Download Questions and answers about child sexual abuse

Child Sexual Abuse (CSA)
Nihan Osmanağaoğlu, Samantha Tyler, & Christine Wang
Presented on April 1st, 2013
Florida State University
1. What is child sexual abuse (CSA)?
2. How can I recognize CSA?
3. What can I do about it?
Presentation Overview
Social Awareness Film: Child
Sexual Abuse in Family
PART 1: WHAT IS CHILD SEXUAL
ABUSE (CSA)?
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Child sexual abuse (CSA) by adults
Child-on-child sexual abuse
Definitions
(Briere & Elliot, 2003), (Deblinger, 2013), (Goldman, Salus, Wolcott, & Kennedy, 2003)
1 out of 4 girls
1 out of 6 boys
Statistics
(Briere & Elliot, 2003), (Child Maltreatment, 2010), (Deblinger, 2013)
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Stranger danger!
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Only men sexually abuse
children.
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Abused children always tell.
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CSA is a cultural or socioeconomic problem.
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A sexually abused child will grow up to be a sex offender.
Sexual Abuse Myths
(One with Courage, 2013b)
PART 2: HOW CAN I RECOGNIZE
CHILD SEXUAL ABUSE (CSA)?
WARNING
Activity
Sue has always had very low confidence and
anxiety in social situations. She was getting
good grades in the beginning of the year, but
towards the end of the year her work
deteriorated dramatically. When you ask her
about it, she says that her mother and father
are getting divorced, and her mother has a new
boyfriend who she doesn’t like. When you press
her, she says Jerry is “boring and stupid,” and
she misses her dad.
Case Scenario – 1
You have known Adam and his parents for
years. Adam is a troublemaker, and has been
known to lie. His father is a friend of yours,
is active in the community, and has a
wonderful reputation. One day, Adam comes
to you in tears and tells you his father has
been making him pose for photographs in
the nude. You think he is probably lying.
Case Scenario – 2
James is in first grade classroom. Two of the
students have complained that James
showed them his “privates” and tried to pull
down their pants when they refused to show
him their “privates.”
Case Scenario – 3
1.
2.
3.
4.
5.
Fear of and/or avoidance of certain places or people
Unexplained injuries (or unconvincing explanations)
Changes in school performance
High risk-taking behaviors
General changes
in behavior
6. Regression
Warning
Signs
(One with Courage, 2013a)
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Maladaptive or unhelpful beliefs and attributions
related to the abusive event(s)
Acting out behaviors
Post-traumatic stress
disorder (PTSD)
Other mental health
disorders
Effects of Child Sexual Abuse
(Child Welfare Information Gateway, 2012c)
PART 3: WHAT CAN I DO ABOUT
CHILD SEXUAL ABUSE (CSA)?
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Identify
Report
Evaluate
Testify
Consult
Provide treatment
Advocate
Role of Mental Health Professionals
(Goldman, Salus, Wolcott, & Kennedy, 2003)
A child discloses to you during
counseling that she or he is being
(or has been) sexually abused.
What should you do?
What should you
avoid doing?
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Stay calm
Listen carefully
Believe the child
Protect the child
What to Do
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React negatively
Interrogate the child
Blame the child
Make promises you
cannot keep
What to Avoid
Mandatory Reporting
(Child Welfare Information Gateway, 2012a), (Child Welfare Information Gateway, 2012b)
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Receiving treatment is better
than no treatment
Can refer to Treatment
Guidelines
(Saunders, Berliner, & Hanson
(Eds.), 2004)
Choose a type of therapy
based on the child’s main
presenting secondary problem
Treatment
(Hetzel-Riggin, Brausch, & Montgomery, 2007), (Saunders, Berliner, & Hanson (Eds.), 2004)
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TF-CBT = trauma-focused
cognitive behavioral
therapy
Recognized by Substance
Abuse and Mental Health
Services Administration
(SAMHSA) and National
Child Traumatic Stress
Network (NCTSN)
Treatment: TF-CBT
(Cohen, 2013)
ADDITIONAL
INFORMATION
Community Resources
Hotlines for Help
Florida Network of Children's Advocacy Centers
850-671-4791
Florida Children's Home Society (CHS)
Child Protection Team
850-921-0772
Refuge House
Rape crisis center
Local 24-Hour Hotline
850-681-2111
Community Resources
* Important note! * If you see a child in immediate danger,
call 9-1-1 right away.
Florida Abuse Hotline - Department of Children and Families
1-800-96-ABUSE or 1-800-962-2873
Florida Council Against Sexual Violence
Rape Crisis Hotline
1-800-956-RAPE or 1-800-956-7273
Childhelp® National Child Abuse Hotline
1-800-4-A-CHILD (1-800-422-4453)
Hotlines for Help
1. What is child sexual abuse (CSA)?
2. How can I recognize it CSA?
3. What can I do about it?
Were you paying attention? 
Any questions?
Thank you!
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Briere, J. (1992). Child Abuse Trauma: Theory and Treatment of the Lasting Effects.
London: Sage Publications.
Briere, J. & Elliot, D. M. (2003). Prevalence and symptomatic sequelae of self-reported
physical and sexual abuse in a general population sample of men and women. Child
Abuse and Neglect, 27, 1205-1222.
Child Maltreatment 2010, Washington, DC: U.S. Department of Health and Human
Services, Administraton on Children, Youth and Families, Children's Bureau.
Child Welfare Information Gateway. (2012a). Mandatory reporters of child abuse and
neglect. Washington, DC: U.S. Department of Health and Human Services, Children’s
Bureau.
Child Welfare Information Gateway. (2012b). Penalties for failure to report and false
reporting of child abuse and neglect. Washington, DC: U.S. Department of Health and
Human Services, Children's Bureau.
Child Welfare Information Gateway. (2012c). Trauma-focused cognitive behavioral
therapy for children affected by sexual abuse or trauma. Washington, DC: U.S.
Department of Health and Human Services, Children’s Bureau.
Cohen, J. (2013). Questions and answers about child sexual abuse treatment. National
Children Traumatic Stress Network.
References
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Deblinger, E. (2013). Questions and answers about child sexual abuse. National
Children Traumatic Stress Network.
Goldman, J., Salus, M. K., Wolcott, D., & Kennedy, K. Y. (2003). A coordinated
response to child abuse and neglect: The foundation for practice. Washington, DC:
National Clearinghouse on Child Abuse and Neglect Information. Retrieved from
https://www.childwelfare.gov/pubs/usermanuals/foundation/foundation.pdf
Hetzel-Riggin, M. D., Brausch, A. M., & Montgomery, B. S. (2007). A meta-analytic
investigation of therapy modality outcomes for sexually abused children and
adolescents: An exploratory study. Child Abuse and Neglect, 31, 125-141.
One with Courage (2013a). Learn the signs. Retrieved from
http://www.onewithcourage.org/learn-the-signs/
One with Courage (2013b). Myths about child sexual abuse. Retrieved from
http://www.onewithcourage.org/wp-content/uploads/2011/09/myths-aboutabuse1.pdf
Saunders, B. E., Berliner, L., & Hanson, R. F. (Eds.). (2004). Child Physical and
Sexual Abuse: Guidelines for Treatment (Revised Report: April 26, 2004).
Charleston, SC: National Crime Victims Research and Treatment Center.
References (continued)