CSA Resources 1 Running head: CHILD SEXUAL ABUSE RESOURCE GUIDE Child Sexual Abuse: A Resource Guide for Foster Parents Trica L. Peterson. B.A., doctoral student Deborah A. Gerrity, Assistant Professor Counseling, Educational and School Psychology Center for Development of Human Services/University at Buffalo Partnership Jere Wrightsman. Unit Director FA01 Foster Care Acknowledgement: This research project was funded by the Office of Children and Family Services, Award: 23672, Project: 1021316, Task 2, through the Center for Development of Human Services, Research Foundation SUNY, Buffalo State College. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources Table of Contents ………………………………………………………………… 4 What is the Definition of Child Sexual Abuse (CSA)? ……………………. 4 How Many Children Actually Get Sexually Abused?……………………… 4 Why Does This Topic Concern Foster Parents?……………………………. 4 What Will This Handbook Cover?…………………………………………. 5 ……………………………………………………… 6 Introduction Warning Signs of CSA Why Do I Need To Know About Sexual Abuse If The Children In My Home Were Not Sexually Abused?………………………………… 6 Reporting Suspected CSA ………………………………………………………. 8 What Should I Do When A Child Discloses Sexual Abuse to Me?………… 8 Do I Have To Report It?…………………………………………………….. 9 What Happens After the Report is Made?…………………………………... 9 Living/ Working with a Sexually Abused Child ………………………………… 10 What Should I Know if I Was Sexually Abused as a Child?…………….….. 10 Boundaries & Privacy Issues………………………………………………… 10 Protecting Against Victimization/Revictimization………………………..… 11 Consequences of Sexual Abuse for Children………………………………... 11 Your Relationship With The Child’s Parents………………………………... 14 Finding the Right Treatment Services……………………………………………. 16 How Do I Choose a Therapist for my Foster Child?………………………… 16 What is the difference between a Psychiatrist, Psychologist and Social Worker?…………………………………………………….…. © 2003 CDHS/Research Foundation of SUNY/BSC 16 2 CSA Resources What Types of Treatment Are Available to Children Who Have Been Sexually Abused?…………………………………………………….. 16 What Is My Role In The Counseling Process?……………………………….. 19 Local Organizations …………………………………………………….…... 21 National Organizations …………………………………………………….…... 25 Educational/Training Opportunities in Buffalo ……………………………..…… 28 Why Should I Attend More Training?………………………………………… 28 Recommended Readings/Related Resources ……………………………….……. 30 ……………………………………………………………..….. 33 References © 2003 CDHS/Research Foundation of SUNY/BSC 3 CSA Resources 4 Introduction What is the Definition of Child Sexual Abuse (CSA)? According to the National Clearinghouse on Child Abuse and Neglect Information (2002), "Sexual abuse includes fondling a child's genitals, intercourse, incest, rape, sodomy, exhibitionism, and commercial exploitation through prostitution or the production of pornographic materials" (p. 3). How Many Children Actually Get Sexually Abused? It is estimated that 7-36% of women and 3-29% of men are sexually abused during childhood. The actual number of children who have been sexually abused will never truly be known due to families’ not reporting its occurrence. Why Does This Topic Concern Foster Parents? You May Get A Sexually Abused Child More than half of sexually abused children are removed from their homes and put into foster homes Many, some say up to 75%, of the children in foster care have been sexually abused You may not know that one of your foster children has been sexually abused, especially if the child is a boy. Boys report abuse less often than do girls for fear of being considered homosexual or weak for having “allowed” the abuse to happen. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources What You Don’t Know Could Hurt You Or Someone Else!!! Lack of training could produce: Sexual abuse allegations against foster parents Risk of your biological children or other foster children being sexually victimized Possibility of the sexually abused foster child being revictimized What Will This Handbook Cover? How to identify child sexual abuse How to report suspected child sexual abuse Common situations encountered in foster care with sexually abused children How to locate proper therapy for children who have been sexually abused Local organizations that deal with sexual abuse or foster care concerns National organizations and resources available for sexual abuse or foster care concerns How to get sexual abuse training in the Buffalo area Books for children and adults concerning sexual abuse and foster care issues © 2003 CDHS/Research Foundation of SUNY/BSC 5 CSA Resources 6 Warning Signs/Characteristics of CSA Why Do I Need To Know About Sexual Abuse If The Children In My Home Were Not Sexually Abused? Many instances of previous sexual abuse go unreported by children until after they are placed To protect and educate your own children to prevent their victimization Any of The Following Can Be Potential Warning Signs of CSA: Constipation or Diarrhea Pain or itching in genitals, pain when urinating or repeated urinary tract infections Sexually transmitted diseases or early pregnancy Gagging, spitting, vomiting, nausea, digestive problems Wetting or soiling, during day or night Aggressiveness Exploration or overly sexualized behavior with other children Fear of being touched Few friendships Bad hygiene (May be an attempt to make themselves unattractive to abuser) Overly sexualized child Masturbation to the point of injury or by inserting objects into vagina or anus Many of these can also be symptomatic of other problems, such as emotional and physical abuse or medical problems. If the child has some of these problems, you should a) discuss them with the child’s physician, b) the caseworker, or c) a mental health practitioner © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources