title: A crisis worker's observations on the psychosocial support for victims and families following child sexual abuse; a case study.
abstract: The Lancashire Sexual Assault Forensic Examination (SAFE) centre in Preston saw 204 children aged 16 and under for examination following allegation of sexual assault in 2013. The psychological impact on the child is well known but not always addressed correctly or appropriately; the impact and resulting difficulties faced by the parent/carer of the child can also easily go un-noticed. Mrs A attended the centre with her 2 year old daughter in 2013, where I was the crisis worker in the case. She was contacted five months later and the support they received after attending the centre discussed. Her experiences, along with my own anecdotal experiences are discussed. Independent Sexual Assault Advisors (ISVAs) offer support following attendance at the centre, and various charitable organisations offer counselling, emotional and practical support. Health visitors, paediatricians, school nurses and social workers also play a role in looking after children and families following allegations of assault. However, the organisations and agencies involved in psychological aftercare for victims and parents are hindered by strict referral criteria and lack of funding or appropriate specialist expertise. The psychological, educational and behavioural support for parents and children, and specifically pre-trial counselling for children need significant improvement if we are to offer the best support for victims.
authors.affiliation: Lancashire SAFE Centre, Royal Preston Hospital, Sharoe Green Lane, Preston, Lancashire, United Kingdom; University of Manchester, United Kingdom. Electronic address: danielgibney@doctors.org.uk.
authors.forename: Daniel R
authors.initials: DR
authors.lastname: Gibney
authors.affiliation: Lancashire SAFE Centre, Royal Preston Hospital, Sharoe Green Lane, Preston, Lancashire, United Kingdom. Electronic address: alyson.jones@lthtr.nhs.uk.
authors.forename: Alyson
authors.initials: A
authors.lastname: Jones
mesh_terms: D002650:Child Abuse, Sexual / Q000523:psychology*; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000458:organization & administration; D019548:Crime Victims / Q000523:psychology*; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D020380:Needs Assessment; D010044:Outpatient Clinics, Hospital; D017060:Patient Satisfaction; D012017:Referral and Consultation; D012944:Social Support; D012947:Social Work / Q000458:organization & administration; D006113:United Kingdom
keywords: Child abuse; Forensic medicine; Psychology; Sexual abuse; Sexual assault