This page summarises plans for a series of reviews to understand what works to support children and young people who have experienced child sexual abuse.
Child sexual abuse is defined in Working Together to Safeguard Children as “forcing or enticing a child or young person [under 18 years of age] to take part in sexual activities, not necessarily involving a high level of violence, whether or not the child is aware of what is happening.” Child sexual abuse is a significant concern across the UK (and globally) due to both its prevalence and its harmful impacts. Although exact prevalence is difficult to establish because of barriers to disclosure and limitations in available data, evidence suggests that at least one in ten children in the UK experience some form of child sexual abuse before the age of 16 years old.
Foundations have commissioned the Universities of Lancashire, Manchester Metropolitan and Bedfordshire to conduct a systematic review which aims to identify and describe:
The review will focus on children and young people aged 0–25 years old who have experienced child sexual abuse. All efficacy-based studies will be either randomised controlled trials or quasi-experimental designs. Outcomes of interest include a child or young person’s wellbeing, social, psychological or physical health.
Included literature is not restricted by country, however, the review will place importance on the applicability of findings to the UK context, particularly in relation to whether interventions can be implemented in the UK.
Taking into account equality, diversity, inclusion and equity (EDIE) is crucial in this systematic review. To achieve this, EDIE characteristics will be mapped and coded as well as following guidelines set out by PRISMA-E.
What works? (answered through an umbrella review)
RQ1: What is the effectiveness of interventions aimed at supporting and improving outcomes for children and young people aged 0–25 years old who have experienced child sexual abuse?
For whom? (answered through a realist review)
RQ2: What works for whom, and in what circumstances, in relation to interventions to support children and young people who have experienced child sexual abuse?
How and why? (answered through an umbrella review and a realist review)
RQ3: What practice elements and intervention components are commonly associated with more effective outcomes in this population?
Implementation (answered through a narrative review and consultations)
RQ4: What do children and young people who have experienced child sexual abuse (and their caregivers) tell us they want and need in terms of support following child sexual abuse?
Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.
Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.
Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.
Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.
Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.
Set up and delivery cost is not applicable, not available, or has not been calculated.
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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.
Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.
Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.
Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.
Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.
Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.
Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.
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