Child sexual abuse and incest: community-based intervention.
OBJECTIVE
The primary aim of this article is to determine the effectiveness of community intervention in the case of child sexual abuse. The article describes and analyses an actual case in a small urban community in Israel.


METHODS
After several incidents of child sexual abuse, much of it incestuous, were brought to light in the community, they were discussed openly, contained, and punished. A community campaign, in which community activists as well as all the service providers were involved, was organized by community social workers. Individual, group, and community interventions were used.


RESULTS
The continuation of the abuse has been checked, and, so far, there is no evidence to suggest its resurgence. Community apathy to child sexual abuse seems to have been halted and reversed. The involvement of community residents, particularly the activists, has increased, and this appears to be the major factor in changed community norms toward child sexual abuse.


CONCLUSIONS
Implications of the individual, group, and community interventions are discussed. An integrated program of intervention practices is advocated to contain and prevent the incidence of child sexual abuse and incest.
Itzhaky
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School of Social Work, Bar-Ilan University, Israel.
York
A S
AS
D001294:Attitude to Health; D002648:Child; D002650:Child Abuse, Sexual / Q000517:prevention & control*; D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation; D003376:Counseling; D003419:Crisis Intervention; D005260:Female; D006801:Humans; D007179:Incest / Q000517:prevention & control*; D007557:Israel; D019982:Organizational Case Studies; D010565:Persuasive Communication; D011209:Power, Psychological; D012938:Social Perception; D012947:Social Work / Q000458:organization & administration*; D013240:Stereotyping; D014505:Urban Population