A survey of intrafamilial sexual abuse treatment centers: Implications for intervention

Abstract

This study was devised to determine the attitudes of treatment professionals regarding desirable therapeutic approaches for intervening in incestuous family systems. A survey of treatment centers currently providing services for the treatment of intrafamilial sexual abuse in the United States was undertaken. A questionnaire was developed to ascertain preferred methods and modalities of treatment of family sexual abuse. Current methods of treatment were identified and inquiries were made regarding what programs presently offer in terms of treatment. An inventory of 30 questions was mailed to 58 treatment professionals and/or treatment programs included in the study. A response rate of 62% was achieved. Treatment centers primarily offered treatment for family sexual abuse on an outpatient basis and staff composition was interdisciplinary in nature (psychology, nursing, marriage and family therapy, social work and psychiatry). An average of 137 cases of family sexual abuse were treated annually per treatment program, with the daughter or the stepdaughter being the family member most often sexually abused. Further findings were the following: (1) treatment programs stressed group treatment for offenders as the most effective therapeutic intervention, yet group treatment of offenders was not offered by treatment programs as frequently as other types of treatment; (2) an interdisciplinary team approach to treatment of incest cases was preferred, suggesting the need for more than one therapist working with each family sexual abuse case: (3) court intervention was seen as necessary to facilitating the treatment process by 79% of the 36 questionnaires returned; (4) family therapy was expressed as a preferred and essential component to the treatment process with incest cases—yet actual implementation of family therapy treatment was clearly not uniform across treatment programs; (5) the most critical finding of this survey is that there was a consensus among clinicians that there is no one sequence of treatment, and that it varies according to the specifics of each family. Regardless of theoretical orientation, the majority of respondents believe that a comprehensive family systems approach is advantageous to the goal of determining whether the family can and wants to rehabilitate itself.