Safeguarding in Education Service Briefing: The role of schools, colleges and academies in recognising and supporting children who display harmful sexual behaviour May 2013 ___________________________________________________________________ Definition: “Young people (under 18) who engage in any form of sexual activity with another individual that they have powers over by virtue of age, emotional maturity, gender, physical strength, intellect, and where the victim in this relationship has suffered a betrayal of trust” (Palmer 1995). Since there is no officially agreed way of describing sexual behaviours which cause concern, it is more helpful to describe sexual behaviour on a continuum of healthy, problematic and harmful sexual behaviours. Professionals need to understand what constitutes normal sexual development in order to understand what is usual developmental sexual expression and what is harmful sexual behaviour. Statistics “Child Maltreatment in the UK” (NSPCC, 2011) reported that two thirds of sexual abuse experienced by children aged 0-17 was perpetrated by someone under the age of 18. 80% of children aged 11-17 who were sexually abused by a peer did not tell anyone about it. Freedom of information figures obtained by NSPCC in 2013 show more than 5000 children were reported to the police in England and Wales in the last 3 years. This is partly attributed to the increase in access to online pornography. What is harmful sexual behaviour? In order to understand what defines harmful sexual behaviour it is necessary to understand sexual behaviour in normal developmental terms and to understand age appropriate sexual behaviour. Age appropriate sexual behaviour 0-5 years Commonly Use childish ‘sexual’ language to talk about body parts Ask how babies are made or where they come from Rarely Discuss sexual acts Use sexually explicit language Touch own genitals 6-11 years Ask questions about sexually behaviour and pregnancy Role play (doctors and nurses) Masturbate in public Show adult sexual behaviour and knowledge Kiss Show and look at private body parts Masturbate in private Older children in this age group may use sexual words to discuss sexual acts particularly with friends 12-16 years Ask questions about relationships and sexual behaviour Use sexual language Masturbate in private Experiment sexually with others of the same age Masturbate in public Have sexual contact with much younger children or adults It may be helpful to think of sexual behaviour along a continuum: Healthy Problematic Harmful Mutual Not age appropriate Not age appropriate Consensual One off incident Planned, secretive, use of force, coercion Choice Peer pressure Exploratory Spontaneous Power differential (size, age, status, strength) No intent to harm No intent to harm Others anxious, scared to tell Fun/humorous Level of understanding Blames others No power differential Acceptance of responsibility Frequent or increasing frequency Others not scared to tell Compulsive Other issues such as poor peer relationships, challenging behaviours, anger School response: None School response: liaison with parents, informal discussion with children’s social care School response: Referral to children’s social care The nature of harmful sexual behaviour Research indicates that harmful sexual behaviour is associated with emotional abuse, sexual abuse, physical abuse, neglect and exposure to domestic violence. (Hackett 2004, Hickey 2006 and Vizard et al 2007). The most significant indicator is multiple, prolonged and repetitive abuse. Children who display harmful sexual behaviour may also display conduct and oppositional disorders, learning difficulties and poor educational attainment. Not all children who show harmful sexual behaviour have been sexually abused. Professionals need to be aware of the function and motivation of the behaviour. A child who exhibits harmful sexual behaviour and who also displays other challenging behaviours and other difficulties may use the harmful sexual behaviour as a way of exerting power and control over others. An otherwise model pupil displaying harmful sexual behaviour may be doing so because they are being or have been sexually abused. (Bentovim, 2009) There is no typical profile of a child who displays harmful sexual behaviour. Most are adolescent males but girls and younger children can also display the behaviour. Research by the University of Edinburgh and NSPCC (2013) reported that children and young people with harmful sexual behaviour are generally diverse in terms of age, gender and ethnicity. Children and Young People with Learning Difficulties: Children and young people with learning difficulties tend to be over represented in any figures, perhaps because they are more likely to be caught. They are also more likely to be abused themselves and to be isolated. They tend to receive less sex and relationships education and are perhaps given fewer opportunities to develop appropriate sexual expression. The organisation Respond estimates that young people with learning difficulties account for between 30 and 50% of all young people with harmful sexual behaviour. Fyson (2007) found that special schools dealt with harmful sexual behaviour in line with their behaviour policy and procedures. They used behaviour modification aiming to prevent unwanted behaviours rather than addressing the underlying cause of the behaviour. They justified this approach because the behaviours were usually lacking in intent. In making decisions about how to respond to an incident of harmful sexual behaviour, the schools reported that they took into account: 1) The act itself – unwanted sexual contact between pupils was seen as a greater concern than ‘nuisance’ behaviours such as masturbation and exposure. 2) Any imbalance of power between the pupils. 3) Attempts at secrecy, indicating the pupil know that what they were doing was wrong. 