Active Research

Enhancing the capability of Australia’s Primary Health Workforce to respond to child sexual abuse

    • Response to child sexual abuse
    • Disclosure of child sexual abuse
    • Identification of child sexual abuse
    • Needs of victims and survivors
    • Understanding child sexual abuse
Research Topic areas 
  • Child sexual exploitation
  • Community awareness
  • Domestic & family violence
  • Drivers of child sexual abuse
  • Education
  • Harmful sexual behaviours
  • Intersection with other violence/victimisation
  • Mental health
  • Online abuse
  • Prevalence
  • Regional, rural & remote
  • Therapeutic responses
Project Duration
Start: June 2023
End: January 2024
Geographical Scope
Nation-wide
Populations
Victims and survivorsWorkforceOffenders/those engaging in child sexual abuse
All ages
Gender
All genders

Project Lead

Professor Andrea de Silva, The National Centre for Action on Child Sexual Abuse
Dr Natalia Krzyzniak, The National Centre for Action on Child Sexual Abuse
Project lead email: research@nationalcentre.org.au

Project Team

Stacy Oehlman, The National Centre for Action on Child Sexual Abuse

Background

General Practitioners and primary health workers and providers (the Primary Health workforce) work in an increasingly challenging and complex environment. They are central to contributing to improved short- and long-term health outcomes in communities across Australia for people with lived and living experience of child sexual abuse and/or adult sexual violence.

In July 2023 the National Centre for Action on Child Sexual Abuse (the National Centre) commenced a research project to assess what practice-based resources exist for developing the capacity of the Primary Health workforce to better respond to children and adults who have experienced sexual violence and abuse. The review included consideration of work already underway via the Primary Health Networks Family and Domestic Violence (FDV) pilots.

Aims

This study aims to identify and review existing and relevant practice resources available to and tailored for the Primary Health workforce, examining resource development (including scope and process) to identify existing gaps and inform the development of future resources targeted to GPs and primary health workers.

Methods

An initial environmental scan of existing relevant resources available to and within the primary health sector considering work underway via the Primary Health Networks FDV pilots. Informed by the National Centre’s National survey of Primary Health Networks and stakeholders, it considered resources which were:
• Published and/or edited within the past five years
• Developed and/or adapted for the Australian context
• Available for specific priority population groups
• Locally developed, place-based responses and resources (considering intersectionality and accessibility)
• Provided in a variety of formats
The scan also examined the availability of similar resources that are easily accessible and may overlap or be duplication.

Significance and Dissemination

General Practitioners and the broader Primary Health workforce play a critical role in improving responses for victims and survivors of child sexual abuse and adult sexual violence.

The research will inform the development of future resources across a three-year project ensuring they can be tailored to the context, role and operating environment of General Practice and Primary Health sector. These resources will assist the primary health workforce to develop the knowledge, skills, confidence and understanding needed to provide services that respond appropriately to victims and survivors of sexual abuse and violence.

Further Details

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Monitoring and governance:
This project is guided by oversight of a cross-representative Project Advisory Group, and the governance of the National Centre
Prevention of child sexual abuse

From bystanders to allies: a structural feminist perspective for supporting child victims and adult survivors of child rape and torture.

Emma Rees
Queensland University of Technology
Understanding child sexual abuse

Preventing child sexual abuse by understanding perpetrators’ motivations

Kelly Richards
Queensland University of Technology, School of Justice
Needs of victims and survivors

Supporting Victims and Survivors of Child Sexual Abuse: Rapid Evidence Reviews

Michaela Guthridge
The National Centre for Action on Child Sexual Abuse

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Child sexual abuse is a national health crisis that the National Centre is committed to addressing. Please join us in Reshaping the Conversation, a space for understanding, dialogue and collaboration in child sexual abuse response and prevention.

