The Feel Happy Series: Fixing Child Sexual Exploitation (#CSE) by @FixersUK

Fixers needs YOU on Wednesday 26 April 2017 in London.

fixers

 

Young people who have experienced child sexual exploitation – including abuse, coercion and grooming – are putting their heads together to make childhood safer and society more responsive for future generations.

 

 

With the support of Fixers – the campaign that gives young people a voice – and the health research charity, Wellcome Trust, more than a dozen young people with insight into one of the most pressing issues of today will come up with proposals that reflect the sharp edge of their experience.

 

They’ll be discussing, and then proposing action, in three main areas:

  • child sexual abuse [from family and trusted adults]; and
  • coercion into unwanted sexual behaviour, including sexting [especially in school];and
  • sexual grooming [especially online].

 

The young people will explain what went wrong for them, how responsible adults and their peers reacted, their treatment by professionals, and the effect on their mental and physical wellbeing. They will then define what they wanted from those around them, either to stop or prevent the abuse … or to respond in the best possible way when it happens.

 

Their efforts will culminate in a conference in central London, where an invited audience will hear from the young people in an open plenary and subject-specific sessions. The conference is open to health, education and social support professionals, as well as the police and other law enforcement agencies.

 

Fixers is calling for academics and researchers – in health, social policy, law and sociology – to participate in this conference by helping to lead discussion groups and workshops with survivors to assist them in turning their voices into policy proposals. Fixers would like to hear from anyone with an academic background in Child Sexual Exploitation (CSE) and who would be interested in taking part in this excellent opportunity to generate primary research into a relevant and high profile issue. 

 

fixers-1

 

Contributors are expected to include …

Siobhan Pyburn [25] – whose father was jailed for her childhood abuse in 2007 – and who, with the help of Fixers, has become a prominent and articulate campaigner for better reporting of and support for child sexual abuse victims, ‘Lisa’ [20] who was coerced and exploited by a group of Asian men in Manchester in the early 2010s, and ‘Rebecca’ [19] who was groomed online by an older man when she was 14.

 

‘Fixing Child Sexual Exploitation’ is part of the Feel Happy Fix Series which brings together young people who already campaign on issues that affect their well-being, to share their insight and the lessons they have learnt. Established in 2008, Fixers is a national charity and ‘movement’ that has already enabled around 20000 young people [16-25] to ‘use their past to fix the future’ by tackling issues that matter to them.

 

For further details or to RSVP, please contact Chris Podszus at: chrispodszus@fixers.org.uk

 

Supported by:

welcome

 

Advertisements

Revised statutory definition of Child Sexual Exploitation (CSE)

Earlier this week the new government definition of Child Sexual Exploitation (CSE) was launched along with new “Working together” advice on CSE.

 

The revised definition is detailed below: 

 

Revised statutory definition of child sexual exploitation

Child sexual exploitation is a form of child sexual abuse. It occurs where an individual or group takes advantage of an imbalance of power to coerce, manipulate or deceive a child or young person under the age of 18 into sexual activity (a) in exchange for something the victim needs or wants, and/or (b) for the financial advantage or increased status of the perpetrator or facilitator. The victim may have been sexually exploited even if the sexual activity appears consensual. Child sexual exploitation does not always involve physical contact; it can also occur through the use of technology.

 

The new “Working together” advice on CSE and the new definition can be found here:

https://www.gov.uk/government/publications/child-sexual-exploitation-definition-and-guide-for-practitioners

 

A progress report detailing the government’s work in this area along with forward commitment can be found here:

https://www.gov.uk/government/publications/tackling-child-sexual-exploitation-progress-report

 

Here is a link to the extended version of the document that Bedfordshire University wrote with Research in Practice which unpacks some of the issues in greater depth:

https://www.beds.ac.uk/__data/assets/pdf_file/0009/536175/UOB-RIP-CSE-GuidanceFeb2017.pdf

PRESS RELEASE: #CYPAdv

advocacy-house-web

Children and young people get together to discuss a possible ‘Children’s Advocacy House’ for the North West of England.

PROFESSOR Andrew Rowland, paediatric emergency medicine consultant from The Pennine Acute Hospitals NHS Trust, was joined by young people, aged 11-14 years, and some key individuals yesterday (08 November 2016)  to discuss the possibility of setting up a new Children’s Advocacy House for the North West of England.

