This text presents the many challenges for the therapists working with children and adolescents who have suffered abuse. It covers the reluctance of victims to talk about the abuse, helping victims to work through resistance, and more.

Based on over 25 years of research, Child Sexual Abuse, Second Edition describes a premier, empirically supported treatment approach for children, adolescents, and non-offending parents/caregivers impacted by child sexual abuse. Developed to provide support and to alleviate symptoms and problem behaviors in children and adolescents, Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) for child sexual abuse incorporates treatment components that provide children and their caregivers with education and coping skills training, while simultaneously addressing the trauma. This book describes the nuts and bolts of treatment including trauma narrative development and processing activities that help to alleviate children's distress and feelings of shame associated with the abuse. Parents are also taught effective behavior management skills, and treatment often culminates with a focus on parent-child communication and enhancing safety and future development. This highly effective treatment model can be delivered in outpatient, school-based, residential, home, and/or group settings.

DR. OPPAWSKY provides in this book on sexual abuse treatment for children and adolescents authentic theory-based clinical activities to be used with children and teens in group or individual therapy. The connections to models and theory are for use by those clinicians and educators that want to deepen their understanding of what drives the treatment. Each chapter is focused around sensitive case vignettes, which tell the stories of the children and adolescents. Moreover, Dr. Oppawsky demonstrates in the vignettes the application of the activities and techniques used when treating these clients.

Comprehensive, authoritative coverage of the cognitive behaviour therapy interventions for all conditions seen in children and adolescents.

The enlightening collection of new approaches to understanding sexual abuse When sexual abuse occurs, helping those directly affected can be a difficult and convoluted task. The Handbook of Social Work in Child & Adolescent Sexual Abuse is a comprehensive guide that provides the latest information on assessment, management, prevention, and policy. Through insightful and accessible discussions, this collection of essays encompasses the full spectrum of child and adolescent sexual abuse to shed needed light on an affecting issue. This innovative text is the up-to-date source for unique and compassionate ways of supporting and treating survivors. The increased attention given to child sexual abuse in recent years has revealed how little we know about this tragedy. The Handbook of Social Work in Child & Adolescent Sexual Abuse is the practical compendium that covers the already existing information regarding violence against children and delves into practical methods for treating those immediately affected by it. From its historical place in society to contemporary issues of prevention that have only recently come to light, contributors examine essential details in-depth and provide concise, empirical directions for short- and long-term support. Also included is the important and newly-available assessment and treatment information focusing on ethnicity, gender, and comorbid influences as they relate to family member treatment. Among the topics discussed in the Handbook of Social Work in Child & Adolescent Sexual Abuse are: historical views of and responses to sexual abuse risk and protective factors life stage consequences theories of family dysfunction comorbidity and attachment intrafamilial abuse the non-family offender current empirical assessment methods approaches to treatment in children approaches to treatment in adolescents neurological effects of abuse treatment for the non-offending caregiver the role of the internet and other media policy and practice implications the prevalence and consequences of abuse new methods of abuse prevention and child protection the etiology of sexual offending in an attachment framework and much more! The Handbook of Social Work in Child & Adolescent Sexual Abuse is an essential resource for educators, medical practitioners, psychologists, psychiatrists, social workers, counselors, family therapists, and students, researchers, and academics in the field of social work.

DELIVERS AN EFFECTIVE, ENGAGING NEW TECHNIQUE FOR TREATING CHILDHOOD SEXUAL ABUSE Treating a confirmed or suspected case of childhood sexual abuse is undoubtedly one of the most challenging situations a clinician can face. This unique book, written by recognized experts on the evaluation and treatment of childhood sexual abuse, is the first to disseminate a comprehensive and integrative approach to treating child sexual abuse that combines the power of structured play therapy with cognitive-behavioral treatment. Created by the authors, game-based cognitive-behavioral therapy (GB-CBT) is a complete therapeutic package containing engaging techniques and effective strategies to treat the problems experienced by children and families impacted by sexual abuse. The book provides the rationale, underlying theory, and step-by-step instructions for providing GB-CBT to families affected by child sexual abuse. Detailed descriptions of evidence-based techniques and required materials are included, along with reproducible game boards and other items needed to implement activities. These structured therapeutic games and role-plays are enjoyable and provide multiple opportunities for children to learn and rehearse such skills as emotional expression, anger management, relaxation strategies, social skills, social problem solving, and cognitive coping. A detailed session framework complete with behavioral expectations and reward systems, along with illustrative case examples, further demonstrates how to implement GB-CBT. Also included are recommendations for effective and comprehensive assessment procedures. The book describes activities for individual, conjoint child--caregiver, and group therapy that can be used in a multitude of therapeutic environments and can be incorporated into clinical practice across a variety of orientations. Additionally, it includes information about cultural considerations critical for effective delivery with diverse populations. The book also contains strategies for training and educating students and clinicians about GB-CBT. KEY FEATURES Delivers an effective new method for treating child sexual abuse that combines structured play therapy with cognitive-behavioral therapy Written by the originators of GB-CBT, recognized experts in this field Designed for use in a variety of settings and with different therapeutic modalities Presents concrete strategies, step-by-step instruction, and required materials for treating problems related to child sexual abuse Includes illustrative case examples and a complete description of structured sessions with behavioral expectations and reward systems

If you′re looking for new and innovative ways of working with survivors of child and adolescent sexual abuse--or child/juvenile perpetrators of sexual abuse--then look no further. Mic Hunter and a talented team of professionals begin by offering concise, practical discussions on topics related to survivors, including managing self-regulation disorders in sexually abused boys, treating ritual abuse survivors, and inpatient treatment of adolescent survivors of sexual abuse. Next, the contributors focus on treating the child/juvenile offender, examining such issues as treating abuse reactive children, parallel treatment for parents of abuse reactive children, societal responses to sexually aggressive children, and identifying and responding to juvenile sexual abuse offenders. For each issue examined, contributors offer concrete directions for intervention. Written both for practitioners and advanced clinical students, this accessibly written volume will serve as a valuable resource. "This book is like going to a conference and getting all the best presentations. . . . Models a nice concrete technique for use with a problem population." --Sandra K. Hewitt, Ph.D., Private Practice, Edina, Minnesota "This excellent short paperback contains well-written, well-referenced chapters by leading figures in the field of child abuse and neglect, covering an ambitious range of topics involving child survivors as well as children who sexually abuse other children. This small book is a timely and important addition to the sexual abuse literature, and will be of particular interest to those professionals working with children and young people who show sexually coercive or abusing behaviour towards other children." --Eileen Vizard in Young Minds Newsletter "The book is subtitled "treatment innovations" and this sets the tone for its whole approach. This is a readable and practical book written for clinicians, and is obviously based on much solid clinical experience. The chapter on ritual abuse is particularly good, being both readable and thought provoking. It is a very thorough examination of the difficulties which can arise in working with severely abused people, and tackles very realistically the potential risks for both client and therapist, when working with very damaged individuals. The thorny issues surrounding the validity of recovered memories are also tackled extremely well. Overall the book is an excellent review of current understanding and treatment of sexually abused children and adolescents. However, clinicians working with adult survivors of abuse will also find much that is useful in the book." --Carol Sellars in Clinical Psychology Forum