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IDENTIFYING AND PREVENTING
  CHILDHOOD SEXUAL ABUSE
DR. EDINA RENFRO-MICHEL, LPC, ACS
AGENDA

• Define
• Outcomes
• Perpetrators
• Preventions
• Signs and Symptoms
• What do I do now?
• Resources
SEXUAL ABUSE

• Sexual Touching
 • Fondling, kissing, etc.

• Non-Touching Sexual Offenses
 • Indecent exposure, exposure to sexual act

• Sexual Exploitation
 • Soliciting for prostitution, using child for
   pornography
OUTCOMES OF CHILDHOOD SEXUAL
     ABUSE IN ADULTHOOD
• Chronic                • Cognitive Issues
  Psychological Issues   • Suicide
• Loss of Trust –        • Addictions
  Relationship Issues    • Aggression and
• Abnormal or              Bullying
  Distorted View of      • Perpetration
  Sex and
  Relationships          • Eating Disorders
• Identity Confusion     • Adjustment Issues
WHY DON’T CHILDREN TELL?

• Threatened or Family/Pets Threatened
• Told it was a Secret
• Told they will get in Trouble – it is Their
  Fault
• Try and Tell in Own Way but not
  Believed/Understood
WHY DON’T CHILDREN TELL?

• Confused about the Relationship
• Repress Memories
• Cognitively Unable to Understand
  What Happened
• Afraid of Being Taken out of the Family
WHO ARE THE PERPETRATORS?

• All cultures
• All races
• All Ages
• All socioeconomic statuses
• Men and Women
• Adults, Teens, and Children
• Friends, neighbors, parents, parents of
  child‟s friends
WHO ARE THE PERPETRATORS?

• Often abused or Witnessed Abuse

• Form trusting relationships with victims

• Use force, coercion, threaten, guilt

• Often spend time grooming victims
HOW ARE CHILDREN TARGETED?

• How Child Behaved
 • Innocent or Trusting
 • Lack Confidence or Self-Esteem
 • Family Problems
 • Curious
• Access
• How the Child Looks
RECRUITMENT

• Frequented Places Children Go
• Welcomed into Home
• Approached by Child
• Have Victims Recruit Other Children
 • Threatening
 • Giving Gifts
STRATEGIES

• Offer to Play Games, Teach a
  Sport, Play Musical Instrument

• Bribes or Presents

• Took for an Outing, Gave Ride Home

• Used Affection, Understanding, Love
STRATEGIES

• Asked a Child for Help/Gain Sympathy

• Gain Trust in Family or Other Adults

• Babysitting – 50%

• Using Online Websites/Social Media
GROOMING

• Gaining Child‟s Trust
• Talking About Sex
• Psychological Abuse
• Misrepresenting Abuse
• Start with Touching or Kissing
• Listening and Giving Attention
GROOMING

• Bathing, Undressing
• „Accidental Touch‟
• Often Back off and Then Start
  Again
• Drugs or Alcohol
• Use Same Strategies Repeatedly
PREVENTION

• Anatomy
• Self-esteem
• Safe Touch
• Appropriate Boundaries
• Trust Your Children‟s Instincts
• Teach – Don‟t Trust Everyone
PREVENTION

• Avoid Isolated Places
• No Mouth Kissing
• Talk about “Creepy” Feelings
• Child Centered Play and
  Discussions
INCREASE RESILIENCY

• Positive Self-Esteem
• Question Authority
• Compromise
• Family and Individual Time
• Teach about Secrets
• Stop Teasing/Name Calling
• Don‟t be Too Hard on Your Children
WHAT TO TEACH YOUR CHILDREN

• Don‟t Trust Everyone – Say NO! Stop!
• Tell Me if Someone Tries to “Trick” You
• Tell Me if Someone Touches You in a
  Private Place or in a Way You Don‟t
  Like
• Don‟t be Fooled by “Special Favors”
WHAT TO TEACH YOUR CHILDREN

• Never go to Public Bathrooms Alone
• Stay in Groups
• Tell me if Friends Promise you
  Something for Going Somewhere with
  Them
• Don‟t Take ANYTHING from Someone
  Without Asking Me
WHAT TO TEACH YOUR CHILDREN

• If Scared and Walking – Knock on
  Doors Until Someone Answers (stay
  outside)
• Always tell me where you are going –
  even if it is across the street
• Be Leary of an Adult Approaching You
  Alone
WHAT TO WATCH OUT FOR

