ABSTRACT

Child Sexual Exploitation (CSE) is a complex international issue requiring specialist multi-agency support. There is evidence that survivors of CSE are likely to experience mental health difficulties and have long-term psychological needs in response to trauma. However evidence regarding services and interventions for these difficulties is limited. This study explored viewpoints of key stakeholders, such as young people and frontline staff, about CSE services. Participants were recruited from services that support young people who have experienced CSE. The sample consisted of 18 participants; nine young people and nine professionals. Q-methodology was used to investigate subjective viewpoints regarding this topic. Statements about CSE interventions and services were collected from the existing literature and validated to form a Q-set. Participants sorted the Q-set from most to least important. Q-sorts were subjected to factor analysis using Q-methodology software. Three factors were identified: (1) The importance of safety and attunement, (2) Managing trauma and mental health difficulties and (3) Family, normality, and a relaxed approach. All factors emphasized the importance of safety and trust between young people and professionals. Key areas that may benefit service design were identified. Primarily, young people are likely to benefit from specialist support promoting a trauma-informed and relational approach.

摘要

儿童性剥削 (CSE) 是一个复杂的国际问题，需要专业的多机构支持。有证据表明，CSE 的幸存者可能会遇到心理健康困难，并有应对创伤的长期心理需求。然而，关于这些困难的服务和干预措施的证据是有限的。本研究探讨了关键利益相关者（例如年轻人和前线员工）对全面性教育服务的看法。参与者是从支持经历过 CSE 的年轻人的服务中招募的。样本由 18 名参与者组成；九名年轻人和九名专业人士。Q 方法用于调查有关该主题的主观观点。关于 CSE 干预和服务的陈述是从现有文献中收集的，并经过验证以形成 Q 集。参与者将 Q 集从最重要到最不重要。使用Q-methodology软件对Q-sorts进行因子分析。确定了三个因素：(1) 安全和协调的重要性，(2) 管理创伤和心理健康困难，以及 (3) 家庭、正常和放松的方法。所有因素都强调了年轻人和专业人士之间安全和信任的重要性。确定了可能有益于服务设计的关键领域。首先，年轻人可能会受益于促进创伤知情和相关方法的专家支持。常态，和轻松的方法。所有因素都强调了年轻人和专业人士之间安全和信任的重要性。确定了可能有益于服务设计的关键领域。首先，年轻人可能会受益于促进创伤知情和相关方法的专家支持。常态，和轻松的方法。所有因素都强调了年轻人和专业人士之间安全和信任的重要性。确定了可能有益于服务设计的关键领域。首先，年轻人可能会受益于促进创伤知情和相关方法的专家支持。