to determine what may be creating these symptoms in the child. Other common behaviors associated with sexually abused children are mentioned in the living/working with a sexually abused child section of this manual. © 2003 CDHS/Research Foundation of SUNY/BSC 7 CSA Resources Reporting Suspected CSA What Should I Do When A Child Discloses Sexual Abuse to Me? When discussing the abuse with the child, it is important to keep the following in mind: Talk in a private setting Make eye contact with the child and keep a relaxed posture Control your emotions Avoid making the child feel bad or embarrassed about the situation Reassure the child by using the words (s)he is using and giving them permission to talk about the abuse Ask specific questions about the abuse situation in order to understand it better Let the child know that other people have experienced the same thing BELIEVE AND SUPPORT THE CHILD It is not your job to investigate the claim, just support the child. Contrary to myth, children very rarely lie about sexual abuse. Even if they do, they are making a serious cry for help and need professional intervention. If you ever have reason to believe that a foster child in your home has been sexually abused (even if (s)he does not tell you directly that it has happened), you should contact foster care agency personnel and the child’s therapist, if he/she has one. Also, refer to the reporting policies given to you by your foster parent agency. It is likely that the foster care personnel will report the suspected abuse for you. If this is not the case, the child abuse reporting hotline number is 1-800-635-1522. © 2003 CDHS/Research Foundation of SUNY/BSC 8 CSA Resources 9 In order to report suspected abuse, you do NOT have to be absolutely sure that it is taking place or has taken place. If you SUSPECT abuse, then you are required to make sure a report is made. Do not investigate, that is the job of CPS. Do I Have To Report It? As a foster parent, you are responsible by law to make sure that any suspected sexual abuse of the children in your care gets reported to the hotline or Child Protective Services. Therefore, even if you tell the foster care agency or the therapist, you are still legally responsible to ensure that a report gets made. You can do this by checking with the foster care agency or the therapist to see if (s)he have made the phone call. What Happens After the Report is Made? Within 24 to 48 hours of the report being made to the hotline or Child Protective Services (CPS), CPS will open an investigation into the alleged abuse. This will involve interviewing all people who may have knowledge about the suspected abuse, including the foster parents. The child may be taken for a physical examination to determine if any medical signs of sexual abuse are present. Several different agencies become involved in the case in a very short period of time. In Buffalo, children who are believed to have been sexually abused are most often taken to the Child Advocacy Center (CAC) whose staff coordinate and conduct the necessary interviews and collect relevant information. More information about the Child Advocacy Center and its services can be found in the local organizations’ section of this manual. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 10 Living/ Working with a Sexually Abused Child What Should I Know if I Was Sexually Abused as a Child? It may be significantly more difficult for foster parents who were abused as children to handle the emotional stress related to caring for a sexually abused child. Foster parents in this situation are encouraged to examine their ability to provide adequate support for the child. If foster parents have not gone through their own process of accepting the abuse and resolving their feelings toward it, caring for a sexually abused foster child is not recommended. It is likely to reopen emotional wounds for the parent and make it difficult for the child to get his/her emotional needs met. Boundaries & Privacy Issues Intimacy and touching involved in normal family life may be confusing for sexually abused children, as their previous affection may have come solely from sexual contact. Child may exhibit sexualized behaviors with other children or foster parents The child is asking for attention and affection in the only way (s)hes knows how. Working with the therapist to find ways to meet the child’s emotional needs will likely show a decrease in those behaviors. Don’t spank sexually abused children, it involves force and makes the child relive the role of helpless victim. Learn about and use alternative, non-forceful behavioral rewards and consequences. Foster children should not be permitted into the foster parents’ bedroom © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 11 Institute a “No Touching Without Permission” rule in the house Anyone old enough should bathe, dress, and go to the bathroom in private Prohibit suggestive language and clothing in the home Only one child to a bed at all times Protecting Against Victimization/Revictimization Closer Supervision Due to previous trauma and the potential lack of information about a new child coming into your home, the child’s behavior is extremely unpredictable Sexually abused children are likely to act immaturely…as though they are still at the age when they were abused Communication Set aside time for all children in the home to communicate with you individually Institute a “No Secrets Rule”, to encourage children to be open with you Consequences of Sexual Abuse for Children Their Negative Feelings Blames his/herself for tearing apart family (guilt) Shame at being abused/different/bad Poor self-esteem © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources Depression Fear Anger Anxiety Powerlessness/ Helplessness Loneliness