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Information for Parents
CHILD SEXUAL ABUSE: WHAT EVERY
PARENT NEEDS TO KNOW
(Note: Although this material
refers to girls because 80% of reports involve them, boys are also sexually
abused.)
Dynamics of Child Sexual
Abuse
What is Child Sexual Abuse?
Child sexual abuse occurs when an
adult or adolescent uses a child for sexual purposes. Sexual abuse most
often involves fondling or touching. This may include asking a child to
touch the adult, or be touched sexually by the adult. Other forms of sexual
abuse include penile/oral, penile/vaginal, or penile/anal contact. These
acts may be performed on the child or the child may be asked to perform
these acts on the adult. Still other forms of sexual abuse include child
prostitution, child pornography, or sexual assault. Sexual abuse is
emotionally abusive and is often found with other forms of abuse. It betrays
trust and is an abuse of power over the child. Child sexual abuse is a
criminal offense and is against the law.
How Widespread Is the Problem?
Child sexual abuse is largely a
hidden crime, so it is difficult to know the number of people who are
sexually abused at some time during their childhood. Both adults and
children may not want to report sexual abuse for a number of reasons. Some
may keep it secret because of the sense of shame, because they have been
threatened not to tell, or for fear that they or the offender will be
punished. Because abuse victims often have close ties with the offender,
they may not want criminal charges pressed against them. Some children are
too young to put what has happened into words, while others may be afraid no
one will believe them. Also, the victims are young and dependent. For these
reasons, most child victims do not report.
Research shows that one out of
three girls will experience some form of sexual abuse by the age of
eighteen, and at least one out of five boys will experience some form of
sexual abuse by the time they reach eighteen years of age.
What are Some Facts about
Sexual Abuse?
There are many myths about child
sexual abuse. People often believe that abuse is committed by strangers and
that the offenders are crazy, retarded, homosexual, or just dirty old men.
Others believe that the victims of abuse are sexually provocative
adolescents. People often believe children make up stories about sexual
relations with adults while others believe that children are rarely
emotionally affected by "gentle incest."
The fact is that 90% of the
victims know their offenders. These offenders come from every profession and
socioeconomic group and look like any normal person. They might be a parent,
aunt, uncle, scout leader, church official, coach, daycare worker, or friend
of the family. The offender may be someone who is seen as a caring person in
the child's life. Most offenders are males. Many cases of child sexual abuse
occur in pre-school and school-aged children, but there are cases that
involve adolescents. Again, it is true that many children do not tell anyone
about abuse or wait until adulthood to disclose. We do know that, if young
children disclose, they should be believed, because they do not know enough
about sex to describe specific sexual behaviors unless it has occurred. Some
offenders abuse more than seventy children before any of the victims
disclose the abuse. In cases in which one offender has abused a large number
of victims, the abused children are more likely to be male.
Why Do People Molest
Children?
In general, offenders have an
abnormal attraction to children. The thought of someone sexually abusing a
child is disgusting to most of us. The idea is so foreign to us that we feel
the offender could not possibly be a person we care about and trust. The
offender's extreme denial and ability to manipulate others can often
convince anyone, even professionals, that they do not have a problem. They
are so convincing that parents may even doubt their own child. Offenders
will often give several excuses for their behavior as a way to ease their
own guilt over their actions. Some common excuses are:
-
"I was drunk and didn't know what
I was doing?"
-
"I was abused as a child."
-
"She came on to me. I couldn't
stop her."
-
"I was only trying to teach
her what to look for when she gets older."
A person who molests one time is
very likely to do it again. There is no complete cure. If an offender is
motivated, a specialized treatment program can greatly reduce the chances of
him abusing again. The offender can learn the tools needed to prevent
abusing again (an example: making sure he is never alone with any child).
Because the issues are so complex, these offenders need to be treated by
therapists specifically trained to work with offenders and their families.
Unless offenders receive long term treatment, they likely will continue to
molest children.
What is "Grooming"?
