1. Child Sexual Exploitation (CSE) STOP SHIFT Awareness Session “See Something - Say Something”

2. What is CSE
Sexual Exploitation of children and young people under the age of 18 involves exploitative situations where the young person receives ‘something’ such as food, accommodation, drugs, alcohol, cigarettes, affection, gifts, money as a result of them performing, and /or another or others performing on them sexual activities.
It is an abuse of vulnerability
It can involve trafficking from one place to another for the purpose of sexual exploitation
No-one can consent to exploitation

3. Child Sexual Exploitation
Can occur through the use of technology without the child’s immediate recognition for example being persuaded to post images on the internet / mobile phones without immediate payment or gain
Violence, coercion and intimidation are common, involvement in exploitative relationships is characterised by the child or young persons limited availability of choice
A common feature of CSE is that the child does not recognise the coercive nature of the relationship and does not see themselves as a victim of exploitation. To begin with the Child will very often feel ‘special’.

4. Types of CSE
Single adult or lone adult perpetrator – who has inappropriate power or control over a young person – likely to be a significant age gap. The young person may believe they are in a loving relationship
The Boyfriend model and peer on peer exploitation – Perpetrator befriends and grooms a young person into a relationship and coerces them to have sex with friends and associates
Elements of organised / networked sexual exploitation or trafficking – Young people are passed through networks of offenders, possibly between towns and cities where they may be coerced into sexual activity with multiple men. Also, victims may be used as agents to recruit other children and young people

5. A Shared Responsibility:
Be alert to potential indicators of abuse or neglect
Be alert of the risks of harm that individual abusers or potential abusers may pose to children
Do not believe all you are told with out evidence

6. Some Risk Factors to Look out For
Regular coming home late, missing or staying out overnight without explanation
Overt sexualised dress
Sexualised risk taking including on the internet
Associating with unknown adults
Reduced contact with support i.e. friends and family
Experimenting with drugs and or alcohol
Changes to usual pattern of social media use
Poor self image
Eating disorders
Superficial self harm
Attendance at GU Med or CASH
Being seen in CSE hotspots
Non attendance at school or exclusion
Repeat offending
Multiple miscarriages or abortions / Sexually Transferred Infections (STIs)
Don’t assume a man in attendance at Hospital with a child is the father – ask and seek assurance
Adult Boyfriend / Girlfriend

7. Role of the Health Professional
See Something
Say Something

8. What to do…
If you are concerned that a child or young person is at immediate risk of harm then you should dial -
999 and tell the Police
If you have any information which might help protect a child you should dial  
To make a referral to the Children’s Multi-Agency Safeguarding Hub (MASH) download and complete the Multi-Agency Referral Form from the Rotherham Council website or telephone and in TRFT Safeguarding Site on InSite
( after 5:30pm or weekends) – members of the public should use the telephone number

9. TRFT Support RCCG Safeguarding Team – 01709 302172
Multi Agency Safeguarding Hub (MASH) Sam Davies, Deputy Designated Nurse –
Sarah Upton, CSE Specialist Nurse – contact 01709 822954

10. Historic Cases Publication of the Jay Report
If anyone has concern, or knows of issues that could have been raised more assertively in the past, even if that is only with the benefit of hindsight, please contact Chris Edwards, Sue Cassin or Catherine Hall
If anyone is working with victims of CSE and needs access to clinical supervision and / or support, please contact your Line Manager or the Safeguarding Team