Dr. Jo Coombs, Clinic a l Psyc holog ist Ne urode ve lopme nt Se - - PowerPoint PPT Presentation
Child Se xual Abuse (CSA) in Pe ople Affe c te d by L e ar ning Disabilitie s (L D): ife span Impac t Ac r oss the L Dr. Jo Coombs, Clinic a l Psyc holog ist Ne urode ve lopme nt Se rvic e s (NdS), Your He a lthc a re (YH) 23 rd Ja nua
Ne urode ve lopme nt Se rvic e s (NdS), Your He a lthc a re (YH)
23rd Ja nua ry 2018
I nc re a se d risk a nd pre va le nc e is re la te d to a c o mple x inte rpla y
xpe c ta tio ns a nd a c tio ns o f o the rs
a rg e a nd c ha ng e a b le suppo rt ne two rks – lo ng -te rm d e pe nd e nc y
Impa c t of disa bility
a ppro pria te / ina ppro pria te so c ia l inte ra c tio n, re la tio nships, se xua lity a nd se xua l b o und a rie s. Co mmunic a tio n d iffic ultie s – c o mmunic a ting to o the rs a nd b e ing und e rsto o d .
e a se d De pe nde nc y on Othe r s – De pe nd e nc y o n o the rs fo r c a re a nd suppo rt,
inc lud ing intima te pe rso na l c a re ; d e pe nd e nc y ma y le a d to se nse o f po we rle ssne ss, a c q uie sc e nc e .
d ise mpo we rme nt, iso la tio n fro m so c ie ty.
tunity – L
a c k o f so c ia l a wa re ne ss a b o ut he a lthy re la tio nships, d e sire to b e ‘ no rma l’ a nd in a re la tio nship a t a ny c o st, limite d a nd c ha ng ing so c ia l suppo rt ne two rks.
xpe c ta tions a nd Ac tions of Othe r s: Ove rpro te c tio n o f pe o ple with le a rning
d isa b ilitie s le a d s to ‘ und e r-pro te c tio n’ ; b e lie fs o f o the rs a b o ut whe the r se xua l a b use c a n a ffe c t pe o ple with le a rning d isa b ilitie s – linke d to a ssumptio ns o f ‘ a se xua lity’ o f pe o ple with le a rning d isa b ilitie s; c a re r a s pe rpe tra to r – ma y b e se e n a s ‘ he ro ’ a nd no t b e lie ve d to b e a pe rpe tra to r; d ia g no stic o ve rsha d o wing – c ha ng e s a ttrib ute d to d isa b ility.
a r g e a nd Cha ng e a ble Suppor t Ne twor ks: Diffic ultie s e sta b lishing lo ng -te rm, trusting
re la tio nships with o the rs, sta ff turno ve r ma y inc re a se risk o f a b use a s suppo rte d b y lo ts o f d iffe re nt pe o ple , pre ssure o n time le a d s to mo re fo c us o n “d o ing ” ra the r tha n “b e ing ” with pe o ple with L D – re d uc e s trust-b uilding a nd o ppo rtunitie s fo r d isc lo sure a nd suppo rt.
ma tion a nd Suppor t: L
e ss like ly to re c e ive e d uc a tio n re la te d to se x, re la tio nships a nd se xua l b o und a rie s, limite d a c c e ssib le se rvic e s, la c k o f a wa re ne ss a b o ut se rvic e s.
Imbalanc e s, De pe nde nc y and Pr
Co ntinue d so c ia l disa dva nta g e pe rpe tua te inc re a se d risk o f ha rm a nd a b use . So c ia lly te nd to b e de pe nde nt
suppo rt whic h ma y me a n le ss like ly to a c c e ss a ppro pria te suppo rt. Diminishing re so urc e s in so c ia l a nd he a lthc a re se rvic e s ma y me a n mo re inc o nsiste nc y in so c ia l suppo rt, limite d o ppo rtunitie s fo r a ppro pria te so c ia l, e mo tio na l a nd he a lth suppo rt.
e gal Disadvantage : L
e g a l disa dva nta g e re la te d to individua l, c o mmunity a nd c ultura l fa c to rs (c o mmunic a tio n, b e lie fs a nd a ttitude s to wa rds pe o ple with L D fro m le g a l syste m, whe the r c o nside re d re lia b le witne sse s, a c c e ssib ility to g o o d le g a l a dvic e a nd re pre se nta tio n) a nd the diffic ultie s o f the g e ne ric le g a l syste m in kno wing ho w to c o mmunic a te with a nd suppo rt pe o ple with le a rning disa b ilitie s.
Physic al:
thig hs, b o tto m.
inte rc o urse , fre q ue nt urina ry a nd/ o r g e nita l infe c tio ns.
