A traumatised and traumatising system: Professionals' experiences in meeting the mental health needs of young people in the care and youth justice systems in Ireland

It is well recognised that children and young people in the care and youth justice systems typically present with significant and diverse mental health needs. Much has been written about this challenging area of professional practice but the focus has been primarily on the young people themselves rather than professionals' experiences of working in this challenging context. In this study, focus groups and individual interviews were conducted with 26 professionals working in the care and youth justice services in Ireland, representing a range of disciplines, to capture professionals' perspectives of working in this field. A thematic analysis was conducted on the transcribed data. Professionals described frustration and helplessness in the face of what they perceived as inadequate system responses and poor interagency working. Their experiences are conceptualised here as reflecting a traumatised and traumatising system. The implications for practice emphasise the need for staff support through training, collaboration between agencies, and addressing vicarious traumatisation

Current Perspectives on Violence Against Children in Europe

The chapter will outline recent and ongoing policy and strategic initiatives, including initiatives by the European Society of Children’s ombudsmans/Children’s Commissioners. Current challenges facing children’s rights in Europe will be discussed, including sexual exploitation, online risks, corporal punishment and migration

Intrafamilial Child Sexual Abuse, Links to Subsequent Sexual Exploitation and Prevention/Treatment Programmes: a Literature Review

Evidence that the sexual abuse of children is universally widespread, and is most frequently perpetrated by family members, neighbours and others known to the child or adolescent is indisputable. Studies have consistently found that victims are vulnerable to subsequent sexual revictimization in adolescence and adulthood. They are also more likely than non-victims to engage in potentially harmful and damaging high-risk sexual behaviours, such as early age at first intercourse, multiple partners, low contraception use and prostitution. Ecological models, which incorporate explanations at the individual, family, community and societal level help explain this link. Interventions in the area of prevention of child sexual abuse have not kept pace with international policy guidelines. Preliminary attempts at mass media campaigns and school-based prevention programmes have shown some improvements in the increase of knowledge and, to a more limited degree, the acquisition of skills. As yet, there is no evidence that such interventions have prevented sexual abuse from occurring in the first place. However, broad-based prevention programmes aimed at preventing child maltreatment in general (as opposed to child sexual abuse in particular) may have something to offer in informing child sexual abuse prevention programmes. There is considerable evidence to support the use of various therapeutic modalities in intervening with children and families following the experience of child sexual abuse. However, researchers have identified significant methodological limitations in the extant research literature that impede the making of recommendations for implementing existing therapeutic programmes unreservedly

Child Sexual Abuse, Links to Later Sexual Exploitation/High-Risk Sexual Behavior, and Prevention/Treatment Programs

This paper reviews the literature on the nature and incidence of child sexual abuse, explores the link between child sexual abuse and later sexual exploitation, and reviews the literature on prevention strategies and effective interventions in child sexual abuse services. Our understanding of the international epidemiology of child sexual abuse is considerably greater than it was just 10 years ago, and studies from around the world are examined. Childhood sexual abuse can involve a wide number of psychological sequelae, including low self-esteem, anxiety, and depression. Numerous studies have noted that child sexual abuse victims are vulnerable to later sexual revictimization, as well as the link between child sexual abuse and later engagement in high-risk sexual behaviour. Survivors of child sexual abuse are more likely to have multiple sex partners, become pregnant as teenagers, and experience sexual assault as adults. Various models which attempt to account for this inter-relationship are presented; most invoke mediating variables such as low self-esteem, drug/alcohol use, PTSD and distorted sexual development. Prevention strategies for child sexual abuse are examined including media campaigns, schoolbased prevention programmes, and therapy with abusers. The results of a number of meta-analyses are examined. However, researchers have identified significant methodological limitations in the extant research literature that impede the making of recommendations for implementing existing therapeutic programmes unreservedly

Traffickers: Are They Business People, Psychopaths or Both?