Grooming is the process by which
offenders prepare or set-up children for sexual abuse. The first step of
this process begins with the offender seeking out a child. The offender
usually selects children who are available to them (examples: relatives,
friends and neighbors) and focus on children who are open to adult
friendships and enjoy attention. The next step of the process is forming a
relationship with the child. The offender finds ways to build up trust with
the child by playing games with her, buying things for her, or taking her on
special outings. The third step in grooming is finding ways to touch the
child a lot. As a result, the child is often unaware or confused when the
touch becomes sexual. The offender may wrestle with the child, sit the child
on his lap, or sneak touches of the child's private parts. The offender
wants that physical contact. Next, the offender finds ways to isolate the
child. The offender begins to find excuses for being alone with the victim
in order to molest the child. Examples of such excuses are babysitting,
inviting the child to go camping, or taking the child to the park. As the
process continues, the offender begins to blame the child and promote the
secrecy. The offender tries to make the child feel responsible so she will
not tell. Often the molester will threaten or bribe the child by lying to
her. The offender might tell the victim that if she tells, the perpetrator
will go to jail. The offender might threaten to kill the child, the child's
mother, or a pet if the secret is told. Some children are told that their
parents won't love them anymore if they tell, so they keep quiet about the
abuse.
Why Do Children Go Along With
the Abuse?
Children are raised to be nice
and to respect adults. Children learn to trust adults because adults protect
them. Because children often care about their offenders, they are confused.
In the final stages of the grooming process, the guilt the children feel
makes them believe the abuse is their fault and this allows the abuse to
continue. Children also feel powerless. They are smaller, weaker, and depend
on adults. They have a great desire to be accepted and loved by them. They
are told to mind adults, whether they are parents, teachers, coaches,
relatives, or babysitters. Children do not want to be abused but feel they
have no real choice. They are not agreeing to the abuse by any means.
Why Don't Children Tell
Parents Immediately?
Some children do tell their
parents about abuse right away; however, this is not the norm. Those who do
tell about the abuse may wait months or years to disclose, and parents often
feel angry or disappointed in their children for not telling. In many cases,
victims who do tell usually confide in aunts, teachers, school counselors,
or friends – not their parents. They may not disclose to parents for fear
their loved ones will not be supportive. On the other hand, they may want to
avoid causing their parents to hurt or feel badly. These children believe
that someone outside the family will be less likely to be upset by the
disclosure. Common responses given by children regarding why they did not
disclose sooner include:
-
"He told me I would get in
trouble. He would say that I had wanted to do it and my parents would
believe him."
-
"It's really embarrassing to talk
about."
-
"I didn't want him to go to
jail."
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"He said my mom already knew."
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"I was scared he might hurt me if
I told."
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"I knew no one would believe me
because he was so nice to everyone, and all my friends loved him."
-
"He said he would kill himself if
I told."
As you can see, children delay
disclosures out of fear, confusion, and embarrassment, as well as protection
of the adults they love. It is a common response to delay or avoid
disclosures. This is why even children who were taught about "good touches -
bad touches" and the need to tell their parents of the "bad touches", do not
do so for quite some time. It is common to hear that children have disclosed
to someone other than their parents. Children should be praised for
disclosing to anyone at all.
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Systems' Response To Disclosure
How and Why Do You Report?
If you believe you have
reasonable grounds to suspect that your child, or any other child is being
sexually exploited or abused, promptly report your concerns to the State
Child Abuse Hotline. The phone number to call is 1-800-482-5964. You do not
have to be certain that abuse is occurring, but you should have a strong
suspicion that there has been sexual contact with the child by an adolescent
or adult. When you make the call, you will be asked basic information about
the child, the alleged offender, and details about the events you believe
have occurred. When reporting, you may ask to remain anonymous. Within 24
hours of the report, someone from the Arkansas State Police or local law
enforcement agency will attempt to contact the victim and victim's family.
Who Will Interview the Child?