• Someone More Interested in Your Children
  Than You

• Overly Affectionate, Overly Loving

• Adults That Often Bring Gifts to Your Children

• Children Can be Abused Right in Front of
  You
WHAT TO WATCH OUT FOR

• Anyone can be an abuser – even if disabled

• Children are Curious About Sex and Their
  Changing Bodies

• Anyone Your Child Doesn‟t Want to Be Around

• Secretive about being on the computer/social
  media
SIGNS OF ABUSE - MEDICAL

• Pregnancy of Child
• Sexually Transmitted Disease
• Sore/Pain Vagina, Penis or Anus
• Bleeding from Vagina or Anus
• Unexplained Bruising on arms, legs, etc.
• Chronic Urinary Tract Infections
• Hemorrhoids
• Injury to Palate
• Sore Mouth or Throat
SIGNS OF ABUSE – PSYCHOLOGICAL
        SEXUAL INDICATORS

• Sexualized Play
• Sexualized Language or Statements
• Sexualized Drawings/Artwork
• Sexualized Play with Peers
• Grooming of Adults or Children
• Sexual Interactions with Animals or Toys
• Excessive Masturbation
SIGNS OF ABUSE – PSYCHOLOGICAL
          ALL CHILDREN

• Problems Relating to Peers
• School Difficulties
• Sudden Noticeable Changes in
  Behavior
• Fear
• Secretiveness
• Unusual Aggressiveness
• Excessive Masturbation
SIGNS OF ABUSE –
     PSYCHOLOGICAL AGES 0-2

• Fear or Excessive Crying
• Separation Anxiety
• Vomiting
• Feeding Problems
• Bowel Problems
• Sleep Disturbances – Change in Sleep
  Patterns
• Failure to Thrive
SIGNS OF ABUSE – PSYCHOLOGICAL –
            AGES 2-9

• Nightmares or Change in Sleep Patterns

• Fearful Behaviors (people, places, activities)

• Change in Personality or Temperament

• Regression

• Urinating or Defecating Problems
SIGNS OF ABUSE – PSYCHOLOGICAL –
            AGES 2-9
• Self-destructive/Risk Taking Behaviors

• Impulsivity, distractibility, daydreaming

• Psuedeomaturity

• Cruelty to Animals or Firesetting

• Eating Issues

• Fear of Being Left Alone
SIGNS OF ABUSE PSYCHOLOGICAL –
         OLDER CHILDREN

• Depression          • Promiscuity
• Nightmares/Diffic   • Substance Abuse
  ulty Sleeping       • Aggression and
• Poor School           Anger
  Performance         • Fearful Behaviors
• Running Away        • Suicidal Gestures
WHAT TO DO IF YOU SUSPECT
     A CHILD HAS BEEN ABUSED

• Call Department of Children and
  Families
 • Hotline 877-652-2873
• Call the Police Department
 • Nutley (973) 284-4940
• Find a Counselor for the Child and/or
  Family
 • http://www.nbcc.org/CounselorFind
WHAT HAPPENS AFTER
          A REPORT IS MADE

• Investigated
 • Nutley – Juvenile Protective Bureau
• Speak with Adults
• When Allegation has Credibility
 • Forensic Interview of Child
 • Physical Exam – Specially Trained Nurse
 • Police will Contact DYFS
SOME WEBSITES

• http://www.child-abuse-effects.com/index.html
 • Information and Blogs
• http://aacap.org/page.ww?name=Child+Sexual+A
  buse&section=Facts+for+Families
 • Information on Sexual Abuse
• http://www.stopcsa.org/index.html
 • Information and Hotlines
• http://www.nsopw.gov/Core/Portal.aspx?AspxAuto
  DetectCookieSupport=1
 • Government Sex Offender List
QUESTIONS?

      Contact Information for
      Dr. Edina Renfro-Michel
renfromichee@mail.montclair.edu

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Identifying and Preventing Childhood Sexual Abuse

