Kleenex Designer Goes Public as Sex Assault Survivor

In 2010, Christine Mau, a brand design director for Kimberly-Clark, was named one of Advertising Age's "Women to Watch." She created the oval-shaped Kleenex box and added rainbow colors to tampon wrappers and feminine pads.

But at the height of her creative success, none of her corporate colleagues knew Mau's back-story: She was a child of poverty who suffered sexual abuse and assault, first at the hands of her father and later a boyfriend.

The fortuitous intervention of bystanders -- a high school teacher and, later, college friends -- saved her from a life of violence.

"People don't want to talk about it because of the associated stigma," said Mau, now 48 and the public face of a campaign called NO MORE to prevent sexual assault and to drive new awareness to stimulate bystander action.

"Every sound bite gets out there and breaks the silences and brings more power to survivors," said Mau, whose personal story inspired NO MORE. Kimberly-Clark, in turn, gave her full support.

Today, as the controversial Steubenville, Ohio, rape trial begins, a coalition of advocacy groups has united under a new universal message and logo Mau helped design. It is the first national prevention initiative that has been backed by every major organization that fights domestic violence and sexual assault.

See the full story about the Steubenville rape case on ABC's "20/20" Friday, March 22, at 10 p.m.

"The smallest things can have a huge impact," said Mau, who hopes that the new logo -- a blue circle with a hole in the middle -- will do for sexual assault what the pink ribbon has done for breast cancer and the red ribbon for AIDS.

Courtesy Christine Mau and No More

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The Steubenville rape case shocked the nation as two football players, Ma'Lik Richmond, 16, and Trent Mays, 17, were charged with the rape of a drunken 16-year-old girl last August. Both have pleaded not guilty. The case sparked a debate, in part, because three other students took photos and video of the attack and did nothing to help the alleged victim.

Steubenville Scandal in Photos

A study released today before a Congressional hearing reveals that half of all young Americans surveyed (51 percent) know a victim of sexual assault or dating violence. Of the 700 women aged 15 to 22 surveyed, 53 percent said they would find it difficult to help; 40 percent said they wouldn't know what to do if they witnessed such a crime.

One in three young women and nearly one in two young men say they would not even know how to recognize the signs of sexual assault.

The national, randomized study was conducted by GfK Public Affairs and Corporate Communications and funded by the Avon Foundation for Women in conjunction with Seventeen magazine.

The new symbol has been embraced by celebrities including "Twilight" Actress Ashley Greene and Mariska Hargitay of television's "Law and Order SVU," who is president and founder of the Joyful Heart Foundation. Others include CBS sportscaster James Brown and singer Jasmine Villegas.

Mau was among the "best and brightest" in the branding and marketing industry who worked behind the scenes to develop the logo and a website that gives young people the tools to take action.

The logo, gender-neutral and "the color of safety and the color of the sky," represents zero tolerance and a circle of support around a victim, according to Mau. It will be used on signs and posters and attached to the bottom of emails from all the advocacy groups.

Marjorie Gilberg, executive director of Break the Cycle, a Washington-based national dating abuse and prevention organization and one of the supporters of the project, said the study shows young people want to respond, but don't know how.

"There are lots of things you can do -- even simply saying to a friend, if you see the interaction between a girlfriend and a boyfriend, 'I saw that -- is that how things usually go?'" said Gilberg. "Is that joking or is it serious?"

"The fear of losing social capital is very real as a teen," she said. "You want to help a friend, but you don't want to lose friends. But you can have a conversation and let them know where there are resources for help."

Police: No Criminal Charges in Death of Woman Denied CPR

No criminal charges will be filed in connection with the death of an 87-year-old woman after she was denied CPR at her retirement home, Bakersfield, Calif., police said tonight.

Authorities opened an investigation Monday when Lorraine Bayless' death attracted national attention after a seven-minute 911 call surfaced in which the caller declined to administer CPR.

"A thorough review was conducted of all the facts surrounding the case. The investigation revealed that no criminal statutes had been violated," Bakersfield Police Department officials said in a news release.

The 911 call revealed a staff member at the Glendale Gardens independent living facility refusing to perform CPR or find someone else to perform CPR on Bayless after she collapsed.

