Nihan Osmanağaoğlu Samantha Tyler amp Christine Wang Presented on April 1 st 2013 Florida State University Presentation Overview What is child sexual abuse CSA How can I recognize CSA ID: 603513
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Slide1
Child Sexual Abuse (CSA)
Nihan
Osmanağaoğlu
, Samantha Tyler, & Christine Wang
Presented on April 1
st
, 2013
Florida State University Slide2
Presentation Overview
What is child sexual
abuse (CSA
)?
How can I recognize CSA?
What can I do
about
it? Slide3
Social Awareness Film: Child Sexual Abuse in FamilySlide4
Part 1: What Is Child Sexual Abuse (CSA)? Slide5
Definitions
Child sexual abuse (CSA) by adults
Child-on-child sexual abuse
(
Briere
& Elliot, 2003
), (
Deblinger
, 2013
), (Goldman, Salus, Wolcott, & Kennedy, 2003) Slide6
Statistics
(
Briere
& Elliot, 2003
), (
Child
Maltreatment
,
2010
), (Deblinger, 2013)
1 out of 4 girls
1 out of
6 boys Slide7
Sexual Abuse Myths
Stranger danger!
Only men sexually abuse
children.
Abused children always tell.
CSA is a cultural or socioeconomic problem.
A sexually abused child will grow up to be a sex offender.
(One with Courage, 2013b
) Slide8
Part 2: How can I recognize Child Sexual Abuse (CSA)? Slide9
WARNING
ActivitySlide10
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 Slide11
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 Slide12
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 Slide13
Warning
Signs
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 Regression
(One with Courage, 2013a
) Slide14
Effects of Child Sexual Abuse
Maladaptive or unhelpful beliefs and attributions related to the abusive event(s)
Acting out behaviors
Post-traumatic stress
disorder (PTSD)
Other mental health
disorders
(Child Welfare Information
Gateway
, 2012c) Slide15
Part 3: What can I do about Child Sexual Abuse (CSA)? Slide16
Role of Mental Health Professionals
(Goldman,
Salus
, Wolcott, & Kennedy, 2003)
Identify
Report
Evaluate
Testify
Consult
Provide treatment
Advocate Slide17
What should you
do
?
What should you
avoid
doing?
A child discloses to you during
counseling that she or he is being
(or has been) sexually abused. Slide18
What to Do
What to Avoid
Stay calm
Listen carefully
Believe the child
Protect the child
React negatively
Interrogate the child
Blame the child
Make promises you cannot keep Slide19
Mandatory Reporting
(
Child Welfare Information Gateway, 2012a
), (
Child Welfare Information Gateway, 2012b) Slide20
Treatment
(
Hetzel-Riggin
,
Brausch
, & Montgomery, 2007), (Saunders, Berliner, & Hanson (Eds
.), 2004
)
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 Slide21
Treatment: TF-CBT
(Cohen, 2013
)
TF-CBT = trauma-focused
cognitive behavioral therapy
Recognized
by Substance Abuse and Mental Health Services Administration (SAMHSA) and National Child Traumatic Stress Network (NCTSN) Slide22
Additional Information
Community Resources
Hotlines for Help Slide23
Community Resources
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 Slide24
Hotlines for Help
*
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) Slide25
Were you paying attention?
What is child
sexual abuse (CSA
)?
How can I recognize it CSA?
What can I do
about
it? Slide26
Any questions? Slide27
Thank you! Slide28
References
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. Slide29
References (continued)
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-about-abuse1.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.