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

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Title: A Qualitative Study of Psychosocial and Medical Care in German Childhood-Haus Facilities After Online Child Sexual Abuse.
Authors: Horvay, Rita1 (AUTHOR), Menhart, Rebecca1 (AUTHOR) rebecca.menhart@charite.de, Helling-Bakki, Astrid1 (AUTHOR), Stellermann-Strehlow, Kerstin1 (AUTHOR), Winter, Sibylle Maria1 (AUTHOR)
Source: Journal of Child Sexual Abuse. May2026, Vol. 35 Issue 4, p533-554. 22p.
Subject Terms: *Children's rights, *Qualitative research, *Focus groups, *Research methodology, *Digital media, *Child care, *Comparative studies, Child sexual abuse & psychology, Prevention of child sexual abuse, Treatment of emotional trauma, Research funding, Medical personnel, Violence, Medical quality control, Interviewing, Questionnaires, Statistical sampling, Internet, Judgment sampling, Descriptive statistics, Thematic analysis, Phenomenology, Mental health personnel, Residential care, Psychosocial factors, Personal grooming, Health care teams
Geographic Terms: Germany
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Sexual Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: A Qualitative Study of Psychosocial and Medical Care in German Childhood-Haus Facilities After Online Child Sexual Abuse.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Sexual+Abuse%22">Journal of Child Sexual Abuse</searchLink>. May2026, Vol. 35 Issue 4, p533-554. 22p.
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– Name: Abstract
  Label: Abstract
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  Data: 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. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Journal of Child Sexual Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/10538712.2026.2661997
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 22
        StartPage: 533
    Subjects:
      – SubjectFull: Children's rights
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Focus groups
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Digital media
        Type: general
      – SubjectFull: Child care
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Child sexual abuse & psychology
        Type: general
      – SubjectFull: Prevention of child sexual abuse
        Type: general
      – SubjectFull: Treatment of emotional trauma
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Medical personnel
        Type: general
      – SubjectFull: Violence
        Type: general
      – SubjectFull: Medical quality control
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Judgment sampling
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Phenomenology
        Type: general
      – SubjectFull: Mental health personnel
        Type: general
      – SubjectFull: Residential care
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Personal grooming
        Type: general
      – SubjectFull: Health care teams
        Type: general
      – SubjectFull: Germany
        Type: general
    Titles:
      – TitleFull: A Qualitative Study of Psychosocial and Medical Care in German Childhood-Haus Facilities After Online Child Sexual Abuse.
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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