Götzl Christian, Pichlmeier Sebastian, Walter Teresa, Stickel Marius, Jud Andreas, Streb Judith, Dudeck Manuela
Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany; Department of Psychosomatic medicine and psychotherapy, Ulm University, Ulm, Germany.
Department of Forensic Psychiatry and Psychotherapy, Ulm University, Ulm, Germany.
Child Abuse Negl. 2025 Feb;160:107212. doi: 10.1016/j.chiabu.2024.107212. Epub 2024 Dec 30.
Holistic approaches to preventing child sexual abuse (CSA) such as German Safeguarding Programs integrate comprehensive analysis, intervention, prevention, and evaluation efforts and can be used to address CSA in youth-serving organizations (YSOs). To date, little is known about how adults who have committed CSA in YSOs in the past (i.e., offenders), adults who identify as being at risk of committing CSA in YSOs (i.e., potential offenders), and therapists experienced in treating such (potential) offenders view these programs.
To evaluate whether (potential) offenders and therapists consider holistic approaches such as Safeguarding Programs as effective for protecting children in YSOs. Additionally, their views on potential additional measures and barriers or facilitators to implementing Safeguarding Programs were investigated.
In an exploratory qualitative study that used a vignette approach, Safeguarding Programs were presented in problem-centered interviews to (potential) offenders (n=6) and therapists experienced in the treatment of (potential) offenders (n=5). Participants provided extensive feedback, which was analyzed by a qualitative content analysis.
Participants emphasized that to be effective, the interrelated measures of Safeguarding Programs need to be implemented comprehensively, not just in isolation. (Potential) offenders reported that a clear code of conduct in YSOs can be particularly helpful in controlling CSA related behavior. Addressing preventive help-offers within Safeguarding Programs may facilitate help-seeking in (potential) offenders.
Results may help to guide further development Safeguarding Programs and other holistic approaches. The study highlights the importance of involving (potential) offenders when developing preventive measures.
预防儿童性虐待（CSA）的整体方法，如德国保障计划，整合了全面的分析、干预、预防和评估工作，可用于解决青少年服务组织（YSO）中的CSA问题。迄今为止，对于过去在YSO中实施过CSA的成年人（即犯罪者）、认为自己有在YSO中实施CSA风险的成年人（即潜在犯罪者）以及有治疗此类（潜在）犯罪者经验的治疗师如何看待这些计划，人们了解甚少。
评估（潜在）犯罪者和治疗师是否认为诸如保障计划之类的整体方法对保护YSO中的儿童有效。此外，还调查了他们对潜在的额外措施以及实施保障计划的障碍或促进因素的看法。
在一项采用案例 vignette 方法的探索性定性研究中，在以问题为中心的访谈中向（潜在）犯罪者（n = 6）和有治疗（潜在）犯罪者经验的治疗师（n = 5）介绍了保障计划。参与者提供了广泛的反馈，并通过定性内容分析进行了分析。
参与者强调，为了有效，保障计划的相关措施需要全面实施，而不仅仅是孤立实施。（潜在）犯罪者报告说，YSO中明确的行为准则对控制与CSA相关的行为特别有帮助。在保障计划中提供预防性帮助可能会促进（潜在）犯罪者寻求帮助。
研究结果可能有助于指导保障计划和其他整体方法的进一步发展。该研究强调了在制定预防措施时让（潜在）犯罪者参与的重要性。
