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Case management

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  • 1. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. CASE MANAGEMENT TRAINING FOR THE MULTI- DISCIPLINARY TEAMS DAY 1 Welcome! June 6-7, 2013 Good Neighbors International Philippines Field Office Prieto Diaz, Sorsogon
  • 2. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. OBJECTIVES At the end of the 3-day training, the participants were able to: • Enhance their knowledge on the dynamics of child sexual abuse and its impact to children. • Identify the roles and functions of the MDT members in the case management of child sexual abuse cases. • Enhance their skills in handling disclosures (for non-social workers) and in interviewing sexually abused children (for social workers and police officers). • Concretize MDT’s commitment as the technical advisory team of the PSL implementing schools by preparing an implementation plan.
  • 3. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SONIA’s STORY Instructions: 1. Rate the characters 1 to 5, such that #1 is the most offensive and #5 is the least offensive. You have 5 minutes to write down your answers silently. (Characters: Sonia, Greg, Jose, Bong, Lito) 2. Discuss with the group your answers for 20 minutes. 3. Assign a reporter in your group to write your ratings on the board. 2 minutes given to discuss the group’s rating of the characters.
  • 4. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SONIA’S STORY Once upon a time, there was a girl named Sonia who was in love with a man named Greg. Greg lived on the other side of the river where Sonia lived. The river that separated the two lovers was teeming with man-eating crocodiles. Sonia wanted to cross the river to be with Greg. Unfortunately, the bridge had been washed out. So she went to ask Jose, a boatman, to take her across. But the look in his eyes frightened Sonia, so she went to her friend Bong and explained her plight to him. Bong did not want to be involved at all in the situation. Sonia felt that her only alternative was to take the boat, even though she did not trust Jose.
  • 5. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. When the boat was already in the middle of the river, Jose told Sonia that he couldn’t control himself and he wanted to make love to her. When Sonia refused, he threatened to throw her overboard. But if she complied, he said he would deliver her safely to the other side. Sonia did not want to be eaten alive by the crocodiles, but she didn’t see any alternative for herself, so she did not resist Jose. Jose gratified his desire for Sonia, then delivered her to the other shore where Greg lived. SONIA’S STORY
  • 6. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SONIA’S STORY When Sonia told Greg what had happened, he blamed her because of the way she dressed. He saw her as unclean and cast her aside with disdain. Heartsick and dejected, Sonia turned to Lito, a karate black-belter. Lito felt anger for Greg and compassion for Sonia. He sought out Greg and beat him brutally. Sonia was overjoyed at the sight of Greg getting his due. As the sun sets on the horizon, we hear Sonia laughing at Greg.
  • 7. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Each of the characters in the story represents a member of society: 1. Jose 2. Greg 3. Bong 4. Lito 5. Sonia WHO ARE WE IN THE STORY? SONIA’S STORY
  • 8. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. WHAT IS CHILD SEXUAL ABUSE?
  • 9. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 10. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 11. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 12. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 13. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 14. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 15. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 16. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 17. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 18. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 19. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 20. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 21. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 22. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 23. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 24. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 25. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 26. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 27. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. any act on a child by an adult/older/more powerful person for the sexual gratification of the older person/adult/more powerful person.
  • 28. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. EXAMPLES OF CHILD SEXUAL ABUSE Non-touching • Exhibitionism • Voyeurism • Pornography • Verbal sexual stimulation • Obscene calls • Letting down the bars of privacy so that the child watches or hears sexual acts Touching • Kissing • Touching of breasts or genitals • Fondling • Fellatio / cunnilingus • Vaginal or anal intercourse or attempted intercourse • Prostitution
  • 29. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE.
  • 30. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. FIRST CHARACTERISTIC OF CHILD SEXUAL ABUSE 1. GROOMING ACCOMMODATION SYNDROME
  • 31. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SECOND CHARACTERISTIC OF CHILD SEXUAL ABUSE LACK OF CONSENT Consent – power is equal as well as level of maturity and knowledge.
