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16 INFORMATION/KNOWLEDGE
SHARING 39 THE LOCAL COMMUNITY
What are the challenges? What are the challenges?
46 IMPLEMENTATION
47 EVALUATION
48 LITTERATURE
5
INTRODUCTION
6
Sexual abuse traumatizes people. It leaves its imprints that are not easily erased. Imprints that
may have far-reaching consequences for the conditions of life for the survivors, for their rela-
tives and for society in a wider sense. No one deserves to pay the high price that comes in the
wake of sexual abuse. With this new strategy the Government of Greenland is going to develop
and implement initiatives to prevent future assaults and provide help and support for everyone
in need. No matter if you have been exposed to childhood sexual abuse, if you are an adult, a rel-
ative or a professional the best possible help must be procured and this help must be custom-
ised, readily available and holistic. It is not enough to initiate isolated interventions for individu-
als exposed to sexual abuse. Everyone is part of a bigger context that we need to take into ac-
count and include in order to make changes.
The goal of the strategy is to create positive changes and reduce the number of sexual assaults.
This is to be done in cooperation between the citizens, professionals and politicians in the coun-
try. Thus, the potential for making a real difference and securing a better future for our children
is big. With mutual help, ongoing awareness and determined action in the area the goal is to cre-
ate positive changes. Even though sexual abuse leave its imprints on people it is possible to get
on with your life after being exposed to sexual abuse and have a good life.
7
FUNDING
The initiatives of the strategy are to be developed within the economic framework already
allocated to the area. In the social sector resources have been earmarked for the work against
sexual abuse, and in the fields of health service and education the measures against sexual
abuse are incorporated into existing priorities in the respective fields.
TARGET GROUPS
Sexual abuse does not just affect survivors of sexual abuse. On the contrary, sexual abuse
affects a broad and very diverse range of people and sectors. That is why the Government of
Greenland intends to initiate a holistic approach that reaches out to all relevant individuals and
operators. Therefore, the target group for the strategy is broad as the model below illustrates:
CHILDREN
EXPOSED
TO SEXUAL SURVIVORS
NGO’S ABUSE OF CHILDHOOD
SEXUAL ABUSE
CHILDREN
AND YOUNGSTERS
THE SOCIETY WITH SEXUALLY
OFFENDING
BEHAVIOR
TARGET
GROUPS
POTENTIAL
RELATIVES
SEX OFFENDERS
POTENTIAL
PROFESSIONALS
VICTIMS
DISABLED
INDIVIDUALS
THE
EXPOSED TO
JUSTICE AREA
SEXUAL
PSYCHIATRY ABUSE
8
The justice area is shown in purple in the the Correctional Services, the police and the
model since this area is still under Danish courts of justice. A strengthening of initiatives
administration and is, therefore, a Danish field against sexual abuse necessitates involve-
of responsibility. Accordingly, it is the respon- ment and engagement by the justice area
sibility of the Government of Denmark to which is why it is important to regard the
safeguard the justice area which comprises justice area as a particular target group.
AN INTERDISCIPLINARY APPROACH
Apart from affecting a wide range of people that they take responsibility and involve the
there is also a wide and varied band of profes- Correctional Services, the police, the local
sional sectors affected by sexual abuse. There courts and the Danish authorities. To secure a
is still a lot of taboo and reluctance to deal wide implementation of the strategy and
with sexual abuse among professionals, and achievement of the strategy’s goals a collec-
the roles and responsibility of different pro- tive approach is necessary. It is, therefore,
fessional groups are not always evident. The critical that the justice area – including the
social services cannot accomplish the job Danish authorities – endorses the work and
alone. The health services and the educational incites an increased cooperation across pro-
sector are also important operators in the fessional sectors. An achievement of the
work against sexual abuse, partly because of strategy’s goals requires, among other things,
relevant initiatives within their own areas and that the Danish authorities take on full re-
partly because there are many interfaces be- sponsibility for the procurement of available
tween the three sectors that are important to treatment options for convicted sex offend-
focus on. There is a need for a close coopera- ers of the same quality as Danish available
tion between the three authorities in the de- treatment options for the target group. As the
velopment and implementation of initiatives justice area is still under Danish administra-
against sexual abuse. The strategy is based on tion, the initiatives of the strategy targeted at
strong interdisciplinary cooperation across sex offenders focus on the reintegration of
professional sectors in order to secure a more this group of people in their local community
holistic outcome with greater knowledge shar- after serving time. Thus, it is very important
ing between relevant professionals and more that the different authorities work closely to-
qualified initiatives for affected citizens. gether regarding initiatives for sex offenders
to ensure the best possible outcome for the
An advisory group is linked to the strategy
target group
with representatives from the social services,
the health services, the educational sector, the Sexual abuse constitutes a societal problem
five municipalities, the police, the Correctional and necessitates a close cooperation between
Services, the local courts, the justice area, MIO many different operators regarding preven-
(a children’s rights institution) and the Center tion, treatment and follow-up initiatives. A
For National Guidance. The advisory group joint effort is crucial to achieve the goal of
takes part in developing, qualifying and reducing the number of sexual assaults.
implementing the initiatives of the strategy. However, with the magnitude of the problem
it will take time to reach the goals. It is a long
The justice area carries a particular responsi-
struggle that demands continuous attention
bility as regards the implementation of initia-
and action over a long period of time.
tives within the justice area, where it is crucial
9
WHAT DO WE KNO
SEXUAL ABUSE I
The amount of sexual assaults is big in Green- enerations and the results stress the
g
land. Various surveys suggest that more than importance of recording decline in the number
one third of the Greenlandic population has of sexual violations for each birth cohort when
been exposed to some kind of sexual assault. the initiatives of the strategy are to be
evaluated.
