Sexual Abuse Prevention Mobile Application (SAP_MobAPP) for Primary School Children in Korea

ABSTRACT

This study aimed to develop and evaluate the effects of a sexual abuse prevention mobile application, SAP_MobAPP, for primary school children. Forty-five subjects were trained for 40 minutes once a week. The experimental group received education that utilized the SAP_MobAPP. Control group A received Web based sexual abuse prevention education, while control group B received textbook based sexual abuse prevention education. Effectiveness was verified through a survey on child sexual abuse recognition and avoidance skills administered before and after training. The SAP_MobAPP program improved recognition (awareness) and the child’s skills to avoid child sexual abuse situations, and the effects were long-lasting. However, differences between groups were not statistically significant. This study developed a sexual abuse prevention application and verified its effectiveness. Awareness and skills to avoid child sexual abuse after app education increased immediately after training and four weeks later. The SAP_MobAPP could be used for sexual abuse prevention education in schools.     

Sexual abuse: Effects of group therapy on pre-adolescent girls

This article describes the effectiveness of a group therapy program used at the University of Manitoba with pre-adolescent girls who have experienced sexual abuse. Thirty-five girls, ranging in age from 7 to 12, were referred to structured therapy groups of 9 to 12 weeks' duration. Issues addressed in weekly sessions included feelings about the offender, problem-solving, sex education, and prevention of further abuse. Measurements of self-esteem, anxiety, and internalizing and externalizing behaviour problems were taken for participating children prior to and following treatment at 1 and 9 to 12 month intervals. Parent- and child-reported social validity data were also collected following treatment. Comparison group data for self-esteem and anxiety were provided by a non-random sample of 35 girls with no known history of sexual abuse. Results indicated that following group therapy, self-esteem increased and anxiety and behaviour problems decreased. Comparison group data further supported the effectiveness of group treatment in improving the self-esteem of sexually abused girls. Social validity reports of children and parents also suggested that treatment was helpful and worthwhile. Implications of the findings are discussed as are difficulties encountered in conducting treatment outcome research with children who have been sexually abused.     

The History of Child Sexual Abuse Prevention: A Practitioner's Perspective

ABSTRACT

This article examines the history and current condition of child sexual abuse prevention efforts in the United States, emphasizing the perspective of those engaged in developing and working in such programs. The author argues that child sexual abuse prevention programs had built-in challenges given the topical area as well as the rapid growth of such programs combined with a paucity of resources and, initially, research, to support and inform its growth. Common criticisms of child sexual abuse prevention programs are examined and alternative explanations are postulated to explain certain weaknesses of programs. Finally, the author challenges researchers to broaden their research of sexual abuse prevention efforts beyond single population, single variable (such as knowledge gain) designs to understand more fully what is currently being done nationally to prevent the sexual abuse of children. Additionally, clear broad-based support for prevention in the wider field of child abuse is encouraged to build on the successes of prevention efforts.     

The Treatment of Adult Male Child Molesters Through Group Family Intervention

Abstract

This paper explores the effectiveness of treating the child molester in multiple contexts as opposed to in-group therapy alone. Research indicates that sexual abuse may stem from a combination of family dysfunction (Hanson et al., 1994) and further, that family members' decisions impact the therapeutic process (Lipovsky, 1991). These and other findings suggest that effective counseling of sexual offenders should include not only the perpetrator, but the family members as well. This paper outlines a current treatment program utilizing a group process of relapse prevention and cognitive behavioral therapy techniques in concert with a companion group for partners and a therapeutic nursery for preschool-aged children. Using archival data, this paper addresses the effectiveness of the program and highlights the usefulness of involving family members in the process.     

