Rigorously Evaluating Approaches to Prevent Adult-Perpetrated Child Sex Abuse

摘要 学校员工犯下的CSA是一个普遍且未经治疗的公共卫生问题，影响了10%的人 学前班的学生有几个具体的干预措施，已制定，以防止学校雇员 在减少儿童受害者人数方面，对CSA和无CSA进行了严格的评估。这项拟议的研究是 对学校雇员性虐待初级预防方案进行评估， 不当行为，以及对学生的剥削，使创造和维护安全文化的责任 儿童对成人。开发了预防计划- Praesidium的Armatus®学习保护- 基于对青少年服务组织中成人对儿童性虐待的根本原因分析， 一个高影响的预防干预的承诺。Praesidium Armatus©学习保护使用八管齐下的 安全的方法，并教导成年人必须采取什么政策，如何执行政策，谨慎雇用 和筛选新员工，解决和阻止性和身体越界， 承认边界过境点是性虐待的门户，并监测违反边界的工作人员 （c）制定反映这些行为严重性的规定和行为守则以及适当的制裁措施。 Praesidium Armatus© Learn to Protect的拟议评价-随机嵌套混合析因 以个人水平和学校水平特征作为干预剂量内的嵌套因素的设计， 采用多阶段随机整群抽样的方法，从三个保险项目中抽取样本， 包括95个学区，包括407所小学，90所中学，129所高中， 学校，69所混合年级学校和68所独立，特许，专业学校将确定治疗和 控制参与者。学校将被随机分配到治疗（Armatus©学习保护过程和 培训：第二年）和延迟干预控制（第二年没有流程或培训; Armatus© 第3年保护）。在第一年，每个抽样学校/地区将被评估为安全准备，包括 现行政策、培训、招聘/筛选做法和内部沟通系统。事前事后措施 包括主要结果指标（警察人数、第九条和学校雇员保险索赔报告 学生的性虐待，工作人员自我报告的边界行为，）和次要指标的倾向， 危险行为（员工对员工和学生之间界限的态度，旁观者效能和意图， 报告）。这项研究有可能提供证据，可以使Praesidium Armatus学会 保护第一个以证据为基础的计划，以防止成年犯下的CSA的学生。 1

Abstract School employee perpetrated CSA is a pervasive and untreated public health problem that effects 10% of PreK-12 students. There are few specific interventions that have been developed to prevent school employee CSA and none have been rigorously evaluated for reducing the number of child victims. This proposed study is the evaluation of a program for the primary prevention of school employee perpetrated sexual abuse, misconduct, and exploitation of students that places the responsibility of creating and maintaining safe cultures for children on adults. The prevention program – Praesidium’s Armatus® Learn to Protect – was developed based upon root cause analysis of adult to child sexual abuse in youth serving organizations and offers the promise of a high impact prevention intervention. Praesidium Armatus© Learn to Protect uses an eight-pronged approach to safety and teaches adults what policies must be in place, how to enforce policies, careful hiring and screening of new employees, addressing and stopping sexual and physical boundary crossing, acknowledging boundary crossings as gateways to sexual abuse, and monitoring staff who violate boundary requirements and codes of conduct with appropriate sanctions that reflect the seriousness of these actions. The proposed evaluation of Praesidium Armatus© Learn to Protect – a randomized nested mixed factorial design with individual-level and school level characteristics as nested factors within intervention dosage, the between-subjects component, and time – employs multi-stage random cluster sampling from three insurance pools which include 95 school districts containing 407 elementary schools, 90 middle schools, 129 High Schools, 69 mixed grade schools, and 68 independent, charter, specialized schools will identify treatment and control participants. Schools will be randomly assigned to treatment (Armatus© Learn to Protect process and training: Year two) and delayed intervention control (no process or training in year two; Armatus© Learn to Protect in year 3). In year one, each sample school/district will be assessed for safety readiness to include current policies, training, hiring/screening practices, and internal communication systems. Pre-post measures include primary outcome indicators (number of police, Title IX, and insurance claim reports of school employee sexual abuse of students, staff self-report of boundary behaviors,) and secondary indicators of propensity for risky behaviors (staff attitudes toward boundaries between staff and students, bystander efficacy and intent to report). This study has the potential to provide evidence that could make Praesidium Armatus© Learn to Protect the first evidence-based program for prevention of adult perpetrated CSA of students. 1