26-Jul-2014
Luna Dewan
  

BANGALORE : As alleged child sexual abuse cases are being reported from all 
across the country, it has been learnt that a proper procedure to handle such 
cases has been missing. In order to address this rising need, Bangalore-based 
National Institute of Mental Health and Neurosciences (NIMHANS) has come up 
with a protocol-based and comprehensive child centric approach to handle child 
sexual abuse (CSA) cases.
Over the past years, the Department of Child and Adolescent Psychiatry at 
NIMHANS has received several children with CSA issues. When they come for help 
after visiting to the Child Welfare Committee, police station, the hospital, by 
then, the child would have already been subjected to questioning on multiple 
occasions and therefore to re-traumatization. There are many areas which have 
to be systematically addressed - the child's reaction to the abuse, ensuring 
the child's immediate safety, medical and mental health needs of the child, the 
concerns of the family including social stigma.
As per the protocol prepared by the Department of Child and Adolescent 
Psychiatry at NIMHANS, they have specific ones for the families, for the 
schools, for the police and for the media. Following the Protection of Children 
from Sexual Offences Act 2013 (POCSO) mandates, families can seek for emergency 
medical services (EMS) within 24 hours of filing the FIR. EMS are provided by 
state Registered Medical Practitioners (RMP) in government hospitals and only 
in absence of such an agency the child will be referred to other sectors. Where 
the Special Juvenile Police Units (SJPU) work in collaboration with government 
hospitals, the detailed inquiry can be completed in one sitting.
Once the medical examination is over, the Department of Child and Adolescent 
Psychiatry, NIMHANS can offer combined therapeutic and forensic interviewing to 
assist both the healing of the child and the necessary justice processes. 
According to the protocol, in children with symptoms, they work through trauma 
by encouraging expression of feelings regarding the abuse, validating 
experiences, and teaching personal safety. In very young children, this is done 
through art and play work. The support given by the parent helps in 
facilitating better healing of the victimized child.
At the school level, preventive workshops, personal safety workshop, life 
skills education can help as preventive strategies. However, when an incident 
takes place the system should have a clear protocol for response. Unless the 
school has a trained counselor or CSA expert, it should not attempt to 
interrogate the child. This needs to be done by trained experts. Furthermore, 
preparation needs to be made to receive the child back to the school in natural 
and non-stigmatizing ways so that the child re-integrates comfortably.
Police forms an important part of the process. In the immediate aftermath of 
trauma, when there is non -availability of a trained person within the police 
forces for sensitive interviewing of the child, they need to refer to an expert 
where forensic interview protocols are followed in the context of healing 
interventions. Police need to be cognizant that interview processes involving 
children cannot be hastened as it can exacerbate the trauma and be detrimental 
to the child's well-being. Meanwhile, the media must protect the identity and 
privacy of the child without heightening their trauma by repeated and sometimes 
intrusive queries.
http://www.dnaindia.com/bangalore/report-nimhans-brings-new-protocol-for-child-abuse-cases-2005466
                                                                                
                                          

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