Understanding child sexual abuse

Preventing child sexual abuse by understanding perpetrators’ motivations
Supporting Victims and Survivors of Child Sexual Abuse: Rapid Evidence Reviews
Ngagagee Ngulu Murrup Durra (‘The Ngagagee project’)
Preventing repeat child exploitation material offending: An international evaluation of the CEM-COPE Program
Conceptualising and Estimating the Costs of Child Sexual Exploitation (Phase One of Australian Study into Economic Costs of Child Sexual Exploitation)
An environmental scan of Child Sexual Abuse related workforce training offerings in Australia
CHANGE – curtailing harm and navigating growth: evidence for change pathways of young people who have engaged in harmful sexual behaviour
Amplifying the voices of victim-survivors: Advancing the harmful sexual behaviour evidence base – the Ava project
Reshaping the Conversation: Development of a shared language and preferred definitions guide endorsed by victims and survivors of child sexual abuse
Building a knowledge frame for responding to the needs of children and young people who have engaged in harmful sexual behaviour
Children and Young People’s Safety Project
Child safe practices using contextual safeguarding strategies
The more I talk, the stronger I get: unlocking our past to free our future
Delivering trauma-informed support for child sexual abuse victims in Victoria: mapping the knowledge gaps and training needs of the specialist sectors
Online child sexual victimisation and associated mental health outcomes
Differentiating adverse childhood experience profiles of male youths who exhibit harmful sexual behaviours

Response to child sexual abuse

From bystanders to allies: a structural feminist perspective for supporting child victims and adult survivors of child rape and torture.
Supporting Victims and Survivors of Child Sexual Abuse: Rapid Evidence Reviews
Ngagagee Ngulu Murrup Durra (‘The Ngagagee project’)
Preventing repeat child exploitation material offending: An international evaluation of the CEM-COPE Program
Evaluation of the Multi-Agency Investigation & Support Team
Conceptualising and Estimating the Costs of Child Sexual Exploitation (Phase One of Australian Study into Economic Costs of Child Sexual Exploitation)
Effect of multi-agency deliberation on perceptions of risk in responses to child abuse and neglect
The Australian child sexual abuse attitudes, knowledge and response study
CHANGE – curtailing harm and navigating growth: evidence for change pathways of young people who have engaged in harmful sexual behaviour
Improving legal, policy and practice responses to the intersection of domestic violence perpetration and child sexual abuse offending
Investigating experiences of child sexual abuse disclosure and disbelief in the Family Court
Understanding the experiences of child sexual abuse disclosure in Australia in the wake of the Royal Commission
Building trauma-responsive sexual health and relationship education
Learning from victims and survivors about what helps disclosure and responses to child sexual abuse
Amplifying the voices of victim-survivors: Advancing the harmful sexual behaviour evidence base – the Ava project
The dignity by design project: survivor-led system redesign
Evaluating a harmful sexual behaviour education program in a residential care setting
Community as experts: investigating the context, needs and help-seeking pathways for child sexual abuse survivors and their supporters in the NSW Bega Valley
Developing and implementing a framework for abuse prevention through culture change and organisational development
Reshaping the Conversation: Development of a shared language and preferred definitions guide endorsed by victims and survivors of child sexual abuse
Building a knowledge frame for responding to the needs of children and young people who have engaged in harmful sexual behaviour
Australian Child Maltreatment Study
Children and Young People’s Safety Project
Child safe practices using contextual safeguarding strategies
Enhancing the capacity of rural and regional respectful relationship educators
Strengthening relationships and connections for young people in therapeutic residential care
The safeguarding capability of adults in Catholic Church ministries: a global perspective
Creating safer futures: raising public awareness of child sexual abuse among young adults through digital storytelling
Survivor perspectives on institutional use of child sexual abuse material
The more I talk, the stronger I get: unlocking our past to free our future
Delivering trauma-informed support for child sexual abuse victims in Victoria: mapping the knowledge gaps and training needs of the specialist sectors
Online child sexual victimisation and associated mental health outcomes
Differentiating adverse childhood experience profiles of male youths who exhibit harmful sexual behaviours

