Care Quality Commission
Unseen evil: Sex abuse in families going under the radar, say inspectorates
Findings from our joint targeted area inspections of ‘the multi-agency response to child sexual abuse in the family environment’ summarised in report published yesterday.
Children sexually abused by family members are going unseen and unheard in too many cases, while abusers evade justice, according to a new report.
Inspectorates Ofsted, HMICFRS, Care Quality Commission and HMI Probation found that local agencies are often woefully ill-equipped to deal with child sex abuse in families. Efforts to prevent abuse are largely absent, while ineffective criminal investigations are, in the worst cases, leaving children at risk.
Familial abuse accounts for some two thirds of all child sex abuse, though the true figure could be even higher due to under-reporting. Despite the likely extent of the problem, local and national strategies to tackle it are virtually non-existent, the report shows.
The inspectorates expose a worrying lack of knowledge and focus on familial abuse from all local partners. While agencies have improved their response to child grooming outside the home, the less high-profile issue of familial sex abuse is not getting the priority it needs, the report finds.
Yesterday’s report examines how well children’s social care, health, youth offending, police and probation services work together to keep children who are sexually abused in families safe. Although inspectors found pockets of good work, this was inconsistent at best.
Important lessons learned from dealing with child sexual exploitation are not being applied to abuse in families. Professionals don’t know enough about perpetrators; how to identify them and how to stop them from abusing children. Better training and support for those on the front line is vital, the inspectorates say.
The report calls on policy makers and local partners to give familial sex abuse the attention it deserves; so that its prevalence can be better understood, victims are protected, and offenders are brought to justice.
Practice is too police-led, focusing on the criminal investigation at the expense of children
Health services aren’t always being brought around the table. Children are left without medical treatment for possible sexually transmitted infections, other injuries and without mental health support – because police determine that medical examinations aren’t needed if they fall outside the window for forensic evidence.
Poor-quality criminal investigations
Significant delays to police investigations mean that children are left in limbo, or at worst unsafe. Rather than arrest, voluntary attendance is being used to interview suspects, so children aren’t protected by bail, while potential abusers could be destroying evidence. Inappropriate bail conditions leave abusers free to contact and, in some cases, even return to live with the children they are abusing.
Preventative work is absent or focused on known offenders
Inspectors saw little work to educate the public about risks relating to child sex abuse. It was also clear that, possibly due to a reluctance to discuss the topic, local partners are not prioritising prevention work.
Professionals rely too heavily on children to speak out about abuse
Children are unlikely to tell someone that they are being sexually abused, particularly when they know the perpetrator. Parents, professionals and the public must understand and know how to respond to the signs and symptoms of child sexual abuse – education is vital.
Some initiatives are working well, but these are too piecemeal
Inspectors found examples of effective work in all areas. For example, when children do receive support, it is usually good quality and makes a positive difference – for example the cross-borough Lighthouse project, which provides therapeutic support for victims and their families. While individual initiatives and campaigns are working well, these are not in place in all areas. A more consistent and strategic approach to what works would widen impact and efficacy.
Efforts to protect children are also being hampered because agencies, and society more generally, are afraid to talk about familial sex abuse, the report finds. Within communities, there remains a disbelief and denial that sex abuse can happen at home.
Communities, organisations and the media all have important roles to play. Work is needed to create an environment where children and adults can talk about sexual abuse more easily, the inspectorates say.
Amanda Spielman, Ofsted’s Chief Inspector, yesterday said:
As a society, we are far too reluctant to talk about sex abuse within the family home. It’s much easier to think of abuse happening elsewhere, to other people. Prevention is the best form of protection. If we are to deal with incest or other abuse involving families or family friends, we must talk openly and honestly about the signs and symptoms – to protect children and to stop abusers in their tracks.
As it stands, children abused in the home are going unseen and unheard because agencies simply aren’t capable of keeping them safe. The lack of national and local focus on this issue is deeply concerning and must be addressed.
Ursula Gallagher, Deputy Chief Inspector of General Practice and Children’s Health, yesterday said:
The impact of abuse is far-reaching and has a lasting effect of the child and those around them – this report highlights too many missed opportunities to better protect them from harm. It is vital that people in healthcare and across other agencies work together, think about the wider social situation a child might be living in, share information to protect children from abuse and create support around those who are at risk.
Wendy Williams, HM Inspector of Constabulary, yesterday said:
As detailed in today’s report, we believe that the police and other agencies do not prioritise this kind of abuse highly enough. This results in missed opportunities to safeguard vulnerable and at-risk children. There needs to be an increased awareness of child sexual abuse in the family environment, with better training and support given to frontline professionals (for example, in how to recognise non-verbal signs of sexual abuse). This will enable those professionals to successfully intervene at the earliest possible stage and to safeguard the child from further harm.
Justin Russell, Chief Inspector of Probation, yesterday said:
Probation staff – alongside those in other agencies – should receive specific training to identify and respond to signs of abuse. Professional curiosity is essential too. Actions such as conducting home visits or cross-checking information with police and social services could help to keep actual and potential victims safe.
Notes to Editors
- Amanda Spielman is available for interview. Please contact Ofsted’s press office on 03000 131 673 to arrange.
- The six local authorities visited were Bracknell Forest, Cornwall, Derby City, Islington, Shropshire and York.
- Sexual abuse in the family environment may be perpetrated by a family member, including a child or adult sibling, or by a person close to, or known to, the family. This could be a family friend, a partner of a parent or other trusted adult.
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