Cross-system data linkage for treatment outcome evaluation: lessons learned from the California Treatment Outcome Project

Using administrative data to evaluate health care outcomes has become increasingly common, but the reliability and validity of outcome measures based on cross-system data linkage have been little scrutinized. Applying a deterministic data matching methodology, we linked 6545 Californians admitted to 43 substance abuse treatment programs between 2000 and 2001 to administrative data acquired from three state agency databases. We compared self-reported treatment outcome measures to equivalent measures derived from official records on motor vehicle driving incidents, criminal history, and mental health services utilization. Administrative data provided analogous results in some measures (e.g., percent of people using mental health services, percent ever arrested) and more accurate results in others (e.g., frequency of service utilization, and frequency of arrests). Similar to findings based on the interview data, the administrative data also revealed improvements in several domains 1-year post-treatment compared to 1-year pre-treatment. Experiences with data linkage procedures and strategies for enhancing record linkage accuracy are discussed. Findings illustrate the value of using administrative records for substance abuse treatment outcome evaluation, while highlighting areas for improvement for future cross-system data linkage efforts.     

Child Sexual Abuse Attributions Among Undergraduate Psychology Students in Singapore

ABSTRACT

Experimental vignettes were used to investigate attributions relating to child sexual abuse with a focus on the degree of blame allocated to the family and to society, factors thought to be particularly relevant in a collectivist society. One hundred and sixty-two undergraduates in Singapore evaluated media reports describing a case of child sexual abuse. A 2 x 2 x 2 between-subjects design manipulated victim sex, perpetrator sex, and victim–perpetrator relationship. Participants rated the vignettes on degree of blame and prevention potential and rated the abusiveness of the case. Individualism and collectivism attitudes of the participants were also measured. While the highest blame ratings were attributed to perpetrators, significantly more blame was attributed to the family and to society than to the victim. The demonstration of the present attributions of blame to family and to society is a timely finding given recent recommendations to broaden approaches to child abuse prevention by moving away from a reliance on school based child protection programs, which leave the onus on the child to prevent and report abuse, toward a public health approach, which is particularly inclusive of parent and community education approaches . Allocation of some blame to victims, in spite of their status as children, while not a unique finding in victimology research, emphasizes the challenges still to be faced in encouraging the reporting of child sexual abuse.     

Heterogeneity of Individuals with a History of Child Sexual Abuse: An Examination of Children Presenting to Treatment

The current study examined children and families who presented for treatment through Project SAFE (Sexual Abuse Family Education) following childhood sexual abuse. Pretreatment assessment data were used to develop clusters of participants with significantly differing presentation of symptom outcome following abuse. Four clusters were discovered: (a) a Highly Distressed group, whose members had clinically elevated scores on all self- and parent-report measures; (b) a Problem Behaviors group, whose members had scores within the normal range for self-report measures and elevated scores on all parent-report measures; (c) a Subclinical group, whose participants had scores below the mean and below cutoff scores for all self- and parent-report measures; and (d) a Self-reported Distress group, whose members had elevated scores on self-report measures and scores below clinical cutoffs for all parent-report measures.     

Therapeutically Managing Reunification After Abuse Allegations

School-based programs have been the central strategy to educate children about the serious nature of child sexual abuse in the hope of prevention or early intervention. Virtually all evaluations have been quantitative, seldom allowing children to directly comment on their experiences. This article presents the results of qualitative research with 116 students (51 boys and 65 girls) ranging from age 6 to 12 who had participated in the Who Do You Tell child sexual abuse education program. Ten focus groups were conducted with students in separate grades, from kindergarten through sixth grade, two to three months after program participation. The core themes that emerged from the focus group interviews are presented, as are implications for child sexual abuse prevention programs.     

Heterogeneity of individuals with a history of child sexual abuse: an examination of children presenting to treatment

The current study examined children and families who presented for treatment through Project SAFE (Sexual Abuse Family Education) following childhood sexual abuse. Pretreatment assessment data were used to develop clusters of participants with significantly differing presentation of symptom outcome following abuse. Four clusters were discovered: (a) a Highly Distressed group, whose members had clinically elevated scores on all self- and parent-report measures; (b) a Problem Behaviors group, whose members had scores within the normal range for self-report measures and elevated scores on all parent-report measures; (c) a Subclinical group, whose participants had scores below the mean and below cutoff scores for all self- and parent-report measures; and (d) a Self-reported Distress group, whose members had elevated scores on self-report measures and scores below clinical cutoffs for all parent-report measures.     