The idea was first put forward by Professor Rowland in his Churchill Fellowship report (Living on a Railway Line – a major report to improve the safeguarding of vulnerable children in the UK and beyond[1]), and thanks to support from a network of individuals and events, a group of over 50 children and young people, together with key individuals, were brought together yesterday at MediaCityUK to discuss whether an Advocacy House[2] is something children and young people in Greater Manchester might want.

The highly successful event was attended by over 50 children and young people, the Roald Dahl’s Marvellous Children’s Charity[3], the office of the Children’s Commissioner for England, Public Health England, Tony Lloyd (Interim Mayor of Manchester), Ann Coffey MP, Councillor Karen Garrido (Ceremonial Mayor of Salford), key individuals from the NHS and other invited guests. The entire focus of the day was on the young people with the adults attending to learn from the young people present.

During the day, the event, which was live-Tweeted using #CYPAdv, was trending in second place on Twitter with only the USA #Election2016 ahead in first place.

The day included remarks from Professor Rowland, the Ceremonial Mayor of Salford, Councillor Karen Garrido, Ann Coffey MP and Tony Lloyd as well as the young people telling the adults present about the idea of an Advocacy House, what might happen there and how they might use it.

The question and answer session with the Interim Mayor of Manchester, Tony Lloyd, provided the opportunity for a two-way conversation for the children and young people to imagine and explain their thoughts about a potential advocacy centre.

Jake, a young person attending yesterday’s event, said it was important to, “forget the bad things and look forward to the good things.”

Harvey, a young person attending yesterday’s event, said it was important to, “have confidence in yourself.”

James, a young person attending yesterday’s event, said it was about, “catching bad dreams, keeping good ones and raising spirits.”

Neve, a young person attending yesterday’s event, summarised the aim of the Children’s Advocacy House as, “you speak, we listen, everyone cares.”

Professor Andrew Rowland, Consultant in Paediatric Emergency Medicine at The Pennine Acute Hospitals NHS Trust and Honorary Professor at Salford University said:

“The unique work that the children and young people have produced will be the starting point for professionals in the region to consider ways in which they can improve engagement with young people facing adversity and difficulties. The principles of co-design and co-production of services with children and young people should be an over-arching concept within the North West region where we now have a unique opportunity to put these design principles at the very heart of the strategic values of organisations working with children, young people and families. I am excited to see how organisations within the North West, and beyond, respond to the fantastic ideas that the children and young people have come up with during this Children’s Advocacy Centre event, and how those organisations will now work with children and young people to hopefully lead to the creation of a brand new Advocacy House for them in our region.”

Dr Joan Livesley, Senior Lecturer in Multi Professional Postgraduate Studies at the University of Salford, said:

“This was a fantastic day with children and young people, identifying unmet need and getting some great ideas from them about how to resolve these problems.”

Dr Mary Ryan, Consultant and Director of Medicine at Alder Hey Children’s NHS Foundation Trust in Liverpool, said:

“The need for a Child Advocacy Centre in the North West has been something we have thought about for a while now. This need was confirmed and highlighted by the children we spoke to during this event. We owe it to them to listen, and work harder to make this dream a reality.”

The outputs of yesterday’s event will be written into a report to be released in mid-2017.

The event was funded by NHS England (North Region) and organised by Dr Joan Livesley, Senior Lecturer in Multi Professional Postgraduate Studies at the University of Salford, in conjunction with Professor Rowland and a group of professionals working with children, young people and families.

NOTES TO EDITORS

The concept of a Children’s Advocacy Centre in the United Kingdom (UK), and the North West of England specifically, was put forward by Professor Rowland in his Churchill Fellowship report (Living on a Railway Line – a major report to improve the safeguarding of vulnerable children in the UK and beyond[4]).

A Children’s Advocacy Centre is a relatively new idea in the UK although well established in the United States of America (USA). In the USA Children’s Advocacy Centres often focus on the provision of a multi-disciplinary team approach to responding and preventing child abuse. They provide programmes and support services for child victims and their families enabling them to heal emotionally and physically.  They often provide a single place where children can be interviewed, examined, have therapy etc.

The aim of the project in the UK is to seek support to establish a Children’s Advocacy Centre in the North West of England but one that is co-designed and co-produced by children and young people and provides services that extend outside of child abuse. The proposal would be to incorporate programmes and support services for children and families experiencing all types of different problems as well as providing education and awareness to prevent problems becoming established. The services would be provided by professionals and volunteers from a range of different disciplines depending on what consultation events highlight as being the key issues that would be served by a Children’s Advocacy Centre.  Services would fall into 4 categories, aligned with the four public health stages of intervention: support to prevent problems happening; support to help problems in their early stages; support for problems that won’t go away; support for dealing with the after effect of major life events or trauma.