E motional and Be haviour al:
(e .g . a ng ry o utb ursts) a nd inte rna lising (e .g . withdra wal).
e a r o f g o ing o ut o r b e ing a lo ne , fe a r to wa rds c e rta in pe o ple a nd/ o r diffe re nt re a c tio ns to spe c ific g e nde rs.
dre ss).
urthe r Abuse : Childre n with le a rning disa b ilitie s who ha ve e xpe rie nc e d a b use b e c o me a dults who
ha ve e xpe rie nc e d a b use . T he inc re a se d risk a nd pre va le nc e o f a ll fo rms o f a b use in pe o ple with le a rning disa b ilitie s me a ns the y ma y e xpe rie nc e furthe r a b use la te r in life whic h c a n ha ve a c umula tive impa c t.
he a lth diffic ultie s a nd the e xpe rie nc e o f a b use furthe r c o mpo unds this risk.
a rly a b use c a n impa c t pe o ple ’ s vie ws o f the mse lve s, o the rs a nd the wo rld, inc luding the de ve lo pme nt o f trust a nd intima te / pe rso na l re la tio nships whic h e nha nc e a nd e nric h o ur live s.
How I se e and What I E xpe c t of Myse lf How I se e and What I E xpe c t of Othe r s How I se e and What I E xpe c t of the Wor ld
motiona l Suppor t fr
r uste d Othe r s: Ca n
impa c t po sitive ly o n pe o ple ’ s vie ws o f a nd trust in the mse lve s, the wo rld a nd o the rs. Ha ving g o o d , c o nsiste ntly a va ila b le a nd a ttune d suppo rt inc r
e a se s futur e r e silie nc e a nd like liho o d
tha t the pe rso n will a ppr
s for he lp if ne e d e d a g a in.
he r a pe utic Inte r ve ntions: Gro wing e vid e nc e fo r po sitive
impa c t o f a d a pte d the r
a pe utic inte r ve ntions to he lp pe o ple
with L D pro c e ss tra uma a sso c ia te d with CSA a nd o the r fo rms
he ra py a nd suppo rt c a n a lwa ys be a da pte d to suit the ne e d s o f a ny c hild , yo ung -pe rso n o r a d ult with a le a rning d isa b ility.
Suppor t: So me pe o ple with L
D a re a b le to a nd find it he lpful to o ffe r suppo rt to o the r pe o ple with L D who ha ve e xpe rie nc e d a b use . Pe o ple fe e l e mpowe r
e d b e ing in the
po sitio n o f “he lpe r” ra the r tha n a lwa ys b e ing “he lpe d ”.
c ommunic ation (ve rb a l,
iste n to the pe rso n a nd
ting Pe ople with L D who have E xpe r ie nc e d CSA: HE L PE D – Ge ne r al
re la tio nships with o the rs ma y b e le ss vulne ra ble to e xplo ita tio n. Suppo rt pe o ple with L D to d e ve lo p g o o d frie nd ships a nd a ppro pria te intima te a nd se xua l re la tio nships with o the rs, if the y c ho o se .
duc ation: He lp pe o ple to und e rsta nd the ir b o d y pa rts, ho w
the y a re use d , sa fe pra c tic e s re la te d to se x a nd se xua l b o und a rie s.
standing Pr ivac y: He lp pe o ple to und e rsta nd priva c y
re la te d to the ir b o d ie s a nd ho w this c ha ng e s with a g e a nd c o nte xt.
nc o ura g e pe o ple with le a rning d isa b ilitie s to ma ke c ho ic e s a nd sa y “no ” in a ll a re a s o f the ir life .
iste ning, T r ust and Suppor t: Ha ving trusting re la tio nships with
standing Rights: He lp pe o ple to und e rsta nd wha t the ir
rig hts a re , the ir rig ht to c o mpla in a nd ho w the y c a n d o this.
a re va lue d . T his ma y he lp the m to spe a k up in the c o nte xt o f a b use .
ting Pe ople with L D who have E xpe r ie nc e d CSA: HE L PE D – Ge ne r al
Stable & supportive work environment
People
Family / Carer
ting Pe ople with L D who have E xpe r ie nc e d CSA: HE L PE D – Re sponding to Abuse Disc losur e s
with L D a s yo u wo uld a ny o the r c hild, yo ung - pe rso n o r a dult;
pro c e ss – the re spo nse s o f o the rs to disc lo sure impa c ts o n psyc ho lo g ic a l pro c e ssing o f the e ve nt;
ink the m into L
D- spe c ific support se rvic e s,
inc luding a ppro pria te le g a l suppo rt;
re a sona ble a djustme nts;
inte rve ntio ns;
If yo u wo uld like to he lp a n a dult with a le a rning disa b ility a c c e ss suppo rt who ma y ha ve e xpe rie nc e d a ny fo rm o f a b use , yo u a re we lc o me to c o nta c t
Ne urode ve lopme ntal Se rvic e s (NdS) for pe ople with le arning disabilitie s: Hollyfie ld House 22 Hollyfie ld Road Surbiton KT 5 9AL T e l: 0208 339 8005 We b: http:/ / www.yourhe althc are .org/ se rvic e s/ ne uro- de ve lopme ntal-se rvic e s/
Ple a se g e t the pe rso n’ s c onse nt b e fo re sha ring info rma tio n a nd/ o r re fe rring the pe rso n to o ur te a m. Yo u a re we lc o me to c o nta c t us fo r a n info rma l disc ussio n a b o ut ho w we c a n he lp.
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