BookTanya S. Hinds, Angelo P. Giardino.
Summary: This brief approaches the challenging topic of child sexual abuse from an objective, evidence-based perspective. It offers an overview of child sexual abuse, including definitions and a clear explanation of the epidemiology. The text also explores the conceptual frameworks that seek to explain how a child comes to be sexually abused by an adult or older adolescent. In the chapters, the authors present credible prevalence and incidence studies that are used to provide a scientific response to how common this problem is. In addition, they address the policy implications for a myriad of prevention and treatment initiatives as well as related issues such as delayed reporting and the risk for sexual abuse within child serving organizations. Finally, the brief concludes with the authors' recommendations for the future on how best to prevent child sexual abuse in the first place. Prevention of child sexual abuse is very different than prevention of child physical abuse and neglect and requires a different framework and set of initiatives. Child Sexual Abuse: Current Evidence, Clinical Practice, and Policy Directions is a must-have resource for a range of professionals including healthcare providers, child advocates, clinical social workers, public health officials, mental health providers, and legislative staff professionals. It also is written in a readable manner for members of the lay public.
Contents:
Intro
Preface
Acknowledgments
Contents
About the Authors
Contributors
Chapter 1: Incidence and Prevalence of Child Sexual Abuse
1.1 Definition
1.2 Scope of the Problem
1.3 Child, Caregiver, and Environmental Risk Factors
References
Chapter 2: Clinical Perspective
2.1 Listening and History Taking
2.1.1 Obtaining a History from Caregiver(s)
2.1.2 Obtaining a History from the Child
2.2 Physical Examination
2.2.1 Anogenital Exam
2.2.2 Variations of Normal Anogenital Anatomy
2.2.3 Hymenal Injuries
2.2.4 Anal and Other Non-Hymenal Injuries 2.2.5 Interpreting Anogenital Findings (or Lack Thereof): The Normalcy of a Normal Anogenital Exam
2.3 Differential Diagnosis and "Mimics" of Sexual Trauma
2.4 Forensic Examination
2.5 Diagnostic Testing and Treatment of Sexually Transmitted Infections
2.5.1 Post-Exposure STI and Pregnancy Prophylaxis
2.6 Summary
References
Chapter 3: Related Issues
3.1 Delayed Disclosures in Child Sexual Abuse
3.2 Accuracy of History/Interview in Child Sexual Abuse
3.2.1 The Child
3.2.1.1 Before School Age Children (0-5 Years) 3.2.1.2 School Age Children and Adolescents (6-11 Years)
3.2.1.3 Adolescents (12-18 Years)
3.2.2 The Caregiver
3.2.3 Society
3.2.4 Multicultural Considerations
3.2.4.1 China/Taiwan
3.2.4.2 Australian Aboriginals
3.2.5 Conclusion
3.3 Risk of Child Sexual Abuse of Children with Disabilities
3.3.1 Definition of Children with Disabilities
3.3.2 Conclusion
3.4 Risk of Child Sexual Abuse in Youth Serving Organizations
3.4.1 The Scope of the Problem
3.4.2 Response and Prevention
3.4.3 Conclusion
3.5 Online Sexual Solicitations of Minors
3.5.1 Introduction 3.5.2 Unique Qualities of Internet Cases
3.5.3 Offender Characteristics/Demographics
3.5.4 The Declining Trend in Online Sexual Solicitation of Minors
3.5.5 Prevention
3.5.6 Future Research
3.6 Backlash Against Child Sexual Abuse
3.6.1 Introduction
3.6.2 The Backlash Context
3.6.3 Looking Towards the Future
References
Chapter 4: Compassion Fatigue, Burnout, and Coping Strategies among Child-Serving Professionals
4.1 Ending Violence against Children
4.2 Compassionate Service and Idealism
4.3 Secondary Traumatic Stress, Compassion Fatigue, and Burnout 4.4 Positive Coping Strategies
4.5 Organizational Support
4.6 Summary
References
Chapter 5: Policy Direction: Focus on Prevention
5.1 Introduction
5.2 Background
5.2.1 CSA Prevention vs. Child Physical Abuse Prevention
5.2.2 Calls for CSA Prevention
5.2.3 Research and Evaluation on Existing CSA Prevention Programs
5.2.3.1 Child-Focused Skills Training
5.2.3.2 Adult-Focused Education and Training
5.3 Conclusion
Appendix: Organizations that Promote CSA Prevention
References
Index