An investigator with the Arkansas
State Police or local law enforcement will perform the first disclosure
interview. This investigator should be specially trained in interviewing
child abuse victims and assessing the credibility of the child and/or
family. The interviewer will consider the amount of detail in the child's
disclosure, how the child describes the acts of abuse in her own words, and
whether the child should have such sexual knowledge at her age. The
interviewer will also note whether the child's story remains the same over
time.
Should A Child Have a Medical
Evaluation?
The investigator may recommend a
medical exam of the victim. If siblings of the victim have had contact with
the alleged offender, sexual abuse exams of the siblings may also be needed.
When would an exam be needed? A medical exam of a sexually abused child is
always recommended when there has been skin to skin contact between the
alleged offender and the child. It may be useful to obtain forensic
evidence, to reassure families and victims that the child is okay, and to
test for infections which may have been passed from the offender to the
child. Most of these exams are normal. However, some are abnormal and the
findings should be documented for use in court and any infections should be
treated. These medical exams should be done in a gentle, forceless manner to
prevent further trauma to the child. Parents may wish to contact their
primary care physicians to perform this examination. However, some
physicians may choose to refer these patients to a doctor who specializes in
this area.
What Other Resources Are
Available?
Other community agencies respond
to the needs of the child victim. The Department of Children and Family
Services (DCFS) may become involved in any case where there is a question
about safety. It is the responsibility of DCFS to ensure the safety of every
child and they may be contacted in cases where the child may be re-exposed
to the alleged offender or if the child will be placed in an unsafe
environment. The goal of DCFS is to keep families together, but if a child
is at risk and is unprotected, DCFS is required to step in. Also, child
victims and their families may need professional help, and the remainder of
this program will address these issues.
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Victims' Response to Sexual
Abuse and Psychological Treatment Needs
What are Common Behavioral
Symptoms of Child Sexual Abuse?
Several general behavioral
changes may occur in children that have been sexually abused. These changes
are not specific to sexual abuse but are common symptoms reported by
victims:
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Physical complaints
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Fear or dislike of certain
people or places
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Reluctance to be left alone
with a particular person
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Sleep problems
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Headaches
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Bedwetting or loss of bowel
control
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School problems, including
changes in school performance
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Withdrawal from family,
friends, or usual activities
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Excessive bathing or poor
hygiene
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Return to younger, more babyish
behavior
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Depression
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Anxiety, Fears, and Phobias
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Discipline problems
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Running away
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Eating disorders
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Passive or overly pleasing
behavior
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Delinquent acts
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Low self-esteem
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Self-destructive behavior
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Hostility or aggression
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Drug or alcohol problems
-
Sexual activity or pregnancy at
an early age
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Suicide attempts
Children who have been sexually
abused frequently have more specific symptoms:
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Copying adult sexual behavior
-
Frequent sexual play with other
children, themselves, toys or pets
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Displaying sexual knowledge,
through language or behavior, that is beyond what is normal for their age
-
Unexplained pain, swelling,
bleeding or irritation of the mouth, genital or anal area; urinary
discomfort; sexually transmitted diseases
-
Hints, indirect comments or
statements about the abuse
If you are not sure whether the
behaviors are normal or abnormal for the child's age, we have a tool which
may help you decide whether or not you should be concerned.
What Does It Mean If the Child
Discloses, Then Recants?
Sometimes a child may recant or
take back a truthful disclosure of abuse. This is not surprising because the
child fears the impact that a disclosure will have on the family, or fears
that no one will believe her. The child may recant because the offending
adult has much more power. If the child remains in the home where the
offender also resides, it is most common that the child will recant the
allegations. She is often coerced by family members to sweep the abuse under
the rug and pretend that it never occurred.
What If the Child Sexually
Touches Other Children?
Children who have been sexually
abused often feel a loss of control. Two ways they may attempt to cope with
these feelings are through aggression, or acting out, and sexually touching
other children. Children who are sexually acting out should not be punished
for these behaviors but receive treatment. Professional help should be
obtained as soon as possible.
Will the Child Be Confused
About His or Her Sexuality?
Children often become confused
about their sexuality. This is especially true with males. Some male victims
believe they might become homosexual because they were molested by a male.
