Child sexual abuse : Psychosocial assessment in primary care.
Children who are recent victims of sexual abuse may initially present to their primary care health provider.
Often, the outward manifestations of sexual abuse are somatic complaints or nonspecific behavioral changes.
Retrospective reports of adults suggest that about 20-30% of women were sexually abused as children, with figures for men ranging from 10-15%. Interview guidelines for children and adolescents emphasize the need for sensitivity to cognitive development and emotional issues while simultaneously being focused on eliciting specific behavioral data.
The use of anatomically detailed dolls, in the context of a comprehensive assessment, is discussed.
Health care providers are mandated reporters and must disclose suspected child sexual abuse to the state's child protective service department.
Guidelines for reporting as well as addressing this issue with parents are discussed.
Mots-clés Pascal : Soin santé primaire, Dépistage, Abus sexuel, Traumatisme infantile, Symptomatologie, Médecin généraliste, Personnel sanitaire, Santé mentale, Homme, Victimologie
Mots-clés Pascal anglais : Primary health care, Medical screening, Sexual abuse, Early traumatism, Symptomatology, General practitioner, Health staff, Mental health, Human, Victimology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0173096
Code Inist : 002B18H05B. Création : 11/09/1998.