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A Welcoming Place for Survivors and Their Loved Ones. AGENDA

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A Welcoming Place for Survivors and Their Loved Ones. AGENDA A welcoming place for survivors and their loved ones. AGENDA » Welcome - Introductions » What is Child Sexual Abuse? » Understanding the Effects of Abuse » How to Support a Survivor » The Stages of Healing from CSA » Prevention » What to do in case of disclosure » Community Resources » Questions » Training Evaluation Group Agreements » Take Care of Yourself » Confidentiality » Listen Respectfully » Honor Time Limits » Respect Differences » Keep an Open Mind Child Sexual Abuse Training Trauma Stress Complicity Identity Shame Trust Safety Community Survivors Healing Center Our Services: » Intensive Therapy Groups » Information and Referrals » Outreach and Education » Prevention Training » Caring for Kids Event » Speaker Panels » Volunteer Opportunities Child Sexual Abuse Training Why we offer group therapy: Community is the antidote to shame (Gordon Wheeler) Compassion is the antidote to shame (Brene Brown) Shame Exercise CHILD SEXUAL ABUSE STATISTICS »1/5 girls and 1/7 boys are sexually assaulted before they turn 18 (ACE Study) »Children ages 7-9 are the most commonly molested »Foster youth are 10 times more likely to be sexually abused (Darkness to Light) »Children unaware about child molesters are most vulnerable of all Child Sexual Abuse Training CHILD SEXUAL ABUSE STATISTICS » Only 3/10 rapes are reported to the police (FBI) » Youth are 2.5 times more likely to be raped than adults (Darkness to Light) » Youth are victims of sexual assault in 66% of the cases reported to police » 75% of child pornography victims are photographed while living at home; parents are most often involved in creating child porn » Many people live with the shame of sexual assault for their entire lives if they don’t get support What is Child Sexual Abuse? Child Sexual Abuse FBI Definition of Rape was changed from The carnal knowledge of a female forcibly and against her will to Any penetration without consent in 2012. Child sexual abuse includes a wide range of sexual behaviors that take place between: a child and an older person (adult) or between two children. CSA occurs when full consent of involved parties is not possible due to differences in size, power, age, developmental level, or authority. » Molestation » Oral Copulation » Rape » Sodomy » Penetration » Commercial Sexual Exploitation of Children Child Sexual Abuse Training Child Sexual Abuse » Photographing the child for sexual purposes » Showing the child pornographic materials » Sexualized talk with the child » Exposing genital areas to the child for sexual gratification » "Peeping" in on child while dressing, showering, using the restroom » Masturbating in front of the child » Making the child engage in: • oral sex • vaginal or anal intercourse • prostitution • sexual activities with animals Child Sexual Abuse Training Adverse Childhood Experience (ACE Study) » What’s an Ace Study? » Collaboration between Kaiser San Diego and Center for Disease Control (CDC) » 17,000 participants Child Sexual Abuse Training How this is Illustrated... Childhood sexual abuse chronic depression morbid obesity diabetes hypertension hyperlipidemia coronary artery disease muscular degeneration psoriasis death Child Sexual Abuse Training Depression: Most say depression is a disease. Many say depression is genetic. Some say it is due to a chemical imbalance. What if depression were not a disease, but a normal response to abnormal life experiences? Felitti Child Sexual Abuse Training Major Findings: 2 out of 3 had at least one ACE 11% had five or more ACEs People with 4 Ace’s or more were: » 7 times more likely to be alcoholics, » 10 times more likely to have used street drugs, » 12 times more likely to attempt suicide, » 6 times more likely to be raped » 4 times more likely to suffer from chronic depression » have health problems (heart disease, obesity), Child Sexual Abuse Training At risk populations » 59% of females in prison were sexually abused » 95% of sex workers » 60% of teen mothers » 43% of adolescent runaways » 53% of reported substance abusers » 60-80% of individuals in substance abuse facilities Survivors of childhood sexual abuse make up a large proportion of certain at-risk populations Myths and Facts About Child Sexual Abuse » CSA is more common in Cities than rural areas » Only adults perform CSA » Children “ask” for these actions by being “seductive” or by “consenting” Myths to the perpetrator » Child sexual abuse is rare and only involves girls » Child sexual abusers are all homosexual » Abuse is seldom a one time incident. Incidents often repeat over periods of time. » Abusers come from all income, education, and intelligence levels » In 90% of child sexual abuse cases, the child knows and