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Caregiver support following the disclosure of child sexual abuse Annik Salome van Toledo

By: Material type: TextTextPublication details: 2010Description: electronic document (237 p.); PDF file: 10.23 MBOther title:
  • A thesis submitted in partial fulfilment of the requirements for the degree of Doctor of Clinical Psychology, Department of Psychology, The University of Auckland, 2010
Subject(s): Online resources: Summary: Children who have been sexually abused generally have better outcomes if they receive support from their caregivers. However, in the literature to date there has been little focus on the needs of the caregivers supporting their child and the ways these can be addressed. In New Zealand, the Accident Compensation Corporation (ACC) introduced a pilot programme in 2006 that aimed to support caregivers in their parenting following the disclosure of child sexual abuse (CSA) by providing education about CSA, assisting in management of their children, and teaching them coping skills. This thesis presents the findings of a programme evaluation carried out on the Parenting Support Pilot Programme implemented by ACC. This evaluation is the first large-scale study that has investigated an individual caregiver intervention that provides more than just psychoeducation. The programme was evaluated using an action research framework that included a needs assessment, process evaluation, outcome evaluation, and feedback given to ACC both during and at the completion of the pilot. Both qualitative and quantitative research methods were used, with an emphasis on interview data from consumers of the programme. The needs assessment was conducted on 60 paper files supplied by ACC and confirmed that support for caregivers is indicated following the disclosure of CSA. The process evaluation consisted of face-to-face semi-structured interviews with two ACC managers, two ACC peer reviewers, 11 ACC counsellors, and 10 caregivers. This evaluation produced recommendations to improve awareness and access to the programme, and identified the need for more sessions than prescribed for some caregivers. Despite some ongoing programme delivery issues, the impact evaluation, conducted via 57 telephone interviews with caregivers, showed that the programme was beneficial for most caregivers and their children. Specifically, the programme increased caregivers’ understanding of the impact of CSA on their child, improved caregivers’ ability to help their children, and helped them manage their own responses to the sexual abuse disclosure. (Author's abstract)
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Children who have been sexually abused generally have better outcomes if they receive support from their caregivers. However, in the literature to date there has been little focus on the needs of the caregivers supporting their child and the ways these can be addressed. In New Zealand, the Accident Compensation Corporation (ACC) introduced a pilot programme in 2006 that aimed to support caregivers in their parenting following the disclosure of child sexual abuse (CSA) by providing education about CSA, assisting in management of their children, and teaching them coping skills. This thesis presents the findings of a programme evaluation carried out on the Parenting Support Pilot Programme implemented by ACC. This evaluation is the first large-scale study that has investigated an individual caregiver intervention that provides more than just psychoeducation. The programme was evaluated using an action research framework that included a needs assessment, process evaluation, outcome evaluation, and feedback given to ACC both during and at the completion of the pilot. Both qualitative and quantitative research methods were used, with an emphasis on interview data from consumers of the programme. The needs assessment was conducted on 60 paper files supplied by ACC and confirmed that support for caregivers is indicated following the disclosure of CSA. The process evaluation consisted of face-to-face semi-structured interviews with two ACC managers, two ACC peer reviewers, 11 ACC counsellors, and 10 caregivers. This evaluation produced recommendations to improve awareness and access to the programme, and identified the need for more sessions than prescribed for some caregivers. Despite some ongoing programme delivery issues, the impact evaluation, conducted via 57 telephone interviews with caregivers, showed that the programme was beneficial for most caregivers and their children. Specifically, the programme increased caregivers’ understanding of the impact of CSA on their child, improved caregivers’ ability to help their children, and helped them manage their own responses to the sexual abuse disclosure.
(Author's abstract)