The purpose of the day was to find out what children and young people think of the idea of an Advocacy House for the North West of England. The term “Advocacy House” was used to differentiate the concept from the advocacy centres in the USA.

Aims of the day

  1. To seek the views of children and young people on the development of a Children’s Advocacy House in North West England
  2. To determine how children and young people could be involved in the design and evaluation of a Children’s Advocacy House if the concept is taken forwards.

Objectives

  1. To explore children and young people’s understanding and meaning of the term advocacy
  2. To establish in what circumstances they may contact such a centre
  3. To establish what such a centre may look like, how it may be accessed and what should be provided to ensure that it is acceptable to children and young people.
  4. To establish the facilitators and barriers in children and young people accessing such and advocacy centre.

Closing remarks

Professor Andrew Rowland, Consultant in Paediatric Emergency Medicine, closed yesterday’s event by saying:

“That was an amazing day! We have all learned loads about the kind of region that children and young people want us to have. I’ve heard very clearly from you today that it is about inclusivity; mutual respect; diversity and valuing people as individuals. All of us who are here today as the adults learning from you, believe in the value that children and young people play in our society.

“I’m convinced that our best days are still ahead of us if we listen to children and young people and we reach for those days together, in partnership. We all have a role to play in building a stronger, fairer, more inclusive region for children and young people with healthy children and young people at the heart of that society.

“We deserve it to young people to work our hardest to make life better for you and your families. I know that some of you have told us about difficult things today and that has shown great courage. You have told us these things because you have trusted us. You have done that because you didn’t necessarily have to tell us your name.

“I want you all to remember that there are people you can talk to whatever it is that might be concerning you – these people include your teachers, doctors, nurses and other professionals, some of whom are here today. People will not judge you ; we won’t always get it right but everyone here will try our best for you.

“Now, what do we do about moving these ideas forwards? Today is, of course, just the start. What we now need is other organisations to take up these ideas and develop them into a reality.

“We will be producing a report of today and, together, we hope to encourage other organisations to respond positively to the outcomes of today and to move forward with the concept you have all devised for us today.

“By valuing the input of children and young people and by recognising that your opinions, thoughts and dreams are important, together we can make a brighter future for us all.

“Working with children and young people has never been as important as it is now, and this has to be our mission together:

“To give every child and young person every chance of happiness, every chance of good health and every chance of protection from harm.

“As I’ve been going around the groups today I’ve tried to prepare a summary of the discussions you have been having but I’ve realised that there is no need for me to do this. There is no need for me to try and summarise in just a few words all of the amazing work you have been doing today – that wouldn’t do justice to the effort you have all put in to today and it wouldn’t be able to adequately reflect the key things you’ve told us. We’ll save those ideas for the report and, instead, I’m going to leave you with some really striking messages that you have generated.”

“Forget the bad things and look forward to the good things.” Well said, Jake.

“Have confidence in yourself.” I couldn’t agree more, Harvey.

It is about “catching bad dreams, keeping good ones and raising spirits.” Absolutely, James.

“You speak, we listen, everyone cares.” What a great way to end today, Neve.

“Thank you all very much.”

[1] http://www.wcmt.org.uk/fellows/reports/living-railway-line-turning-tide-child-abuse-exploitation-uk-overseas

[2] A Children’s Advocacy Centre

[3] http://www.roalddahl.com/charity

[4] http://www.wcmt.org.uk/fellows/reports/living-railway-line-turning-tide-child-abuse-exploitation-uk-overseas

From sick kids to SicKids

Faculty of Forensic and Legal Medicine (FFLM) – 29 October 2016, London

 

<check against delivery>

 

Ladies and Gentlemen; Chairman; thanks for inviting me to talk to you today.

 

I’m going to take you on a journey. A journey that begins in Salford and returns to Salford. A journey that has started international collaborations and new projects within the UK. A journey that involves adults, children and young people from around the globe.

 

And a journey that I hope will encourage you to Travel to Learn and Return to Inspire. That journey will help you to understand how, with a few ideas, with a great deal of enthusiasm and with commitment to succeed we can all help to turn sick kids in to SicKids.

