Improving understanding of the scale and nature of child sexual abuse Characteristics and experiences of children and young people attending Saint Mary's Sexual Assault Referral Centre, Greater Manchester A review of 986 case files

Abstract

This report brings together evidence collected from the case files of children and young people aged 0–17 attending Saint Mary’s Sexual Assault Referral Centre (SARC) in Greater Manchester for a forensic medical examination following disclosure or suspicion of sexual abuse. The data relates to all 986 forensic medical examinations of under-18s living in the Greater Manchester area who accessed the service between April 2012 and March 2015. Data was retrospectively extracted from the paper case file of each ‘service user’, including background and demographic data about them, the route by which they were referred to the SARC, the nature of the child sexual abuse (CSA) reported to have taken place, and the people suspected of committing it. The choice of data extracted was based on the ‘data collection template’, a core dataset developed by the Centre of expertise on child sexual abuse (CSA Centre) to standardise and improve agencies’ recording of data about CSA. Established in 1986, Saint Mary’s SARC is the UK’s largest single-centre SARC. It was the first of its kind, developed to provide high quality medical examinations in a designated and specialised space for men, women and children who had experienced sexual assault. The findings generated through the study have wider relevance because they represent the experiences of a large number of children for whom there were concerns about sexual abuse. It is important to emphasise, however, that they are not representative of CSA in other settings or locations. The vast majority of victims of CSA do not disclose their abuse and are not identified by professionals, and many of those who are identified do not attend a SARC. Furthermore, medical examinations of children at a SARC are provided following disclosure or suspicion of contact sexual abuse; experiences of non-contact CSA are, therefore, not represented in the study