Needs of victims and survivors

From bystanders to allies: a structural feminist perspective for supporting child victims and adult survivors of child rape and torture.
Supporting Victims and Survivors of Child Sexual Abuse: Rapid Evidence Reviews
Ngagagee Ngulu Murrup Durra (‘The Ngagagee project’)
Evaluation of the Multi-Agency Investigation & Support Team
The Australian child sexual abuse attitudes, knowledge and response study
An environmental scan of Child Sexual Abuse related workforce training offerings in Australia
Improving legal, policy and practice responses to the intersection of domestic violence perpetration and child sexual abuse offending
Investigating experiences of child sexual abuse disclosure and disbelief in the Family Court
Understanding the experiences of child sexual abuse disclosure in Australia in the wake of the Royal Commission
Building trauma-responsive sexual health and relationship education
Learning from victims and survivors about what helps disclosure and responses to child sexual abuse
Amplifying the voices of victim-survivors: Advancing the harmful sexual behaviour evidence base – the Ava project
The dignity by design project: survivor-led system redesign
Supporting continuous quality improvement in safeguarding at Hockey Australia and other national sporting organisations
Evaluating a harmful sexual behaviour education program in a residential care setting
Community as experts: investigating the context, needs and help-seeking pathways for child sexual abuse survivors and their supporters in the NSW Bega Valley
Enhancing the capacity of rural and regional respectful relationship educators
Creating safer futures: raising public awareness of child sexual abuse among young adults through digital storytelling
Survivor perspectives on institutional use of child sexual abuse material
The more I talk, the stronger I get: unlocking our past to free our future

Prevention of child sexual abuse

From bystanders to allies: a structural feminist perspective for supporting child victims and adult survivors of child rape and torture.
Preventing child sexual abuse by understanding perpetrators’ motivations
Ngagagee Ngulu Murrup Durra (‘The Ngagagee project’)
Preventing repeat child exploitation material offending: An international evaluation of the CEM-COPE Program
Conceptualising and Estimating the Costs of Child Sexual Exploitation (Phase One of Australian Study into Economic Costs of Child Sexual Exploitation)
The Australian child sexual abuse attitudes, knowledge and response study
An environmental scan of Child Sexual Abuse related workforce training offerings in Australia
CHANGE – curtailing harm and navigating growth: evidence for change pathways of young people who have engaged in harmful sexual behaviour
Evaluating a harmful sexual behaviour education program in a residential care setting
Developing and implementing a framework for abuse prevention through culture change and organisational development
Building a knowledge frame for responding to the needs of children and young people who have engaged in harmful sexual behaviour
Australian Child Maltreatment Study
Strengthening relationships and connections for young people in therapeutic residential care
Differentiating adverse childhood experience profiles of male youths who exhibit harmful sexual behaviours

Identification of child sexual abuse

From bystanders to allies: a structural feminist perspective for supporting child victims and adult survivors of child rape and torture.
The Australian child sexual abuse attitudes, knowledge and response study
An environmental scan of Child Sexual Abuse related workforce training offerings in Australia
Supporting continuous quality improvement in safeguarding at Hockey Australia and other national sporting organisations
Evaluating a harmful sexual behaviour education program in a residential care setting
Developing and implementing a framework for abuse prevention through culture change and organisational development
Children and Young People’s Safety Project
The safeguarding capability of adults in Catholic Church ministries: a global perspective

Disclosure of child sexual abuse

Ngagagee Ngulu Murrup Durra (‘The Ngagagee project’)
The Australian child sexual abuse attitudes, knowledge and response study
An environmental scan of Child Sexual Abuse related workforce training offerings in Australia
Improving legal, policy and practice responses to the intersection of domestic violence perpetration and child sexual abuse offending
Investigating experiences of child sexual abuse disclosure and disbelief in the Family Court
Understanding the experiences of child sexual abuse disclosure in Australia in the wake of the Royal Commission
Learning from victims and survivors about what helps disclosure and responses to child sexual abuse
Supporting continuous quality improvement in safeguarding at Hockey Australia and other national sporting organisations
Community as experts: investigating the context, needs and help-seeking pathways for child sexual abuse survivors and their supporters in the NSW Bega Valley