Let's Make Tomorrow Better Today Maxine Anne Robinson

1. Living with Historical Childhood
Sexual Abuse
Let’s Make Tomorrow Better
Today

2. Maxine Anne Robinson
“The Guardian Journal”
Monday August 31st
1964
A charming picture of little Miss Maxine Robinson
Who was the first prize winner in a fancy dress competition
Mapperley Hospital show on Saturday.

3. Maxine aged 10
• Photo aged 10

4. EFFECTS

5. Extract from Psychological Report
by Dr Hellin dated 2011
The abuse Maxine experienced met the
criteria of Severity of Abuse
‘Proper care would have limited the extent to
which her early experiences may have
adversely affected her development.
Instead the abuse will have amplified and
extended the impact of her early years.’

6. CONSEQUENCE OF IN-ACTION
Maxine’s effects age 8 years and onwards
• Confusion
• Guilt
• Sadness
• Anger
• Rage
• Fear
• Complete absence of emotional reaction
• Nightmares
• Sleep disturbance
• Post traumatic stress disorder
• Sensitive sense of smell
• Problems with touch
• Isolation & Alienation
• Anxiety & Panic attacks
• Depression
• Psychosis
• Attempted suicide age 14 ½ yrs old
• Under achievement in education but
excelled with English/Art/Theatrical Arts
• Thrush
• Cystitis
• Dental problems
• Physical problems
• Eczema
• Psoriasis
• Disassociation
• Trust Issues
• Pronounced startle response
• Fear of men
• Start of eating issues

7. Age 16 to Leaving Family unit age 26 years old
• Pregnant age 16 years old (Abortion)
• Pregnant age 18 years old (Miscarriage)
• Sexual abuse perpertrated by abuser’s son
• Drinking to the point of unconsciousness
• Addiction to pain relief
• Addiction to cocaine
• Addiction to amphetamine’s
• Addiction to sleeping tablets
• Addiction to tranquilisers
• Violent behaviour
• Lashing out
• Continual suicidal attempts
• Anxiety
• Phobia’s
• Bulimia
• Panic attacks
• Body dysmorphic disorder
• Interpersonal difficulties with relationships
• Difficulty sustaining positive experiences
• Shop lifting
• Over protective parent
• Borderline personality disorder
• Psychological damage & distress
• Daily body scrubbing
• Two domestic violent relationships

8. My Safe Place

9. Who Was Involved
&
Who Could have Helped
Long Term Foster Care
• Age 8yrs Education
• Age 10yrs Knowing where to go & who to
talk to?
• Age 13yrs Developing anxiety/panic
attacks/psychosis
• Age 14 1/2yrs – First overdose/drink/drugs
• Age 16yrs Pregnant – Abortion
• Age 18yrs Pregnant – Miscarriage
• Age 20yrs onwards – suicide attempts
• Social Services
• Teachers
• Zero – No one to talk to
• Foster mother (psychiatric nurse) GP
• Acute Hospital/social services/Dr/foster
mother
• GP/social services/foster mother
• Foster mother/GP
• Acute Hospital &
Services/Dr’s/nurses/mental health services

10. On Reflection how much would my medical costs amount to from
the following care involved with my health.
• GP Services
• Medication
• Low secure units
• Accident & Emergency
• Counselling services
• Psychiatric care
• Psychotherapy & Therapeutic services
Reflecting on my thoughts, I was badly let down by so many
professionals including the Police!
How can one compare 33 years of being in and out of NHS services?
On medication from the age of 14 half years old to nine months support
from a support group.

11. What Prevented Me From Disclosing?
• I wasn’t asked the Question
• I didn’t feel Safe
• Confusion with Normality
• Fear of Retribution
• I felt Isolated
• I did not have a Voice
• I Trusted no-one!

12. Possible Impact After Disclosure
Once a victim/survivor makes a disclosure they may become;
• Emotionally unbalanced
• Resort to criminal behaviour
• Become more susceptible to physical violence
• Regress into trauma
• Have recurring flashbacks
• Become disorientated
• Are likely to go on to self harm
• Take to drink and drugs
• Self medicate with pain relief
• Self harm
• Likely to go into Isolation

13. It is our way of dealing with the pain
Ufortunately the Impact on our family unit can
become unbearable at times.
In some cases we detach ourselves from our family
unit, become isolated, and are emotionless from our
inner feelings.

