DOCUMENT RESUME ED 392 568 RC 020 450 AUTHOR Trute, Barry; And Others TITLE Coordinating Child Sexual Abuse Services in Rural Communities. INSTITUTION Manitoba Univ., Winnipeg. Faculty of Social Work. SPONS AGENCY Department of National Health and Welfare, Ottawa (Ontario). National Welfare Grants. REPORT NO ISBN-0-8020-7450-2 PUB DATE 94 NOTE 224p. AVAILABLE FROMOntario M3H 518, Canada (paperback: ISBN-0-8020-7450-2, $18.95; clothbound: ISBN-0-8020-2999-x). PUB TYPE Books (010) Information Analyses (070) Reports Descriptive (141) EDR7 PRICE MF01/PC09 Plus Postage. DESCXIPTORS Agency Cooperation; Attitudes; *Child Abuse; Community Involvement; Community Services; *Cooperative Programs; *Crisis Intervention; Delivery Systems; Demonstration Programs; Foreign Countries; Professional Services; Program Descriptions; Program Evaluation; Program Implementation; *Rural Areas; Rural Family; *Sexual Abuse; Shared Resources and Services IDENTIFIERS *Manitoba ABSTRACT This book reports on a 3-year project involving the design and implementation of a coordinated demonstration program for the treatment of child sexual abuse in rural Manitoba (Canada). The purpose of the project.was to address problems resulting from child sexual abuse services that are sporadic and uncoordinated in rural Canadian communities. Section 1 of the book contains a detailed description of key elements involved in the creation and maintenance of a rural coordinated servioe system. Chapters in this section overview the special context of services that operate in rural communities; outline basic steps in building the community infrastructure necessary for interagency consultation and collaboration; address the important link between investigative and treatment services, including detailed case histories that track critical service elements; and discuss the importance of early crisis intervention services that focus on the family. Section 2 reviews key research findings encompassing a wide scope of service evaluation, including the use of service-impact indicators at three levels: clients, service agency, and communities. Chapters in this section describe the project's evaluation strategy, including a detailed description of the two participating communities and agencies; ways the project facilitated local community involvement in the design and implementation of a coordinated service plan and strengthened local service providers in aspects of child sexual abuse services; and service outcome measures that were collected over the term of the project. Part 3 considers the professional attitudes towards child sexual abuse held by police, child welfare workers, and community mental health workers. This section also includes conclusions about coordinating child sexual abuse services in rural areas and recommendations for program implementation. Includes 111 references and an index. (LP) filF.01 Ba "PERMISSION TO REPROCUCE THIS MATERIAL HAS BEEN GRANTED BY LUe //S TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) U DEPARTMENT OF EDUCATION Othce o Educahonal Research and improvement EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) lefhs d0Cument NIS DWI fogofoxhged gg 1000040 /r00% 100 p011100 Of orgentzehon dndlnahng 0 Rimer champs have b0 made 10 In .1.0v0 f110,00uC1.00 OLIO ly Pants of low o1op.fl.oni$IitidflhlliSdCCP 01101 00 001 00CIfillIdy reprgoont00%041 OE RI posthon o/ pokey LC) CNA CD S. Iffilki;)tr ft 1 c/.. In association with Katihr;ik EST COPY AV ABLE 2 Coordinating Child Sexual Abuse Services in Rural Communities l P \ Coordinating Child Sexual Abuse Services in Rural Communities Barry Trute, Elizabeth Adkins, and George MacDonald in association with Kathryn McCannell and Carol Herbert UNI\TRSITN OF TORONTO PUSS Toronto BuffaloI ontion 'nivcri-dty ot loronto Inuorporoted 100.4 Toronto BuffaloI. ondon Printed in C. anadd ISBN 0-S(12(1-2000_ ISBN 0-S020-7450-2 r paper! Printed on ii d-t nce Canadian Cataloguing in Publication Data lidrr, 1014 ( oordindting thud \ 11,11 dhu,t. ,ur ii.us in rurdIOnini LIIt It, Int lude& . bibliograplth,11 rutertme, nud inde ISBN L) S020 2000. \ !hound ISBN 0-;(020-7 450 2r pH, 1. Nidnitobo KurdI (.hild tie\ u,l1 ProjeLt 2. StAudIlv abu,ed hildre.ntiervue, tor NI,Hutobo ,tudiet. 3. StAualIv dbie-ed hildren Surv it u, for( anada. .1 Ruhtl t luld run Survk e, torNidnitobh( as( ,tudie.. 1:tirhl hildruntierviku, tor( dn,td,i I Adkin,, \Ihrgdrut 1.11,,ibuth II IAL I )ondId, ( ;cor,ste. 1010 IIII itle II \ \Lit., Is 1001 30.! 