  • 1. IDENTIFYING AND PREVENTING CHILDHOOD SEXUAL ABUSE DR. EDINA RENFRO-MICHEL, LPC, ACS
  • 2. AGENDA • Define • Outcomes • Perpetrators • Preventions • Signs and Symptoms • What do I do now? • Resources
  • 3. SEXUAL ABUSE • Sexual Touching • Fondling, kissing, etc. • Non-Touching Sexual Offenses • Indecent exposure, exposure to sexual act • Sexual Exploitation • Soliciting for prostitution, using child for pornography
  • 4. OUTCOMES OF CHILDHOOD SEXUAL ABUSE IN ADULTHOOD • Chronic • Cognitive Issues Psychological Issues • Suicide • Loss of Trust – • Addictions Relationship Issues • Aggression and • Abnormal or Bullying Distorted View of • Perpetration Sex and Relationships • Eating Disorders • Identity Confusion • Adjustment Issues
  • 5. WHY DON’T CHILDREN TELL? • Threatened or Family/Pets Threatened • Told it was a Secret • Told they will get in Trouble – it is Their Fault • Try and Tell in Own Way but not Believed/Understood
  • 6. WHY DON’T CHILDREN TELL? • Confused about the Relationship • Repress Memories • Cognitively Unable to Understand What Happened • Afraid of Being Taken out of the Family
  • 7. WHO ARE THE PERPETRATORS? • All cultures • All races • All Ages • All socioeconomic statuses • Men and Women • Adults, Teens, and Children • Friends, neighbors, parents, parents of child‟s friends
  • 8. WHO ARE THE PERPETRATORS? • Often abused or Witnessed Abuse • Form trusting relationships with victims • Use force, coercion, threaten, guilt • Often spend time grooming victims
  • 9. HOW ARE CHILDREN TARGETED? • How Child Behaved • Innocent or Trusting • Lack Confidence or Self-Esteem • Family Problems • Curious • Access • How the Child Looks
  • 10. RECRUITMENT • Frequented Places Children Go • Welcomed into Home • Approached by Child • Have Victims Recruit Other Children • Threatening • Giving Gifts
  • 11. STRATEGIES • Offer to Play Games, Teach a Sport, Play Musical Instrument • Bribes or Presents • Took for an Outing, Gave Ride Home • Used Affection, Understanding, Love
  • 12. STRATEGIES • Asked a Child for Help/Gain Sympathy • Gain Trust in Family or Other Adults • Babysitting – 50% • Using Online Websites/Social Media
  • 13. GROOMING • Gaining Child‟s Trust • Talking About Sex • Psychological Abuse • Misrepresenting Abuse • Start with Touching or Kissing • Listening and Giving Attention
  • 14. GROOMING • Bathing, Undressing • „Accidental Touch‟ • Often Back off and Then Start Again • Drugs or Alcohol • Use Same Strategies Repeatedly
  • 15. PREVENTION • Anatomy • Self-esteem • Safe Touch • Appropriate Boundaries • Trust Your Children‟s Instincts • Teach – Don‟t Trust Everyone
  • 16. PREVENTION • Avoid Isolated Places • No Mouth Kissing • Talk about “Creepy” Feelings • Child Centered Play and Discussions
  • 17. INCREASE RESILIENCY • Positive Self-Esteem • Question Authority • Compromise • Family and Individual Time • Teach about Secrets • Stop Teasing/Name Calling • Don‟t be Too Hard on Your Children
  • 18. WHAT TO TEACH YOUR CHILDREN • Don‟t Trust Everyone – Say NO! Stop! • Tell Me if Someone Tries to “Trick” You • Tell Me if Someone Touches You in a Private Place or in a Way You Don‟t Like • Don‟t be Fooled by “Special Favors”
  • 19. WHAT TO TEACH YOUR CHILDREN • Never go to Public Bathrooms Alone • Stay in Groups • Tell me if Friends Promise you Something for Going Somewhere with Them • Don‟t Take ANYTHING from Someone Without Asking Me
  • 20. WHAT TO TEACH YOUR CHILDREN • If Scared and Walking – Knock on Doors Until Someone Answers (stay outside) • Always tell me where you are going – even if it is across the street • Be Leary of an Adult Approaching You Alone
  • 21. WHAT TO WATCH OUT FOR • Someone More Interested in Your Children Than You • Overly Affectionate, Overly Loving • Adults That Often Bring Gifts to Your Children • Children Can be Abused Right in Front of You
  • 22. WHAT TO WATCH OUT FOR • Anyone can be an abuser – even if disabled • Children are Curious About Sex and Their Changing Bodies • Anyone Your Child Doesn‟t Want to Be Around • Secretive about being on the computer/social media
  • 23. SIGNS OF ABUSE - MEDICAL • Pregnancy of Child • Sexually Transmitted Disease • Sore/Pain Vagina, Penis or Anus • Bleeding from Vagina or Anus • Unexplained Bruising on arms, legs, etc. • Chronic Urinary Tract Infections • Hemorrhoids • Injury to Palate • Sore Mouth or Throat
  • 24. SIGNS OF ABUSE – PSYCHOLOGICAL SEXUAL INDICATORS • Sexualized Play • Sexualized Language or Statements • Sexualized Drawings/Artwork • Sexualized Play with Peers • Grooming of Adults or Children • Sexual Interactions with Animals or Toys • Excessive Masturbation
  • 25. SIGNS OF ABUSE – PSYCHOLOGICAL ALL CHILDREN • Problems Relating to Peers • School Difficulties • Sudden Noticeable Changes in Behavior • Fear • Secretiveness • Unusual Aggressiveness • Excessive Masturbation
  • 26. SIGNS OF ABUSE – PSYCHOLOGICAL AGES 0-2 • Fear or Excessive Crying • Separation Anxiety • Vomiting • Feeding Problems • Bowel Problems • Sleep Disturbances – Change in Sleep Patterns • Failure to Thrive
  • 27. SIGNS OF ABUSE – PSYCHOLOGICAL – AGES 2-9 • Nightmares or Change in Sleep Patterns • Fearful Behaviors (people, places, activities) • Change in Personality or Temperament • Regression • Urinating or Defecating Problems
  • 28. SIGNS OF ABUSE – PSYCHOLOGICAL – AGES 2-9 • Self-destructive/Risk Taking Behaviors • Impulsivity, distractibility, daydreaming • Psuedeomaturity • Cruelty to Animals or Firesetting • Eating Issues • Fear of Being Left Alone
  • 29. SIGNS OF ABUSE PSYCHOLOGICAL – OLDER CHILDREN • Depression • Promiscuity • Nightmares/Diffic • Substance Abuse ulty Sleeping • Aggression and • Poor School Anger Performance • Fearful Behaviors • Running Away • Suicidal Gestures
  • 30. WHAT TO DO IF YOU SUSPECT A CHILD HAS BEEN ABUSED • Call Department of Children and Families • Hotline 877-652-2873 • Call the Police Department • Nutley (973) 284-4940 • Find a Counselor for the Child and/or Family • http://www.nbcc.org/CounselorFind
  • 31. WHAT HAPPENS AFTER A REPORT IS MADE • Investigated • Nutley – Juvenile Protective Bureau • Speak with Adults • When Allegation has Credibility • Forensic Interview of Child • Physical Exam – Specially Trained Nurse • Police will Contact DYFS
  • 32. SOME WEBSITES • http://www.child-abuse-effects.com/index.html • Information and Blogs • http://aacap.org/page.ww?name=Child+Sexual+A buse&section=Facts+for+Families • Information on Sexual Abuse • http://www.stopcsa.org/index.html • Information and Hotlines • http://www.nsopw.gov/Core/Portal.aspx?AspxAuto DetectCookieSupport=1 • Government Sex Offender List
  • 33. QUESTIONS? Contact Information for Dr. Edina Renfro-Michel renfromichee@mail.montclair.edu

