In Demand: Therapeutic Services for Children and Young People Who Have Experienced Sexual Abuse

Allnock, Debra; Radford, Lorraine; Bunting, Lisa; Price, A. Cooper; Morgan-Klein, Natalie; Ellis, James K.; Stafford, Anne

doi:10.1002/car.1205

Cited by 17 publications

(22 citation statements)

References 37 publications

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“…Trauma exposure can cause neurobiological, emotional, social, and cognitive impairment in young children that can derail development (Chu & Lieberman, 2010). Despite the high trauma exposure (Finkelhor et al, 2005; Finkelhor et al, 2009), accessible treatment by trained therapists to deliver EBP to children exposed to trauma remains limited (Allnock et al, 2012). Stepped Care TF-CBT may serve as a model for developing and testing stepped care approaches to treating other types of childhood psychiatric disorders.…”

Section: Resultsmentioning

confidence: 99%

Development of Stepped Care Trauma-Focused Cognitive-Behavioral Therapy for Young Children

Salloum

Scheeringa

Cohen

et al. 2014

Cognitive and Behavioral Practice

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Young children who are exposed to traumatic events are at risk for developing posttraumatic stress disorder (PTSD). While effective psychosocial treatments for childhood PTSD exist, novel interventions that are more accessible, efficient, and cost-effective are needed to improve access to evidence-based treatment. Stepped care models currently being developed for mental health conditions are based on a service delivery model designed to address barriers to treatment. This treatment development article describes how trauma-focused cognitive-behavioral therapy (TF-CBT), a well-established evidence-based practice, was developed into a stepped care model for young children exposed to trauma. Considerations for developing the stepped care model for young children exposed to trauma, such as the type and number of steps, training of providers, entry point, inclusion of parents, treatment components, noncompliance, and a self-correcting monitoring system, are discussed. This model of stepped care for young children exposed to trauma, called Stepped Care TF-CBT, may serve as a model for developing and testing stepped care approaches to treating other types of childhood psychiatric disorders. Future research needed on Stepped Care TF-CBT is discussed.

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Section: Resultsmentioning

confidence: 99%

Development of Stepped Care Trauma-Focused Cognitive-Behavioral Therapy for Young Children

Salloum

Scheeringa

Cohen

et al. 2014

Cognitive and Behavioral Practice

View full text Add to dashboard Cite

show abstract

“…Social workers were concerned with the sustainability of the service, not necessarily the quality of provision. Lengthy waiting times and the limited availability of appropriate services, particularly for teenagers, young people from minority ethnic groups and children with disabilities, was a disturbing reality; findings also observed by Allnock et al (2012).…”

Section: ) Main Findings: Practice Issues Knowledge and Confidencementioning

confidence: 98%

Child Sexual Abuse and Exploitation: Knowledge, Confidence and Training within a Contemporary UK Social Work Practice and Policy Context

et al. 2016

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In 2014 research was undertaken to examine social workers' confidence, understanding and awareness of child sexual abuse (CSA) as it was suggested that a decline in numbers of reported incidents might be due to a decline in levels of understanding and awareness. Semistructured interviews were conducted with 25 first-line, middle and senior managers, two chairs of local safeguarding boards across six local authorities in England. Focus groups were conducted with 54 social workers. Key themes revealed a complex array of issues, ranging from the diverse forms of child sexual abuse and exploitation that social workers are required to address, the variable support and training available and the inter-disciplinary nature of much of the work. Although social workers undertake this important work with a strong sense of commitment and concern for children, they face a number of challenges. Paradoxically, whilst their work on these cases is the source of intense scrutiny, the training, support and supervision, and role clarity required to undertake this work well, is often overlooked. The aim of this paper is to discuss the research findings and to identify implications for social work practice, training, multi-agency work and future research.

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“…Research by Baginsky (2001) on support services for 12 to 16 year olds who had been sexually abused found 'patchy' provision in the UK, with particular service gaps for children from ethnic minority groups, children with disabilities and young people who displayed sexually harmful behavior. A more comprehensive study conducted across England, Wales, Northern Ireland and Scotland revealed a significant gap in the availability, accessibility and provision of therapeutic services for children who have experienced sexual abuse (Allnock et. al, 2012).…”

Section: Institutional Support and Service Provision For Csamentioning

confidence: 99%

“…These results resonate with previous studies which highlight that therapeutic services often have short-term, unstable and insecure funding arrangement that often interfere with CSA service provision. Organizations often search for new sources of funding and tend to spend large amounts of their time to renew and renegotiate existing funding, which in turn interferes with the actual day-to-day delivery of services to children and young people (Allnock et al, 2012).…”

Section: Capacity and Scales Of Operationmentioning

confidence: 99%

Institutional Care and Response to Victims of Child Sexual Abuse in India: The Role of Non-governmental Organizations & Public Hospitals

Das¹

2017

ijrh

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Child Sexual Abuse (CSA) is a violation perpetuated in secrecy and shrouded in silence. In India, a 2007 report revealed that over half the children reported having faced sexual abuse, the abusers were known to the child and the cases were mostly unreported. This prevalence is accentuated by patriarchal norms that persist in India wherein upholding familial honour trumps providing support to a CSA victim. For those who seek support, institutional care namely non-governmental organizations (NGOs) and public hospitals often become the first point of contact for most victims and their families. Therefore the qualitative study located in Mumbai, India was motivated from the perspective of understanding the role of institutional support with regards to prevention and intervention in CSA. Findings highlight that most NGOs adopt a holistic strategic plan while dealing with CSA cases in terms of case-management and prevention efforts, whereas public hospitals mostly focus on the medico-legal elements of the case for evidentiary purposes. Early and timely intervention is critical for arresting future CSA symptoms from arising. Study findings have implications for more strategic reform and collaborative engagement across various institutions of care and support for CSA whilst breaking the silence on CSA in India.

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In Demand: Therapeutic Services for Children and Young People Who Have Experienced Sexual Abuse

Cited by 17 publications

References 37 publications

Development of Stepped Care Trauma-Focused Cognitive-Behavioral Therapy for Young Children

Development of Stepped Care Trauma-Focused Cognitive-Behavioral Therapy for Young Children

Child Sexual Abuse and Exploitation: Knowledge, Confidence and Training within a Contemporary UK Social Work Practice and Policy Context

Institutional Care and Response to Victims of Child Sexual Abuse in India: The Role of Non-governmental Organizations & Public Hospitals

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