On the recording, a 911 dispatcher can be heard pleading with the staff member to find someone who would perform CPR on Bayless, saying, "Is there anybody there that's willing to help this lady and not let her die?"

RELATED: Woman Dies After Nurse Refuses to Give Her CPR

"Not at this time," the woman replied.

Although the woman identified herself as a nurse on the call, she was later reported to be a resident services director at Glendale Gardens.

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Bayless was later pronounced dead at the hospital.

Brookdale Senior Living, which owns Glendale Gardens, initially said the employee was following company policy by waiting for first responders instead of administering medical care herself. But on Tuesday, the company released a statement saying that the employee had not understood the company's guidelines and was on voluntary leave pending an investigation.

"The incident resulted from a complete misunderstanding of our practice with regards to emergency medical care for our residents," the Tennessee-based company said.

A spokesperson for Brookdale Senior Living said there would also be a companywide review of its emergency medical policies.

In its statement, Bayless' family said the incident provided "a lesson we can all learn from."

The family said it had no intention of suing the facility.

"It was our beloved mother and grandmother's wish to die naturally and without any kind of life prolonging intervention," the family said. "We understand that the 911 tape of this event has caused concern, but our family knows that mom had full knowledge of the limitations of Glenwood Gardens and is at peace."

The family added that it was surprised by the amount of attention the incident received.

"We regret that this private and most personal time has been escalated by the media," the statement said.

According to fire officials, Bayless did not have a "do not resuscitate" order, but that was not confirmed by the family or Glendale Gardens.

The incident not only made national headlines but also triggered several investigations. The Kern County Aging and Adult Services was looking into possible elder abuse.

The Associated Press contributed to this report.

Family of Woman Denied CPR Says She Wanted 'Natural' Death

The family of the elderly woman who died after she was denied CPR at her retirement home released a statement Tuesday saying that 87-year-old Lorraine Bayless received adequate care at the Bakersfield, Calif., facility, and that she had wanted to die naturally.

The case attracted national attention after a harrowing, seven-minute 911 call revealed a staff member at the Glendale Gardens independent living facility had refused to perform CPR, or find someone else to perform CPR, on Bayless after she collapsed.

On the recorded call, a 911 dispatcher can be heard pleading with the staff member to find someone who would perform CPR on Bayless, saying, "Is there anybody there that's willing to help this lady and not let her die?"

"Not at this time," the woman replied.

Although the woman identified herself as a nurse on the call, she was later reported to be a resident services director at Glendale Gardens.

Bayless was later pronounced dead at the hospital.

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Brookdale Senior Living, which owns Glendale Gardens, initially said the employee was following company policy by waiting for first responders instead of administering medical care herself. But on Tuesday, the company released a statement saying that the employee had not understood the company's guidelines and was on voluntary leave pending an investigation.

"The incident resulted from a complete misunderstanding of our practice with regards to emergency medical care for our residents," the Tennessee-based company said. A spokesperson for Brookdale Senior Living said there would also be a companywide review of its emergency medical policies.

In its statement, Bayless' family said the incident provided "a lesson we can all learn from." The family also announced it had no intention of suing the facility.

"It was our beloved mother and grandmother's wish to die naturally and without any kind of life prolonging intervention," the family said. "We understand that the 911 tape of this event has caused concern, but our family knows that mom had full knowledge of the limitations of Glenwood Gardens and is at peace."

The family also said it was surprised by the amount of attention the incident received.

"We regret that this private and most personal time has been escalated by the media," the statement said.

According to fire officials, Bayless did not have a Do Not Resuscitate Order, but this was not confirmed by the family or Glendale Gardens.

The incident not only made national headlines but has also triggered several investigations. The Kern County Aging and Adult Services is looking into possible elder abuse, and the Bakersfield police are working to determine if a crime was committed when the nurse refused to find someone to perform CPR.

The Associated Press contributed to this report.

State roundup: Health care industry calls drug testing bill in N.H. 'vague'

A selection of health policy stories from New Hampshire, Oregon, Kansas and California.

