Dr. Behçet Uz Children's Hospital, University of Health Sciences , İzmir, Turkey.
J Child Sex Abus. 2020 Aug-Sep;29(6):627-637. doi: 10.1080/10538712.2019.1703234. Epub 2020 Feb 10.
Child sexual abuse (CSA) requires multidisciplinary approach by forensic, social, and medical services, thus Child Advocacy Centers (CACs) have been established to evaluate CSA cases in Turkey. At CACs the social needs of children are assessed by social workers. Protective and supportive injunctions (PSIs) are considered at each step of evaluation and are proposed to child courts. This study aimed to evaluate PSIs at a local CAC, which is one of the leading CACs in Turkey. The study group consisted of children and adolescents exposed to CSA admitted to Izmir CAC between April 2014 and April 2015. Socio-demographic characteristics, social investigation reports, psychiatric reports, and proposed PSIs were evaluated. The rate of social investigation necessity was 28.3% (n = 113), and the rate of being proposed for at least one PSI was 24.3% (n = 97). The most common proposed injunctions were maintenance care injunctions (n = 47; 48%) and counseling injunctions (n = 46; 47%). The rate of proposed PSIs was significantly higher in adolescents, incest cases and abuse types including penetration than in the other groups. This is the first study to evaluate PSIs in the child protection system. Our results provide data about the risk groups that need PSIs among the victims of CSA cases.
儿童性虐待（CSA）需要法医、社会和医疗服务的多学科方法，因此在土耳其建立了儿童倡导中心（CAC）来评估 CSA 案件。在 CAC，社会工作者评估儿童的社会需求。在评估的每一步都考虑保护和支持令（PSI），并向儿童法庭提出建议。本研究旨在评估土耳其领先的 CAC 之一的当地 CAC 的 PSI。研究组由 2014 年 4 月至 2015 年 4 月期间因 CSA 而被送往伊兹密尔 CAC 的儿童和青少年组成。评估了社会调查报告、精神病学报告和拟议的 PSI。社会调查必要性的发生率为 28.3%（n=113），至少提出一项 PSI 的发生率为 24.3%（n=97）。最常见的建议是维持护理令（n=47；48%）和咨询令（n=46；47%）。与其他组相比，青少年、乱伦案件和包括渗透在内的虐待类型的拟议 PSI 发生率显著更高。这是第一项评估儿童保护系统中 PSI 的研究。我们的研究结果为 CSA 案件受害者中需要 PSI 的风险群体提供了数据。
