local clinics which complainants may have to arrange themselves. Funded counselling is rare in the non SARCs with the exception of Yorkshire.
In the non SARC services, lack of co-operative working with local health services, lack of equipment, and lack of 'in house' medical follow up arrangements is the norm. Many areas rely on the good will of a small number of doctors to provide a service without a rota.
性侵犯转介中心（SARC）是一种为满足性侵犯后出现的法医和治疗需求而设立的服务模式。到目前为止，英格兰只有少数城市地区设有此类中心，英国其他地区则由警方的受害者检查套房提供服务。
研究2005年英国境内为性侵犯投诉者提供的服务差异。
向英国所有地区发送一份专门设计的问卷。从13个SARC中的12个以及58个非SARC服务中的54个收集并分析了数据。
服务存在非常大的差异，在SARC和非SARC服务之间最为明显。SARC接待了一定比例来自非警方渠道的投诉者。非SARC服务通常在没有警方介入的情况下不提供法医检查，而且相当一部分机构医生数量极少，无法提供24小时轮班检查服务。可用于儿童检查的法医医生数量不足，几乎没有针对“儿童急性性侵犯”的完善服务。所有SARC都提供有适当安全存储的拍照记录，而45%的非SARC机构没有拍照记录设施。在许多非SARC服务中，DNA污染问题被认为很严重。大多数针对成年人的非SARC服务不提供性传播感染（STI）的基线筛查，也不提供预防性传播感染的措施。后续跟进是转介到当地诊所，投诉者可能需要自行安排。除了约克郡外，非SARC机构中很少有提供资助的咨询服务。
在非SARC服务中，缺乏与当地医疗服务机构的合作、设备不足以及缺乏“内部”医疗后续安排是常态。许多地区依赖少数医生的善意来提供没有轮班安排的服务。