14. Case Studies
Survivors

15. Sexual Abuse Remains A Taboo Subject
Discussions from NHS Professionals
6 week training programme that I
conducted with
Nottinghamshire Healthcare NHS
Foundation Trust
2014-2015

16. Data
In this study I collated information gathered at the assessment of female
sexual abuse survivors who sought support from a charity based in the
East Midlands UK.
All 245 participants were over the age of eighteen, female, and who had
disclosed sexual abuse in order to receive a referral to the service or by
self referring.
The aim of the study was to see how research trends relate to a local picture,
to consider what the potential impact could be on health service provision,
and to provide recommendations for future commissioning and levels of
service delivery in meeting the needs of survivors of childhood sexual
abuse.

17. Where do survivors come from?
COUNTY AREA
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
Mansfield Newark Worksop Retford Nottingham Southwell Grantham Leicester Somerset Lincoln Yorkshire Derbys London

18. Prescribed Medication?
Prescribed Medication
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46
48
50
52
54
56
58
60
AntiDepressantsSleepingTablets
Thyroid
M
edication
InhalersSkin
M
edication
AntiPsychoticM
ed
Pain
KillingTablets
EpeleticM
edsDiazepan
M
ed
Insulin
M
ethodone
W
arphrine
FolicAcid
Herbal
M
orphinePatches
HearingAid
BladderM
eds

19. Heritage
HERITAGE
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
38
40
42
44
46
48
50
52
54
56
58
60
62
64
66
68
70
72
74
76
White Black Duel Heritage European African

20. Self Harm
SELF-HARM
0
2
4
6
8
10
12
14
16
18
20
22
24
26
28
30
32
34
36
Alcohol
RecreationalDrugsHitting&PunchingPullingHairOut
Laxative's
SelfHarmSlash/Cut/Scrape
BurningSelf
Prescription
Drugs
BitingSelfScrubbingofBody
Food
Binging
Over/com
fortEating
StopsEating
ForgetsTo
Eat
EatingIssues

21. Impact on Physical Health
HEALTH RELATED CONDITIONS
0
2
4
6
8
10
12
Diabetic Asthmatic Hay Fever Exema Epileptic Heart Condition M.E. Deaf Bladder
Problems
Low Immune

22. Social Demographics
SOCIAL STATUS/OUTCOME
0
2
4
6
8
10
12
14
16
18
20
Convictions Sectioned Refuge Unemployed Employed Student Self Employed Registered
Disabled
Homeless Long Term Sick Sickness
Benefits

23. FAMILY IMPACT AND INTERVENTION
Relationship Problems
59
Domestic Violence
28
Sexual Problems
3
Family Support
0
Child Protection Involved
7
Children In Care
3

24. RESULTS

25. Conclusions

26. EMPOWERMENT
Victim to
Survivor to
Striving to
Thriving!

27. Key Achievements
• Chairman S.H.E. Charity – 2011 - 2013
• Open University – Psychology Degree – on-going
• Meeting HRH Duke of York at Buckingham Palace – 2011
• Mentor Professor Mike Cooke (CBE) Chief Executive Nottinghamshire Healthcare NHSTrust 2013-2014
• Mentor National head of public health, military health and offender health
• Nottinghamshire County Council briefing paper on sexual abuse services in Nottinghamshire
• Teaching Recover College – Living with C.S.A – 6wk course – 2014
• National board of Trustee for ‘The Survivors Trust’ – 2012 – 2013
• Nottinghamshire Safeguarding NHS Trust seminars – ‘Disclosure Historical Abuse’ 2013 to date
• Nottinghamshire Healthcare NHS Trust (Booklet) ‘Thinking About Abuse That Happened In Childhood – 2013
• Nottinghamshire Healthcare NHS Trust – Professional Development Programme – 2014
• Nottinghamshire Healthcare NHS Trust – Invest To Lead Programme 2014
• Mandatory clinical professional training – Historical Sexual Abuse – 2014 to date
• Vice Chair of NHS Gender Equality Steering Group – 2013 to date
• Invited to speak at Local, National and International conferences
• Enixam Training Consultancy (Maxine spelt backwards)
• Founder – Support for Survivors – 2014 to date
• Mandate put forward at the National Labour Conference (Manchester 2014) standing ovation & am now
working on a National Policy for survivors
• Branch Secretary Newark District Labour Party
• Standing candidate Newark & Sherwood District Council
• Winner of the first ever ‘Sheriff of Nottingham Award – Nov 2014
• Asked to speak at BASPCAN World Congress (British Assoc Protecting Children Abuse & Neglect - England,
Ireland, Northern Ireland, Scotland & Wales April 2015
• Beating Breast Cancer – 4 yrs in remission

28. © Copyrights M.Robinson 2015

29. Is This Where I Was Going?
My right hand is being held
By someone who knows more than I
And I am learning
My left hand is being held
By someone who knows less than I
And I am teaching
Both my hands need thus to be held
For me – to be
Is this where I was going (by)
Natasha Joseowitz