NHS failing child sex abuse victims, say psychiatrists

NHS failing child sex abuse victims, say psychiatrists

Senior medical professionals have expressed serious concern to the BBC about the failure of NHS mental health services to adequately support adults who were sexually abused in childhood. The Royal College of Psychiatrists has publicly apologized, acknowledging decades of mismanagement and incorrect diagnoses within the UK’s mental health system. According to the college, this failure has in some cases exacerbated the trauma experienced by survivors.

The report from the Royal College highlights that mental health practitioners have often concentrated on addressing symptoms without sufficiently considering the lasting impact of past trauma on patients. While there have been some improvements in support, the college stresses the need for enhanced training and increased investment. One major challenge is that health professionals have too little time to spend with these vulnerable patients. Dr Lade Smith, the immediate past president of the college, expressed regret that victims frequently encounter “avoidable harm when seeking help,” and emphasized that the problem extends beyond psychiatrists to the entire mental health system.

Fragmentation within mental health services means that care is often delivered in short, separate episodes, leaving little opportunity for meaningful therapeutic relationships. Dr Smith explained that “psychologists do not get the time to build up a relationship with patients so they can be properly supported.” She further illustrated the issue by noting that patients might only receive around eight therapy sessions — sometimes just the amount needed to disclose the abuse itself. Moreover, many survivors never access mental health services at all, as ongoing resource shortages create significant barriers to care.

Statistics estimate that around 10% of adults in England and Wales endured childhood sexual abuse, which is linked to increased risks of mental health disorders such as anxiety, depression, PTSD, substance misuse, and self-harm. Despite these effects, many survivors find it difficult to disclose their abuse; approximately two-thirds have not shared their experiences with services by adulthood, and one in five never disclose, often taking decades before speaking out. Caroline Thompson, a 65-year-old former specialist doctor and survivor of childhood sexual and psychological abuse, recounted how she only sought help after developing severe nightmares at age 55. Her story reflects the challenges survivors face in accessing appropriate mental health support over many years.

In response to rising numbers of people seeking help following highly publicized abuse scandals—including cases involving schools, children’s homes, religious institutions, and the Jimmy Savile crimes—the Royal College established a working group of experts, clinicians, and survivors such as Caroline Thompson. This group has made recommendations including the development of specialized training materials for psychiatrists and mandatory trauma-informed care training for all mental health staff. The college also calls for national guidelines to help staff recognize and appropriately respond to disclosures of historic child sexual abuse, along with comprehensive reform of services to ensure survivors receive the long-term support they require.

Gabrielle Shaw, chief executive of the National Association for People Abused in Childhood, described the college’s apology as “significant and welcome” but insisted it must lead to tangible improvements. She noted that many adult survivors have found mental health services unhelpful or even damaging, as the effects of their trauma were misunderstood or treatment inappropriate. Some survivors are met with disbelief or told they are “too complex” or unsuitable for available services, compounding their sense of isolation.

An NHS England spokesperson emphasized that victims can access support around the clock through sexual assault referral centres and counselling services, details of which are available on the NHS website. The spokesperson stressed the importance of survivors knowing they can receive specialist, trauma-informed care even if they have not previously spoken about their abuse. Additional measures are underway to better support children and young people, including enhanced mental health training for school and college support teams

Read the full article from The BBC here: Read More