Human trafficking has become a very contentious issue, constituting one of the most grievous human rights violations and most lucrative activities for criminal gangs and individuals. The selling and buying of human beings as a commodity has become so profitable and the industry so big that armed groups and terrorist organisations are turning to trafficking in people as a source of income to fund their organisations. Traffickers motivated by profit take advantage of vulnerable individuals, ignoring the consequences of their actions on those lives. The trafficker’s apparent lack of empathy or guilt and the ability to shut the self off from the impact of their actions is not unlike some of the noted characteristics of a psychopath. This chapter reviews published literature on trafficking and discusses whether there are psychopathic tendencies among traffickers or if they are primarily motivated by profit alone

Parents' experiences of their child's disclosure of sexual abuse

A child’s disclosure of sexual victimisation is a difficult experience for parents, and has been associated with traumatisation, disbelief, denial, self-blame and clinical difficulties. To date, most studies on parents’ responses have been quantitative assessments of the psychological impact of disclosure on parents. A paucity of research has qualitatively explored mothers’ experiences of their child’s disclosure of child sexual abuse (CSA) and fathers’ experiences have been even further neglected. The current study seeks to characterise parents’ experiences of their child’s disclosure of CSA and to uncover the process-oriented nature of parental responses. This qualitative study, using a grounded theory approach to analysis, involved interviews with 10 mothers and four fathers, whose children (3 to 18 years) had experienced sexual abuse. Three themes emerged from the analysis. The first theme – making sense of the abuse in retrospect – captured the process through which parents sought to make sense of their child’s disclosure, focusing on why their child had not disclosed the abuse to them earlier, and how they had noticed something was wrong but misattributed their child’s behaviour to other factors. The second theme – negotiating parental identity as protector – reflected how parents’ identity as a protector was challenged, their perception of their world had been forever altered, and they now experienced themselves as hypervigilant and overprotective. The final theme - navigating the services – pertained to parents’ struggle in navigating child protection and police services, and feeling of being isolated and alone. These findings highlight the need for empathy and parental support following child disclosure of sexual victimisation

“How many times did I not want to live a life because of him”: the complex connections between child sexual abuse, disclosure, and self-injurious thoughts and behaviors

Background: Meta-analyses have confirmed an association between child sexual abuse (CSA) and non-suicidal and suicidal self-injurious thoughts and behaviors (SITB), yet the mechanisms linking these factors are, to date, poorly understood. The goal of the current study is to explore one potential influencing factor acting in the association between CSA and SITB, which is the disclosure experience. Disclosure has been identified as a prominent factor in the healing process of survivors, with a lack of support following disclosures heightening negative outcomes. Exploring the impact of CSA disclosure on SITB is necessary to build effective prevention and intervention strategies. Methods: This qualitative study is part of a larger initiative spanning diverse research sites in Canada and in Ireland and aiming to lend voice to young people who were sexually abused in childhood/adolescence. Participants were recruited from community-based sexual abuse/assault agencies, hospital-based specialized clinics and child advocacy centres. The Long Interview Method, based on a branch of phenomenology, was used to guide research design and data collection. The current thematic analysis, informed by a stress-diathesis model, is based on a sample comprised of 21 ethnically diverse youth aged 15 to 25 who self-reported a sexual abuse experience in their childhood or teenage years and who, as part of the interview on their disclosure processes, revealed past or current SITB. Results: The thematic analysis led to the identification of four main themes that both confirmed past research and conceptual models on SITB, and provided new insights. Participants perceived a clear link between their CSA experience and SITB and other mental health issues. They offered their views on the meanings of SITB for CSA victims: to cope with abuse; to end the abuse; to express self-hatred and loneliness; and to let people know about their suffering. They described how negative disclosure experiences led to more nonsuicidal and suicidal SITB. Yet, participants also revealed that receiving support for their SITB created opportunities for CSA disclosure and support. Conclusions: This study showed complex connections between CSA experiences, disclosure and nonsuicidal and suicidal SITB. Understanding the reciprocal influences between SITB, CSA disclosure and help-seeking could better equip mental health professionals and caregivers to provide support and foster healing and recovery in CSA victims