Identifying and responding to CSE in Wales

1. Identifying and responding to CSE in Wales 31st October 2013 Lorna Price, Designated Doctor, Safeguarding Children Service Presenter: Lorna Price Designated Doctor, Safeguarding Children Service

2. “For children over ten, sexual exploitation is the most pressing and hidden child protection issue in this country” Anne Marie Carrie, Chief Executive Barnardos Tackling Child Sexual Exploitation: Action Plan 2011 Lorna Price, Designated Doctor, Safeguarding Children Service

3. Child Sexual Exploitation: Definition The coercion or manipulation of children and young people into taking part in sexual activities. It is a form of sexual abuse involving an exchange of some form of payment which can include money, mobile phones and other items, drugs, alcohol, a place to stay, ‘protection’ or affection. All Wales CSE Protocol 2008 Safeguarding Children's Service Lead GP Lorna Price, Designated Doctor, Safeguarding Children Service

4. The vulnerability of the young person and grooming process employed by perpetrators renders them powerless to recognise the exploitative nature of relationships and unable to give informed consent. • All Wales CSE Protocol 2008 Safeguarding Children's Service Lead GP Lorna Price, Designated Doctor, Safeguarding Children Service

5. How many are children affected in the UK? • Last year Barnardo's services worked with 1,452 children and young people who had been sexually exploited. • The true number is likely to be much higher. For victims, the pain of their ordeal, fear that they will not be believed, fear of their abusers and of the CJ process means they are often too scared to complain. Lorna Price, Designated Doctor, Safeguarding Children Service

6. Grooming Control and reinforcement Abusive relationship/sexual exploitation (Trafficking) • Targeting • Relationship building • Fake loving relationship/friendship Lorna Price, Designated Doctor, Safeguarding Children Service

7. The Abuser • The abuser, male or female, exploiting children or young people has some kind power over them; be it their age, gender, intellect, physical or financial means. Lorna Price, Designated Doctor, Safeguarding Children Service

8. Vulnerability Factors • Low self esteem • History of childhood abuse or neglect • Family history of Domestic Abuse • Break down of family relationships • Lack of a positive relationship with safe adult • Unsuitable/inappropriate accommodation • Socially isolated Lorna Price, Designated Doctor, Safeguarding Children Service

9. Risk Indicators Staying out late Multiple callers (unknown adults / older young people) Living independently and not keeping in touch with worker Mobile phone use that causes concerns Use of internet that causes concern Drug / alcohol misuse Expressions of despair (self–harm, overdose, eating disorder, challenging behaviour, aggression) Lorna Price, Designated Doctor, Safeguarding Children Service

10. Risk indicators Exclusion from school or unexplained absences from school or not engaged in college / training / employment/ Disclosure of abuse followed by withdrawal of complaint STI Pregnancy Lorna Price, Designated Doctor, Safeguarding Children Service

11. Significant Risk Indicators Periods of going missing for overnight or longer ‘Boyfriend’ relationship with a controlling adult Emotional abuse by the controlling adult Injuries without an explanation Entering / leaving vehicles driven by unknown adults Unexplained amounts of money, clothing other items Frequenting areas known for prostitution Lorna Price, Designated Doctor, Safeguarding Children Service

12. Thistle DVD Safeguarding Children's Service Lead GP

13. All Wales Sexual • Exploitation • Risk Assessment • Form (SERAF) • Stratifies risk • Used by Social • Services in Wales • and in some SRH • Clinics. Safeguarding Children's Service Lead GP Lorna Price, Designated Doctor, Safeguarding Children Service

14. Statutory Guidance January 2011 Supplements Safeguarding Children: Working Together Under the Children Act (Working Together) published 2007 Supports All Wales Protocol: Safeguarding and Promoting the Welfare of Children who are at Risk of Abuse through Sexual Exploitation (AWCPP 2008) Lorna Price, Designated Doctor, Safeguarding Children Service

15. Strategy Meetings • A multi-agency strategy meeting must be convened for children at moderate or significant risk of CSE in order to; • share and clarify information; • identify risks and agree on action to address each risk; • consider possible action against perpetrators; • develop a written plan to safeguard the child or young person; • agree a date to review the plan within three months and be clear about where individual responsibilities lie; • decide who will undertake direct work with the child or young person to enable recovery. Lorna Price, Designated Doctor, Safeguarding Children Service

16. Nazir Afzal: Chief Crown Prosecutor, North West England “Sexual assault is the great crime of our time and the silence makes it invidious. It’s the kind of crime that prefers darkness and we need to shine a light on it, and for that we all share a responsibility. Every community worker, professional and neighbour has a duty not to stay silent.” Lorna Price, Designated Doctor, Safeguarding Children Service

17. http://www.barnardos.org.uk/cc126b-barnados-lft-englishversion-_web__final_version.pdfhttp://www.barnardos.org.uk/cc126b-barnados-lft-englishversion-_web__final_version.pdf • Available @ www.barnardos.org.uk Lorna Price, Designated Doctor, Safeguarding Children Service