COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) English	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Chinese_Traditional	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Chinese_Simplified
COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Hatian_Creole	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Spanish	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Portuguese
COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Arabic	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Thai	COMMERCIAL SEXUAL EXPLOITATION OF CHILDREN (CSEC) Vietnamese

NAC FAMILY BROCHURE English	NAC FAMILY BROCHURE Chinese_Traditional	NAC FAMILY BROCHURE Chinese_Simplified
NAC FAMILY BROCHURE Hatian_Creole	NAC FAMILY BROCHURE Spanish	NAC FAMILY BROCHURE Portuguese
NAC FAMILY BROCHURE Arabic	NAC FAMILY BROCHURE Thai	NAC FAMILY BROCHURE Vietnamese

NAC SAIN BROCHURE English	NAC SAIN BROCHURE Chinese_Traditional	NAC SAIN BROCHURE Chinese_Simplified
NAC SAIN BROCHURE Hatian_Creole	NAC SAIN BROCHURE Spanish	NAC SAIN BROCHURE Portuguese
NAC SAIN BROCHURE Arabic	NAC SAIN BROCHURE Thai	NAC SAIN BROCHURE Vietnamese

NAC INTERNET SAFETY BROCHURE English	NAC INTERNET SAFETY BROCHURE Chinese_Traditional	NAC INTERNET SAFETY BROCHURE Chinese_Simplified
NAC INTERNET SAFETY BROCHURE Hatian_Creole	NAC INTERNET SAFETY BROCHURE Spanish	NAC INTERNET SAFETY BROCHURE Portuguese
NAC INTERNET SAFETY BROCHURE Arabic	NAC INTERNET SAFETY BROCHURE Thai	NAC INTERNET SAFETY BROCHURE Vietnamese

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RESOURCES FOR PARENTS & CAREGIVERS

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Recommended Reading	Description of Each Book

Responding to a disclosure of abuse from a child:

• Stay calm. Hearing that the child has been abused can bring up powerful emotions, but if you become upset, angry, or out of control, this will only make it more difficult for the child to disclose.
  
  
• Believe the child, and let the child know that he or she is not
  to blame for what happened.
  
  
• Protect the child by getting him or her away from the abuser
  and immediately reporting the abuse to local authorities.
  
  
• Get help. In addition to getting medical care to address any physical damage the child may have suffered (including sexually transmitted diseases), it is important that your child have an opportunity to talk with a mental health professional who specializes in child sexual abuse.  Non-offending caregivers and family members (siblings) should also get mental health support post-disclosure.
  
  
• Reassure the child you will do everything you can to try to
  keep them safe.
  
  
• Don’t make promises you can’t keep (such as saying you won’t
  tell anyone about the abuse).
  
  
• Keep your child informed about what will happen next,
  particularly with regard to legal actions.
  

Sexual Development and Behavior in Children	What to Do If Your Child Discloses Sexual Abuse

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RESOURCES FOR MEDICAL PROFESSIONALS

• Parents/ caregivers who suspect that their child has been abused, often first turn to their primary doctor/ care provider (PCP) for guidance and support. When a physical exam is indicated, there are several options to consider.

• If you feel comfortable conducting the physical exam yourself, then this can be an ideal option for families.

• Should the exam require more specialized expertise and/or evidence collection, the NAC has a Pediatric Sexual Assault Nurse Examiner (Pedi SANE Nurse) on site who can conduct a medical exam. This medical exam is not painful or invasive and provides
  an opportunity for the child and family to be linked to other important services and resources.

• This exam diagnoses and treats medical conditions that may be related to sexual abuse, reassures the child about their body, documents any possible physical and forensic findings and facilitates collection of evidence that may be present on the child’s body or clothing. In addition, should the case go to trial, the SANE is then available to provide court testimony.
  
  
• Though many providers are accustomed to automatically refer these cases to an emergency department setting, this is not always necessary or even optimal. Once a 51A gets filed, these cases are then funneled to a CAC to facilitate a forensic interview, so it
  can often make sense for families to initiate care at a CAC
  rather than an ER.
  
  
• However, should the child require emergent evaluation during times that the SANE is not available and/or treatment of acute injury, you should refer to a hospital setting.
  

Norfolk County Medical Referral Process for Patients 11 Years and Younger Who Have Been Sexual Assaulted/Abused

Massachusetts Pediatric SANE Contact List

Sexual Assault Nurse Examiner Program Designated Sites and Staff Contact Information

1. Rigorously screen all employees and volunteers by conducting criminal background, Sex Offender Registry and DCF checks;
2. Check references; do a google search and/or social media search
   of applicants;
3. Limit one-on-one interactions with adults and children by having
   at least two adults present with a child at all times;
4. Monitor behavior of staff and child to child interactions and potential risk situations;
5. Have a clear reporting structure in your organization;
6. Inform/educate parents of child abuse reporting policies, encourage them to talk to their kids about their safety, encourage parents to visit the program and make sure parents know who to contact if there are any concerns.

Policies should clearly define how organizations respond to reports of abuse and should include state regulations on mandated reporting.

Children’s Trust has a Manual for Massachusetts Educators “Designing and Implementing a School Reporting Protocol”
www.childwelfare.gov/pubs/usermanuals/educator/educator.pdf

National Child Traumatic Stress Network offers guides and briefs for developing and implementing trauma informed policies for child and family-serving systems. www.nctsn.org/sites/default/files/assets/pdfs/
Service_Systems_Brief_v1_v1.pdf

EDUCATION & TRAINING FOR
SCHOOLS AND YOUTH-SERVING AGENCIES