Child sexual abuse : An investigation of aspects of policy, practice and prevalence in greater Manchester.

This study is exploratory in nature with the central aim of increasing understanding and adding to the body of information relating to the management of child sexual abuse. Its primary focus is on issues of practice as seen from the perspectives of key professionals from social services, police, health authorities, NSPCC and voluntary societies who work in this field. Three major aspects are explored: investigation, interprofessional collaboration and continuing care after it has been established a child has been sexually abused.A qualitative research methodology is used based on 42 indepth interviews with key informants ranging from managers through to front line practitioners selected from the County of Greater Manchester.The study demonstrates the complexity and emotiveness of the issues involved in the management of child sexual abuse and the resulting impact on professionals and the effects of the impact on practice and interprofessional relationships. It highlights the influence of the present legal system on many aspects of practice. It points to the need for an increase in resources to deal with every stage of intervention but especially therapy.The study concludes with a discussion of the aspects that would benefit from further research. It is suggested that closer consideration of the place of specialism in child sexual abuse, the appropriate skills and training, the coordination of care and the emphasis of care would help improve practice and set priorities within a climate of scarce resources.