Notas del editor

  1. Sexual touching – fondling, kissing, making child ouch adult sexual organs, penetrating a child’s vagina or anus in any way with an object that doesn’t have a medical purpose.Non-touching – indecent exposure or exhibitionism, exposing children to pornographic material, deliberately exposing a child to any sexual act, masturbating in front of a child, takingSexual exploitation – engaging child or soliciting child for purposes of prostitution; using a child to film, photograph or model pornography
  2. As adults – untreated - PTSD, Depression, Eating Disorders, self-mutilation, perpetration, nightmares, flashbacks, fear, phobias, guilt, low self-esteem, memory gaps or lossCognitive issues – learning, understanding, attendingRelationships – often leading to being in abusive or being abusive in relationshipsAll depends on relationship with abuser, if there is treatment, type of abuse, length of abuse, if there is also violence, etc.
  3. Repetitive abusers 30% 10 children or more, 1/3 of perpetrators are adolescentsMajority are married or in relationshipsDon’t believe what they do is wrong – 50% say they don’t see any distress in victims
  4. Elliot, Michele – child abuse and neglect, “sexual abuse prevention: what offenders tell usAccess – child alone, Playground – friends of parents, befriends child, babysits, etc.Looks – small, , Child was pretty or attractive in a specific way to the perpetrator – what they wear (doesn’t matter)Kids taught to do what adults say no matter what
  5. Places – parks, schools, shoppingmals, arcades, beaches, swimming pools, etc.Approached when child asked innocent questionGiving gifts to victims and future victims
  6. Misrepresenting abuse -
  7. Don’t make them touch someone they don’t want to touch,, no mouth kissing
  8. Including play areas where you can’t see your child at every moment
  9. Special favors – babysitter lets you stay up late if you do “something for me”
  10. Children should always set at end of table or between parents at family dinners, in movie theaters
  11. Fear of Being Left Alone
  12. Can report anonymously – but better not to