They have that fear because they became aroused during the sexual act. The
child should be told this arousal means that his body is responding in a
normal way. Most sexual offenders are actually heterosexual. Adults sexually
attracted to children are called pedophiles.
What are the Long Term
Effects of Sexual Abuse?
Ongoing abuse can lead to
numerous, concerning long-term effects. These include:
-
Low self-esteem
-
Guilt and shame
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Depression
-
Difficulty in forming trusting,
meaningful relationships
-
Destructive ways of coping
(drug/alcohol abuse, suicidal gestures, etc.)
-
Sexual dysfunction, confusion
about sex, love, and exploitation
-
Loneliness, isolation, and
alienation
-
Disturbed and confused family
relationships
-
Dissociation experiences
(separate from body; separating the sexual acts from one's thoughts or body
as a way of coping)
What Factors Influence the
Effects of Abuse on the Child?
There are many factors that
affect the child's response to sexual abuse. These factors include:
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the length of time and extent
of the abuse,
-
the importance of the offender
to the victim and her family,
-
the child's stage of
development,
-
how others respond to the child
after the abuse is disclosed,
-
how well the child was doing
before the abuse began,
-
the level of fear the child had
at the time of the abuse,
-
whether the child feels the
abuse is her fault,
-
the support the child receives
after the abuse is disclosed.
A child who was touched once
with a hand on the genital area, who told right away, and whose parents
supported her, may not be severely affected. This child may not need
counseling if the parents know about abuse and are able to talk about it in
the home.
On the other hand, a child who
was molested by her father over a five-year period, where the abuse went
from fondling to penile/vaginal or penile/anal intercourse, and when she
told was not believed, will most likely suffer both immediate and long-term
effects. This child will need therapeutic support. Sometimes a younger child
will show few symptoms at the time of the abuse, but develop them at a later
time. When a child reaches adolescence, the memories of previous abuse may
produce behavioral symptoms and affect the child's development of a healthy
sexual identity and relationships. Untreated child sexual abuse can cause
negative effects lasting into adulthood. However, just because a child has
been sexually abused, it doesn't mean she is "ruined" for life. Treatment is
available for any child who needs it. Counseling is often needed for a child
to heal, so it is important that the abuse is not swept under the rug as a
way to keep it quiet, but instead, dealt with in an appropriate way.
What Does a Child Need for
Recovery?
All sexually abused children
need support from their families and an evaluation by a therapist
specialized in treating abused children. These are the first steps in the
recovery process. Not all abused children need counseling, but some may need
individual, group, and family therapy.
Abused children should be helped
to understand that the abuse was not their fault. They need help in
preparing for any changes in their family situation caused by the abuse.
They also may need help in preparing for court testimony. They should be
given the knowledge and skills necessary for their safety. Child sexual
abuse victims who do not receive adequate therapy have a higher risk for
further abuse as adolescents or adults, while others may have an increased
interest in having sexual contact with children. Following our program,
materials will be available to you about local resources that provide this
specialized therapy to victims and their families.
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Parents' Response to Sexual
Abuse and Psychological Treatment Needs
How Can Parents Help in their
Child's Recovery?
Remain Calm. It is important to
remember that you are not angry with the child but at what happened.
Children may believe that anger or disgust is directed toward them.
Believe the Child. Usually,
children do not lie about abuse.
Support the Child with words and
actions. Tell her you are proud of her for telling. Assure the child that
she is okay and let her know that you will protect her.
Be ready to listen, but don't
pry. It is important for a child to be able to talk with a parent about the
abuse. However, it is not helpful to pry or continually question her about
details. This is the job of the investigator. Sometimes well meaning parents
who ask leading questions can confuse the child or make the child overly
anxious. Just letting the child talk on her own allows a parent the chance
to correct any misinformation the child has about the abuse - for example,
why it happened, the child's feelings of being responsible for it, etc.