In these surveys, it varies how the number
of assaults is assessed but the results are In addition to the indications from various sur-
identical. The survey ”The Complicated veys among the population the high number of
Adolescence” suggests that 32% of girls and sex crimes testifies to a huge amount of sexu-
9,4% of boys have been exposed to sexual al abuse. Compared to Denmark the frequency
abuse by a peer and/or an adult while the of reports to the police about sexual assaults
survey ”Young People in Greenland – with a is 10 times higher in Greenland, where 50 re-
focus on sexuality and sexual abuse” states ports per 10,000 inhabitants were registered
that 33% of women and 33% of men did not in 2015 vs. 5 reports per 10,000 inhabitants in
wish for anything sexual to happen in their Denmark. Simultaneously, many sexual
first sexual encounter with another person. assaults are never reported to the police and,
thus, there is a high number of unreported
The population surveys suggest that there are
cases that we need to take into account. Only
significant differences in the occurrence of
about one third of the cases of sexual abuse
sexual abuse between different birth cohorts.
are reported to the police and about half of
For people born between 1975-1989 results
these reports result in a conviction.
from the population surveys show an occur-
rence of sexual assaults of about 40% while In most cases the victim knows his/her of-
the number of sexual assaults drops to about fender who is often a relative or a member of
20 % for people born in the 1990’s. Thus, the local community. The personal relation-
there is an indication that the number of ship to the offender complicates reporting of
sexual assaults is declining with the new the assault which is in many cases kept secret.
10
OW ABOUT
IN GREENLAND?
DEFINITION OF SEXUAL ABUSE
In the strategy, sexual abuse is understood as acts of a both physical and non-physical nature
which the child is unable to understand or misunderstands and which the child mentally is not
ready to give its consent to. Being exposed to sexual abuse the child’s trust is exploited by the
person committing the assault and the integrity of the child is offended. Sexual abuse in an
expression of the offender’s needs and it takes place on the offender’s terms. In other words,
sexual abuse is any act or activity of a sexual nature that oversteps the victim’s boundaries.
The sexual act may manifest itself through indecent exposure, fondling, consummated inter-
course or other sexual interaction. Most sexual assaults are committed by adults against chil-
dren but surveys from abroad show that about one third of assaults against children and young
people are committed by other children and young people. In these cases the acts are not pun-
ishable but they can still have serious implications for both the victim and the offender. Conse-
quently, sexual assaults committed by children and young people against other children and
young people are also a specific focal point of the strategy. No figures exist to assess the exten-
siveness of this problem in Greenland but the many requests for help in cases of children and
young people offending other children and young people indicate the seriousness of the problem
here as well.
11
Thus, it is important not to address sexual the country that need to be taken into account
abuse as an isolated problem. On the contrary, when designing future initiatives and projects
sexual abuse must be regarded within a larger against sexual abuse. For instance, surveys
social and societal context that calls for show that the occurrence of sexual abuse is
action at various levels by varying operators. higher in settlements compared to towns and
Furthermore, the measures to reduce sexual higher in Eastern Greenland than in Western
abuse are manifold and it is not possible to Greenland. Consequently, future initiatives
implement the same initiatives in all local must take local conditions, opportunities and
communities in Greenland and get positive needs into account in order to achieve the
outcomes. There are big social, cultural, best possible results.
logistic and socio-economic variations across
12
You can always turn a depressing
childhood into something positive.
Arnannguaq, survivor of sexual abuse
14
It is as if I have found happiness again.
After receiving therapy I know myself again.
I still got lots to work on but it is as if I have
overcome the biggest challenge. I have more energy
and I can see the light in my life.
15
INFORMATION/
KNOWLEDGE SHARING
OA L:
G
THE INFORMATION EFFORT
TOWARDS THE POPULATION CONCERNING
SEXUAL ABUSE MUST BE INCREASED,
TARGETED AND STRENGTHENED.