Worthlessness (May include thoughts of suicide) Common Sexualized Behaviors Masturbation Extreme flirtatious behavior Sexually aggressive behaviors Excessive discussion of sexual abuse events or sexual topics Behaviorally re-enacting the abuse situation Common Non-sexualized behaviors Bedwetting and Soiling Thumb Sucking Inability to trust or form relationships This is often due to many reasons: 1. Most sexual abuse if committed by family members or close family friends. The abuse involves the violation of a trusting relationship. © 2003 CDHS/Research Foundation of SUNY/BSC 12 CSA Resources 13 2. Fear of abandonment, as when the child was not protected from being abused by her/his caretaker and then was taken out of the home after disclosing the abuse. Become withdrawn or isolated Have eating or sleeping problems Aggressive or extremely passive behaviors Fearlessness of adults or excessive fearfulness Crying often or very little and not expecting any comfort from others Dissociation The child distances him/herself from the emotions (s)he is feeling by mentally going to another place. (S)he may appear as though (s)he is staring or daydreaming. You may be talking to him/her and realize that (s)he is not paying attention. Avoid Eye Contact Poor school achievement and/or Truancy May become sick when asked to eat vanilla ice cream, tapioca pudding, or cream of wheat type substances Flashbacks Due to Triggers Sexually abused children will at times misinterpret a situation in the foster home as the beginning of another sexually abusive experience. It is crucial to get as many details about how the child was sexually abused from the child’s records, or other agency personnel involved, to avoid hitting some of the child’s triggers © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 14 for abuse. Some things that you do in your home as a matter of normal family life may have been involved in the child’s past abuse. Below is a list of a few common triggers, however, there are many more depending on each child’s specific abuse experiences. Nicknames (Sweety, Honey, Baby, etc.) Abuser may have called them a specific nickname and hearing a foster parent use it may make the child think that (s)he will be abused again or create an emotional or physical reaction Cologne Abuser may have used a certain brand of cologne that the child remembers. Types of Music Abuser may have listened to a certain type of music, or used loud music to cover up the abuse taking place Wrestling or Hugging Abuser may have used these activities to lead into the abuse Also, some sexually abused children prefer to avoid all physical contact Your Relationship With The Child’s Parents Negative reactions by you, or other professionals involved, toward the child’s mother will hinder the child’s healing process © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources It is important to not talk negatively about the child’s family, even if the offender is a family member Positive interactions with the child’s birth family helps in many ways: 1. Can teach effective parenting skills and how to keep child safe 2. Can reassure that you are not trying to become the “real parent” 3. Can provide the biological parents with opportunities to ask for support, advice, information 4. Can encourage biological parent to seek counseling services, as well. © 2003 CDHS/Research Foundation of SUNY/BSC 15 CSA Resources 16 Finding the Right Treatment Services How Do I Choose a Therapist for my Foster Child? It is likely that a foster child who has been sexually abused in the past will already have an assigned counselor when (s)he arrives at your home. In cases where sexual abuse is revealed after the child is living in foster care, the decision regarding whom to see for counseling may be determined by the case planner or foster care agency personnel. If you are faced with making the decision, a list of agencies in the Buffalo area treating children who have been sexually abused has been included in the local organizations’ section of this manual. What is the difference between a Psychiatrist, Psychologist and Social Worker? A psychiatrist (medical degree, board certification, license) is a medical doctor who has completed medical school and is qualified to prescribe medicine, hospitalize children and adults, and, for some, provide therapy, as well. A psychologist (doctoral degree and license) can specialize with children or adults, provide therapy, and administer and interpret psychological tests. A social worker (master’s or doctoral degree) often specializes in child and family issues. What Types of Treatment Are Available to Children Who Have Been Sexually Abused? Individual Therapy For young children who have been sexually abused, individual therapy typically consists of play therapy. Children play in the therapy office, while © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 17 discussing their feelings about the sexual abuse experience with the therapist. Individual therapy with older children may involve more clearly defined goals and activities. Children may have homework assignments, such as writing in journals or reading certain books, to complete in between sessions. Therapy tends to focus on topics such as self-esteem, shame, guilt, and depression. Individual therapy is often used as the initial form of therapy for sexually abused children. This provides the child with a less threatening environment in which to form a trusting relationship with the therapist and begin to explore her/his feelings about being abused, revealing the abuse, and the aftermath of the abuse. Children in individual therapy are often involved in family and/or group therapy at the same time. Group Therapy Nationally, group therapy is the most widely used form of therapy for children who have been sexually abused. It is also considered by many to be the most effective form of therapy for sexual abuse treatment. One of the overall goals for group therapy for children of any age is for the children to see that other children have also been abused and to realize that the abuse was not the child’s fault. Group also helps children learn to form appropriate relationships and often focuses on feelings regarding abuse and the perpetrators, feelings the child has toward him/herself, sex education, sexual abuse prevention, court preparation, and identification of a support system. