ABSTRACT

Child sexual abuse (CSA) requires multidisciplinary approach by forensic, social, and medical services, thus Child Advocacy Centers (CACs) have been established to evaluate CSA cases in Turkey. At CACs the social needs of children are assessed by social workers. Protective and supportive injunctions (PSIs) are considered at each step of evaluation and are proposed to child courts. This study aimed to evaluate PSIs at a local CAC, which is one of the leading CACs in Turkey. The study group consisted of children and adolescents exposed to CSA admitted to Izmir CAC between April 2014 and April 2015. Socio-demographic characteristics, social investigation reports, psychiatric reports, and proposed PSIs were evaluated. The rate of social investigation necessity was 28.3% (n = 113), and the rate of being proposed for at least one PSI was 24.3% (n = 97). The most common proposed injunctions were maintenance care injunctions (n = 47; 48%) and counseling injunctions (n = 46; 47%). The rate of proposed PSIs was significantly higher in adolescents, incest cases and abuse types including penetration than in the other groups. This is the first study to evaluate PSIs in the child protection system. Our results provide data about the risk groups that need PSIs among the victims of CSA cases.

摘要

儿童性虐待（CSA）需要法医，社会和医疗服务采取多学科的方法，因此在土耳其建立了儿童倡导中心（CAC）来评估CSA案件。在CAC，儿童的社会需求由社会工作者评估。在每个评估阶段都要考虑保护性和支持性禁令（PSI），并将其提交给儿童法庭。这项研究旨在评估本地CAC的PSI，这是土耳其领先的CAC之一。该研究小组由2014年4月至2015年4月期间接受伊兹密尔CAC治疗的接触CSA的儿童和青少年组成。评估了社会人口统计学特征，社会调查报告，精神病学报告和拟议的PSI。社会调查的必要性率为28.3％（n = 113），至少一个PSI的提议率为24.3％（n = 97）。建议的最常见禁令是维护护理禁令（n = 47； 48％）和咨询禁令（n = 46； 47％）。与其他人群相比，在青少年，乱伦病例和包括渗透在内的虐待类型中，提议的PSI发生率明显更高。这是评估儿童保护系统中PSI的第一项研究。我们的结果提供了有关CSA案例受害者中需要PSI的风险群体的数据。