A NEED FOR MORE KNOWLEDGE ABOUT the taboo and inspire freer dialog about
SEXUAL ABUSE abuse. Accordingly, the informational effort
Although sexual abuse as a topic has been ar- towards the population must have an ongoing
ticulated more and more over the last couple focus on dialogue and detabooing of the topic.
of years there is a big need for more informa- It is necessary to move away from the guilt
tion in the area. Many people do not know how and shame which is often associated with sex-
to notify the authorities or how to get help in ual abuse and instead focus on the courage
cases of sexual abuse. Moreover, profession- and the resources that are also present. The
als across different sectors request more strategy wants to involve role models actively
knowledge and better tools to identify signs in the work against sexual abuse to secure an
and deal with cases of sexual abuse. Informa- ongoing detabooing of the topic and to show
tion efforts with a short-term approach are the public that it is possible to get on with
not enough to secure positive changes. In a your life after being exposed to sexual abuse.
survey on sexual abuse in Greenland 65 % of Many informational campaigns on sexual
the participants stated that they could not re- abuse portray the offender as a big, bad wolf
call a campaign or any other information on attacking his victims. In this way, a very clear
sexual abuse that had left a particular impres- positioning of victims and offenders is creat-
sion on them. This bears witness to a great ed in the rhetoric on sexual abuse. However,
need for a long-term and continuous informa- reality is much more complicated and it is of
tional effort and more knowledge sharing on no benefit for either one of them to be posi-
the topic. tioned as victim or offender. There is a re-
quest among professionals to focus on the
prerequisites for a good life in informational
A TABOOED TOPIC
efforts regarding sexual abuse. They want to
Sexual abuse is still a tabooed topic difficult help everyone affected by the sexual abuse to
to talk about. However, more and more people receive the help needed for them to obtain a
are courageously stepping forward to share good life after the abuse.
their stories and these role models help break
16
As I grew older and got physically
stronger I realized more and more that I
shouldn’t feel any shame at all and that I didn’t
have anything to be ashamed of. After all,
I didn’t make the choice.
19
EXISTING INITIATIVES
Beforehand, informa- NAKUUSA’s campaign
tional campaigns and guid- (a UNICEF program) against
ance material on sexual abuse has sexual abuse called “Ullut
been developed by the social ser- Tamaasa” (every day), which was
vices, the health services and the launched in February of 2018, is particularly
educational sector. Therefore, it is interesting regarding the strategy’s future
important to include knowledge and information efforts. With this campaign
experiences from these cam- NAKUUSA wanted to involve the whole
paigns and materials in the population in the fight against sexual
design and implementation of abuse and show that everyone can help
new informational initiatives make a difference. Thus, Ullut Tamaasa
about sexual abuse. For in- may contribute to a more free dialogue
stance, it is important to review about sexual abuse among people and fu-
how the topic has been articulat- ture initiatives can learn from experiences
ed previously by different authorities and of this campaign – how it was received by the
assess the different approaches taken. public, what effects it has had so far etc.
20
SUGGESTIONS FOR FUTURE INITIATIVES
¬¬ A targeted information effort paigns should be developed with a long-term focus
– electronically and on other platforms directed at the needs of the various target groups.
In order to secure easier accessibility to For instance, there is a need to develop informa-
knowledge about sexual abuse and initiatives in tional campaigns for professionals on sexual
the area it is necessary to develop informational abuse which focus on how to prevent, identify and
initiatives targeted at different levels and plat- deal with cases of sexual abuse. Informational
forms. For instance, a webpage for all citizens on campaigns targeting individuals with sexually
sexual abused should be de- offending behaviour are also highly relevant. It
veloped. The aim of this would be recommendable to involve role models in
webpage is to bring the development and implementation of informa-
together all initiatives tional initiatives to ensure better results.
and activities regard- ¬¬ Information and guidance material
ing sexual abuse Information and guidance material should be
across professional developed directed at various target groups and
sectors and procure authorities in a close cooperation between the
relevant knowledge social services, the health services and the
on the topic targeted educational sector to achieve the best outcome.
at various target Style and content of the material will vary
groups. In addition, according to the different target groups.
informational cam-
21
One of the consequences of sexual abuse is
that the ability to set boundaries is often diminished.
Your body feels your boundaries and your body always
wants to protect you. Learn to listen to your body and
to your inner strength: your ”inner polar bear”.
Naja, psychologist working with survivors of childhood sexual abuse
PREVENTION
L:
GOA
THE PREVENTION OF SEXUAL ABUSE
MUST BE EXTENDED AND STRENGTHENED.
23
RISK FACTORS IMPEDE THE SAFETY OF have a very efficient preventive effect on
CHILDREN IN THEIR EVERYDAY LIVES sexual abuse and other forms of child neglect.
Prevention is also about looking at risk Consequently, the development of more safe
factors in children’s everyday lives that make leisure time activities is an important part of
them more vulnerable to sexual abuse. It is the new strategy.
necessary to examine the existence of
protective factors and risk factors in local NO TREATMENT FOR INDIVIDUALS WITH A
communities in relation to sexual abuse. For SEXUALLY OFFENDING BEHAVIOUR
instance, many children spend time by them- Finally, the lacking measures for individuals
selves in their leisure time after school where with a sexually offensive behaviour are a big
they are unprotected and at higher risk of be- impediment to efficient prevention of sexual
ing abused. Experiences from abroad show abuse. As described later on this is going to
that safe and secure leisure time activities change with the new strategy.