The Associated Press: Health Industry: NH Drug Testing Bill Too Vague

Representatives from the health care industry said Tuesday they have a vested interest in stopping employees from stealing controlled substances but a bill being considered by New Hampshire lawmakers to drug test their workers is too vague. The proposal is part of the legislative response to a recent scandal at Exeter Hospital, where an employee allegedly stole drugs and replaced them with Hepatitis C infected syringes later used on patients (True, 2/26).

Lund Report: Ore. House Bill 2522 Spells Out CCO Role For Chiropractors

The organization representing chiropractors is pushing a bill that would require coordinated care organizations to consider them equal to medical doctors, but quickly ran into opposition. … HB 2522 is opposed by CCOs, and the organization representing osteopathic physicians. "A bill of this nature undermines the original CCO legislation," said Ruth Bauman, chairwoman of the board of Willamette Valley Community Health, the CCO serving Medicaid clients in the Salem area. ... Legislation passed in 2012 created coordinated care organizations to integrate physical, mental and dental care for people on the Oregon Health Plan. The organizations are set up at the local level through collaboration among doctors, hospitals, mental health agencies, county commissioners, patient advocates and other health care professionals (Gray, 2/26).

Kansas Health Institute: Kansas Prescription Drug Monitoring Program Gets Boost

Kansas is one of at least two states set to receive free software needed to run its prescription drug monitoring program as part of a pilot project by the National Association of Boards of Pharmacy. According to state officials, that will translate to annual savings of about $120,000 in license and connectivity fees currently paid to run the Kansas Tracking and Reporting of Controlled Substances system (K-TRACS), which doctors and pharmacists use to check on possible prescription drug abuse by their patients (Cauthon, 2/26).

FSMB announces recipients of 2013 medical awards

The Federation of State Medical Boards (FSMB) announced the recipients of its 2013 awards recognizing outstanding service and leadership in the field of medical regulation. The awards will be presented at the FSMB's Annual Meeting in Boston in April. This year's recipients include:

Distinguished Service Award

The Distinguished Service Award recognizes individuals who have demonstrated outstanding service and leadership to the FSMB and the field of medical licensure and discipline. The 2013 award is presented to Martin Crane, MD, and Scott M. Fishman, MD.

Dr. Crane exercised key leadership roles in strategic planning, governance and fiduciary oversight as a member of the FSMB's Board of Directors from 2004-2011. As Chair of the organization from 2009-2010, he led initiatives to open an FSMB Advocacy Office in Washington, D.C., and raised public awareness of the important role of state medical boards in maintaining health care quality and patient safety. During his term, Dr. Crane also led efforts to enhance the FSMB's data resources, assuring the continued competence of licensed physicians through the FSMB's Maintenance of Licensure initiative, and integrating the FSMB's resources into the national system of emergency preparedness. From 2000 to 2008, Dr. Crane served on the Massachusetts Board of Registration in Medicine. In addition to leading the board as chair for five years, Dr. Crane chaired several key committees and led significant policy changes for utilizing a state medical board to improve health care quality and access to health care in the state. In 2006, the U.S. Secretary of Education appointed Dr. Crane to the National Committee on Foreign Medical Education and Accreditation, a committee he subsequently chaired.

Dr. Fishman, Chief of the Division of Pain Medicine and Professor of Anesthesia at the University of California, Davis, is well known for his longstanding scholarship and leadership in the area of pain management. He lectures throughout the United States on all aspects of pain control as well as the prevention of prescription drug abuse. Dr. Fishman is the author of the FSMB Foundation's 2007 book, "Responsible Opioid Prescribing," which was widely distributed by medical boards and quickly became a recognized authoritative resource for physicians in confronting problems associated with the evaluation and treatment of chronic pain. An expanded and revised second edition, "Responsible Opioid Prescribing: A Clinician's Guide," was released in print and e-book formats in 2012. Dr. Fishman is Past President of the American Academy of Pain Medicine, and is author of "The War on Pain" and "Listening to Pain," coauthor of "Spinal Cord Stimulation," and coeditor of "Bonica's Management of Pain and Essentials of Pain Medicine and Regional Anesthesia."

John H. Clark, MD Leadership Award

In recognition of his leadership in the field of medical licensure and discipline, the John J. Clark, MD Leadership Award is presented to W. Eugene Musser, Jr., MD.

