SSV-3 Survey on Sexual Violence - Local Jail Jurisdictions

OMB No. 1121-0292: Approval Expires 12/31/2007
U.S. DEPARTMENT OF JUSTICE

SSV-3

FORM
(12-13-2006)

SURVEY ON SEXUAL VIOLENCE, 2006
— Local Jail Jurisdictions
Summary Form

BUREAU OF JUSTICE STATISTICS
AND ACTING AS COLLECTION AGENT

U.S. DEPT. OF COMMERCE
Economics and Statistics Administration

U.S. CENSUS BUREAU

DATA SUPPLIED BY

TELEPHONE
E-MAIL
ADDRESS

City

Number and street or P.O. Box/Route Number
Area code

Number

FAX
NUMBER

State

▼

OFFICIAL
ADDRESS

Title

▼▼▼

Name

Area Code

ZIP Code
Number

(Please correct any error in name, mailing address, and ZIP Code)

What facilities are included in this data collection?

•
•

All confinement facilities usually operated by a local law
enforcement agency that are intended for adults but
sometimes hold juveniles.
• INCLUDE all jails and city/county correctional centers
that hold inmates beyond arraignment. Report on ALL
inmates, including those held in separate holding or
lockup areas within your facility.
• INCLUDE special jail facilities (e.g., medical/treatment/
release centers, halfway houses, and work farms).
• EXCLUDE privately-operated jails and facilities operated
by two or more jurisdictions, i.e., multi-jurisdictional
facilities. (These facilities will be contacted directly for
data on sexual violence.)
What inmates and incidents are included in this
data collection?
Inmates under your custody between January 1, 2006, and
December 31, 2006.
• INCLUDE incidents involving inmates under the
authority, custody, or care of your confinement or
community-based facilities or staff.
• EXCLUDE inmates held in other jurisdictions.

Reporting instructions:

•
•
•

Please complete the entire SSV-3 Form.
If the answer to a question is "not available" or "unknown,"
write "DK" (do not know) in the space provided.
If the answer to a question is "not applicable," write "NA"
in the space provided.
If the answer to a question is "none" or "zero," mark box
( x ) provided.
When exact numeric answers are not available, provide
estimates and mark ( X ) in the box beside each figure.

Substantiated incidents of sexual violence:
• Please complete an Incident Form (Adult, SSV-IA)
for each substantiated incident of sexual violence.
Returning forms:
• If you need assistance, please call Greta Clark at the
U.S. Census Bureau toll–free at 1–800–253–2078, or
e-mail govs.ssv@census.gov
• Please return your completed questionnaire and
substantiated incident forms by March 15, 2007.
• You may complete this survey online at:
• http:/ /harvester.census.gov/ssv/
• If you prefer, you may also return these forms
by mail or fax.
• MAIL TO: U.S. Census Bureau, P.O. Box 5000,
Jeffersonville, IN 47199-5000
• FAX (TOLL FREE): 1–888–891–2099

Burden Statement
Under the Paperwork Reduction Act, we cannot ask you to respond to a collection of information unless it displays a currently valid OMB
control number. The burden of this collection is estimated to average 60 minutes per response, including reviewing instructions, searching
existing data sources, gathering necessary data, and completing and reviewing this form. Send comments regarding this burden estimate or
any aspect of this survey, including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street,
NW, Washington, DC 20531. Do not send your completed form to this address.

Section I – GENERAL INFORMATION

Section II – INMATE-ON-INMATE SEXUAL VIOLENCE

1. How many persons under the supervision of your
local jail jurisdiction were –

DEFINITIONS OF SEXUAL VIOLENCE
The definition of "rape" as required under the Prison Rape
Elimination Act of 2003 will be operationalized by
disaggregating sexual assault into two categories of
inmate-on-inmate SEXUAL VIOLENCE. These categories
reflect uniform definitions formulated by the National Center
for Injury Prevention and Control, in "Sexual Violence
Surveillance: Uniform Definitions and Recommended Data
Elements," Centers for Disease Control and Prevention. The
categories of inmate-on-inmate SEXUAL VIOLENCE are:

a. CONFINED in your jail facilities on
December 31, 2006?
• INCLUDE persons on transfer to treatment
facilities but who remain under your
jurisdiction.
• INCLUDE persons out to court while under your
jurisdiction.
• INCLUDE persons held for other jurisdictions.

