JUST IN CASE
You need professional help
If you were sexually exploited, a runaway,
and/or abducted, you may greatly benefit from the help of a knowledgeable and
experienced professional counselor.
The act of running away usually results from a
combination of unresolved family problems and individual problems. Counseling
can be helpful in identifying these issues, reducing the impact of the problems,
and preventing future runaway incidents. Counseling should address all events
that occurred during the runaway incident, as runaway teens are at high risk for
substance abuse, sexual exploitation, and physical abuse.
When you have been sexually exploited, see a
therapist as soon as possible after the incident. Therapy can help you
understand that you aren’t to blame and can help you cope with the often
overwhelming feelings of guilt and shame that some victims have. While physical
evidence of sexual abuse is often lacking, you should still be examined by a
physician to make sure that you haven’t been physically injured during the
incident.
If you were abducted by a noncustodial parent
or family member, reunification counseling may need to address your feelings of
separation or loss from the abductor parent. Your custodial parent may find it
difficult to talk with you about such feelings, in light of any anxiety or anger
that he or she may have toward the abductor. Counseling can make it easier to
discuss and work through such reactions.
If you were the victim of a nonfamily
abduction, reunification counseling should begin with an evaluation of the
impact of the event upon both you and your family as well as an assessment of
your family’s coping skills. While family counseling fosters the communication
essential to rebuilding family life, individual counseling for you may be
necessary to address fears and traumatic experiences that you may be reluctant
to express in a family setting.
Where Do I Find a
Therapist or Physician? Many communities have special programs for
treating child-sexual exploitation or have therapists and physicians with
experience in this treatment area. As services to families of missing children
represent a relatively new field, however, it may be difficult to find
therapists with this specialized training in your community. You may find
reputable therapists through the below-noted organizations in your community.
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Nonprofit service providers serving
families of missing or exploited children. |
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Local psychological or psychiatric
association referral services. |
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University departments of psychology or
psychiatry. |
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Child abuse hotlines. |
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Child protective services agencies. |
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Rape crisis or sexual assault centers. |
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Family court services or court-appointed
special advocates (CASA) programs. |
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Crime victims assistance programs in the
police department or prosecutor’s office. |
Be sure to seek a therapist or physician who
has knowledge of the legal issues involved in child-sexual exploitation and/or
abduction including laws about reporting sexual victimization and procedures
used by the police and protective services for evidence collection and expertise
testimony in your state.
What to Look for in a
Therapist. In order to be helpful to
you, a therapist needs to have training and experience in dealing with
child-sexual exploitation and abuse or issues related to family reunification.
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Your therapist should have an advanced
degree in a recognized mental health specialty such as psychiatry,
psychology, social work, counseling, or psychiatric nursing. Make sure that
your therapist is licensed to practice as a therapist in your state. |
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If you have run away or been abducted, your
therapist should have specific knowledge about the consequences to a teen
and his or her family following a disappearance, legal issues surrounding
child search, and recovery and family reunification. Therapists with proper
degrees and credentials who lack this specific knowledge may be useful if
they are willing to seek educational materials on these topics. |
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If you have been sexually exploited or
abused, your therapist should have special training in child-sexual abuse
and exploitation, know how it affects children and adults, understand how to
place responsibility on the exploiter, and have a treatment plan. |
What to Look for in a
Physician. When seeking medical
assistance, your physician should have the following:
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Board certification in a relevant medical
specialty such as family practice or obstetrics/gynecology. Board
certification means that the doctor has had specific training and experience
in that area of medicine after medical school and then passed an examination
in that specialty. |
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Particular experience in conducting medical
evaluations of teens for sexual exploitation. Teen sexual exploitation cases
may involve complex issues regarding diagnosis, evidence collection, and
treatment for sexually transmitted diseases. |
Dealing With Your
Therapist or Physician. When you have
located a therapist or physician, you should ask about his or her experience and
training in dealing with your particular problem. If you aren’t satisfied,
seek another professional. Even if you pay a reduced fee or receive services at
no cost, you have the right to have a therapist or physician with the proper
training and experience. You may wish to express a preference for a male or
female therapist or physician.
Discuss your situation openly, completely, and
honestly. Trust your feelings. You should feel comfortable with the therapist or
physician, even if the examination or assessment process creates feelings of
guilt or shame. If you aren’t comfortable with your therapist or physician,
openly discuss this discomfort with your therapist or physician. If this
discussion doesn’t produce positive change, seek another therapist or
physician.
Provide a complete history so that the
professional can properly assess and treat you. Try to cooperate as fully as
possible. Ask questions if you don’t understand what’s happening.
Discuss the fees for examination, and find out
what’s covered by any health insurance benefits that you may have. Ask for a
written statement that explains the basis for charges. Your police department or
prosecutor’s office can tell you if your state has a crime victims assistance
program that will pay for the necessary counseling and medical treatment.
Note: All
medical professionals and therapists have a code of ethics they must follow.
It’s always wrong for any professional to be abusive or act in a sexual way
with a client. If you believe that your therapist or physician is acting
inappropriately or isn’t keeping you informed about the assessment and
treatment, discuss your concerns openly. If this discussion doesn’t produce
positive change, talk to his or her supervisor or contact a professional or
medical association for more help. Don’t stay in a therapy situation that
makes you uncomfortable.
Adapted and reprinted with permission
from Just in case…Parental guidelines in finding professional help in case
your child is missing or the victim of sexual abuse or exploitation.
Copyright © 1990 National Center for Missing and Exploited Children. All rights
reserved.
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