Treat the child as you usually
would. Don't give her special treatment. Don't bend the rules. The regular
routine should be followed as soon as possible. Otherwise, the child may
feel that something is very wrong and she is in some way different since the
abuse. The abuse cannot be an excuse for negative behavior, either. A child
still needs consistent and appropriate limits.
Allow the child to be a child.
Give her room to play, learn, explore, and relax without the stress of
having to make adult decisions. Don't keep her from normal activities
because you are afraid she will be re-abused.
Don't blame or punish yourself.
Parents may have had no way of knowing that their child was being abused.
Focus on the importance of your role at this time. Avoid coping with
alcohol, TV, food, or shopping. That will just delay the child's healing
process.
Consider healing any wounds from
your past. If the abuse of a child triggers painful memories of a parent's
past, the parent should seek help at this time to deal with those issues.
The parent can be a role model of healing for the child.
Provide appropriate boundaries.
Because a sexually abused child has had her personal boundaries violated, a
parent can help rebuild appropriate boundaries by allowing a certain amount
of privacy. Give a child the right to say no to goodnight kisses, hugs, etc.
Let her shut the bathroom or bedroom door, or hang onto a special toy which
she does not have to share. Also, be careful not to discuss the abuse in
front of people who do not need to know what happened.
Allow the child certain rights.
Allow her to feel and express her emotions, have her opinions, likes and
dislikes, and the right to say who touches her body.
Allow the abused child the chance
for open communication, and to show her true feelings. If your child has
been abused, be strong as a parent and let your child know that you are able
to handle tough problems. Children want to be able to trust that their
parents will not fall apart as a result of learning of the abuse.
Get help. Make an appointment for
a psychological assessment of the child.
Parents should not panic or
overreact when the child talks about the abuse. Again, the parent should not
pressure the child to talk or to avoid talking about the abuse. She should
be allowed to discuss the sexual abuse at her own pace. Parents should not
confront the offender in front of the child. This should be left for the
authorities to handle. Parents should never criticize or blame the child.
Sexual abuse is NEVER a child's fault.
If a Child Discloses, What are
Common Feelings or Reactions of Parents?
Parents and other family members
are often as affected by the abuse as the child. Many parents feel they have
an open relationship with the child and feel hurt because their child took
so long to tell or told someone else first. This is a very common reaction
and a parent should not feel badly about this. Parents are usually not the
first to know. They may have strong feelings of anger, sadness, guilt,
disbelief, shock, and depression. When the offender is someone they love,
there is often an added stress of feeling they have to "choose" between the
offender and the child. All of these feelings are common to parents and
normal. However, your feelings may be too much for the child victim to
handle. The child may shut down and not talk about the abuse in order to
protect the parent or loved one. Therefore, it is important that the parent
or family get help to deal with these feelings.
If a parent is overwhelmed by
feelings, it will be hard to provide support for the child. Sometimes,
parents may have feelings they do not understand, such as anger toward the
child. This may cause them to feel increased guilt. Parents may expect the
child to feel the same way they do. Parents should separate their feelings
from those of the child and not expect the child to feel the same way they
do. The child may love the offender but be afraid to express that she misses
him for fear a family member may not understand. Parents are not alone when
having these feelings. Parent support groups are available to deal with
these feelings.
How Do Parents Know If a Child
is Telling the Truth?
Children rarely lie about being
sexually abused. Even though some children have vivid imaginations, most
young children would not know about sexual acts or situations unless they
have been exposed to them directly. Most children have nothing to gain from
accusing someone of sexual abuse. Even though most children have lied about
something in their lifetime, the lies don't compare to telling something as
serious as sexual abuse. Children will often tell about their abuse in bits
and pieces. This doesn't mean they are making it up, but instead, they are
trying to cope with the abuse little by little. After their first
disclosure, if they feel safe and protected, more memories may return.
Are Parents to Blame?
No. The only person to blame is
the one who did the abuse. It is always easier to look back at things and
see them more clearly than when it occurred. You may realize there were
clues that you did not react to at the time. Parents can take control of how
they respond to a child's disclosure. If they did not believe, were angry,
or confused about what to do, they can go back and talk with their child.