A sexual assault primary prevention model with diverse urban youth

In this study, a nonprofit community mental health clinic developed a socioecological model of sexual abuse prevention that was implemented in a public school. The goal of the program was to promote and create community change within individuals and the school community by reducing tolerance of sexual violence and sexual harassment. Participants were 5th-12th graders at a school from a Midwest city. Completed measures were obtained from 202 students, and a quasiexperimental time series research design was developed to evaluate the effectiveness of the prevention program. The program was found to be effective at increasing participant's knowledge of sexual abuse, awareness of school and community sexual assault support resources, and identification of components of healthy and unhealthy relationships.     

Twice Silenced: The Underreporting of Child Sexual Abuse in Orthodox Jewish Communities

ABSTRACT

Child sexual abuse remains an underreported crime throughout the world, despite extensive research and resources dedicated both to improving investigative techniques and helping children disclose their experiences. The discovery of rampant cover-ups within the Catholic Church has exposed some of the ways religious and cultural issues can impede reporting to authorities. This article examines specific factors that contribute to the underreporting of child sexual abuse within Orthodox Jewish communities. It also explores ways in which these communities have handled child sexual abuse reporting in the past and describes recent progress. Implications are offered for CSA prevention, detection, and recovery in Orthodox Jewish communities as well as other minority religious groups.     

Partnering with parents to prevent childhood sexual abuse

Although research demonstrates that child‐focused sexual abuse prevention programmes can teach children personal safety knowledge and skills, childhood sexual abuse (CSA) prevention programmes that involve parents have a number of distinct advantages. The more knowledge parents have about CSA, the greater likelihood they can create safer environments for their children and thus prevent the occurrence of sexual exploitation. Research has demonstrated that parents lack crucial information about CSA and can benefit from even brief educational efforts. This paper will identify potential barriers to participation and offer practical suggestions for enhancing both recruitment and retention rates. Recommendations for parent education programmes are offered, including improving parents' confidence and skills in educating their children about CSA, providing them with parent‐friendly materials to use and developing Internet applications. Copyright © 2010 John Wiley & Sons, Ltd.     

Improving Preschoolers' Comprehension of Sex Abuse Prevention Concepts Through Video Repetition

ABSTRACT

Because of their ease of administration and acceptance among parents, sex abuse prevention videotapes remain widely used. However, such video-based programs have shown limited effectiveness among preschool-aged children, the group most vulnerable to abuse. This study sought to determine whether having preschoolers review those video segments they did not comprehend initially, would increase their comprehension of sex abuse prevention concepts. Children who reviewed the concepts learned significantly more than children who viewed the segment once, even though an adult co-viewer explained the content to them. This efficient and simple method of enhancing young children's comprehension holds great promise for improving video-based sex abuse prevention efforts.     

Free Symbolic Play and Assessment of the Nature of Child Sexual Abuse

ABSTRACT

This article highlights the potential value of free symbolic play to the field of sexual abuse. The following two points are argued: (1) free symbolic play is a modality well suited to the expression, reworking and mastery of psychic trauma and therefore offers sexually abused children a channel for communication; (2) free symbolic play is a potential source of information to mental health professionals when attempting to understand the context of a child's experience of sexual abuse. Preliminary guidelines are suggested regarding the appropriate use of free symbolic play to gain information about possible sexual abuse. In addition, a case study is presented illustrating application. Furthermore, the potential impact of research comparing the free symbolic play of sexually abused and nonabused children is considered.     

Parent's Perceptions of Their Child's Knowledge of Sexual Abuse Prevention Concepts

This research investigates the relationship of parental knowledge of the seriousness of child sexual abuse and their children's understanding of sexual abuse prevention concepts. A total of 284 parents and their elementary school-aged children were surveyed immediately after and 5 months after the children participated in a school-based child abuse prevention program. In the first survey, the parents were asked whether they had provided prevention materials or had talked to their child about sexual abuse. At 5 months, 201 parents answered a short test of knowledge regarding child sexual abuse. At the same time, their children completed a 40 item Children's Knowledge of Abuse Questionnaire (C.K.A.Q.) and the parents were asked to predict how their child would respond to 10 key items from this measure. Results indicated that parents in general were likely to overestimate the knowledge levels of the younger children. However, parents with higher knowledge levels more accurately predicted how their child would respond to the selcted C.K.A.Q. items.     