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 18 Group therapy activities can be very different depending on the age of the children involved. Groups for very young children often use play therapy (as mentioned above) and incorporate an informal, educational portion of group to teach children how to prevent abuse from reoccurring. Groups for children around 7-12 years of age tend to use more discussion between the children in the group and provide more education around sexual abuse topics. Groups for children 12 and over, often also include information about forming healthy sexual relationships, and making healthy choices about their bodies and their lives. Family Therapy Family therapy is often used along with individual or group therapy to help the child and his/her family deal with the abusive situation and resulting feelings. Family sessions seek to increase family communication and often give the children in the family the opportunity to express their feelings toward specific family members. For example, if a child was sexually abused by his/her father, that child may be angry at the mother for not knowing about or stopping the abuse from occurring. Regardless of the type of therapy provided, it is important for the child to talk about the abuse with supportive, compassionate and knowledgeable people. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 19 What Is My Role In The Counseling Process? Foster parents are members of the treatment team for the child. The overall goal is to work with the therapist to help the child learn about healthy, appropriate family life, to handle her/his feelings about the abuse and the perpetrator. and to begin to develop normally. It is advisable that you ask the child’s therapist how (s)he would like for you to assist in the child’s treatment. The therapist is likely to ask you to encourage the child to complete his/her homework assignments and to complete some assignments with the child, or (s)he may provide other ways in which you can be of assistance. In most cases, a child’s individual therapist will ask the foster parent, as well as the other professionals involved in the child’s life, to keep her/him informed of the child’s behaviors in the home and at school. It is also likely that you may be asked to attend individual sessions with the child at some point. In addition, there may come a time during your care of a sexually abused child, or any foster child, that you may wish to seek counseling for your own needs. Part of your role as a foster parent is to remain aware of your personal needs, in order to best care for the foster children in your home and any of your own biological children. Confidential, adult counseling services or support groups are available to you through many community agencies and you are encouraged to seek support and assistance from your foster care agency personnel, as well. Overall, it is your job as a foster parent to try to meet the multitude of needs that sexually abused children have. Below is a list of suggestions for meeting those needs: Offer support in a clear way that can not be misunderstood by the child Don’t overreact to the child’s troublesome behaviors © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 20 Develop a daily routine and stick to it (Provides security and consistency) Give the child as much privacy as possible Give the child choices whenever possible Help the child label his/her feelings and express them directly in positive ways Help the child state his/her needs clearly Catch and praise the child being good Provide the child with physical activities Help the child to be a child and have fun Encourage creativity Keep the child aware of what is happening and when Be aware of the potential for further abuse and take steps to prevent it Don’t overload yourself with other foster children, take only those whom you can manage effectively © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 21 Local Organizations Child Sexual Abuse Resources Child Advocacy Center (CAC) Edward Suk, Director 556 Franklin Street Buffalo, NY 14202 (716) 886-5437 Services: Multidisciplinary program designed to aid in the investigation and treatment of sexual abuse in children. Children can receive an initial screening interview, physical examination for signs of sexual abuse, and therapy at this office. This program decreases the number of times a child must disclose the abuse details to legal representatives, by streamlining the process. Staff are trained extensively regarding the specific needs of children who have been sexually abused, making the CAC a valuable resource to the Buffalo community. Often this is the first stop for children who have been sexually abused. If a child has just recently revealed sexual abuse, (s)he will likely come to the CAC. However, if the child has been in previous therapy for the sexual abuse and now requires therapy at a new location closer to the foster home, one of the agencies listed below may be appropriate. You may contact the CAC for more information regarding specific therapists in Buffalo who have training in sexual abuse treatment. How Children Are Referred: The CAC has relationships with local law enforcement agencies, Child Protective