Evidence suggests that young people 'take on' and internalise labels, and therefore to describe a young person only as a 'sex offender' or 'young abuser' may impact on their motivation and responsiveness in both assessment and treatment, leaving them feeling they cannot change. Where there are concerns that the alleged abuser is also a victim of abuse consideration should be given to convening a Child Protection Conference if the young person is deemed to have suffered, or is likely to suffer, significant harm. Interruption at any stage may prevent abuse taking place. Also, the intervention may need to be extended and involve a high degree of coordination between agencies. These may include bribery, threats or other forms of coercion.
Motivation to sexually abuse - this can arise from a number of sources which vary with the individual; Overcoming internal inhibitions - most young people who sexually abuse are aware of the taboos against this behaviour, yet because of their experiences or a specific set of circumstances, they can overcome these; Overcoming external inhibitions - this can include grooming the victim and involve creating the physical opportunity to commit the offence; Overcoming the resistance of the child - the offender will employ a variety of methods to commit the offence and equally important keep the victim quiet. The complexity of these commissioning arrangements is addressed through the Sexual Health Alliance which works to ensure sexual health outcomes improve, especially as they are an area where considerable health inequalities exist. There should be a coordinated approach between the agencies; The needs of the children and young people should be considered separately from the needs of their victims; An assessment should recognise that areas of unmet developmental needs, attachment problems, special educational needs and disabilities may all be relevant in understanding the onset and development of abusive behaviour; The family context is also relevant in understanding behaviour and assessing risk. These may include bribery, threats or other forms of coercion. Successful engagement of families significantly diminishes if there is a time delay in arranging specialist intervention. A similar pattern is seen locally, with the highest rates seen in parts of Exeter, and other deprived wards across the county. Strategy meetings will make contingency plans for future actions following further assessment and investigation of the incident. Mutuality Children of a similar developmental and chronological age ; Absence of coercion in any form bullying, emotional blackmail, fear of the consequences ; Absence of emotional distress. There are high costs associated with both treatment and care. Their needs must be carefully assessed as some assessment tools are not suitable. Where there is no requirement to hold a formal strategy meeting, it is still good and useful practice to hold a multi-agency planning meeting to consider the needs of the children or young people involved. Hackett Children and Young People with Harmful Sexual Behaviours The current definition of Sexual Abuse in Working Together to Safeguard Children is also relevant as it recognises that abuse can be perpetrated by children as well as adults. It can be useful to think of sexual behaviour as a range or continuum from those behaviours that are developmentally and socially accepted to those that are violently abusive see Children and Young People with Harmful Sexual Behaviours. In addition to police and children's' social care, schools, Youth Offending services or any other agency with significant contact to any of the young people should also be invited to the meeting where appropriate. They may also be asked to model appropriate and respectful sexual attitudes and language. Risks Two thirds of contact sexual abuse is committed by peers; History of abuse, especially sexual abuse, can contribute to a child displaying harmful sexual behaviour; All children, including the instigator of the behaviour, need to be viewed as victims; Children have greater access to information about sex through technology and this has had an impact on their attitudes to sex and sexual behaviour; Children with harmful sexual behaviours who receive adequate treatment are less likely to go on to commit abuse as an adult compared to children who receive no support; Incidents of sexually harmful behaviour should be dealt with under the specific child protection procedures which recognise the child protection and potentially criminal element to the behaviour. In cases where the threshold is met, a meeting should be convened under the Multi-Agency Public Protection Arrangements to consider public protection matters and safety. The main genitourinary medicine clinics are in Exeter, North Devon and Torbay and access and accessibility may have an impact on those diagnosed. Support of parents and carers is extremely helpful in promoting engagements and successful outcomes. Where there are concerns that the alleged abuser is also a victim of abuse consideration should be given to convening a Child Protection Conference if the young person is deemed to have suffered, or is likely to suffer, significant harm. Where a child protection conference is convened the multi-agency meeting could be incorporated into it in order to avoid repeat meetings. Why anyone offends sexually is a complex question. Year-on-year fluctuations are seen, which are mainly due to the low number of conceptions involved at a district level, but overall rates are showing a strong downward trend, a pattern that is also seen nationally. Rates in all local authorities apart from North Devon and Exeter were significantly lower than the regional rate. One popular model which seeks to organise thinking around this topic is known as Finkelhor's Four Pre-conditions to Sexual Abuse, which suggests that four pre-conditions should be in place before an abusive act takes place.
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