NONCONSENSUAL SEXUAL ACTS:

• EXCLUDE persons housed in facilities operated
by two or more jurisdictions or those held in
privately operated jails.

Contact of any person without his or her consent, or of a
person who is unable to consent or refuse;
AND

• EXCLUDE inmates on AWOL, escape, or
long-term transfer to other jurisdictions.

• Contact between the penis and the vagina or the penis
and the anus including penetration, however slight;

• EXCLUDE all persons in non-residential
community-based programs run by your jail
(e.g., electronic monitoring, house arrest,
community service, day reporting, work
programs).
Male

OR
• Contact between the mouth and the penis, vagina, or
anus;
OR

Female

• Penetration of the anal or genital opening of another
person by a hand, finger, or other object.

Inmates on
December 31, 2006

ABUSIVE SEXUAL CONTACTS:
b. ADMITTED to your jail facilities during 2006?

Contact of any person without his or her consent, or of a
person who is unable to consent or refuse;

• INCLUDE new admissions only, i.e., persons
officially booked into and housed in your facilities by
formal legal document and by the authority of the
courts or some other official agency.

AND

• INCLUDE repeat offenders booked on new charges.

• Intentional touching, either directly or through the
clothing, of the genitalia, anus, groin, breast, inner thigh,
or buttocks of any person.

• EXCLUDE returns from escape, work release, medical
appointments/treatment facilities, and bail or court
appearances.

• Exclude incidents in which the intent of the sexual
contact is to harm or debilitate rather than to sexually
exploit.

Male

Female

New admissions
during 2006

2. Between January 1, 2006, and
December 31, 2006, what was the average
daily population of all jail confinement
facilities operated by your jurisdiction?
• To calculate the average daily population, add the
number of persons for each day during the period
January 1, 2006, through December 31, 2006, and
divide the result by 365.
Male

Female

Average daily
population . .

FORM SSV-3 (12-13-2006)

Page 2

3. Does your local jail jurisdiction record allegations
of inmate-on-inmate NONCONSENSUAL SEXUAL
ACTS?
Yes

01

6. Does your local jail jurisdiction record
allegations of inmate-on-inmate ABUSIVE
SEXUAL CONTACTS?

➔ a. Do you record all reported

01

occurrences, or only substantiated
ones?

No

➔ Can these be counted separately from
allegations of NONCONSENSUAL
SEXUAL ACTS?

01

All

01

Yes

02

Substantiated only

02

No

b. Do you record attempted
NONCONSENSUAL SEXUAL ACTS or
only completed ones?

02

Yes

01

Both attempted and completed

02

Completed only

02

No

➔

➔ Skip to Item 9.

Please provide an explanation in the space
below and then skip to Item 9.

➔ Please provide the definition used by your local

jail jurisdiction for inmate-on-inmate
NONCONSENSUAL SEXUAL ACTS in the space
below. Use that definition to complete Items 4
and 5.

7. Between January 1, 2006, and
December 31, 2006, how many allegations
of inmate-on-inmate ABUSIVE SEXUAL
CONTACTS were reported?
Number reported

None

• If an allegation involved multiple victimizations, count
only once.

4. Between January 1, 2006, and
December 31, 2006, how many allegations
of inmate-on-inmate NONCONSENSUAL
SEXUAL ACTS were reported?

8. Of the allegations reported in Item 7, how many
were — (Please contact the agency or office responsible for
investigating allegations of sexual violence in order to fully
complete this form.)

Number reported
None
• If an allegation involved multiple victimizations, count
only once.
5. Of the allegations reported in Item 4, how many
were — (Please contact the agency or office responsible for
investigating allegations of sexual violence in order to fully
complete this form.)

a. Substantiated

.......

.....

None

c. Unfounded . . . . . . . . . .

None

d. Investigation ongoing

.

None

e. TOTAL (Sum of Items
8a through 8d) . . . . . . . . .

None

b. Unsubstantiated
a. Substantiated

.......

None

• The event was investigated and determined to have
occurred.
b. Unsubstantiated . . . . .

None

• Evidence was insufficient to make a final determination
that the event occurred.
c. Unfounded . . . . . . . . . .