7 eS'O)'," 127 (o 03033.', l l it ,utloionto Iii litt111,111l II( . bli,h 1111', r I utI lir(1111111,1 1,t nu inid ([ItIII \ I (1,till LI tJ This book is dedicated to Elizabeth Hill. Elizabeth Hill was an outstanding teacheri skilled community ad- vocate, and a respected clinician. Her dedkation to disadvantaged children and their families was nothing short of remarkable. When Elizabeth worked with a child, she worked with more than just d young person. She worked with the child, the child's family, and the child's surrounding social environment. She was a natural healer. She was one of those rare individuak who could both politically empower and psychologically strengthen those with whom she worked. Contents \(KNovvIn)k i\ 1)A The Design and Implementation of Coordinated Community Services to Respond to Child Sexual Abuse I Introduction 3 2 Service Delivery in Rural Communities lc, 3 Community Coordination of Child Sexual Abuse Serviies24 4 Early Crisis Intervention in Child Sexual Abuse Servues 3 Coordinating Family-Focused Treatment Serviies PART TWO An Evaluation of Coordinated Child Sexual Abuse Services e Thy Manitoba Rural Child Sexual Abuse Project. Participating Communities, Agencies, and C lients 117 7 Coordinated Community Services: Staff Resources and Their Deploynwnt 13o 8 Indicators of the Impact of Coordinated (.ommunitv Services 15.1 111:1 !HUI Reflecting on the Community Experience 0 Professional Attitudes Relating to Child Sexual Abuse 177 10 Con t. lusiom, and Retommendation, 102 RI II RI i 2.0.1 Ili)1,:. \\ 212 Acknowledgments This was a lengthy project that involved two years of preparation. three years of formal data-gathering and analysis, and two years of thoughtful reflection and writing. It was a project that involved the support of a network of consultants across Canada, the tena- cious commitment of a research team, the loyalty and goodwill of many professionals practisingi a wide range of human service agencies, and the patience and participation of many families at a chaotic and painful time in their lives. It is not possible to identify and thank each of the many people who contributed to the project upon which this book is based. However we do wish to acknowledge those who made a significant contribution to the overall effort. Members of the core research team included Drs. Elizabeth Ad- kins and Barry Trute, acting as co-principal investigators. George MacDonald was project coordinator. Allison Cranmer, project sec- retary, was an essential assistant who maintained our research office and kept a watchful eye on the administration of our research grant. The research effort involved many student research assistants, sev- eral of whom gave us committed service over a number of years. Gloria Vaughan-lones, Barbara Suse, Kelly Scottind Mary Anne Hildebrand deserve special recognition for their outstanding efforts. Drs. Kathryn McCannell and Carol Herbert of the University of British Columbia served a co-investigators and were regularly avail- able a-,escarLh and practice (mist' Rants. As well, they played an active pal tin the design of the study, provided ongoing advice as re,:eanh (onsultantsind part k ipated directly in the wmmunitv x Acknowledgments surveys conducted at the end of the service delivery phase of the project. Dr. Elizabeth Hill was involved in the project's early phases as a co-investigator. Dr. David Scuse acted as a co-investigator and computer consultant during the course of the project, and provided valuable technical consultation and research advice as well. Although he was not a member of our research team, Dr. Robin Krause, in family medicine at the University of Manitoba, performed an important service as our liaison with physicians in southern Man- itoba who participated in the study. Drs. Charles Ferguson and Carol Herbert provided important training modules to physicians partic- ipating in the project, to encourage and strengthen their involvement with the medical aspects of the investigation of child sexual abuse. This project could have not been conducted without the support of National Welfare Grants of Health and Welfare Canada. It pro- vided us with a research grant (Project # 455e-1-1Q) and with helpful advisors, including Robert Hart, David Allen, and Fran Mclninch. With the assistance of National Welfare Grants, a national advisory committee (NAC) was created to provide research advice and guid- ant:L. Members of the NAC included skilled researcher-clinicians, Drs. Jane Bradley, Charles Ferguson, Gary Grams, and Dan Offord; representatives from the Province of Manitoba, Judge John Guy and John Chudzik; and representatives of the two participating child welfare agencies, Dennis Schellenberg, who served as chairperson of the NACind Murray Bergman. The support of the Child and Family Services Research Group, the Faculty of Social Work, and the Psychological Service Centre, all within the University of Manitoba, is gratefully acknowledged. The South Team of Child and Family Services of Central Man- itoba (Dennis Schellenberg, Executive Director)