In the Moments That Matter Most

Lizzy the Sexual Assault Nurse Examiner (SANE).

When a child discloses sexual abuse, time feels different.

The world keeps moving, but inside that space, everything shifts.

Some move quickly. Others remain frozen, unsure what to do.

Children ask quiet questions.

In those first hours, the response matters. Answers are needed.

A few years ago, a young survivor in our community bravely reported abuse. Their family wanted to do everything right to seek care, to protect their child, and to move forward.

But at that time, there was no access to a pediatric Sexual Assault Nurse Examiner (SANE) in Elkhart County. The only option for a specialized exam was to travel outside the county.

That was not the news the family expected.

It meant more time. More stress. More uncertainty.

In the end, they decided not to pursue the medical forensic exam.

And that moment reiterated something important; local access to pediatric SANEs can help ensure children receive specialized care in moments that matter most.

A SANE is a specially trained nurse who provides medical care after a sexual assault or in cases of suspected sexual abuse. SANEs are trauma-informed, meaning they understand how trauma can shape the way a child thinks, feels, or responds. They move slowly. Gently. At a child’s pace.

A medical forensic exam is not only about evidence. It is about health, reassurance, and well-being.

Despite how the words “forensic exam” may sound, the exam is not meant to be scary. Nothing is rushed. Nothing is forced. A child may choose to have a safe adult in the room or choose privacy. The priority is always the child’s health and safety.

Even if evidence cannot be collected, a trauma-informed SANE can offer reassurance, provide treatment, and connect families to support.

This care reduces additional trauma, strengthens coordination between medical providers and investigators, and ensures children are met by professionals trained particularly for this moment.

And it is important to say this clearly:

Even when time has passed, an exam can still matter.

Children often disclose abuse days, weeks, and even months later. Delayed disclosure is common. Fear, confusion, loyalty, or uncertainty can keep a child silent at first.

For years, Elkhart County families did not have access to pediatric SANE services within the county, and neighboring partners worked together to support children and families in our county.

The commitment has always been here. Now, access has expanded.

Through CAPS’ partnership with Maple City and collaboration across our community, pediatric SANE services are now available in Elkhart County.

In the hardest moments, care is closer.