  • 32. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. THIRD CHARACTERISTIC OF CHILD SEXUAL ABUSE Ambivalence - refers to the confusion of the child.
  • 33. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. •HAPPY? •SAD? •ANGRY? •SCARED?
  • 34. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. FOURTH CHARACTERISTIC OF CHILD SEXUAL ABUSE Exploitation Refers to the differential of power and that the more powerful person is having his/her needs met at the expense of the child.
  • 35. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. FIFTH CHARACTERISTIC OF CHILD SEXUAL ABUSE Force Includes violent and psychological threats
  • 36. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SIXTH CHARACTERISTIC OF CHILD SEXUAL ABUSE Intent -The intent is always for the sexual gratification of the abuser. Intention VS. Effect
  • 37. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. SEVENTH CHARACTERISTIC OF CHILD SEXUAL ABUSE Secrecy -Offenders depend on secrecy and the lack of caregivers to deal with sexual issues.
  • 38. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Finkelhor’s Four Preconditions to Child Sexual Abuse 1. The motivation for sex with children 2. Overcoming internal inhibitors 3. Overcoming external inhibitors 4. Overcoming the resistance of the child
  • 39. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. First Precondition to Child Sexual Abuse The motivation for sex with children Theories: 1.Psychological theory • Fixated • Regressed 2. Social Learning theory
  • 40. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Second Precondition to Child Sexual Abuse Overcoming internal inhibitors Internal Inhibitors – factors in us which help us do the right thing. • empathy •decision-making • hiya •anger-management •impulse-control skills These are learned in the family, in schools, in religious settings and through societal laws, among others.
  • 41. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. CHARACTERISTICS OF THE SEXUAL OFFENDER •Lack of empathy •Emotionally/socially immature •Cognitive distortions / Denial •Others which overcome internal inhibitors: alcohol or drug abuse, feelings of inadequacy, depression, poor impulse control, and poor self- concept.
  • 42. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. TYPES OF DENIAL Complete Denial of Responsibility: I didn’t do it. I was out of the state at the time. She’s lying; she made it up. I was drunk. I must have blacked out. Denial of Intent: It just happened. I didn’t want it to happen, things got out of control. Denial of Harm: I did it, but it didn’t hurt him, certainly not as bad as they say. It didn’t hurt me when I was abused.
  • 43. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. TYPES OF DENIAL Denial of Frequency: I did it, but only a few times, not the 20 times he says. Denial of Intrusiveness: I only fondled her. I didn’t sodomize him, no matter what he says. Making Excuses: I was teaching him about sex. I was checking her out because she said she’s hurt down there. Minimization of Behavior: I only touched her. It wasn’t a big deal. I only put the “tip” in.
  • 44. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Third Precondition to Child Sexual Abuse Overcoming external inhibitors External Inhibitors – those variables protecting the child, including parents, neighbors, teachers, police, religious leaders, etc.
  • 45. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. WHAT ARE THE NORMS THAT TOLERATE THE ABUSE OF CHILDREN? (15 MINS) Family norms Religious norms Societal norms
  • 46. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. NORMS TOLERATING THE ABUSE OF CHILDREN •Difficult implementation of laws •Lower status for women and children •Male as head of household •Media portrayal of women and children as “objects” •Adultifying children in the media •Respect for adults and those in authority •Religious value for family sanctity •Religious value of forgiveness •Children as being owned by parents •“Mind your own business” •Utang na loob
  • 47. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. The most common characteristics of an incestuous family •A father who is dominant and often uses force or violence to meet his needs •A mother who is either physically or mentally absent, often sickly, passive •A daughter who takes on the role of the mother, “parentification”, acts like a little mother, who often makes sure that the father is happy and the needs of the siblings are met •Separated from support either due to geographical boundaries (such as farmers in the province) or socially isolated themselves (no friends).
