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Gurjit Mann and Debbie Southwood. Barnardos We work directly with over 115,000 children, young people and their families every year We run 394 projects.

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Presentation on theme: "Gurjit Mann and Debbie Southwood. Barnardos We work directly with over 115,000 children, young people and their families every year We run 394 projects."— Presentation transcript:

1 Gurjit Mann and Debbie Southwood

2 Barnardos We work directly with over 115,000 children, young people and their families every year We run 394 projects 235 projects are working with families where child sexual abuse is an issue for some 25 projects work predominantly in the area of child sexual abuse, sexual exploitation and harmful sexual behaviours

3 First Step Young Peoples Counselling Service Dudley Amazon Young Peoples Counselling Service Birmingham SOFAH Services organised For Families Affected by HIV/AIDS Birmingham Space For children and young people abused through sexual exploitation AMAZON Counselling and support services for vulnerable children, young people and their families Solihull Counselling Service for young people 5 – 13 who are victims of abuse

4 Amazon Service Users Amazon provided counselling in the Birmingham, Dudley and Solihull to 266 individuals last year. 17% were male, 83% female 39% from ethnic minority backgrounds Ages: 22% U 10 40% % % Parents/carers

5 Amazon Service Users 10% on CPR 11% Looked After 6% with special needs Referrals: 32% Self/family 30% Social Workers 14% Health/CAMHS 11% Voluntary Orgs 8% Schools 5% YOS/Police/Other

6 Our Main Outcomes Be Healthy Stay Safe

7 Introduction and Initial Assessment The first meeting provides information about the service to the service user, including a range of policies and procedures that support the work The counsellor also completes an initial assessment that explores with the service user the nature of their circumstances and their expectations of counselling The service user has an informed choice about whether they wish to take up counselling at this time

8 The work The counsellor usually provides one session per week for each service user Amazon offers a variety of therapeutic approaches within a person centred philosophy – tailored to meet the individual needs of each service user using a range of techniques The work of the counsellor also includes liaising with social workers, teachers, health professionals, and other supporting agencies, and may involve participation in safeguarding/ professionals meetings.

9 Reviews and Closure Reviews of the work occur at regular intervals, 6-12 sessions, as agreed at the planning stage of the work Evaluation is built in to the review and closure process and may involve an Outcome Monitoring evaluation process and feedback from relevant others The closure of the case is planned through the reviewing system, or in consultation with the counsellor

10 Expert of their own story What is in the past What is in the here and now Moving forward

11 What is in the past Importance of the initial assessment What went wrong Themes: attachment issues, poverty and debt, poor communication, trauma, multiple abuse

12 What is in the here and now Guilt Feelings Context/environment Their own experiences Themes: exploring inner world and redefining, identifying strengths and coping mechanisms, identifying external factors that can be influenced

13 Moving forward Strengths and coping mechanisms - building self esteem and confidence Changing behaviours – homework Working with others to support changes and prevent further abuse – family work

14 Anitas story Anita is a 15 year old girl of South Asian origin who was raped at the age of 13. She is currently in residential care, the only Asian young person in the unit She is the eldest of two children and parents are busy running a paper shop/off license, working long hours Both children were raised by elderly Jehovah witness neighbours. There has been very little contact with the extended family Parents used gold jewelry as a reward and confiscated it as a form of punishment. Anita had gone missing on two occasions but returned each time saying she had been living with a group of Eastern Europeans where she claims to have had unprotected sex, as well as abused drugs and alcohol.


16 What is in the past Rape Parents being very busy Isolation from extended family Communication difficulties Confusion about identity

17 What is in the here and now In residential care Confused about her identity High levels of anxiety Anger Risky sexual behaviour Going missing Abusing alcohol and drugs Low self esteem Feels isolated and rejected Communication difficulties

18 Moving forward Agreement to engage in counselling – completed introductory meeting and initial assessment and agreement meeting Therapeutic relationship building – trust building exercises Self esteem work – integral throughout – work on self respect/protection/recognition of exploitation Identity – based on own frame of reference Effective communication – expression without getting angry Anger relationships – recognise the source of anger

19 Exercise *

20 Taylor Family Kirsty, 15 Laura, 13 Jason, 4 Mum – Jean, 42 Dad – Martin, 41 Jim. 14

21 The past The past: Kirsty raped on the way to school when 13 – post traumatic stress disorder and self harming Communication difficulties Both parents depressed and on medication Kirsty, Jim and Laura depressed Favouritism to some children

22 Taylor Family Kirsty, 15 Laura, 13 Jason, 4 Mum – Jean, 42 Dad – Martin, 41 Jim, 14

23 Here and Now Kirsty – self harming, not focusing on school work, pent up anger often focused on her father, not talking to sister since abuse (2 years) Family – no routines, debts, poverty, poor communication, Jim aged 14 with undiagnosed Aspergers and self harming, parents relationship had broken down, mum about to leave, overcompensating Kirsty, sibling issues

24 Moving forward Kirsty (15 years) learning to communicate exploration of her situation recognition of what needed to change eg anger towards father and sister, control of mother Laura (13 years) Recognising impact on her of family situation Changing her behaviour to brother Jason (4) Mum Recognising family dynamics and her contribution Exploring her relationship with husband and children

25 Moving forward – cont. Dad To explore situation and avoid him leaving the family His contribution to change – being a Dad Blame and shame Relationship difficulties with children especially Jim Jim (14) Communication needs Recognition of his condition Jason (4) His place within the family Family To function as a family Use of family meeting Meet over meals

26 Feedback At the final review, Jean said: Everyone is talking a lot more. There is more laughter. We are going out as a family. The children are more helpful. We are talking more and shouting less. All due to counselling. Kirsty and Laura are now talking, after not doing so for a couple of years. Martin and Jim are getting on better. Kirsty is more confident, Martin is making more of a effort with his children and is less angry and grumpy. Martin and I are closer, and we feel much closer to the children.

27 A family that can cope

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