Acute Stress Disorder Symptoms Among Female Sexual Abuse Survivors Seeking Treatment

ABSTRACT

This exploratory study examined relationships between acute stress disorder (ASD) symptoms and sexual abuse history, distress, and social support among sexual abuse survivors seeking treatment. Participants were 32 women recruited for a pilot study of group treatment for sexual abuse survivors who completed self-report and interview measures. Many participants (37.5%) met criteria for all ASD symptoms. Also, ASD symptoms were significantly related to seeing the self as the causal locus of the abuse, forgetting the abuse for a period of time, and the number of abusers, the distress of a recent life event, other forms of distress, and poor social support, Acute stress disorder may occur among many sexual abuse survivors seeking treatment, requiring special intervention to help these patients to manage their reactions to ongoing stresses.     

Prevention of Child Sexual Abuse: Analysis and Discussion of the Field

Prevention of child sexual abuse is complicated, challenging, and highly necessary as sexual abuse of children and youth represents an extensive problem across the world. This article reviews the existing preventive interventions targeting children, parents, and professionals. An alternative way of organizing the child sexual abuse prevention research literature is offered and applied with emphasis on three areas: (a) child sexual abuse prevention interventions, (b) meta-analyses of child sexual abuse prevention interventions, and (c) general theoretical models about prevention and the child. Based on an analysis of these areas, it was found that there was a lack of connection between theoretical models and concrete preventive interventions. An overview of current challenges and future possibilities in this area is provided.     

Introduction: Queering Later Life

Summary

The field of sexual trauma developed from the sociopolitical movements of the feminist, rape, and child protection movements. As thinking in the field developed, however, it has been difficult to integrate the perspective of the male survivor of sexual trauma into these perspectives. Gay men, in particular, have been notably absent from the literature, except when their abuse history is discussed as an etiology for their sexuality. It is clear that gay men suffer violence and oppression in the form of homophobia—an abuse with a sexual focus. Integrating the experience of gay men who have suffered trauma into perspectives regarding sexual trauma offers a possibility to enhance understanding about, as well as prevention efforts against, the sexual abuse of children. This includes expanding definitions and vocabulary regarding sexual trauma, as well as recognizing the impact on mental health professionals of working with survivors of sexual trauma.     

Characteristics of Children Who Experience Positive or Negative Reactions to a Sexual Abuse Prevention Program

ABSTRACT

This study evaluated a sexual abuse prevention program to identify characteristics of children who benefited from the program or became afraid of unwanted touch. Utilizing a pre- and post-test design, 542 2nd-6th graders completed measures including abuse-related knowledge, locus of control, and anxiety. Knowledge increased; age, lower anxiety, and an internal locus of control were positively associated with higher scores after participating in the program. Prior exposure to the program resulted in higher knowledge scores. Further analyses identified those characteristics associated with children reporting that they benefited from the program or became more afraid after participating in the program. Such findings will enable parents and school personnel to take preventive measures to minimize negative impact and maximize learning.     

Gender differences in client–provider relationship as active ingredient in substance abuse treatment

The client–provider relationship is increasingly evaluated as an active ingredient in the delivery of substance abuse treatment services. This study examines gender differences in client–provider relationship as an important treatment ingredient affecting retention in treatment and reduced post-treatment substance use. The study uses data collected for the National Treatment Improvement Evaluation Study (NTIES), a prospective, cohort study of U.S. substance abuse treatment programs and their clients. Data on individual characteristics were collected at the pre-treatment interview; on client–provider relationship and services received at treatment exit; and on post-treatment drug use at 12 months post-treatment. The analytic sample consists of 3027 clients from 59 service delivery units (1922 men and 1105 women). Structural equation modeling (SEM) was used to assess the structural relations and causal connections between relationship and service variables and treatment outcome variables. Results indicate that a positive client–provider relationship is related directly to longer duration and reduced post-treatment drug use for the total sample and for men analyzed separately. For women, a positive client–provider relationship was related directly to treatment duration and only indirectly to reduced post-treatment drug use. The findings point to the significance of including client–provider relationship in service delivery models – both as a therapeutic element as well as an element facilitative of matching services to specific client needs.