trusts the Facts person who commits the abuse » Children rarely fabricate stories, they do not have the explicit sexual knowledge to enable them to talk about sex unless they have experienced it. Child Sexual Abuse Training We often think abusers look like this When instead the picture looks more like this Who abuses? •Abusers actually tend to be members of the family or someone with strong social ties to the family •Tend to be young, almost half were between 20 and 40 Who is abused? : »15-28% are abused by a parent or step parent »52% are sexually abused by fathers only mothers only a family member other relatives mothers acting with another person »40% are sexually abused by day care providers other older, more powerful children Effects of Child Sexual Abuse Key Terms and Effects: Stress: non-specific response of the body to any demand that overwhelms resources – positive and negative stressors – getting married, changing jobs, sex etc… Stress produces the activation of the sympathetic nervous system Trauma: threat to one’s life or bodily integrity, hyper-arousal of the ANS, not all traumatic events lead to trauma. Traumatic Stress: a normal reaction of the mind and body to an overwhelming event that threatens life and/or limb: your own, someone close to you, or that you witness. Someone with traumatic stress may be reacting to recent events, or event from childhood Post-traumatic Stress: traumatic stress that has not been processed by the body Child Sexual Abuse Training Fight, Flight, Freeze, or Freak During a traumatic event, the brain tells the nervous system to prepare the body for a defensive action, such as fight or flight. If those actions are not possible, the brain tells the nervous system to freeze/freak. These changes are normal responses to an abnormal event. After the event is over, the nervous system will usually return these body systems to a normal level of functioning within a few hours, days or weeks. Child Sexual Abuse Training Post Traumatic Stress Disorder ICD-10 definition: After a trauma. The person has each of the following key symptoms for over a month, and they result in decreased ability to function (e.g., work, social life): intrusion (e.g., flashbacks, nightmares) ; avoidance (e.g., not wanting to talk about it or remember); arousal (e.g., insomnia, anger); negative thoughts/ mood of self or society. Simple PTSD: Results from a single event in adulthood (DSM-IV symptoms) Complex PTSD: Results from multiple traumas, the projection of past experiences into the future, typically in childhood (broad symptoms, including personality problems.) About PTSD: Trauma survivors often blame themselves for what is happening to them. Negative self talk precedes self harm behaviors. Child Sexual Abuse Training POST TRAUMATIC STRESS DISORDER The ICD–10 definition states that PTSD may develop after ‘a stressful event or situation... of an exceptionally threatening or catastrophic nature, which is likely to cause pervasive distress in almost anyone’ (World Health Organization, 1992: p. 147) Post Traumatic Stress Disorder : Rates » About 1/3 of people exposed to trauma develop PTSD. Men have higher rates of trauma, but women have more childhood trauma, and are more likely than men to develop PTSD if exposed to trauma. » 10% for women. 5% for men (Lifetime, US.) » Treatment: If untreated, PTSD can last for decades, if treated, people do recover. » Most effective treatments: cognitive behavioral (i.e., coping skills training) and exposure (tell trauma story). Child Sexual Abuse Training Effects of Child Sexual Abuse » Low self-esteem » Early pregnancy » Depression » Prostitution » Anxiety » Drug and alcohol abuse » Isolation » Self-harm behaviors » Regressive behaviors (cutting, burning) » Dissociation » Eating disorders » Nightmares » Abstinence of sex » Flashbacks » Interpersonal difficulties » Difficulty concentrating (trouble at work or home…) » Feeling unsafe » Running Away » Promiscuity Child Sexual Abuse Training Effects of CSA Under the Age of 6 » Headaches »Distress at removal of diapers » Stomachaches »Disclosure of CSA » Irritation of genitals »Sexually acting out » Bruises and/or sores »Lack of emotions/numbing » Persistent masturbation »Bed wetting » Eating/sleeping »STIs disorders »Crying » Defecation Child Sexual Abuse Training Ages 6-9 » Isolation » Problems obeying » Fear » Poor school performance » Sexually inappropriate behavior » Lying to hide CSA » Sexually acting out » CSA disclosure » Numbing Child Sexual Abuse Training Ages 9-13 Ages 13-18 » Truancy » Self-destructive behavior » Running away » Delinquency » Low self-esteem » Prostitution » Drug/alcohol use » Pregnancy » Avoidance of physical/ » STIs emotional intimacy » Avoidance of the opposite sex Child Sexual Abuse Training • 1. Recognize the signs • The signs of abuse aren’t always obvious, and learning the warning
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