New Zealand Medical Journal 114(1136), 27 July 2001 : 334-335

The research discussed in this article explored referrals to medical evaluations in Auckland and the children's and primary carers' experiences of those evaluations. Semi-structured interviews were conducted with children and young people who had made clear disclosures of sexual abuse, their primary carers and the social workers involved. Results indicate more than 90% of children alleging penetration or attempted penetration were referred for a medical evaluation, but less than two-thirds of children alleging oral genital or digital contact abuse were referred. Although the majority perceived the medical practitioners positively, many also commented on the distressing nature of the examinations, the photographs of children's genitalia and lack of preparation for those examinations. It was concluded that a need exists for improved preparation of children and their primary carers for medical evaluations. Furthermore, it was suggested there should be ongoing discussion between referring agents and medical practitioners to ensure protocols are updated and adhered to.--AUTHOR'S ABSTRACT