Services, Foster Care Agencies, local school districts and daycares. Once a report of sexual abuse has been made, children are most often brought to the CAC for evaluation. Area Served: Erie County Child and Adolescent Treatment Services (CATS) Intake 3350 Main Street Buffalo, NY 14214 (716) 835-7807 © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 22 Services: CATS is the parent agency for the CAC mentioned above. CATS provides individual and family therapy services for children who have been abused. To make an appointment, you may call the intake office listed above. Area Served: Many offices located throughout WNY, call for an office near you. Catholic Charities of Buffalo 76 Humboldt Parkway Buffalo, NY 14214 (716) 835-9745 Services: Offers individual and family therapy for children who have been sexually abused. Certified play therapists are available at some locations. Area Served: Many offices located throughout WNY, call for an office near you. Child and Family Services 330 Delaware Avenue Buffalo, NY 14202 (716) 842-2750 Services: Offers individual and family therapy for children who have been sexually abused. Area Served: Many offices located throughout WNY, call for an office near you. Church Mission of Help (716) 884-7569 Services: Provides individual and family therapy to adolescents. Younger children who have been sexually abused are usually referred to other agencies. Area Served: Buffalo area. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 23 Mid-Erie Counseling and Treatment Services ` Elizabeth Mauro, Supervisor of Child Mental Health Clinic 11 West Main Street Lancaster, NY 14086 (716) 681-5077 Services: As an agency, Mid-Erie provides individual, family, and group counseling for children with varying mental health needs. Individual and family counseling are most commonly used for sexual abuse survivors and survivors of other traumas, however, groups do form on an as needed basis. Area Served: Child Mental Health Clinic is located in Lancaster, however, MidErie has many offices located throughout WNY. Call for an office near you. Spectrum Human Services 2040 Seneca Street Buffalo, NY 14210 (716) 828-0560 Services: Offers individual and family therapy for children who have been sexually abused. Area Served: Erie County Foster Parent Resources Foster parents are strongly encouraged to contact their foster agency worker with any questions or concerns, as they arise. The foster care worker assigned to each individual child has the most inclusive information about the child’s history and previous issues and has been trained to properly handle the situations that you are facing. Also, foster care workers can help you receive additional training, as needed, and find you the assistance you require. Otherwise, information on foster care may be obtained from the following: © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources New York State Foster & Adoptive Parents Association Cynthia Jeffers, Program Director 200-31 Linden Blvd. St. Albans, NY 11412 800-332-7012 (718) 949-4832 (718)949-4897 (fax) CYNTJEFF@aol.com Parents’ Support/Crisis Resources Crisis Services www.crisisservices.org Crisis Hotline (Adults) 716-834-3131 Hotline to assist when children or others are in danger of hurting themselves or others. Kids Helpline 716-834-1144 Hotline for children to call when they feel emotionally distressed. Parents Anonymous of Buffalo and Erie County, Inc. 24 Hour Parent’s Helpline 716-892-2172 Hotline for parents to call to receive immediate assistance with parenting concerns. © 2003 CDHS/Research Foundation of SUNY/BSC 24 CSA Resources 25 National Resources Child Sexual Abuse American Professional Society on the Abuse of Children (APSAC) www.apsac.org Organization’s website contains relevant publications and information on national trainings. American Academy of Child & Adolescent Psychiatry www.aacap.org Provides information on a variety of mental health issues impacting children. Publications on various topics are found in the “Facts for Families” link. Association for Sexual Abuse Prevention (ASAP) P.O.Box 421 Kalamazoo, MI 49005 (616) 349-9072 (216) 221-6818 Child Abuse Prevention Network www.child-abuse.com Child Welfare League of America (CWLA) 440 First Street, N. E. Suite 310 Washington, DC 20001 (202) 638-2952 Mother’s Against Sexual Abuse (MASA) www.againstsexualabuse.org P.O. Box 2966 Huntersville, NC 28070 (704) 895-0489 (704) 895-5964 (Fax) masa@againstsexualabuse.org (Email) Provides educational materials and sponsors conferences and seminars on CSA National Child Abuse Coalition 733 15th Street, N. W. Suite 938 Washington, DC 20005 (202) 347-3666 © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 26 National Children’s Advocacy Center 106 Lincoln Street Huntsville, AL 35801 (205) 532-3460 National Clearinghouse on Child Abuse and Neglect Information www.calib.com/nccanch 330 C Street, SW Washington, DC 20447 Phone: (800) 394-3366 or (703) 385-7565 Fax: (703) 385-3206 A national resource for professionals and others seeking information on child abuse and neglect. Free publications concerning sexual abuse and other topics are found in the publications link Foster Parenting American Foster Care Resources, Inc. Contact: Jacob Sprouse P.O. Box 271 King George, VA 22485 (703) 775-7410 Publishes educational materials for foster parents and children in foster care. Foster Parenting.Com www.fosterparenting.com Provides information and support for foster parents. Foster Parent Community www.fosterparents.com Provides online support group to foster parents and live discussions with experts in the field. The Foster Parent Home Page www.fostercare.org/FPHP Several links provide information on child issues and a chat/discussion area where you can talk to other foster parents across the country. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 27 National Foster Parent Association www.nfpainc.org 226 Kilts Drive Houston, TX 77024 (713) 467-1850 Provides information on foster care, trainings, and provides links to other relevant sites. Parent Education Project Clearinghouse Contact: Sharon Carey or Angie Grindon University of Houston 4800 Calhoun #106 Social Work Building Houston, TX 77044 (713) 749-7192 Provides educational books, articles and videos on parenting issues. Many additional foster parent national resources are available online or from your local foster care agency © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 28 Educational/Training Opportunities in Buffalo Why Should I Attend More Training? Given the various types of issues that the children coming into your home may have, it is impossible for foster care agencies to provide training on each of those topics. Attending seminars or workshops dealing with effective communication, parenting skills, and/or on specific topics like child sexual abuse can provide you with new ways of handling stressful and potentially overwhelming situations that you may eventually face in your home. Learning new information can also help to keep you feeling fresh in your foster parenting activities, not tired or rundown. Below you will find a list of several training opportunities in the Buffalo area. Other training opportunities may be available through your particular foster care agency. Contact your foster care agency for more training details. Foster Parent Training Model Approach to Partnerships in Parenting (MAPP) - Training program for foster parents conducted by the Center for Development of Human Services (CDHS) CDHS Headquarters 1695 Elmwood Avenue Buffalo, NY 14207 (716) 876-7600 (716) 796-2201 Fax - There is a specific MAPP program titled, “Fostering and Adopting a Sexually Abused Child”. - Contact your foster care agency for more details. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 29 Parenting Skills Common Sense Parenting Offered by Western New York Children’s Psychiatric Center 1653 Kensington Ave. Buffalo, NY 14215 (716) 837-4251 Effective Parenting Information for Children, Inc (EPIC) 1300 Elmwood Ave. Buffalo, NY 14222 (716) 886-6396 Other Training Topics Niagara Conference on Evidence-Based Treatments for Childhood & Adolescent Mental Health July 24-26, 2003 Queen's Landing Inn and Conference Resort Niagara-On-The-Lake, Ontario, Canada www.wings.buffalo.edu/psychology/adhd/niagara.pdf An international interdisciplinary conference focusing on state-of-the-art, evidence-based treatments for mental health problems in children and adolescents. Didactic lectures and hands-on experience will be combined to teach interested professionals the basic principles of effective psychosocial, pharmacological, and combined treatments, including child-based treatments, classroom management, school-wide interventions, and parent training. It is advised that you preview the schedule of topics prior to attending the conference to ensure that there will be subjects of interest to you. University at Buffalo School of Social Work Summer Institute Workshops www.buffalo.edu Institute for Addictions Studies and Training office: 716-645-6140 UB School of Social Work offers full-day or full semester training on various human service topics. A Trauma Certificate Program is also available. Contact the School of Social Work Office for more details and pricing information. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 30 Recommended Readings/Related Resources Child Sexual Abuse Books For Adults: Helping Your Child Recover from Sexual Abuse - By Caren Adams, Jennifer Fay (Contributor), A.G. Fawkes (Illustrator) - Available from any major bookstore for approximately $10.50 When Your Child Has Been Molested : A Parent's Guide to Healing and Recovery - By Kathyrn Hagans, Kathryn Brohl, Joyce Case - Available from any major bookstore for approximately $12.50 For Children: Before giving a sexually abused child a book that may make them remember feelings about the abuse, talk with his/her therapist to determine if the material and the timing of the child reading the book is appropriate. A Very Touching Book...for Little People and for Big People - By Jan Hindman, Tom Novak (Illustrator) - Available from any major bookstore for approximately $10.00 How Long Does It Hurt? : A Guide to Recovering from Incest and Sexual Abuse for Teenagers, Their Friends, and Their Families - By Cynthia L. Mather, Kristina E. Debye, Judy Wood (Illustrator), Eliana Gil (Designer) - Available from any major bookstore for approximately $12.50 In Their Own Words : A Sexual Abuse Workbook for Teenage Girls - By Lulie Munson, Karen Riskin, Child Welfare League of America - Available from any major bookstore for approximately $10.95 My Body Is Private - By Linda Walvoord Girard, Rodney Pate (Illustrator), Walvoord Girard - Available from any major bookstore for approximately $5.00 © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 31 Something Happened and I'm Scared to Tell : A Book for Young Victims of Abuse - By Patricia Kehoe, Carol Deach (Illustrator) - Available from any major bookstore for approximately $6.00 The Gus Chronicles : Reflections from an Abused Kid: About Sexual & Physical Abuse, Residential Treatment, Foster Care, Family Unification, and Much More - By Charles D. Appelstein - Available from any major bookstore for approximately $12.00 The Right Touch: A Read-Aloud Story to Help Prevent Child Sexual Abuse - By Sandy Kleven, Jody Bergsma (Illustrator) - Available from any major bookstore for approximately $15.00 The Survivor's Guide: For Teenage Girls Surviving Sexual Abuse - By Sharice A. Lee - Available from any major bookstore for approximately $24.00 Trouble With Secrets - By Karen