  • 48. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Fourth Precondition to Child Sexual Abuse Overcoming the resistance of the child Certain traits that all children share that make them vulnerable to sexual offenders include: •A child’s natural gift of love and need for affection •Lack of resources to the child except through the family •Lack of vocabulary •Lack of context for such as sex or role models other than the family
  • 49. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. TRAUMAGENIC DYNAMICS OF CHILD SEXUAL ABUSE Finkelhor & Browne • Traumatic Sexualization • Stigmatization • Betrayal • Powerlessness
  • 50. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Traumatic sexualization Dynamics = such as child rewarded for sexual behavior, offender exchanges attention and affection for sex, conditioning of sexual activity with negative emotions and memories, sexual parts of child fetishized, offender transmits misconceptions about sexual behavior and sexual morality
  • 51. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Traumatic sexualization Psychological Impact = such as increased salience of sexual issues, confusion about sexual identity, confusion about sexual norms, aversion to sex-intimacy, negative associations to sexual activities and arousal sensations, confusion of sex with love and care- getting/care-giving
  • 52. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Traumatic sexualization Behavioral Manifestations = such as sexual preoccupation and compulsive sexual behaviors, precocious sexual activity, aggressive sexual behaviors, promiscuity, prostitution, avoidance of or phobic reactions to sexual intimacy, sexual dysfunction (flashbacks, difficulty in arousal, orgasms), and inappropriate sexualization of parenting
  • 53. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Stigmatization • Dynamics = such as offender blames and denigrates victim, offender and others pressure child for secrecy, child infers attitudes of shame about activities, others have shocked reaction to disclosure, others blame child for events, victim is stereotypes as damaged goods
  • 54. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Stigmatization Psychological Impact = such as guilt, shame, lowered self-esteem, sense of differentness from others
  • 55. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Stigmatization Behavioral Manifestations = such as isolation, drug or alcohol abuse, criminal involvement, self-mutilation, suicide
  • 56. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Betrayal Dynamics = such as trust and vulnerability manipulated, violation of expectation that others will provide care and protection, child’s well-being disregarded, lack of support and protection from parent(s)
  • 57. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Betrayal Psychological Impact = such as grief, depression, extreme dependence, impaired ability to judge trustworthiness of others, mistrust (particularly of men), anger, hostility
  • 58. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Betrayal Behavioral Manifestations = such as clinging, vulnerability to subsequent abuse and exploitation, allowing own children to be victimized, isolation, discomfort in intimate relationship, marital problems, aggressive behavior, delinquency
  • 59. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Powerlessness Dynamics = such as body territory invaded against the child’s wishes, vulnerability to invasion continues over time, offender uses force or trickery to involve child, child feels unable to protect self and halt abuse, repeated experience of fear, child is unable to make others believe
  • 60. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Powerlessness Psychological Impact = such as anxiety, fear, lowered sense of efficacy, perception of self as victim, need to control, identification with the aggressor
  • 61. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Powerlessness Behavioral Manifestations = such as nightmares, phobias, somatic complaints (eating and sleeping disorders), depression, disassociation, running away, school problems, truancy, employment problems, vulnerability to subsequent victimization, aggressive behavior, bullying, delinquency, becoming an abuser
  • 62. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. FILM SHOWING Traumagenic Dynamics of Child Sexual Abuse
  • 63. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Effects of CSA 1. Distrust of others & themselves 2. Terror and Anxiety 3. Shame guilt and Responsibility 4. Alienation from their bodies 5. Isolation and Withdrawal 6. Powerlessness. Depression, & Extreme Passivity 7. Anger 8. Obsession with Sex or Complete Aversion to it 9. Questioning their sexual identity & gender 10. Drug and alcohol use & abuse 11. Eating disorders 12. Perfectionism & workaholism 13. Mental illness & suicide 14. Sexual offending
  • 64. A Filipino nation working together to stop child sexual abuse USING OUR STRENGTH OF COLLABORATION AND INTERDEPENDENCE. Mabalos Po!

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