 

By engaging with other communities be they in our own countries or around the globe and by fully involving children and young people in decisions that are made about them to become decisions that are made with them, we will better protect children and young people in the future. But we can’t do that sat behind our desks – we have to engage with children and young people in an environment that they consider to be suitable to talk to us.

 

Child abuse and neglect has always occurred. In Roman times children were considered as chattels – items of property that their Father’s could sell, use and, looking back into history, abuse. We know that 50% of one year olds are hit weekly by a parent here in the UK. We know that each week at least one child dies from cruelty and we know that sexual abuse is rife amongst communities.

 

Right now, right here children and young people around the world are being abused and neglected by the very communities who ought to be caring for them, ought to be helping them to develop and ought to be providing a stable environment in which they can grow up to lead the lives that they wish to.

 

But the stark reality of the situation is that tens of thousands of children and young people throughout the UK are suffering from abuse and neglect. So, what are we going to do about it? The Winston Churchill Memorial Trust is an amazing organisation I’ve had the privilege of being associated with since the latter part of 2013. A charity set up on the death of Sir Winston Churchill in 1965, they now fund around 150 British Citizens each year to travel abroad, gain new skills and knowledge and to return to recommend how our society can change for the better here in the UK.

 

Or, put more simply, you can’t stay in your corner of the forest waiting for others to come to you. You have to go to them sometimes.

 

On a journey that took me 35043 miles, to nine different cities in six different countries I have had the most amazing professional experiences that have, I believe, changed my career forever. In my report, Living on a Railway Line, that was launched at MediaCityUK, I’ve made key recommendations to turn the tide of child abuse and neglect in the UK and overseas. Recommendations that I’m really delighted have been grasped by a number of organisations and we are starting to see implementation.

 

It was a community, living beside a railway line, that I met whilst I was travelling in Cambodia, that inspired the name of my report because some communities are physically living on a railway line and some communities and individuals back here in the UK are metaphorically living on that railway line never sure where the next insult to their emotional or physical integrity is going to come from.

 

The communities I’ve visited, the people I’ve met and the experiences I have had have very clearly taught me that we have to do something different here in the UK if we are ever going to make a difference to the lives of children and young people.

 

But understanding the key reasons in society WHY children are abused and neglected is the key to preventing it.

 

It is beholden upon us all in society to recognise the vulnerabilities that exist within our communities and to do something about them.

 

But, looking critically at the those themes we have just watched, am I really suggesting that they are transferrable to here in the UK? Am I really suggesting that children here might be being sold?

 

Well, maybe not for $300 as you have just seen. But you only have to look at some of the learning from, for example, the cases in Rochdale to realise that these themes are not a million miles, not a thousand miles, not even a few miles away from the parallels we have seen in cases here. I have no doubt that children and young people ARE being used as a form of currency here in the UK and that is something that our society has to put a stop to.

 

The learning from work overseas has been immense ever since I launched our partnership between Salford University, my NHS Trust and M’Lop Tapang a social development organisation in Cambodia.

 

That partnership, to improve the health and social care of children and young people living on and around the streets and beaches of Southern Cambodia, continues to go from strength to strength.

 

When I first announced the partnership we have been developing a colleague of mine said, “well, that’s a one way partnership I suppose” seemingly indicating that knowledge transfer would be unidirectional – from the UK to Cambodia.

 

He couldn’t have been more wrong.

 

M’Lop Tapang envisions an environment where all children and young people are allowed to grow up in their families feeling safe, healthy and happy; a society where all children and respected and treated equally; a community where all children and given choices about their future.

 

M’Lop Tapang provides a complete range of services for children, young people and families where statutory services are absent and there is no possibility of their introduction.

 

I think that there are seven key steps to better protecting children and young people in the future. At the core of many of these ideas is your role as a community leader – not just a clinician – and I’ll come back to that later.

 

As I’m talking to you I’d like you to be thinking about what it is that you can do, either in your own communities or as professionals, to implement these seven steps to reducing abuse that we’ve come to realise from our work abroad and here in the UK.

 

Taking things in no particular order.

 

Education is one of the most important things that we as a community can do to try and change the way that our society views children and young people.

 

We know that missing from education is a risk factor for child sexual exploitation, but we need to take a step back and consider in much more general terms, the impact that increased educational levels can have on decreasing adverse opinions communities may have about children and young people so that they are seen more properly as the valuable members of our community that they are.

 

Because education really is the most powerful weapon you can use to change the world.

 

Increasing employment in our societies is something that leads to better economic and social development of those societies and, consequently, over time less poverty and less need for children to be involved in abusive situations through no fault of their own.

