Launch of the Sexual Assault Forensic Exams via Telehealth Network (SAFEvT) in Missouri
On July 1, 2025, the Missouri Department of Health and Senior Services (DHSS) Office on Women’s Health introduced a groundbreaking initiative: the Sexual Assault Forensic Exams via Telehealth Network (SAFEvT). This innovative program aims to enhance the accessibility and quality of forensic care for survivors of sexual assault, particularly in hospitals that lack 24/7 access to trained forensic nurses.
The SAFEvT Network: A Hub-and-Spoke Model
The SAFEvT Network is structured in a hub-and-spoke model, where multiple contracted hub sites provide around-the-clock telehealth support to satellite hospitals. This arrangement ensures that even smaller facilities, which may not have the resources to employ forensic nurses full-time, can still offer essential forensic exams to survivors. By leveraging telehealth technology, the SAFEvT Network bridges the gap in care, allowing hospitals to provide timely and compassionate support to those in need.
Options for Hospitals
Hospitals across Missouri now have the flexibility to choose how they will deliver forensic care to survivors of sexual assault. Some facilities will continue to employ trained forensic nurses on-site, while others will utilize the SAFEvT Network to guide their existing staff through the forensic exam process. This dual approach allows hospitals to tailor their services based on their specific capabilities and resources.
As part of the implementation process, hospitals are encouraged to begin training and establishing their forensic programs throughout 2025. The law permits hospitals a six-month grace period from the launch of the SAFEvT Network, extending until January 1, 2026, to start offering forensic exams to survivors of sexual violence. For any inquiries, hospitals can reach out to DHSS staff for guidance.
Interactive Map for Survivors
To facilitate access to forensic exams, the DHSS has developed an online interactive map. This resource enables survivors, community members, and law enforcement officers to locate nearby hospitals that offer forensic exams. The map is regularly updated to reflect changes in hospital services and the initiation of forensic programs. Users can filter the map to determine whether a hospital currently provides exams and if those exams are conducted via telehealth.
For more information and to access the map, individuals can visit www.health.mo.gov/SAFEvT.
Comprehensive Training for Hospital Staff
In preparation for the SAFEvT Network, the DHSS released a series of training modules in August 2024. These trainings are designed to equip hospital staff with the necessary skills and knowledge to effectively support survivors of sexual assault. Free in-person training sessions are available for hospitals utilizing the SAFEvT Network, and online training is also offered at no cost.
Learners interested in the online training can enroll in the course catalog. The courses are categorized by discipline, making it easy for staff to select relevant training. To receive continuing education credits, participants must complete a survey following the modules.
Course Offerings
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Satellite Nurse Course: This course provides a foundational overview of the care required for sexual assault survivors presenting to the hospital, with guidance from the teleSANE network.
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Prescriber Course: Tailored for physicians, nurse practitioners, and physician assistants, this course covers the prescribing of medications, conducting anogenital examinations, and overseeing survivor care in a hospital setting.
- cSANE Course: Designed for trained and/or certified Sexual Assault Nurse Examiners (SANEs), this course focuses on providing consultative services during a SANE exam.
Conclusion
The launch of the SAFEvT Network marks a significant advancement in the provision of forensic care for survivors of sexual assault in Missouri. By utilizing telehealth technology, the DHSS is ensuring that survivors have access to the care they need, regardless of their location. With ongoing training and resources available for hospital staff, the SAFEvT Network is poised to make a lasting impact on the lives of survivors across the state. For further details and resources, visit www.health.mo.gov/SAFEvT.
Republished courtesy of Missouri Department of Health