A Qualitative Study of Psychosocial and Medical Care in German Childhood-Haus Facilities After Online Child Sexual Abuse.

As part of the EU-funded PROMISE Elpis project, this qualitative study examines psychosocial and medical care standards for children and adolescents affected by online child sexual abuse (OCSA) within German Childhood-Haus (CHH) facilities. OCSA, encompassing acts such as grooming, sextortion, and t...

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Publicado en:Journal of Child Sexual Abuse Vol. 35; no. 4; pp. 533 - 555
Autores principales: Horvay, Rita, Menhart, Rebecca, Helling-Bakki, Astrid, Stellermann-Strehlow, Kerstin, Winter, Sibylle Maria
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2026
Acceso en línea:Ver este registro en EBSCOhost
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      aug:
        au:
          Horvay, Rita
          Menhart, Rebecca
          Helling-Bakki, Astrid
          Stellermann-Strehlow, Kerstin
          Winter, Sibylle Maria
        affil: Charité – Universitätsmedizin Berlin, Berlin, Germany
      sug:
        subj:
          Child Abuse, Sexual Psychosocial Factors
          Child Abuse, Sexual Prevention and Control
          Internet
          Residential Facilities Germany
          Child Advocacy
          Human
          Funding Source
          Male
          Female
          Child
          Adolescence
          Germany
          Qualitative Studies
          Semi-Structured Interview
          Thematic Analysis
          Focus Groups
          Questionnaires
          Phenomenological Research
          Digital Media
          Mental Health Personnel Psychosocial Factors
          Health Personnel Psychosocial Factors
          Grooming
          Violence
          Quality of Health Care
          Multidisciplinary Care Team
          Psychological Trauma Therapy
          Child Care
          Purposive Sample
          Theoretical Sample
          Descriptive Statistics
          Comparative Studies
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: As part of the EU-funded PROMISE Elpis project, this qualitative study examines psychosocial and medical care standards for children and adolescents affected by online child sexual abuse (OCSA) within German Childhood-Haus (CHH) facilities. OCSA, encompassing acts such as grooming, sextortion, and the distribution of explicit materials, poses unique challenges due to its merge with other forms of abuse and the blurred boundaries between digital and physical abuse. The study seeks to identify existing practices, gaps, and areas for improvement in addressing OCSA. The method is based on semi-structured interviews with experts from psychosocial as well as medical care. These interviews were analyzed using structured content analysis. Results show that OCSA is often perceived as a comorbid condition accompanying physical abuse or legal cases, limiting systematic screening and intervention. Additional findings are the need for specialized training, standardized definitions and procedures regarding OCSA, and underscoring the importance of age- and developmentally appropriate, trauma-sensitive care for affected children and adolescents. Medical professionals report difficulty addressing OCSA cases because injuries may be invisible, while psychosocial teams cite insufficient training and the absence of standard protocols. The "metaphorical fog" surrounding OCSA – characterized by confusion about its scope and impact – exacerbates these challenges, complicating both diagnosis and treatment. Closing these gaps could improve the quality and consistency of care, enhancing recovery outcomes for affected children and reducing the long-term impacts of OCSA.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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