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Rape crisis services uninterrupted
(December 2004 Issue)

By Jennifer Elise Chase

Sexual assault survivors in southeastern Massachusetts will not suffer a lack of free care despite the closing of a long-time service provider, thanks to a smooth transition between the old regime and the new.

Fall River's Stanley Street Treatment and Resources center (SSTAR) is a non-profit healthcare and social service agency that for 27 years has provided a range of services in southeastern Massachusetts and Rhode Island. Through a five-year grant from the Department of Public Health, SSTAR has also provided free services for the Fall River area's sexual assault survivors through a rape crisis program.

But a $68,000 budget to fund salaries of three counselors providing intense services, 24 hours a day-daily and other cutbacks in the last two years finally made the program impossible to run. After careful consideration, SSTAR has voluntarily informed DPH its decision not to exercise its option to renew its sexual assault survivor services for FY 2005. "It was a long, difficult process," says Dale Brown, director of SSTAR's Womens' Center.

"It was a five-year grant and we had two more years to go. We reflected on the programming part, we reflected on the financial…. [But] we did not lose the contract."

Brown says that SSTAR will continue to provide services focusing on the more clinical aspects of trauma through its Womens' Center, which provides care to clients with insurance, as well as some free services to clients who wish not to use their insurance for fear that someone will learn of their trauma.

SSTAR's Womens' Center will also continue to provide direct services such as police, court and health advocacy, as well as group care. But all of its clients who still require free, confidential services will be absorbed by the Greater New Bedford Women's Center's program. The transition began July 1 and it's been seamless, with GNBWC staffing a satellite office in Fall River that means patients don't have to travel outside of their town to receive the help they need.

"I don't think it really matters to patients where they're getting their services," says Pamela MacLeod-Lima, who for three years has helmed the agency. "[The Greater New Bedford Womens' Center] has been a rape crisis center for many, many years. It's not new work at all; we're very familiar with it, and we're very happy to take on additional work so that victims can continue to have a place to come, especially those who need free services. There are still 24-hour hotlines," and they can now be backed up with both court and medical response teams.

GNBWC serves 14 towns and cities from New Bedford to Wareham and now it can add Somerset, Swansea, Fall River and Westport to its outreach area.

GNBWC has hired a bilingual counselor to help handle Fall River's Portuguese population, which comprises about 85 percent of the area, as well as a wealth of Spanish counselors.

MacLeod-Lima says GNBWC counselors are not psychologists or psychiatrists and that the center must refer out for anyone with mental health issues. The clinical director is an MSW/LICSW and all counselors are required to go through intensive, specific certification training.

MacLeod-Lima credits SSTAR with really understanding how best to help rape and sexual assault survivors and GNBWC will continue providing free and confidential services.

"Sometimes, with managed care, [treatment] is not in the hands of psychiatrists or psychologists, it's in the hands of the insurance companies," she says. "[Sometimes] we have psychiatrists or psychologists serving [patients] and insurance runs out and patients aren't better. Everyone heals on his or her own time. They need to know they can refer patients to us when benefits run out. We are there."