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Cleveland 20 years on: what have we learned about intervening in child sexual abuse?
Author(s) -
Bacon Heather
Publication year - 2008
Publication title -
child abuse review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.569
H-Index - 41
eISSN - 1099-0852
pISSN - 0952-9136
DOI - 10.1002/car.1034
Subject(s) - child sexual abuse , sexual abuse , child protection , psychology , psychiatry , child abuse , mental health , service (business) , criminology , medicine , developmental psychology , suicide prevention , medical emergency , poison control , nursing , economy , economics
Abstract This is the first of two linked papers. It examines the main changes in approach to child sexual abuse that have occurred since the events in Cleveland 20 years ago. Comparison between estimated prevalence rates and registrations for sexual abuse suggests that we are aware of only the tip of the iceberg. It is argued that in many cases uncertainty may have to be accepted, and that protection may be better achieved through a protective parent than through the child protection system. Clinical examples of cases presenting to a specialist child and adolescent mental health service are given. It is argued that, although society is now more willing to recognise the existence of child sexual abuse and professionals are better at dealing with families, outcomes for this group of children are not much improved. Copyright © 2008 John Wiley & Sons, Ltd.