EXISTING INITIATIVES
As stated earlier several initiatives exist that ate stage about the body and the setting of
may be characterized as tertiary prevention boundaries. As far as primary prevention prior
efforts such as therapeutic treatment for sur- to the occurrence of the problem is concerned
vivors of sexual abuse taking place in the fam- there are no national initiatives focusing di-
ily centers, in student counselling centres and rectly on sexual abuse. The health services run
by therapeutic travelling teams. At the sec- a project called MANU where they offer pre-
ondary prevention level there are initiatives at paratory courses for future parents, which is
some schools called the school fairy arrange- an example of a primary preventive effort to
ment or the school-social worker arrange- prevent child neglect on a long-term basis.
ment. Moreover, the children’s right organiza- Thus, MANU is also instrumental in preventing
tion MIO has developed the teaching material sexual abuse although it is not targeting sexu-
”It is my body!” for students at the intermedi- al abuse as such.
24
¬¬ More qualified leisure time activities for ffenders. Customised initiatives will
o
children and young people be developed for the target group (cf. the
In order to secure safe environments for paragraph on individuals with a sexually
children and young people in their leisure offending behaviour later on).
time more qualified and meaningful ¬¬ Continued development of early inter
leisure time activities must be created all vention initiatives (regarding incident)
over the country. These activities must Strengthening of early intervention initia-
be easily accessible and consider local tives may contribute to the prevention of
opportunities and needs. Therefore, it is sexual abuse. For instance, the social
recommended to identify local possibili- services, the health services and the
ties for relevant leisure time activities. educational sector is already working
¬¬ Treatment for individuals with a sexually together to expand the project MANU
offending behaviour where the target group will be extended
As stated earlier it is a very important to include children and young people up
preventive effort to secure support and to the age of 18 instead of children in the
treatment for individuals with a sexually age group 0-2 years.
offending behaviour and for potential
25
INTERDISCIPLINARY
COOPERATION
OA L:
G
THE INTERDISCIPLINARY COOPERATION
ON THE PREVENTION AND TREATMENT OF SEXUAL
ABUSE MUST BE STRENGTHENED.
26
WHAT ARE THE CHALLENGES?
LACK OF CLEAR PROCEDURES AND fixed times for meetings for knowledge
COOPERATION AGREEMENTS sharing, fixed time frames for action, clear
Many different professionals and sectors are distribution of roles, and systematic follow-
involved in cases of sexual abuse. The social ups. In other words there is a need for break-
authorities deal with notifications and case ing down boundaries regarding the inter
handling, health service staff examine victims disciplinary cooperation on sexual abuse
of assault, the police investigate reported cases so that everyone is aware of their roles
cases, staff in schools, day care centers etc. and find strength rather than weakness in the
act on suspicions of abuse, the Correctional interdisciplinary work. Professionals call for
Services take care of the convicted offenders, more communication across sectors, ongoing
etc. The will to make a difference in the work follow-up on cases, readiness to change,
against sexual abuse is big among different readiness to act, and they also request more
professionals but the interdisciplinary co attention to the implementation of initiatives
operation is often complicated by logistic, in the local communities. An insufficient inter-
organisational and communicative challenges. disciplinary cooperation may entail serious
Many professionals emphasize challenges consequences for the people that we are
concerning the roles and responsibility of trying to help. For instance, there have been
different authorities and they call for clear cases of victims of sexual abuse who have had
interdisciplinary procedures and cooperation to wait for a very long time for police ques-
agreements that specify who do what, when, tioning and it is not uncommon to postpone
why and how. Quite specifically, binding action in cases of sexual abuse.
cooperation agreements are requested with
27
To watch out for yourself is to love yourself.
Think of yourself first before you think of everybody
else and set boundaries both physically and mentally.
EXISTING INITIATIVES
Some municipalities already provide clear agreements between the different authorities
procedures and cooperation agreements in have been made in order to assure the quality
cases of sexual abuse against children. An of the effort. All involved parties know how
example of a local crisis response is the the different professionals work and it is clear
Qaammaavik model from the family center in to everyone who is responsible for what. The
Aasiaat. The Qaammaavik model has fixed and cooperation agreement is renewed on an
clear procedures as regards the interdisciplin- ongoing basis so that no knowledge is lost if
ary cooperation concerning a child exposed to people resign or new employees are taken in.
sexual abuse. Here, written cooperation
29
SUGGESTIONS FOR FUTURE INITIATIVES
¬¬ National procedure for interdisciplinary ¬¬ Strengthened cooperation between the
cooperation in cases of sexual abuse health services and the police regarding
A national procedure with local adaption personal examination of people exposed
potential for the interdisciplinary to sexual abuse
cooperation in cases of sexual abuse When people undergo a personal exam-
inspired by the Qaammaavik-model must ination by the health service staff after
be developed. The procedure should an assault they must be treated both pro-
procure clear guidelines for roles and re- fessionally and gently. Consequently, it is
sponsibilities of the different profession- important that there is a clear distribu-
al and provide clear requirements of time tion of roles and responsibilities between
frames, meeting structures, follow-ups the health service staff and the police re-
and implementation in the local communi- garding the examinations. It must be se-
ty. In other words structured, homoge- cured that the health service staff pre-
neous procedures must be devised at the forming the personal examination have
local level about the interdisciplinary been thoroughly introduced to the job.