Transgender Triplet Banned From 1st Grade Restroom

Coy Mathis, born a male triplet, has behaved like a girl since she was 18 months old. When her brother Max was consumed with dinosaurs, she was playing with Barbie dolls. By 4, she was telling her mother that something was wrong with her body.

Since being enrolled at Eagle Elementary School in Fountain, Colo., the 6-year-old has presented as female and wearing girls' clothing. Her classmates and teachers have used female pronouns to refer to her, and she has used the girls' bathrooms.

But since December, school officials have told her parents she can no longer use the female facilities and ordered her to use the boys' or nurse's bathroom.

"We want Coy to have the same educational opportunities as every other Colorado student," said Kathryn Mathis, Coy's mother. "Her school should not be singling her out for mistreatment just because she is transgender."

Now Jeremy and Kathryn Mathis, with the help of the Transgender Legal and Defense Education Fund (TLDEF), have filed a complaint with the Colorado Civil Rights Division on behalf of Coy, alleging that the school has violated her rights. Since Christmas vacation, Coy has been homeschooled.

"Our eye is focused on getting Coy back into school," said TLDEF's executive director Michael Silverman. "We are hopeful we can resolve this quickly for Coy's sake."

Fountain school district's press spokesman John Fogarty did not immediately return calls seeking comment.

But a letter from the school's lawyers said, "The district's decision took into account not only Coy but other students in the building, their parents, and the future impact a boy with male genitals using a girls' bathroom would have as Coy grew older."

Courtesy Transgender Legal Defense and Education Fund

Coy Mathis, a 6-year-old transgender girl... View Full Size

While other students and teachers do not notice that Coy has male genitals, the school said it feared as the child developed parents and students would become "uncomfortable."

"...It would be far more psychologically damaging and disruptive for the issue to arise at an age when students deal with social issues," the letter said.

Across the nation, schools are paying more attention to transgender issues, but there is little uniformity. Some Colorado schools, including Boulder Valley Schools, have detailed policies, according to a report on Coy's case in the Denver Post.

The Colorado Anti-Discrimination Act prohibits discrimination against transgender students in public schools.

A report by the National Center for Transgender Equality and the National Gay and Lesbian Task Force paints a bleak picture of life as a transgender person in the United States. The 2011 survey, "Injustice at Every Turn," found that discrimination is pervasive in "nearly every system and institution."

Transgender youth, in particular, are at disproportionate risk for depression, suicide, substance abuse, HIV and sexually transmitted diseases, according to the Family Acceptance Project at San Francisco State University.

Coy's parents worry that the school's policy is setting their child up for stigma and bullying.

"We have five children and we love them all very much," said Kathryn Mathis. "We want Coy to return to school to be with her teachers, her friends, and her siblings, but we are afraid to send her back until we know that the school is going to treat her fairly. She is still just 6 years old, and we do not want one of our daughter's earliest experiences to be our community telling her she's not good enough."

The Mathis' have a set of triplets and two other children, Dakota, 8, and Auri, 2. The father, Jeremy Mathis, 31, is a former Marine who was honorably discharged with injuries. Kathryn Mathis, 27, is a certified nurse assistant and takes care of Coy's triplet, Lily who has been severely disabled since a viral infection after birth. She must be fed through an IV and is quadriplegic.

'Feminine Mystique': 50 Years Later, Dated But Not Irrelevant

In 1963, young girls could aspire to nothing more than to be married and to have children. In school, they were not allowed to be crossing guards, play competitive sports or even raise and lower the flag, because it was considered too dangerous. But that would soon change.

Fifty year ago this week, Betty Friedan published "The Feminine Mystique," an angry manifesto that shook the American homemaker's world and launched the second wave of feminism.

Then, women represented only 35 percent of the college graduates -- 60 percent dropped out, according to Stephanie Coontz, who examined the changing status of women from the suffragist movement to the 1960s in her 2010 book, "A Strange Stirring."

Even a decade later in the 1970s, women with a college degree earned less than a man with a high school degree.

"A noted psychiatrist at the time [Helene Deustche] said a normal woman renounces all individual aspirations not out of coercion, but because she understands her needs are best met by the achievements of her husband," said Coontz.

