Case ReportSexual Assault Victimization Among Children and Youth With Developmental Disabilities Responding With Trauma-Informed CareReese, Shannonlee BSN, RN, FNE1; Deutsch, Stephanie Anne MD, MS, FAAP2Author Information Author Affiliations:1Department of Emergency Medicine 2Department of General Pediatrics, Nemours/Alfred I. DuPont Hospital for Children. The authors declare no conflict of interest. Correspondence: Stephanie Anne Deutsch, MD, MS, FAAP, Department of General Pediatrics, Nemours/Alfred I. DuPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803. E-mail: Stephanie.firstname.lastname@example.org. Received May 1, 2019; Accepted December 18, 2019 This article was originally submitted for consideration for publication in the special issue on trauma-informed care. Journal of Forensic Nursing: January/March 2020 - Volume 16 - Issue 1 - p 55-60 doi: 10.1097/JFN.0000000000000278 Buy Metrics Abstract Sexual assault victimization is a traumatic experience for children and youth, and care of survivors requires a trauma-informed approach. Children and youth with developmental disabilities are sexually victimized at higher rates than those without disabilities. Children with autism spectrum disorder (ASD), in particular, may be at an increased risk for both traumatic events and developing traumatic sequelae after sexual assault victimization. In this report, we present the case of a youth with ASD who sought acute sexual assault care, but whose care was compromised because of multiple systems failures, including gaps in communication regarding her unique needs, and inconsistent knowledge among multidisciplinary team members regarding necessary adaptations in the implementation of trauma-informed care for youth with ASD. Lessons learned, including proposed solutions to improve communication and education, and approaches to prevent unintended retraumatization are discussed. © 2020 by the International Association of Forensic Nurses. All rights reserved.