handling of cases concerning sexual ¬¬ Earlier intervention in cases of sexually
abuse. These must be legalized through transmitted diseases and abortion by
local cooperative structures such as young people under the age of 15
the cross-organisational consultative It must be secured that the local health
committee. service staff know of and make use of the
¬¬ Binding cooperation agreements available guidelines and procedures that
Binding cooperation agreements to be are meant to guarantee notification to the
signed at the political level as well as at social authorities and other relevant
the local level must be prepared. The authorities when they learn that a young
agreements should be based on legisla- person under the age of 15 has a sexually
tion to secure the quality of the ongoing transmitted disease or is going to have an
interdisciplinary cooperation in cases of abortion.
sexual abuse and the implementation of ¬¬ Clear procedures for notifications for all
initiatives in the local community. professionals
Information material and clear proce-
dures for notifications must be prepared
for professionals from different sectors
in order to secure that all professionals
know precisely when and how to make a
notification.
30
After receiving therapy they suddenly
have renewed strength at the individual level with
competences and skills. We try to help them away
from the abuse – for instance we try to show them
feelings of being a mother, being a wife etc.
We give them another perspective when the abuse
takes up too much space.
33
NO NATIONWIDE TREATMENT cations to offer this kind of treatment.
Finally, it is a challenge to secure treatment Furthermore, there is a great desire among
for all individuals exposed to sexual abuse all professionals and citizens to include relatives
over the country. Some places offer qualified of individuals exposed to sexual abuse in
and long-term therapy treatment in family future initiatives. The relatives often feel very
centers or by the travelling team for adult sur- helpless and alone and they too are in need of
vivors suffering consequences of childhood knowledge and counselling to process the
sexual abuse. In many places, however, they do experiences of their loved ones and to support
not have the necessary resources and qualifi- them as best as possible in the future.
EXISTING INITIATIVES
Fortunately, a lot of work is already being viduals have received treatment in 13 towns
done to help survivors of sexual abuse and and 2 settlements. The efforts of the travel-
there are many inspiring initiatives locally and ling team is supplemented with the free coun-
nationwide that the new strategy can be in- selling hotline 141 - a number you can call to
spired from and build on. One of the bigger na- for support and counselling if you have been
tional interventions is the travelling team for sexually abused as a child. Regarding ongoing
adults suffering consequences of childhood cases on sexual abuse of children Saaffik,
sexual abuse which was established by the which is part of the Central Guidance Unit at
Government of Greenland in 2013. The psy- the Agency of Social Affairs, offers counsel-
chologists and psychotherapists of the travel- ling and support to all professionals working
ling team travel all over Greenland and offer with children and young people aged 0-18. In
therapy to adult survivors of childhood sexual addition, Saaffik helps the municipalities de-
abuse. They stay in a town or a settlement for velop local emergency response structures to
one week at a time for 11 months where they deal with cases of sexual abuse, they support
offer group therapy and individual therapy to professionals with local case management
survivors at the same time as they offer ddif- and they provide courses for professionals in
ferent kinds of training and support to local all municipalities about signs of abuse, etc.
professionals working with people who have Furthermore, Saaffik has a travelling team di-
been sexually abused, e.g. psychoeducation, rected at children exposed to sexual abuse
interdisciplinary meetings, supervision and which also travels all over the country and of-
courses. After the establishment of the trav- fer treatment to children in cases of special
elling team in 2013 approximately 650 indi- needs.
34
No doubt that I would have kept on
smoking hash and drinking without limits daily
if I had not received help.
Nowadays I have so much energy and I even want to get
an education. I have sent my application to a
school that I am interested in. It is very exciting.
Back then, when I was raped, I went out of school,
you see, because I did not have the energy.
36
SUGGESTIONS FOR FUTURE INITIATIVES IN THE JUSTICE AREA
¬¬ Counselling opportunities for survivors ¬¬ Increased information to survivors
The Government of Greenland is currently Most people do not know exactly how the
preparing the implementation of a new police and the courts deal with cases of
counselling helpline for survivors of sexual abuse. Thus it is important that
sexual abuse. The intention of this help- the survivor is provided with information
line is to provide survivors with suppor about the upcoming process. It must be
tive conversations with psychologist and secured that the staff with the police and
also provide counselling regarding the courts are well equipped to speak
compensation, legal advice etc. with the survivors in a good way. For the
¬¬ The establishment of victims guards authorities cases about violence, rape
Individuals exposed to abuse must be and sexual abuse against children may be
offered acute, supportive talks with a a matter of routine, but for the survivor
psychologist immediately after the the case is unique and should be treated
incident. It is essential that a victim can as such by the authorities.
contact the victims guard 24 hours a day.
It would be a good idea to include the
victim guards in the counselling helpline
for victims.
37
I moved on because
I began talking openly about
what had happened to me.