Today the book baffles a generation of young women who played football and soccer under Title IX and whose numbers have now surpassed their male peers in law and medical degrees.

"Women still earn less than men do in every occupational category, but gender no longer trumps education," said Coontz, a professor of family studies at The Evergreen State College in Washington.

Unlike the housewives of Friedan's day, modern women enjoy the benefits of sexual revolution that were forged by their mothers in the 1970s. But they are mixed, as ever, about what it means to be a feminist.

Despite quantum gains in nearly every aspect of their lives, many say inequities still exist, particularly when it comes to attitudes toward sex. Others say Friedan's book -- though few have read it -- is dated and "irrelevant."

"I believe that we are equal and entitled to everything men are entitled," said Jenna Helmer, 23, a recent college graduate who works as a classroom aide in New Jersey. "My generation has grown up where it's kind of been the norm.

"When I was growing up, our books at school told us women could be doctors and women could be police officers, too," she said. "That's a message we all can achieve things -- black, white, men, women, the disabled and not disabled."

But she said young women still struggle with the double standard: "If a man sleeps with a whole bunch of women, he gets patted on the back -- and oh wow, he's a ladies' man," Helmer said. "If a woman does that, she's written off as a slut and is considered easy."

Courtesy of Caitlin Terborg, Jenna Helmer and Julia Levine

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Friedan's book -- an attack on societal norms of "sexual passivity, male domination and nurturing maternal love" -- sold more than 3 million copies worldwide.

A middle-class housewife who lost her job as a reporter after she had a second baby, Friedan later became the founding president of the National Organization for Women and fought for abortion rights.

In a 2000 interview with the New York Times, the then 79-year-old Friedan said, "When I was a child, adults never asked girls what they wanted to be when they grew up. With girls they would say, 'You're such a pretty little girl -- you'll grow up, get married and have children just like your mommy.' Well, I sure as hell didn't want to be a mommy like my mommy.''

She died in 2006, but not before writing a memoir, ''Life So Far,'' that recounted a turbulent history, including some spousal abuse during her 22-year marriage.

The 400-page "Feminine Mystique" was "in some ways the first self-help book for women," according to Coontz. "It's dated, but that is its very relevance."

"For most women today, 1963 could be 1396, because they do not grow up in a world where employment ads are sex-segregated and head and master laws gave husbands the final say in the home and where rape was defined as forcible intercourse with someone other than a man's wife," Coontz said. "It's really important for women who get discouraged to understand how far we've come."

Still, women continue to make less in the workplace. And the United States is one of the few countries in the world that does not require paid maternity leave (or paternity leave, as in Sweden). No woman has yet become president.

"Now that we see access to the world of work, we have to make sure to stop assuming every employee has a wife at home," said Coontz, who writes about the topic, "Why Gender Equality Stalled" in this week's Sunday New York Times.

The sexual equality has only been half won, as well. Women are consumed by the "hottie mystique," a term she uses to describe the pressure they feel to elevate their sexuality above all other aspects of their identity.

HBO's popular television show, "Girls" by Lena Dunham, has been a touchstone for this generation, the millennials. But the 20-something characters, though sexually free, are at once aggressive and emotionally needy.

"It's fairly realistic," said Caitlin Terborg, a 27-year-old graduate student in communications from Denver. "They don't have jobs and they want to make something of themselves.

"Even how sex is portrayed -- there are girls who are virgins at this age and girls who are definitely putting themselves in situations where they can manipulate and where they can be taken advantage of," she said. "But they are having sex because they want to."

Sex continues to be about control -- control that goes both ways, said Terborg.

"Guys use it to control girls, and girls use it to control their boyfriends to get what they want or to keep them around," she said.

Terborg knows men still have an advantage in the work place, one of the reasons she is getting an advanced degree. She also worries about violence against women and the dismantling of their reproductive rights.

"We almost lost the right to choose free access to birth control -- that was pretty scary," said Terborg of recent debates over whether insurance companies should be required to pay for birth control under the Affordable Care Act.

"There is a spiral of silence -- we don't speak out because we are afraid of the responsibility or not fitting in," she said. "Sadly, I think there is a need for a writer [like Friedan] or a voice. Our generation is spoiled. ... Maybe there is a sense of entitlement."