Research paper submitted to Victoria University of Wellington in partial fulfilment of the requirements for the degree of Master of Public Policy. Available for loan from Victoria University Library.

This thesis examines the prevalence and impact of childhood sexual abuse, and the responses of the main health agencies involved in the treatment of sexual abuse. The author argues that women who have been sexually abused as children can have a variety of reactions to the abuse both in the short- and long-term; thus policies developed in the area of sexual abuse need to be flexible enough to deal with a spectrum of needs. The author suggests that a separate team of specialist staff from across the health system, who solely work with victims of sexual abuse, would provide the best services to victims. The author recommends that a clear statement of the responsibility of mental health services be made; those without a co-existing mental health disorder still receive counselling; there be a defined policy dealing with victims of sexual abuse who have mental health problems so that clients have all their needs met; and best practice guidelines, along with clinical standards, be established for the treatment of sexual abuse victims.

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