PUTTING OUT FIRES RATHER THAN i nstead of bottom-up and are often isolated
PROVIDING HOLISTIC INITIATIVES from other initiatives in the area. Often it
There is a great willingness and readiness in becomes a matter of putting out fires rather
society to engage in the fight against sexual than implementing long-term and holistic
abuse but there are also many challenges to solutions which is understandable when
overcome to make a difference. Sexual abuse resources are scarce etc. However, it is neces-
is still taboo which makes sexual abuse diffi- sary to change this picture. By adopting a
cult to talk about and even harder to act on. In more holistic approach to sexual abuse and
many places challenges standing in the way strengthening interdisciplinary cooperation in
for sufficient effort in the area are a lack of the area it will be possible to identify local
knowledge, scarce resources and inefficient possibilities for change. In every local commu-
interdisciplinary cooperation. In order to make nity there are resourceful individuals and role
positive changes it is necessary to come up models with the will and knowledge to make a
with new ideas and jointly approach the difference. By listening to them and involving
problem in ways that embrace both local and them in the development of future initiatives
national needs. All citizens can take part in the the outcome might be better and more people
fight against sexual abuse and contribute to a might get help. Furthermore, by actively
reduction of the number of sexual assaults, involving local communities in the process it
e.g. by setting boundaries and talking about will become more evident for the individual
sexual abuse openly. Sexual abuse is a societal how to take part in the fight against sexual
problem but many initiatives are top-down abuse.
39
NORMALIZATION OF SEXUAL ABUSE abuse, neglect or negligent treatment, mal-
Another big challenge is the fact that sexual treatment or exploitation, including sexual
abuse has become a kind of normality in some abuse, while in the care of parent(s), legal
places in the country as mentioned earlier. In guardian(s) or any other person who has the
these places, it is almost normal for children care of the child.” With a normalization of
to be sexually abused by adults in the commu- sexual abuse in parts of the country Greenland
nity. On her travels with MIO around the coun- does not meet its obligations concerning The
try, the Spokesperson for Children experi- UN Convention on the Rights of the Child
enced this kind of normalization of sexual which is unacceptable for our children and
abuse and children were told that they would their future. As a society we must stand to-
have to ”get used to it”. Unfortunately, MIO’s gether and take actions that secure a better
experience is not an isolated incidence. As a future for our children. It is unacceptable to
member of the UN Greenland is obliged to allow for a normalization of sexual abuse any-
comply with The UN Convention on the Rights where and, therefore, we must help each other
of the Child which states in article 19: create boundaries to change the situation. To
”States Parties shall take all appropriate achieve this, it is important to listen to one
legislative, administrative, social and educa- another, talk about challenges and identify
tional measures to protect the child from all possibilities for action at the individual as
forms of physical or mental violence, injury or well as at the societal level.
EXISTING INITIATIVES
There is no joint approach so far to the work for social and cultural possibilities and needs.
against sexual abuse. Different authorities The commitment of the population to make a
approach the topic in different manners and at difference in the area of sexual abuse is big
various levels. Few holistic and locally based and people want to be included. For instance,
initiatives about sexual abuse exist. However, the commitment and engagement of the popu-
other social service initiatives have started to lation in NAKUUSA’s national fundraising
include local communities in interventions. event against sexual abuse in 2017 was over-
Thus, local and culturally adapted solutions to whelming. Also, many people get involved in
various social problems are provided. An ex- public discussions when the press brings up
ample is Family Consultation which is a meth- stories about sexual abuse. The same kind of
od that takes as its starting point that all fam- commitment was present during the election
ilies have resources – also families with social campaign in the spring of 2018 where all can-
problems. Here, the family, the child and the didates from the different parties took each
network of people surrounding them are ac- other’s hands during a debate on television
tively involved in the planning and implement- and promised that they would work together
ing of interventions. Everyone takes part in against sexual abuse regardless of the differ-
discussing how to improve the life of the child ent parties that they were representing. With
and the family. Presently, the method is being such a strong sense of commitment from the
implemented all over the country and the posi- population as well as the politicians there is a
tive reception of the model bear witness to a great potential to create positive changes in
huge interest in and demand for methods in- the area.
volving the local community and accounting
40
SUGGESTIONS FOR FUTURE INITIATIVES
¬¬ Holistic approaches to and initiatives ¬¬ Training of professionals
against sexual abuse Teaching materials and courses must be
Approaches to and initiatives against prepared targeting different educational
sexual abuse must be holistic and account institutions and fields to secure that
for the larger context that everyone is professionals are better equipped to
part of. To achieve better outcomes it is work on cases of sexual abuse. These
necessary to involves local communities should include knowledge and tools about
– including role models and other individ- signs of abuse and the responsibility of
uals with resources and knowledge – and professionals in cases of sexual abuse.
adapt the initiatives to the needs of the ¬¬ Better health care and early intervention
target groups. initiatives
¬¬ Pilot project in a local community Existing initiatives on health care and
Initiatives against sexual abuse based on early intervention must be strengthened
local requests and needs should be tried and expanded – for instance by the expan-
out in a local community with consider- sion of the project called MANU men-
ation of cultural, social, logistic and tioned earlier these initiatives must also
socio-economic factors present in that account for local possibilities and needs.
community. ¬¬ Earlier intervention in cases of sexually
¬¬ Sex education in primary schools transmitted diseases and abortion among
To avoid a normalization of sexual abuse young people under the age of 15
sex education must be provided in all pri- It must be secured that the local health
mary schools with a prescribed syllabus service staff know of and use the available
and training focusing on normal sexuality guidelines and procedures that are meant
and normal sexual development. to guarantee notification to the social
authorities and other relevant authorities
when they learn that a young person under
the age of 15 has a sexually transmitted
disease or is going to have an abortion.