They can apologize or explain why they behaved the way they did when the
child told. The parent who is aware of the abuse and allows it to continue
can be held legally responsible for not keeping a child safe. Parents should
react right away and find ways to provide a safer environment for the child.
Single parents need to be aware that children living in a home with a
stepparent or mom's boyfriend are at a higher risk of being abused. If
parents abuse drugs or alcohol, they need to realize that they are leaving
the child less protected when they are using drugs or alcohol. Parents may
need to use caution when screening for daycare or other activities. No
matter what, the offender is still the one at fault for the abuse.
If a Child Has Been Abused,
What Can a Parent Expect From the Legal System?
This is a very difficult
question to answer, because every case is different. Sometimes, even if the
police believe that sexual abuse has occurred, a lack of evidence can
prevent the arrest of an offender and the case may never make it to court.
This only means that the kind of evidence needed to win a criminal trial is
not present in the case. This may happen when the victim is a very young
child and thought unlikely to be a good or credible witness in the
courtroom. Sadly, many child abuse cases are never prosecuted.
If the prosecuting attorney does
take the case, it doesn't mean there will be a trial. Sometimes, at the last
minute, there will be a plea bargain arranged. This means the offender may
be allowed to plead guilty to a lesser offense to spare the child from
having to testify, avoid the expense of a trial, and guarantee a guilty
verdict. The sentence of an offender varies depending on the crime of which
he is found guilty, whether it is his first offense, etc. The offender
occasionally may receive sex offender treatment in place of all or part of
his jail time.
If a child's case does go to
court, parents may worry about the effects of the trial on the child. The
court attempts to protect the child's emotional well being while preserving
the defendant's rights. Victim Assistance Coordinators of the prosecutor's
office and the child's therapist can help prepare the child for court
testimony by allowing her to see the courtroom in advance and teaching her
important skills to reduce stress. Many children who go through a trial feel
good about themselves and their ability to tell the truth about what
happened to them. It can increase their sense of power after an experience
which made them feel powerless.
What Does a Parent Need for
Recovery?
Parents may need individual
counseling for their own issues as discussed earlier. They may need to be
involved in family therapy, especially if the offender was a member of the
family or had close ties to the family. Again, there are many resources
available to help.
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How Can We Prevent Child
Abuse?
Parents can help in the
prevention of child sexual abuse in many ways. They can:
-
Teach their children the
correct terms for their body parts so they can tell them clearly if abuse
does occur.
-
They can teach their children
about safe and unsafe touches. They need to tell their children that some
adults may try to trick them and touch them in ways that aren't okay. They
can give their children permission to be assertive with adults and to refuse
to be touched when they are uncomfortable. They should know that they can
say "no" to requests from family and friends, also.
-
They should tell their
children to trust their feelings and get away quickly if they feel something
is not okay.
-
They should teach children to
dial 911 or tell them to inform trusted adults until someone gets them help.
-
They should report to parents
or other trusted adults if an adult asks them to keep a secret.
-
Families should develop clear
safety rules about answering the phone and door, and what to do if they are
alone at home.
-
Parents should play "what if"
games with their children and problem solve with them on what to do if
someone touches them in an unsafe way.
-
Children should have a plan of
action in case someone approaches them or makes them feel uncomfortable.
-
Children should know their
personal information and their parents' work phone numbers.
-
Children should be encouraged
to share their concerns with their parents and feel that their parents will
listen and believe them.
-
Parents should remind their
children that safety rules apply to all adults, not just strangers.
-
Children should be reminded
that their bodies belong to them and that no one has the right to touch them
or hurt them.
-
Children should be encouraged
to tell a trusted adult about abuse, even if someone has threatened to hurt
them or their family, or they are just afraid of what may happen as a
result.
Adapted from Christine Larsen, MSW and Anne Zaro, MSW,
How to Survive the Sexual Abuse of Your
Child...Answers to Commonly Asked Questions (Spokane, WA: ACT for Kids,
Spokane Sexual Assault Center, 1989)
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