Adults with a history of child sexual abuse : evaluation of a pilot therapy service.
To evaluate a pilot service offering therapy specifically to adults with a history of child sexual abuse.
Setting-Specialised therapy unit, Breakfree, which offers care, therapy, and support.
Subjects-116 clients presenting to the service who were offered therapy.
Main outcome measures-Scores from three psychological questionnaires-the social activities and distress scale, the general health questionnaire, and the delusions, symptoms, and states inventory-and from questionnaires about the clients'abuse, previous use of health services, and option of the Breakfree service.
Clients had received previous help from health services and other agencies without apparent effect ; they were highly distressed according to their psychological scores ; and they were very frequent users of the health services.
The clients showed significant improvement in their psychological scores (Wilcoxon's matched pairs signed ranks test).
This was most pronounced for those who had completed therapy by the end of the study.
Whereas 82/88 clients had a score for the general health questionnaire that indicated clinical distress at the start, only 28/58 did so at the end of the study (only 17/35 among those who had finished therapy).
Conclusions-This group of adults with a history of child sexual abuse were highly disturbed and previous high users of the health service.
Mots-clés Pascal : Abus sexuel, Trouble comportement sexuel, Santé mentale, Analyse coût efficacité, Evaluation performance, Service santé, Pilote, Traitement, Enfant, Adulte, Angleterre, Trouble comportement social, Homme, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Sexual abuse, Sexual behavior disorder, Mental health, Cost efficiency analysis, Performance evaluation, Health service, Pilot, Treatment, Child, Adult, England, Social behavior disorder, Human, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0336730
Code Inist : 002B30A05. Création : 01/03/1996.