4) Repetition. The role of schools: a) Prevention The curriculum for PSHE and sex and relationships education is likely to offer the main teaching opportunities for children to learn about appropriate behaviour, trust, boundaries and responsibility. Sex and relationships education should promote respect and care for each other. Young people need to be taught about consent and also to understand the law around sexual activity. Schools are likely to be in a position to identify sexualised behaviour earlier than other agencies. b) Response Schools should respond to concerns about harmful sexual behaviour following their child protection policy and procedures and working with local agencies. Many LSCBs publish guidelines on the management of children and young people who display harmful sexual behaviours. Schools need to support the child displaying the behaviour and also any children who may be affected by it which necessitates a sensitive approach to both parties. The designated senior person for child protection (or other appropriate member of staff) should be part of multi-disciplinary teams and processes for the child displaying harmful sexual behaviour and the victim. Schools need to be recognised as a source of information about children, especially about behaviour. Schools have a significant role following disclosure and this includes risk management strategies. c) Support Schools are unlikely to have the specialist knowledge to work directly with children who show harmful sexual behaviour so they will need to work alongside external services as an important partner in the process. Staff in schools need to understand the underlying factors that may lead children to display harmful sexual behaviour as well as have an understanding of typical sexual behaviour and development so as to distinguish between behaviour that is harmful and that which is developmental sexual expression. When talking to children about their harmful sexual behaviour teachers need to feel confident and use age appropriate language. They need to talk to the child about what has happened in a clear and explicit way and reinforce: Appropriate behaviour (personal space, privacy, touch and respect) Boundaries Responsibility, decisions and choices Risk Management: Information provided by schools makes an invaluable contribution to the risk management process. Risk management of harmful sexual behaviour should include: The nature of the risk. The likelihood of risk. Factors which increase or decrease risk. Risk to siblings/family members. Risk to peers. Risk to the public. The possible consequences of further harmful behaviour including any risk to the young person themselves. A risk management plan to include actions, roles, responsibilities and timescales. The risk assessment and management plan should be shared with the child or young person, parents, school, social care, therapeutic services (e.g. CAMHS) and also with the Youth Offending Team if prosecution is a possible outcome of the behaviour. Assessment of Harmful Sexual Behaviour: Research by NSPCC and the University of Edinburgh (2013) found that schools were the referring agency to local authorities in 18% of cases of harmful sexual behaviour. Referrals are most likely to be made through the child protection procedures and therefore schools may not be aware of the next steps of assessment and intervention, although examples of good practice recognise the school as an important partner in any multi-agency approach. Assessment will take account of the needs of the whole child and the child should not be viewed as a “mini sex offender” (Hackett et al, 2005). Assessment should be a multi-agency approach to include assessment, investigation, case planning and case review. The nature of assessment may include individual, group and family work, cognitive behavioural therapy and multi-systemic therapy. The research states that 45% of assessments of harmful sexual behaviour use the assessment framework AIM or AIM 2 (Assessment, Intervention, Moving on). This includes an initial assessment, core assessment and intervention with the child, family and wider network. The AIM website has guidelines to help schools identify, evaluate and manage harmful sexual behaviour. Intervention: Intervention for children and young people who display harmful sexual behaviour uses therapeutic approaches to change thinking and helps children and young people to take responsibility for their behaviour and teaches them how to form more positive relationships. Programmes also focus on the young person’s positive qualities and help them to build their self-esteem. There will also be engagement with families. Working with parents: Parents of children who have displayed harmful sexual behaviour and parents whose children have been affected by the behaviour of others may react with confusion, shock, anger or disbelief. Parents need appropriate support from specialist agencies as they can face hostility and rejection from the local community. Schools will need to respond with discretion and respect, demonstrating a non-judgemental response to parents’ emotions. Schools should seek advice from specialist provision and work within a multi-agency approach to support parents. Summary: Schools should not ignore the signs of harmful sexual behaviour. Disclosures of harmful sexual behaviour should be responded to in the same way as other disclosures in line with the child protection policy. Schools should be actively involved in multi-agency responses to harmful sexual behaviour. Staff in schools should see the whole child, and not just the harmful sexual behaviour. References AIM (2001) Working with Children and Young People who Sexually Abuse: Procedures and Assessment. Department of Health, Home Office. Bentovim, A. (2009) Growing up in a climate of trauma and violence: Frameworks for understanding family violence. In Bentovim et al Safeguarding Children Living with Trauma and Family Violence: Evidence based assessment, analysis and planning. London: Jessica Kingsley Criminal Justice Joint Inspection/HM Inspectorate of Probation (2013) Examining MultiAgency Approaches to Children and Young People who Sexually Offend. Available from: Justice.gov.uk Fyson, R. (2007) Young People with Learning Difficulties who sexually abuse: Understanding, identifying and responding from within generic education and welfare services. Nottingham: University of Nottingham Hackett, S. (2004) What works for children and young people with harmful sexual behaviours. London: Barnados Hackett, S. et al (2005) Services for young people who sexually abuse. London: NSPCC, Youth Justice Board and National Organisation for the Treatment of Abusers Radford, Lorraine, Corral, Susana, Bradley, Christine, Fisher, Helen, Bassett, Claire, Howat, Nick and Collishaw, Stephan (2011) Child abuse and neglect in the UK today. London: NSPCC. Available from NSPCC Inform Sanderson, C. (2010) Managing sexually harmful behaviour in young children, Protecting Children Update 68 7-9 Smith, C., Bradbury-Jones, C., Lazenbatt, A. and Taylor, J. (2013) Provision for Young People who have Displayed Harmful Sexual Behaviour. Edinburgh: University of Edinburgh/NSPCC. Available from: NSPCC Inform Vizard, E. et al (2007) Developmental trajectories associated with juvenile sexually abuse behaviours and emerging severe personality disorder in childhood: A 3 year study, British Journal of Psychiatry 190:49 27-32 Useful websites: www.aimproject.org.uk www.lucyfaithfull.org.uk www.respond.org.uk www.stopitnow.org.uk
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