Girls who display Harmful Sexual Behaviours - developing ... · Girls who display Harmful Sexual...
Transcript of Girls who display Harmful Sexual Behaviours - developing ... · Girls who display Harmful Sexual...
Girls who display Harmful Sexual Behaviours - developing
Assessment Tools & Intervention Resources.
Sharron Wareham Team Manager
&
Wendy SteerResearch Practitioner
NOTA CONFERENCE 2015 DUBLIN
Introduction to the Taith Service
Established in 2000
Specialist service for children and young people with harmful sexual behaviours (5-21 years)
Dedicated staff team and expert consultancy
Work with circa 120 young people per year
Over 1300 referrals
The Taith Service accepts referrals across Wales
NOTA CONFERENCE 2015 DUBLIN
Girls with Harmful Sexual Behaviour
In 2014/15 Taith worked with 118 children and young people (average age 13 years)
25% of referrals/ worked with in 2014/15 were girls (increase from 8% in 2010/11)
Big Innovation lottery funding 2012/15
NOTA CONFERENCE 2015 DUBLIN
Existing Research
& Issues
Limited literature available
2%-11% of sexual assaults against children estimated to be committed by female adolescents (Roe-Sepouliz & Krysik, 2008,
Vandiver, 2010).
Under reporting, social meaning of gender, role expectations inconsistent professional responses (Frey, 2010)
The lack of a gender specific analysis of patterns of female HSB (number and type of victims), motivational types and how different motivations are expressed by girls as opposed to boys
Lack of gender-specific standardised assessment tools normed on girls, therefore lack of means to target risk factors, measure treatment change and conduct risk assessments.
NOTA CONFERENCE 2015 DUBLIN
Girls’ Project Research Team
We were a small team consisting of:
• Richard Beckett, Research Director, Consultant Clinical & Forensic Psychologist
• Sharron Wareham, Team Manager
• Wendy Steer, Research Practitioner
With additional support provided by James Jackman, BSc, during the final analyses.
NOTA CONFERENCE 2015 DUBLIN
Objectives of the Taith Girls’ Project
Develop standardised assessment measures
Develop treatment workbook
Evaluation of treatment workbook
Increased awareness through training of professionals and publication of project findings
NOTA CONFERENCE 2015 DUBLIN
Girls’ Assessment Measures
Self esteem (Thornton, 2008)
Emotional loneliness (Russell et al,1980)
General empathy (Davis,
1980)
Children and Sex (Beckett,
2001)
Victim Distortion Scales (Beckett et al, 2012)
Social Sexual Desirability(Unpublished)
Novaco Anger Scale
(Novaco, 2003)
Alcohol and Drug use
Trauma Checklist (Briere,1992)
SDQ (Goodman et al, 1998)
SERAF (Barnardo’s, 2007)
Sexual knowledge - age banded (unpublished)
NOTA CONFERENCE 2015 DUBLIN
Trauma Background
0
20
40
60
80
100
120
Adol FemalesAdol Males
21% currently
subject to CPR
62% historical
CPR
n=40n=679
(Information at point of referral)
NOTA CONFERENCE 2015 DUBLIN
Trauma Symptom Checklist
For Children (TSCC)
0%5%
10%15%20%25%30%35%40%45%
Anxiety Depression Anger PTSD SexualConcerns
SexualPre-occ
SexualDistress
CRITICAL
ITEMS:
42% not trusting others as
may want sex
50% Scared of men
42% afraid someone will
kill them
25% Scared of women
NOTA CONFERENCE 2015 DUBLIN
0
1
2
3
4
5
6
7
8
2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Frequency
Age of onset of age-inappropriate and/ or HSB
Pre-pubescent Girls
- Sexually reactive (mirroring abuse)
- Mimicking (observing others)
- Function of bullying
Pubescent Girls
- Trauma/Abuse reactive
- Anger motivated
- Experimentation
- Child abuser
- Peer abuser
- Co-abuser
NOTA CONFERENCE 2015 DUBLIN
Behaviours Displayed
S.T.W.C.PenetrativeC.M.T.P.Child Abuse ImagesExposingOther
70% known to have displayed
previous concerning behaviours Only 18% had
previously received any intervention
NOTA CONFERENCE 2015 DUBLIN
Victims
51%male
49%
female
52% Family member44% Friends/ acquaintances2% Stranger2% Other
3% adult victim27% peer victim70% significantly younger child
Awareness of impact on victim77% Average understanding8% Poor15% Distorted
* 70% of the girls accepted responsibility to some degree
NOTA CONFERENCE 2015 DUBLIN
There are five themes
within the workbook:
• Setting the Scene
• My life Experiences
• Positive Self
• Healthy Relationships
• Self-regulation & Positive
Strategies
NOTA CONFERENCE 2015 DUBLIN
My Life
ExperiencesWhat the research tells us about our girls:
• 40% experienced PTSD• 11% perceived their relationship with mother to be supportive
• 20% saw relationship with father as supportive
• 31% had no other significant positive adult relationship in their lives.