 

And increasing employment is something the sustainable team at M’Lop Tapang in Cambodia are fully aware of. With 200 staff, of whom 197 are from Cambodia, they have introduced a new programme in the region

 

In the case of Cambodia it is providing employment for parents so that they children can go to school, which helps to not only increase educational levels but also reset the social norm from not being in education or employment to the future where education and employment will go hand in hand, meaning that children and young people are less likely to be in situations where they can be harmed and are more likely to have developed resilience to protect themselves from risks in the future.

 

Poverty isn’t something that just affects children abroad, it is at the root of dealing with the chronic neglect that exists in our societies; neglect that has to be resolved for those same societies to become safe places for children to grow up in the future.

 

Poverty has to be tackled to give communities the economic foundation to build a better chance of a successful future and to give the children and young people in it every chance of happiness, every chance of good health and every chance of protection from harm.

 

We’ve got to remember that to some people this beach – Otress Beach in Southern Cambodia – is a place where there are calm waters, golden sand and idyllic sunsets. To others, it is their home.

 

I genuinely believe that if we were to decrease chronic neglect in society, and to fully recognise protecting children as a public health priority rather than child protection being a social problem, we would make a real difference.

 

Organisations working in the community on child abuse prevention programmes should incorporate material related to Adverse Childhood Experiences (ACEs) and provide community education, to adults as well as children and young people, about recognising these ACEs and minimising them in our societies.

 

For it really is easier to build strong children than to repair broken adults.

 

Whether or not you recognise it, you all – as clinicians working on behalf of some of the most vulnerable members of society – have a key role to play as a community leader.

 

Whether this is undertaking community outreach work or rural clinics for people who often cannot access healthcare resources in a clinic, hospital or health centre. And if you’d have seen me collapse through that platform as it gave way underneath me a few moments later you’d have seen that even with a language barrier a sense of humour still unites communities even from different parts of the globe. Here those clinics are in the jungle but the concept can apply wherever you practice.

 

The point being that sometimes you have to take your skills to where the community are prepared to engage with them.

 

It is not just your role in medicine that is important. You, as professionals – often respected by the community – have a key role to play to change, in the future, how those communities view children and young people living within them.

 

Although child labour has fallen by around one third, there are still 168 million children and young people around the world forced to work. I’ve seen at first hand through my work in Cambodia the effects that children having to work has on them and their communities.

 

Throughout the world neonatal and childhood mortality is still too high. But the learning from resource-poorer communities, who don’t have the facilities that we have access to here in the UK, can really teach us skills of rapid service improvement. The can-do attitude of the multi-professional staff at M’Lop Tapang is inspiring in its own right and if we could only transfer a little part of that back to here in the UK our health and social care system would be dramatically more efficient and sustainable.

 

The significant negative consequences of violence against children, using Cambodia as but one example, is a humanitarian disaster; but aside from the health and social consequences of such attacks on the physical and emotional integrity of some of the most vulnerable members of our society, the economic costs are staggering.

 

Fully recognising that those consequences will be having deleterious effects all throughout the world is a starting point to try and change the minds of those with political and financial responsibility who may be reluctant to invest new money now to better protect children and young people in the future, instead of face the economic costs for generations to come of failing to act today.

 

Building a better society for the future is easier, and more successful, if the building blocks are intact than it is if we are trying to rebuild a community after it has fallen.

 

Respecting children and young people for the valuable citizens that they are is one of the fundamentals tenants a society must abide by if we are to make any headway into reducing the abuse and neglect that they suffer from, wherever they live in the world.

 

Providing children and young people with the social scaffolding and social resilience to grow up stronger, and more able to launch a defence against the physical and emotional attacks that come their way, gives an opportunity for the whole community to network together to better protect the children within it and recognising the community-specific risk factors that exist within the individual society, which place children and young people at risk of harm of all kinds, is crucial to be able to address the issues.

 

That requires us to take a much more local approach to the specific vulnerabilities that exist within our communities and to tackle them at a grass roots level. The brilliant work by the NHS youth forum tackle those very issues and make sure that the voices of children and young people are properly heard in the NHS.

 

As my talk draws to a close I want to reflect on how some children and young people have really grasped the challenge of making a difference to our society themselves, where I work in the UK.

 

I want to introduce you a group of children and young people from Greater Manchester who are tackling the problem of child sexual exploitation themselves.

