Build capacity within the public, private, and Tribal health systems to respond to all children and families impacted by child sexual abuse in South Dakota.


  1. Establish routine screening for ACEs within medical and mental health professional practices. Launch in 2017 and in 25 percent of South Dakota medical and mental health facilities by 2020, 50 percent by 2022, 75 percent by 2024 and 100 percent by 2026.
  2. Create trauma-informed and self-healing communities. Launch development of program in 2017. Establish a pilot community program in 2019.
  3. Establish protocols that use de-escalation techniques to address parental disruptive behaviors and physical discipline of children (No Hit Zone), beginning with South Dakota medical facilities. Implement in 25 percent of facilities by 2018, 50 percent by 2021, 75 percent by 2023, and 100 percent by 2025.
  4. Distribute pediatric sexual assault exam kits at 100 percent of medical facilities by year end 2018. Provide training on pediatric forensic evidence (rape) kits at 100 percent of South Dakota medical facilities.
  5. Assess the number and locations of trained medical sexual assault response personnel. Provide a system to recruit, retain, and support those personnel. Provide training and support to Sexual Assault Response Center (SARC) and Pediatric Sexual Assault Nurse Examiner (SANE-P)/Sexual Assault Forensic Examiner (SAFE) personnel to ensure response practices are current. Launch training in 4Q2018.
  6. Establish at least one virtual nursing hub staffed with 24/7 Pediatric SANE personnel to support medical facilities that need support in child sexual abuse response. Launch in 2021.