None

• The event was determined NOT to have occurred.
d. Investigation ongoing .

None

• A final determination has not yet been made as to
whether the event occurred.
e. TOTAL (Sum of Items
5a through 5d) . . . . . . . . .

FORM SSV-3 (12-13-2006)

None

None

Page 3

Section III – STAFF SEXUAL MISCONDUCT
AND HARASSMENT

10. Between January 1, 2006, and
December 31, 2006, how many allegations of
STAFF SEXUAL MISCONDUCT were reported?

DEFINITION OF STAFF SEXUAL MISCONDUCT
The definition of STAFF SEXUAL MISCONDUCT is based
on "Training for Investigators of Staff Sexual Misconduct,"
prepared by the National Institute of Corrections. STAFF
SEXUAL MISCONDUCT includes any behavior or act of a
sexual nature directed toward an inmate by an employee,
volunteer, contractor, official visitor, or agency
representative (exclude inmate family, friends, or other
visitors). Sexual relationships of a romantic nature between
staff and inmates are included in this definition.

Number reported

None

• If an allegation involved multiple victims or staff,
count only once.
11. Of the allegations reported in Item 10,
how many were — (Please contact the agency
or office responsible for investigating allegations of
sexual violence in order to fully complete this form.)

Consensual or nonconsensual sexual acts including:
• Intentional touching of the genitalia, anus, groin, breast,
inner thigh, or buttocks with the intent to abuse, arouse,
or gratify sexual desire;
OR

a. Substantiated . . . . . . .

None

b. Unsubstantiated . . . . .

None

c. Unfounded . . . . . . . . . .

None

d. Investigation ongoing .

None

e. TOTAL (Sum of Items
11a through 11d) . . . . . . .

None

• Completed, attempted, threatened, or requested sexual
acts;
OR
• Occurrences of indecent exposure, invasion of privacy,
or staff voyeurism for sexual gratification.
DEFINITION OF STAFF SEXUAL HARASSMENT
The definition of STAFF SEXUAL HARASSMENT was also
developed by the National Institute of Corrections. STAFF
SEXUAL HARASSMENT includes repeated verbal
statements or comments of a sexual nature to an inmate by
an employee, volunteer, contractor, official visitor, or other
agency representative (exclude inmate family, friends, or
other visitors).

12. Does your local jail jurisdiction record
allegations of STAFF SEXUAL HARASSMENT?

• Demeaning references to gender or derogatory
comments about body or clothing;

01

OR

Yes ➔ Can these allegations be counted
separately from allegations of
STAFF SEXUAL MISCONDUCT?

• Repeated profane or obscene language or gestures.

9. Does your local jail jurisdiction record
allegations of STAFF SEXUAL MISCONDUCT?
01

02

02

No

01

Yes

02

No ➔ Skip to Item 15.

➔ Please provide an explanation in the space
below and then skip to Item 15.

Yes ➔ Do you record all reported occurrences,
or only substantiated ones?

No

01

All

02

Substantiated only

➔ Please provide an explanation in the space
below and then skip to Item 12.

13. Between January 1, 2006, and
December 31, 2006, how many allegations of
STAFF SEXUAL HARASSMENT were reported?

Number reported

None

• If an allegation involved multiple victims or staff,
count only once.
FORM SSV-3 (12-13-2006)

Page 4

NOTES

14. Of the allegations reported in Item 13, how
many were — (Please contact the agency or
office responsible for investigating allegations of
sexual violence in order to fully complete this form.)

a. Substantiated

.......

None

.....

None

c. Unfounded . . . . . . . . . .

None

d. Investigation ongoing

.

None

e. TOTAL (Sum of Items 14a
through 14d) . . . . . . . . . .

None

b. Unsubstantiated

Section IV – TOTAL OF SUBSTANTIATED
INCIDENTS OF SEXUAL VIOLENCE
15. What is the total number of substantiated
incidents reported in Items 5a, 8a, 11a,
and 14a?
Total substantiated
incidents . . . . . . . . . . . . .

None

➔ Please complete an Incident Form

(Adult, SSV-IA) for each substantiated
incident of sexual violence.

FORM SSV-3 (12-13-2006)

Page 5