Johnsen, Linda Johnson Forssell (Illustrator) - Available from any major bookstore for approximately $6.00 Who Is a Stranger and What Should I Do? - By Linda Walvoord Girard, Abby Levine (Editor) - Available from any major bookstore for approximately $6.00 Your Body Belongs to You - By Cornelia Spelman, Teri Wiedner (Illustrator) - Available from any major bookstore for approximately $11.25 Foster Care Books For Children: Color Me in Foster Care Coloring Book © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 32 - Discusses “whats and whys” of foster care - Available from American Foster Care Resources, Inc. - Cost is reported to be under $2.00 The Star: A Story to Help Young Children Understand Foster Care - By Cynthia Miller Lovell, Angie J. Przystas (Illustrator) - Available from any major bookstore for approximately $8.00 What’s Going to Happen to Me Coloring Book - Discusses concerns of children in foster care - Available from Parent Education Project Clearinghouse Other books and videos on sexual abuse and foster care can also be obtained through many of the organizations listed in the national resources section of this manual. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 33 References * Most references were not directly cited throughout the paper. The intention was to eliminate unnecessary distractions for the foster parents who use this resource. A complete list of the references used is included below. All websites used for this manual can be found on the national resources page. Berliner, L., & Elliott, D. M. (1996). Sexual abuse of children. In J. Briere, L. Berliner, J. A. Bulkey, C. Jenny, & T. Reid (Eds.), The APSAC Handbook on child maltreatment (pp. 51-71). Thousand Oaks, CA: Sage. Berman, P. (1990). Group therapy techniques for sexually abused preteen girls. Child Welfare, LXIX(3), 239-253. Burkart, J. (1988). A shoestring operation for sexually abused children. Early Child Development and Care, 34, 77-93. Burkhardt, S. A. (1995). A child-generated model of sexual abuse intervention. In S. A. Burkhardt, & A. F. Rotatori (Eds.), Treatment and prevention of childhood sexual abuse: A child-generated model (pp. 103-124). London: Taylor & Francis. Cohen, J. A., & Mannarino, A. P. (1996). A treatment outcome study for sexually abused preschool children-initial findings. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 42-50. Critchley, D. L. (1982). Therapeutic group work with abused preschool children. Perspectives in Psychiatric Care, XX(2), 79-85. Damon, L., Todd, J., & Macfarlane, K. (1987). Treatment issues with sexually abused young children. Child Welfare, LXVI(2), 125-137. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 34 DeLuca, R. V., Boyes, D. A., Grayston, A. D., & Romano, E. (1995). Sexual abuse: Effects of group therapy on pre-adolescent girls. Child Abuse Review, 4, 263-277. Faller, K. C. (1988). Child sexual abuse: An interdisciplinary manual for diagnosis, case management, and treatment. New York: Columbia University Press. Faller, K. C. (1990). Understanding child sexual maltreatment. Newbury Park, CA: Sage. Faller, K. C. (1991). What happens to sexually abused children identified by Child Protective Services? Children & Youth Service Review, 13, 101-111. Farago, J. (2002). The identification and reporting of child abuse and maltreatment. Seminar materials from New York State Mandated Reporter Training. Faulkner, N. (1996). Pandora’s box: The secrecy of child sexual abuse. Sexual Counseling Digest. Taken from www.prevent-abuse-now.com. Friedrich, W. N. (1990). Psychotherapy of sexually abused children and their families. New York: W. W. Norton & Company. Friedrich, W. N. (1995). Psychotherapy with sexually abused boys: An integrated approach. Thousand Oaks, CA: Sage. Friedrich, W. N. (1996). An integrated model of psychotherapy for abused children. In J. Briere, L. Berliner, J. A. Bulkey, C. Jenny, & T. Reid (Eds.), The APSAC Handbook on child maltreatment (pp. 104-117). Thousand Oaks, CA: Sage. Fergusson, D. M., & Mullen, P. E. (1999). Childhood sexual abuse: An evidence based perspective. Thousand Oaks, CA: Sage. Gaines, T. (1986). Applications of child group psychotherapy. In A.E. Reister & I. A. Kraft (Eds.), Child group psychotherapy: Future tense (pp. 103-122). Madison, CT: International Universities Press. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 35 Gallagher, M. M., Leavitt, K. S., & Kimmel, H. P. (1995). Mental health treatment of cumulatively/repetitively traumatized children. Smith College Studies in Social Work, 65(3), 205-237. Glover, G. (1999). Multicultural considerations in group play therapy. In D. S. Sweeney & L. E. Homeyer (Eds.), The handbook of group play therapy: How to do it, how it works, whom it’s best for (pp. 278-295). San Francisco: Josey-Bass. Gonsiorek, J.C. (1994). Historical and background perspectives on adolescent males. In J.C. Gonsiorek, W.H. Bera, & D. LeTourneau (Eds.), Male sexual abuse: A trilogy of intervention strategies (pp. 3-20). Thousand Oaks, CA: Sage. Gonsiorek, J.C. (1994). A critique of current models in sexual abuse. In J.C. Gonsiorek, W.H. Bera, & D. LeTourneau (Eds.), Male sexual abuse: A trilogy of intervention strategies (pp. 21-36). Thousand Oaks, CA: Sage. Gonsiorek, J.C. (1994). Male victims of sexual abuse. In J.C. Gonsiorek, W.H. Bera, & D.LeTourneau (Eds.), Male sexual abuse: A trilogy of intervention strategies (pp. 37-55). Thousand Oaks, CA: Sage. Gonsiorek, J.C. (1994). Diagnosis and treatment of young adult and adolescent male victims: An individual psychotherapy model. In J.C. Gonsiorek, W.H. Bera, & D. LeTourneau (Eds.), Male sexual abuse: A trilogy of intervention strategies (pp. 56-109). Thousand Oaks, CA: Sage. Grosz, C. A., Kempe, R. S., & Kelly, M. (2000). Extrafamilial sexual abuse: Treatment for child victims and their families. Child Abuse & Neglect, 24(1), 9-23. Hack, T. F., Osachuk, T. A. G., & De Luca, R. V. (1994). Group treatment for sexually abused preadolescent boys. Families in Society, 75(4), 217-228. