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Affiliations
1 Department of Mental Health, Johns Hopkins University School of Public Health, 624 North Broadway, 8th Floor, Baltimore, MD 21205, USA. Electronic address: lamurray@jhsph.edu.
2 Department of Mental Health, Johns Hopkins University School of Public Health, 624 North Broadway, 8th Floor, Baltimore, MD 21205, USA.
3 Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Drexel University College of Medicine, 4 Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA.
Laura K Murray et al. Child Adolesc Psychiatr Clin N Am. 2014 Apr.
Affiliations
1 Department of Mental Health, Johns Hopkins University School of Public Health, 624 North Broadway, 8th Floor, Baltimore, MD 21205, USA. Electronic address: lamurray@jhsph.edu.
2 Department of Mental Health, Johns Hopkins University School of Public Health, 624 North Broadway, 8th Floor, Baltimore, MD 21205, USA.
3 Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Drexel University College of Medicine, 4 Allegheny Center, 8th Floor, Pittsburgh, PA 15212, USA.
This article begins by defining sexual abuse, and reviews the literature on the epidemiology of child sexual abuse (CSA). Clinical outcomes of CSA are described, including health and mental health. An outline is given of all the services often involved after an incident of CSA, and the need for coordination among them. Treatment strategies and evidence-based recommendations are reviewed. Challenges around dissemination and implementation, cultural considerations, and familial dynamics are described. Possible future directions are discussed.
Keywords: Child sexual abuse; Prevalence; Treatment.
Copyright © 2014 Elsevier Inc. All rights reserved.
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Walker-Descartes I, Sealy YM, Laraque D, Rojas M. Walker-Descartes I, et al. Child Abuse Negl. 2011 Jun;35(6):437-47. doi: 10.1016/j.chiabu.2011.02.003. Epub 2011 Jun 8. Child Abuse Negl. 2011. PMID: 21652071
Chen JQ, Han P, Dunne MP. Chen JQ, et al. Zhonghua Er Ke Za Zhi. 2004 Jan;42(1):39-43. Zhonghua Er Ke Za Zhi. 2004. PMID: 14990105 Chinese.
Cummings M, Berkowitz SJ, Scribano PV. Cummings M, et al. Curr Psychiatry Rep. 2012 Dec;14(6):599-607. doi: 10.1007/s11920-012-0316-5. Curr Psychiatry Rep. 2012. PMID: 23011785 Review.
Lalor K, McElvaney R. Lalor K, et al. Trauma Violence Abuse. 2010 Oct;11(4):159-77. doi: 10.1177/1524838010378299. Epub 2010 Aug 2. Trauma Violence Abuse. 2010. PMID: 20679329 Review.
Bhattacharyya A, Lev-Wiesel R, Banerjee M. Bhattacharyya A, et al. J Child Adolesc Trauma. 2020 Jun 13;14(1):61-72. doi: 10.1007/s40653-020-00312-2. eCollection 2021 Mar. J Child Adolesc Trauma. 2020. PMID: 33708283
Chae S, Shin J, Ji D, Choi JW, Lee JY, Hong M, Park TW, Kim KM, Lee S, Kim SY, Kim K, Kim JW. Chae S, et al. Psychiatry Investig. 2021 Feb;18(2):172-178. doi: 10.30773/pi.2020.0390. Epub 2021 Feb 22. Psychiatry Investig. 2021. PMID: 33601869 Free PMC article.
Slavin MN, Scoglio AAJ, Blycker GR, Potenza MN, Kraus SW. Slavin MN, et al. Curr Addict Rep. 2020 Mar;7(1):76-88. doi: 10.1007/s40429-020-00298-9. Epub 2020 Jan 28. Curr Addict Rep. 2020. PMID: 33425653 Free PMC article.
van Ham K, Brilleslijper-Kater S, van der Lee H, van Rijn R, van Goudoever H, Teeuw R. van Ham K, et al. BMJ Paediatr Open. 2020 Sep 29;4(1):e000799. doi: 10.1136/bmjpo-2020-000799. eCollection 2020. BMJ Paediatr Open. 2020. PMID: 33083573 Free PMC article.
Cohen NL, Štulhofer A. Cohen NL, et al. J Child Adolesc Trauma. 2018 Aug 17;12(2):211-220. doi: 10.1007/s40653-018-0227-7. eCollection 2019 Jun. J Child Adolesc Trauma. 2018. PMID: 32318193 Free PMC article.

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Child victims of sexual abuse ‘often accused of lying to police’
Officers also mismanaged cases in a way that could lead to reprisals for victims, survivors tell England and Wales inquiry
A team for the independent inquiry into child sexual abuse in England and Wales spoke to 56 victims and survivors of child sexual abuse. Photograph: Jack Sullivan/Alamy
Haroon Siddique Legal affairs correspondent
Last modified on Thu 24 Jun 2021 19.26 BST
Child sex abuse victims and survivors are often accused of lying when trying to report the abuse to police, according to a report by the independent inquiry into child sexual abuse in England and Wales.
The inquiry’s team spoke to 56 victims and survivors of child sexual abuse between the ages of 11 and 21, and only “a small number” stated that they were satisfied with the police process.
The Engagement with Children and Young People report, published on Thursday, says: “Many young victims and survivors told us about being accused of lying and … one young person was referred to as a ‘little bitch’ by a police officer. Some young victims and survivors told us that the police had not managed their privacy and confidentiality concerns correctly. We heard that this could lead to reprisals from people associated with the abuser. We heard examples of police officers in uniform visiting children at their primary school and family home with no prior warning.”
The team only spoke to victims and survivors who had reported their abuse to the police. The majority said there had been no conviction or prosecution in their case, leaving them wondering why they had gone through the traumatic process.
One young victim and survivor said: “Now I regret having gone to the police. If I had to give advice to someone, I would say, ‘Get help but don’t report.’”
However, some specialist child sexual abuse support workers told the inquiry that victims and survivors sometimes unfairly blamed police for delays and non-convictions, which were out of officers’ hands. Many said the police did a good job given their resources. Seventy-seven support workers were interviewed for the report.
An opportunity for victims and survivors of child sexual abuse to finally be heard | Letters
There were also complaints about not being kept informed throughout the police process, so victims and survivors felt disempowered, and found the interviewing traumatic.
The report also has criticism over schools not doing enough to recognise and respond to child sexual abuse and exploitation. An Ofsted report this June found that sexual harassment and online sexual abuse were a routine part of schoolchildren’s daily lives and that teachers “consistently underestimated” the scale of the problem.
Many victims and survivors complained of insensitivity, with one saying a teacher stopped them midway through a disclosure to say: “Don’t tell me because I will have to repeat this.” Another had signposted the child to Childline rather than face the conversation.
One pupil reported an experience of peer-on-peer abuse to a headteacher, who shared the information with the perpetrator’s parents before a police report was done. The pupil said it had serious consequences for the investigation. They also said the perpetrator continued to attend the same classes as them, which was “very traumatic”.
The report also found that, in schools, education about relationships and sex had been largely inadequate, with some children receiving no lessons on the issues at all, echoing the Ofsted report.
Deputy Chief Constable Ian Critchley, the National Police Chiefs’ Council lead for child protection, said: “Whilst it is deeply concerning to hear that some young victims and survivors of child sexual abuse have been accused of lying when coming forward to police, I know that we have dedicated, professional staff across the country who treat victims with compassion, respect and take reports of child abuse seriously.
“We will consider very seriously the views of young people within this report and use it to further develop the way we work together with our partners to protect children.”
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