How does COVID-19 impact intrafamilial child sexual abuse? Comparison analysis of reports by practitioners in Israel and the US

Child Abuse Negl. 2021 Jun;116(Pt 2):104779. doi: 10.1016/j.chiabu.2020.104779. Epub 2020 Oct 19.

Abstract

Background: There is consensus in child sexual abuse (CSA) literature that intrafamilial child sexual abuse (IFCSA) has a tremendous impact on children and families while simultaneously creating challenges for practitioners. COVID-19 impacted countries worldwide and generated a global crisis resulting in impacts on daily life, however, it's effect on IFCSA is unknown.

Objective: This study aimed to compare professional perspectives and experiences working with IFCSA with respect to the context of the COVID-19 pandemic within the United States and Israel.

Participants and setting: Participants were therapeutic, child welfare and legal professionals, who provided services to children involved in IFCSA.

Methods: This qualitative cross-cultural comparative study analyzes professional experiences of IFCSA during COVID-19 based on an open-ended questionnaire answered online, with 37 responses from the US and 23 responses from Israel.

Results: Findings reveal mostly negative changes in the dynamics of IFCSA families during COVID-19, including financial, environmental, and emotional hardships, as well as some positive changes in the relationships among family members. In terms of professional interventions, concerns were raised that COVID-19 has been detrimental to the disclosure of IFCSA, with plummeting child abuse reports. Further, risk and benefits of transferring to internet based or telephonic therapeutic interventions were shared.

Conclusions: Governmental and community efforts are needed to develop a safety net of protective factors to reduce IFCSA risks and increase resiliency during the COVID-19 pandemic and future global crises. Moreover, enhanced strategies to accessing and supporting families remotely such as using technology could improve identification and response to IFCSA.

Keywords: Bi-national comparison; COVID-19; Intrafamilial child sexual abuse; Professional interventions.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • COVID-19*
  • Child
  • Child Abuse, Sexual* / psychology
  • Disclosure
  • Family Relations
  • Female
  • Health Personnel / psychology
  • Humans
  • Israel
  • Male
  • Middle Aged
  • Pandemics
  • Qualitative Research
  • SARS-CoV-2
  • Surveys and Questionnaires
  • United States