Child advocacy center based group treatment for child sexual abuse

Grace S. Hubel, Christopher Campbell, Tiffany West, Samantha Friedenberg, Alayna Schreier, Mary Fran Flood, David J. Hansen

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


The present study examines initial symptom presentation among participants, outcomes, and social validity for a group treatment for child sexual abuse delivered at a child advocacy center. Participants were 97 children and their nonoffending caregivers who were referred to Project SAFE (Sexual Abuse Family Education), a standardized, 12-week cognitive-behavioral group treatment for families who have experienced child sexual abuse. Sixty-four percent of children presented with clinically significant symptoms on at least one measure with established clinical cutoffs. Caregivers of children who presented with clinically significant symptoms reported more distress about their competence as caregivers. Children who presented as subclinical were more likely to have experienced intrafamilial sexual abuse. Posttreatment results indicated significant improvements in functioning for all children who participated in treatment, with greater improvements reported for children who initially presented with clinically significant symptoms. Overall, the program was rated favorably on the posttreatment evaluation of social validity.

Original languageEnglish (US)
Pages (from-to)304-325
Number of pages22
JournalJournal of Child Sexual Abuse
Issue number3
StatePublished - Mar 4 2014


  • Child maltreatment
  • Community-based
  • Intervention

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pathology and Forensic Medicine
  • Clinical Psychology
  • Psychiatry and Mental health


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