41
INDIVIDUALS WITH SEXUALLY
OFFENDING BEHAVIOR
GOA
L:
INDIVIDUALS WITH SEXUALLY OFFENDING
BEHAVIOR AND POTENTIAL OFFENDERS MUST BE
OFFERED SUPPORT AND TREATMENT.
43
INTERDISCIPLINARY AND HOLISTIC the local community – in particular when there
INITIATIVES ARE NEEDED are no initiatives available targeting the of-
Treatment of individuals with a sexually of- fenders. Local interventions focusing on inter-
fending behaviour is complex in many ways. disciplinary cooperation and reintegration of
Many professionals are reluctant to work with sexual offender would help create safer com-
offenders because we are dealing with people munities and simultaneously prevent future
who have committed incomprehensible and assaults.
often unforgivable acts. It is, however, import-
ant to remember that the offenders are also EXISTING INITIATIVES
human beings in need of our help. Many sexual Today there are no initiatives directed at indi-
offenders are victims themselves and have viduals with a sexually offending behaviour. In
been exposed to neglect, violence and sexual a few complicated cases Saaffik cooperated
abuse as children. Therefore, it is important with the JanusCentret in Denmark who is spe-
that future initiatives towards sexual offend- cialized in cases of children and young people
ers include a holistic perspective that consid- with a sexually offending behaviour, but no
ers all the challenges and needs of the individ- specialised initiatives exist in Greenland for
ual offender. Moreover, it is crucial to estab- the affected children and young people. Within
lish a close interdisciplinary cooperation be- the Correctional Services prisoners are of-
tween the different authorities, e.g. close fered to participate in a cognitively based pro-
cooperation between Danish authorities and gram called MUMIK that seek to help prison-
the Government of Greenland. To secure posi- ers avoid inappropriate behaviour. This pro-
tive results the different authorities need to gram is also relevant for convicted sexual of-
work together and overcome the challenges fenders but the problem is that many
together. One challenge to overcome is the prisoners do not spend enough time in the
lack of possibility to diagnose children and prisons to get included in the program. MUMIK
young people with a sexually offending be- extends over eight weeks but as the prisoners
haviour in the country which often prolongs cannot take part in the program before the
the process of securing the necessary support pronouncement of their sentence – which may
and treatment. Another challenge is that many often take a really long time – then they are
sexual offenders – convicted or not – still live not spending enough time in the institution to
in or returns to the local community where the finish the program. This means that there is
sexual assaults took place. This creates great actually no help for individuals with a sexually
insecurity and potential retraumatization for offending behaviour. The new strategy aspires
the survivors, relatives and other citizens in to change this.
44
¬¬ To prevent a new wave of offenders chil- through Skype. Inspiration for an online
dren and young people with sexually of- prevention initiative can be found at www.
fending behaviour must be provided with brydcirklen.dk.
specialised treatment offers. ¬¬ Specialised initiatives for children and
Suggestions for future initiatives based on young people with a sexually offending
the above-mentioned recommendations: behaviour
Holistic initiatives targeting children and
¬¬ Holistic support and treatment initiatives
young people who offend other children
for individuals with a sexually offending
and young people must be developed, e.g.
behaviour
initiatives focusing on diagnosis and
Help must be offered to all individuals
treatment. Furthermore, it is important to
with a sexually offending behaviour. The
include knowledge about children and
initiatives must be customised to the
young people with an alarming or sexually
needs and the situation of the individual
offending behaviour as part of the ‘tool
offender, and thus the content of the help
box’ of child specialist.
provided will vary. As many individuals
with a sexually offending behaviour still ¬¬ Sex education in primary schools
live in or return to their local community In order to prevent sexually offending
after serving their sentence the initia- behaviour sex education must be provid-
tives need to involve the local community ed in all primary schools with a prescribed
and might contain elements such as rein- syllabus and training focusing on normal
tegration, mediation, psychoeducation, sexuality and normal sexual development.
public meetings, risk assessment and ¬¬ Informational and educational activities
therapeutic treatment. about digital offenses for the highest
¬¬ Preventive online initiative for sexual of- grades of primary school
fenders and potential offenders Materials must be developed for students
A webpage and an anonymous helpline at the highest grades of primary school
must be developed that individuals with with knowledge about safe behaviour for
thoughts and fantasies about children can children and young people on the internet
call for support and be referred to a spe- in order to prevent digital offenses and to
cialised treatment program, e.g. therapy promote safe behaviour in the digital
world for children and young people.
