8.10.1 Guidance on Children who present with Harmful Sexual Behaviours
This guidance provides practitioners with a ‘working definition’ of harmful sexual behaviour when considering the actions of children and young people, and a brief overview of the features of behaviours that may be demonstrated. It also outlines the local service responses and referral guidance for HSB in Sussex.
Harmful sexual behaviour (HSB) is the umbrella term for those actions that are either:
• Sexually abusive, where there is an element of manipulation, force or coercion or where the subject of the behaviour is unable to give informed consent, or
Children’s sexual behaviour should be thought about as being on a continuum, ranging from healthy, through problematic, to abusive.
Defining what behaviours fit where on the continuum can be a difficult task and should be thought about within the context of the behaviour itself and the developmental situation of the child. A particular behaviour in one circumstance could be harmful whilst in another it may not.
Some suggestions about features of behaviour are given below as prompts.
Healthy Sexual Behaviours:
A number of checklists are available within the nice guidance which can assist in considering children and young peoples’ sexual behaviour
One tool recommended by NICE is the Brook Sexual Behaviours Traffic Light Tool which can assist assessment when considering children and young peoples’ sexual behaviours.
Children and young people’s use of IT equipment and social media is now widespread. The above prompts can also be used in connection with such behaviour. Accessing pornography may be problematic for children and could lead to them acting in abusive ways to others. Also, social networking and exchanging personal information and images with other children, young people and/or adults could expose the child to abuse and/or precipitate their own harmful behaviour. Again the specifics of the child/young person’s behaviour and its context will be important in determining what action to take.
Evidence shows that own victimisation by sexual abuse is a poor single explanation for why children/young people may present with HSB. The younger the child, with more serious/abusive behaviours, the more likely they are to have witnessed or experienced highly sexualised environments or actual abuse. However, even in these situations it is not always the case.
Other forms of victimisation – neglect, physical abuse – are as significant, as is witnessing domestic violence. However the possibility of child sexual abuse MUST be thoroughly and robustly investigated and the child given appropriate opportunities to discuss such a possibility.
Professionals should be open to the idea that disadvantage and/or traumatic experiences may be impacting on the child/young person’s behaviour and this may not necessarily be as a result of their own sexual abuse.
If you are concerned that a child/young person is presenting with HSB then speak to your manager or designated child protection lead. Action should be taken in accordance with child protection procedures: Making a Referral. Ultimately what action is taken to help the child should depend on, and be proportionate to, the type of behaviour being demonstrated and the child’s developmental stage and needs. These decisions should be taken in collaboration with the child/young person’s parents/carers.
Consideration should also be given to safeguarding children in contact with the child /young person who may be demonstrating harmful sexual behaviour, including siblings. See procedure on Children who Harm other children
Brighton and Hove:
The Clermont Family Assessment Centre has a team (TACT) which works with children and young people who display harmful sexual behaviour. A consultation from TACT/the Clermont should be considered when there is concern about a pattern of problematic sexual behaviour, the behaviour is abusive, or when it is believed that a specific intervention is required.
Assessment and Treatment Service (ATS): The ATS is a joint agency team which is based within the West Sussex Children and young people’s services (ChYPS), provided by Sussex Partnership NHS Foundation Trust. The Service is commissioned to work with young people under 18 with harmful sexual behaviours, working with young people who have convictions and those who do not. To meet ATS referral criteria the young person must be under 18, have a West Sussex Social Worker and be presenting with harmful sexual behaviour towards others.
Pathway to service
To contact the ATS to discuss a referral please call 01403 223 268.
ATS have devised a checklist for social workers to use in the early stages of the children and families assessment. This is designed as a tool to guide thinking and aid the gathering of important information to inform an initial multi-agency risk assessment, and risk management plan. The checklist can also be used by other professionals to guide thinking when working with children and young people who display HSB.
In East Sussex the SWIFT Service works with harmful sexual behaviour:
Any concerns about a child or young person not already known to Children’s Services should be reported via SPOA (Single Point of Access) 01323 464222 0-19.SPOA@eastsussex.gcsx.gov.uk.
SWIFT Specialist Family Service includes a multi-disciplinary team of workers who work with children, young people and families where there are concerns about sexual abuse, whether this relates to a young person with sexually harmful behaviour or an adult perpetrator. The service for children and young people with sexually harmful behaviours incorporates consultation, assessment and intervention. Interventions include individual and family work and support for the professional network in managing the child/young person. A consultation from SWIFT (sexual risk) should be considered when there is concern about a pattern of problematic behaviour, the behaviour is abusive, or when it is believed that a specific intervention is required.