• However 34% identified professionals as a positive support.
Exercise 2.1 – Feeling Safe
Exercise 2.2 – ‘My Masks’ Activities
Exercise 2.3 – The Journey from Shame to Self-Worth
Exercise 2.4 – Mindfulness – exploring senses
Exercise 2.5 – Mindfulness – calming and focus
Exercise 2.6 – Mindfulness – feelings and thoughts
Exercise 2.7 – Self-Compassion Checklist &
Reflections Diary
Exercise 2.8 – Compassion for Others Checklist &
Diary
Exercise 2.9 – Therapeutic Stories
‘There should be my dad here too, thing is he pissed off and left
me… left us’
‘mum’s out with a new bloke so I’m stuck here looking after little piggy’
‘I hate my family’
NOTA CONFERENCE 2015 DUBLIN
Positive Self
What the research tells us:
• 60% of our girls identified as having none/ negative peer relations. • Their self esteem was lower than normal sample but not significantly
different, however normal sample significantly lower than boys• Poor self-worth and self-compassion key areas within intervention
Exercise 3.1 – ‘What do I think and feel
about…’ Quiz
Exercise 3.2 – About Me
Exercise 3.3 – Body Image Activities
Exercise 3.4 – Seeing Me
Exercise 3.5 – My Appreciation List
Exercise 3.6 – What makes Me happy
Exercise 3.7 – Seeing Me Collage
‘… what if you
don’t know how to
be yourself and
what if who you
are is shit?’
Craig at a party full
of girls, prettier than
me, older than me,
better than me’.
‘maybe I’m just a
bad person’.
.
NOTA CONFERENCE 2015 DUBLIN
Healthy
relationshipsWhat the research tells us about our girls:
• 56% identified themselves as having difficulties with peers
• Had significantly lower levels of sexual knowledge compared to normal and comparison groups
• Did not have high levels of thinking errors around children and sex
• 89% were at moderate/
significant risk of CSE
‘I ain’t bullying I'm
just messing
around’
‘… he says it’s what
everyone does… I
don’t want him to
dump me’
Exercise 4.1 – Defining relationships
Exercise 4.2 – Relationships in My Life
Exercise 4.3 – People & Relationships Scrapbook
Exercise 4.4 – Behaviours in My Relationships
Exercise 4.5 – Boundaries
Exercise 4.6 – Exploring My Relationships
Exercise 4.7 – Relationships Paper-chain
Exercise 4.8 – ‘Time Together Jar’
Exercise 4.9 – What is Bullying?
Exercise 4.10 – What would I do?
Exercise 4.11 – How would I feel?
Exercise 4.12 – Healthy Sexual Relationships Jigsaw
Exercise 4.13 – Rainbow and Raindrops
Exercise 4.14 – Amy’s Story
‘… these guys
get me and
they know how
to have a good
time’
NOTA CONFERENCE 2015 DUBLIN
Self-Regulation & Positive Strategies
What the research tells us about our girls:
• 69% identified themselves as having emotional difficulties
• 81% identified as having conduct difficulties
• 56% identified as having inattention/ hyperactivity difficulties
• Significantly lower perspective taking ability (than the normal sample)
• Significantly less able to manage personal distress
Exercise 5.1 – Emotions Words
Exercise 5.2 – Feelings in my Body
Exercise 5.3 – Emotional Self-Awareness
Exercise 5.4 – Three Types of Communication
Exercise 5.5 – Changing ‘You’ to ‘I’ Messages
Exercise 5.6 – ‘I’ Statements
Exercise 5.7 – Conflict Resolution
Exercise 5.8 – My Bag of Calm
Exercise 5.9 – Maslow’s Hierarchy of Needs
Exercise 5.10 – Focusing on the Solution
Exercise 5.11 – Goal Setting
Exercise 5.12 – Girls’ Talk Game
‘ok so I have a temper
… you’d have a friking
temper if your life was
as unfair as mine!’
‘Amy feels
tremendous shame,
anger and distress at
what happened…’
NOTA CONFERENCE 2015 DUBLIN
For any further information, please contact us on the email below:
NOTA CONFERENCE 2015 DUBLIN