45
IMPLEMENTATION
The Agency Of Social Affairs is responsible the participants may contribute to a more ef-
for the overall coordination of the strategy’s ficient implementation of initiatives by engag-
future initiatives in close collaboration with ing their respective workplaces and sectors in
the interdisciplinary advisory group and the the work. As part of the action plans specific
steering committee of the strategy. The advi- timetables for implementation of initiatives
sory group is going to assist The Agency Of will be prepared that account for of the differ-
Social Affairs in the preparation of action ent roles and responsibilities of involved oper-
plans for each main theme in the strategy. ators. An effective implementation of initia-
These action plans are to secure achievement tives requires the allocation of means and re-
of the goals of the strategy and homogeneous sources as well as clear guidelines as to when,
approaches to the work on sexual abuse. The why and how the individual initiatives are im-
initiatives in the action plans will be directed plemented. Without political and interdisci-
at different professional fields and, conse- plinary support the implementation of initia-
quently, the implementation of the initiatives tives cannot succeed. Consequently, the strat-
is dependent on the work of professionals egy calls for the development of clear inter-
from various sectors who need to take on re- disciplinary and municipal cooperation
sponsibility and commit themselves to the im- agreements that obligate all relevant opera-
plementation process. The advisory group is tors to engage in the future work against sex-
an important co-player in this connection as ual abuse.
46
EVALUATION
It is important that there is an ongoing fol- overall initiatives of the strategy. Finally, a
low-up of the strategy’s initiatives in order to memo will be prepared for the Government of
secure the fulfilment of the strategy’s goals Greenland on an annual basis describing the
and uphold a focus on the area. To be able to progress of the strategy’s initiatives. As men-
assess the effectiveness of the initiatives a tioned earlier, there are indications of signifi-
baseline will be prepared with the purpose of cant variations in the occurrence of sexual
obtaining more knowledge about the propor- abuse among different birth cohorts. Conse-
tions and the complexity of sexual abuse in quently, it is an objective for the evaluation to
Greenland. This baseline will constitute the assess the occurrence of sexual abuse in each
basis for a midterm evaluation and a final birth cohort – both in the final evaluation re-
evaluation after four years. The final evalua- port and in the follow-up report five years lat-
tion will focus on tendencies so far and on in- er..
dicators of the implemented initiatives. The
preparation of the baseline and the final eval-
uation must be based on evidence-based
methods and international standards to se-
cure the quality of these efforts. In addition, a
follow-up survey will be conducted after five
years to assess tendencies and effects of the
47
LITTERATURE
¬¬ Andersson, H. and K. Sten Madsen (red.) ¬¬ The Ministry of Health (2012): Inuuneritta
(2016): Meetings between victim and II – Naalakkersuisut’s strategies and
offender – an anthology on mediation in a objectives for public health 2013-2019.
therapeutic framework regarding sexual Nuuk, the Government of Greenland.
abuse. Copenhagen, Frydenlund.
¬¬ The Ministry of Health, The Government
¬¬ Bjerregaard, P. et al (2016): The Agency For Health and Prevention and
population study in Greenland 2014. PAARISA (2010): Violence and sexual
Living conditions, Lifestyle and Health. abuse – Idea catalogue. Nuuk, the
Department For Public Health, University Government of Greenland.
of Southern Denmark.
¬¬ The UN Convention on the Rights of the
¬¬ Boer, D. (2013): Some Essential Child of November 20, 1989, The UN.
Environmental Ingredients for Sex
Offender Reintegration. International ¬¬ Greenland Home Rule (2007): Inuuneritta
Journal of Behavioral Consultation and – Public Health program. The Home Rule
Therapy: 8, 3-4. Government’s strategies and objectives
for public health 2007 – 2012. Nuuk,
¬¬ Boer, D. et al (red.) (2011): International The Home Rule Government.
Perspectives on the Assessment and
Treatment of Sexual Offenders. Theory, ¬¬ Guldberg, C. (2014): Evaluation of Saaffik
Practice, and Research. Wiley-Blackwell. – National Center for Children and Young
People exposed to sexual abuse. Nuuk,
¬¬ Christensen, E., L.G. Kristensen & S. the Government of Greenland.
Baviskar (2009): Children in Greenland. A
survey of the well-being of 0-14-year-old ¬¬ Inatsisartut law no. 20 of June 26, 2017
children and families. Copenhagen, SFI. concerning support for children. Nuuk,
the Government of Greenland.
¬¬ Christensen, E. & S. Baviskar (2015):
Young people in Greenland – with a ¬¬ Ingemann, C., & Larsen, C. V. L. (2017):
focus on sexuality and sexual abuse. A scoping review. Well-being among
Copenhagen, SFI. indigenous children and youth in the
Arctic – with at focus on Sami and
¬¬ The Ministry of Family, Justice and Greenland Inuit. NORBUK, SDU
Social Affairs (2015): The Travelling Team – Department For Public Health.
– Treatment of adults suffering
consequences of childhood sexual abuse.
Nuuk, the Government of Greenland.
48
¬¬ Kristjansson, Al. et al (2010): Adolescent ¬¬ Pedersen, C.P. & P. Bjerregaard (2011):
substance use, parental monitoring, and The Complicated Adolescence: Young
leisure time activities: 12-year outcomes people’s well-being in Greenland 2011
of primary prevention in Iceland. – a study of the oldest primary school
Preventive Medicine, 51: 168-171. students. SIF.
49