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 36 Hansen, D. J., Hecht, D. B., & Futa, K. T. (1998). Child sexual abuse. In V. B. Van Hasselt & M. Hersen (Eds.),Handbook of psychological treatment protocols for children and adolescents (pp. 153-178). Mahwah, NJ: Lawrence Erlbaum Associates. Heiman, M. L., & Ettin, M. F. (2001). Harnessing the power of the group for latency-aged sexual abuse victims. International Journal of Group Psychotherapy, 51(2), 265-282. Henry, D., Cossett, D., Auletta, T., & Egan, E. (1991). Needed services for foster parents of sexually abused children. Child & Adolescent Social Work, 8(2), 127-141. Hiebert-Murphy, D., DeLuca, R. V., & Runtz, M. (1992). Group treatment for sexually abused girls: Evaluating outcome. Families in Society, 73, 205-213. Homeyer, L. E. (1999). Group play therapy with sexually abused children. In D. S., Sweeney & L. E. Homeyer (Eds.), The handbook of group play therapy: How to do it, how it works, whom it’s best for (pp. 299-318). San Francisco: Josey-Bass. Howing, P. T., Wodarski, J. S., Gaudin, J. M., & Kurtz, P. D. (1989). Effective interventions to ameliorate the incidence of child maltreatment: The empirical base. Social Work, , 330338. Hyde, C., Bentovim, A., & Monck, E. (1995). Some clinical and methodological implications of a treatment outcome study of sexually abused children. Child Abuse & Neglect, 19(11), 1387-1399. Jones, K. D. (in press). Group play therapy with sexually abused preschool children: Group behaviors and interventions. Journal for Specialists in Group Work. Lipton, M. (1997). The effect of the primary caretaker’s distress on the sexually abused child: A comparison of biological and foster parents. Child and Adolescent Social Work Journal, 14(2), 115-127. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 37 Mandell, J. G., Damon, L., Castaldo, P. C., Tauber, E. S., Monise, L., & Larsen, N. F. (1989). Group treatment for sexually abused children. New York: Guilford. Marvasti, J. A. (1988). Play therapy with sexually abused children. In S. M. Sgroi (Ed.), Vulnerable populations(pp. 1-41). New York: Lexington. McFadden, E. J. (1989). The sexually abused child in specialized foster care. In J. Hudson & B. Galaway (Eds.), Specialist foster family care. New York: Haworth Press, Inc. McFadden, E. J., & Ryan, P. (1991). Maltreatment in family foster homes: Dynamics and dimensions. Assessing child maltreatment reports. New York Haworth Press, Inc. Mitchum, N. T. (1987). Developmental play therapy: A treatment approach for child victims of molestation. Journal of Counseling and Development, 65, 320-321. Nicholas, M., & Forrester, A. (1999). Advantages of heterogeneous therapy groups in the psychotherapy of the traumatically abused: Treating the problem as well as the person. International Journal of Group Psychotherapy, 49(3), 323-342. Pearl, P. (1988). Working with preschool-aged child abuse victims in group settings. Child & Youth Care Quarterly, 17(3), 185-195. Pescolido, F. J. (1988). Sexual abuse of boys by males: Theoretical and treatment implications. In S. M. Sgroi (Ed.), Vulnerable populations (pp. 85-109). New York: Lexington. Pescolido, F. J., & Petrella, D. M. (1986). The development, process, and evaluation of group psychotherapy with sexually abused preschool girls. International Journal of Group Psychotherapy, 36(3), 447-469. Pratt, E. D., Paul, D., & Salus, M. K. (1997). Fostering and adopting the child who has been sexually abused: Model Approach to Partnerships in Parenting. Atlanta: Child Welfare Institute. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 38 Reeker, J., & Ensing, D. (1998). An evaluation of a group treatment for sexually abused young children. Journal of Child Sexual Abuse, 7(2), 65-85. Saywitz, K. J., Mannarino, A. P., Berliner, L., & Cohen, J. A. (2000). Treatment for sexually abused children and adolescents. American Psychologist, 55, 1040-1049. Sheinberg, M., True, F., & Fraenkel, P. (1994). Treating the sexually abused child: A recursive, multimodal program. Family Process, 33, 263-276. Siepker, B. B. (1985). Children’s and adolescent’s group therapy literature. In B. B. Siepker & C. S. Kandaras (Eds.), Group psychotherapy with children and adolescents: A treatment manual (pp. 35-53). New York: Human Sciences Press. Sirles, E. A., Walsma, J., Lytle-Barnaby, R., & Lander, L. C. (1988). Group therapy techniques for work with child sexual abuse victims. In Violence: Prevention and treatment in groups. New York: Haworth. Slavson, S. R. (1986). Differential methods of group therapy in relation to age levels. In A.E. Reister & I. A. Kraft (Eds.), Child group psychotherapy: Future tense (pp. 9-28). Madison, CT: International Universities Press. Stauffer, L. B., & Deblinger, E. (1996). Cognitive behavioral groups for nonoffending mothers and their young sexually abused children: A preliminary treatment outcome study. Child Maltreatment, 1(1), 65-80. Stevenson, J. (1999). The treatment of the long-term sequelae of child abuse. Journal of Child Psychology & Psychiatry, 40(1), 89-111. Sturkie, K. (1983). Structured group treatment for sexually abused children. Health & Social Work, 8(4), 299-308. © 2003 CDHS/Research Foundation of SUNY/BSC CSA Resources 39 Zaidi, L. Y., & Gutierrez-Kovner, V. M. (1995). Group treatment of sexually abused latencyaged girls. Journal of Interpersonal Violence, 10(2), 215-227. Zamanian, K., & Adams, C. (1997). Group psychotherapy with sexually abused boys: Dynamics and interventions. International Journal of Group Psychotherapy, 47(1), 109-126. © 2003 CDHS/Research Foundation of SUNY/BSC