A Meta-Analytic Framework for Developing Protocols to Attend Child and Adolescent Victims of Sexual Violence

Abstract

Violence against children and adolescents is a global public health problem. In Brazil, there are challenging boundaries for professionals in the protection network in general and for health professionals in particular. Moreover, among other factors, there is the challenge of referral, due to weaknesses in decision making, given the nature of sexual violence and how it is managed by healthcare services. This study aims to propose a Meta-Analytic framework to support the referral of young victims of sexual violence, considering levels of severity, independent of factors such as how protection systems are structured and managed and the local laws in force. We propose a Meta-Analytic approach, developed using the fundamentals of Delphi and DPSIR (Drivers, Pressures, State, Impact, and Response Model of Intervention), from the perspective of Value-Focused Thinking. The Delphi method was structured in two stages: the first stage aimed to identify and classify typical cases of sexual violence; the second stage used the DPSIR model, with the aim of identifying the decision criteria for typical cases that occur in a given municipality. The main outcomes are: (i) the application of the modified Delphi participatory method within the context of local social policies; (ii) the construction of a value tree based on Value-Focused Thinking; and (iii) the identification and systematization of criteria that most interfere with the evaluation of cases of sexual violence, which can be used for multi-criteria decision making.

Multicriteria Decision-Making in Public Security: A Systematic Review

“…Another observation concerns the identification and structuring of objectives, which helps in providing a broad vision to ground better decisions, using the effort and time expended, with regard to decision-making, in the best possible way. After conducting an individual analysis of each of the 51 articles, it can be inferred that only 5 of them made use of Problem Structuring Methods (PSM), these being Marques et al [99] and Oliveira et al [91] with the use of cognitive mapping, as well as Trevisan et al [77] and López et al [97], with the employment of VFT, and de Assis et al [39], who used Soft System Methodology. Thus, considering all the articles analyzed, only 9.8% used PSM in designing, understanding, describing, and identifying the important factors of decision models.…”