 

That’s Woolf and the other presenters standing next to me in the photo – and you’ll hear more from them just now.

 

Children and Young People, being supported by adults, and demonstrating the crucial role that peer to peer education has in building a brighter future for them all.

 

No matter what anybody tells you, it is words and ideas, such as the words and ideas of those children and young people, that can and will change the world.

 

What about making our communities safer?

 

Fully engaging with children and young people – so that they can co-design services aimed at them is key to helping them to protect themselves in the community in the present and the future.

 

There is so much we can learn from countries around the world who have introduced new schemes to protect children and young people – including the ChildSafe movement. A scheme launched in South East Asia that really gets back to basics to enable the community to better protect the children and young people who live within it.

 

With key components of peer to peer education, community education about child abuse prevention and recognition and accreditation of ChildSafe businesses; I believe a Child Safe UK pilot could be a new way of thinking about communities that might just reset the frame from some communities that tolerate the abuse and neglect of children to communities who actively respect the rights of children and young people and better protect them.

 

If we could replicate that in the UK ultimately we could create so many more communities where children and young people are actively protected from forms of abuse by the community itself.

 

Through proper engagement, real engagement not tokenism, we can work collaboratively with children and young people to involve them in decisions that are relevant to them and, in time, as children and young people develop more resilience to the factors acting against them in society, over time, the communities in which they live and the society in which these communities are placed will, ultimately, become a safer place for those children to grow up in.

 

Every child should have every chance of good health, every chance of happiness and every chance of protection from harm. Recognising the role you can play is vital to make our society a healthier, safer and happier place for children and young people to grow up in the future.

 

But what has all of my experienced taught me personally?

 

I said at the start that the award of my Churchill Fellowship, and the experiences that I have had since then, have changed my professional life for the better in a way that I could never have imagined. And having returned bursting with ideas of things we can do to make our society a healthier, safer and happier place for children to grow up in

 

I have now founded a brand new registered charity in the North West of England. A charity that has four great trustees who are as committed as I am to making our communities, both here and in Cambodia a better place for children and young people to live and prosper.

 

A charity that will support us delivering outreach healthcare in Cambodia, a charity that will help us to improve the development of children with disabilities by providing sensory room facilities, a charity that will allow children and young people themselves to remind the rest of the community that they still need protection and different forms of support even when others within that community fail to recognise them as still children, and a charity that will help to draw attention to, and combat, the adverse health consequences of homelessness.

 

With values that are crucial to ensure we act with equity and diversity, having just launched and become registered in October 2015, I very much hope that 2017 will be a good year for all of us and that we will be looking forward to exciting fundraising times ahead. With a goal to relieve sickness and preserve health the knowledge I’ve learned from abroad and applying it here in the UK can and will make a huge difference to children and young people living side by side in our communities with us. Being involved in this kind of work is vital to make our society a healthier, safer and happier place for children and young people to grow up in the future.

 

Because, what IS the use of living if it be not to strive for noble causes and to make this muddle world a better place for those who will live in it after we are gone?

 

The majority of children and young people in our communities are not abused. But what the focus of our efforts should be is to facilitate children and young people leading the lives that they wish to supported by communities and families. Recognising the early intervention that can improve health care experiences for children… Whether that is by providing outreach support to rural communities in Cambodia, by providing clinical and educational support, such as through our monthly skype clinics that we have now set up with the team in Sihanoukville, or by transferring and applying that learning from abroad to here in the UK, it is very clear to me that we can make a huge difference to the lives of children and young people in two geographically distant areas, but socially connected communities, and I know, from a very personal view, that my involvement with the team in Cambodia has developed me in a way I could never have imagined.

 

None of this would have been possible without the support of The Winston Churchill Memorial Trust and the Association of Paediatric Emergency.

 

It is global health work and bidirectional learning that will continue to improve the health and social care of children and young people in our communities and the global society in which they are placed.

 

Work that will, over time, help us to really turn the tide of child abuse and neglect in the UK and overseas, so that, in the future, starting in some small way, the day may dawn when fair play, love for one’s fellow human beings, respect for justice and freedom and intolerance of injustice will enable future generations, to emerge from the lives that they lead and would wish to change… and those young people who are the present and the future of our global society will be able to grow up, leading the lives that they wish to lead, better protected and in better health.

 

Thank you very much.

Sunrise over one of the most amazing archaeological structures on the planet.

Today began at 03:45am to see the sun rise over one of the most amazing architectural structures on the planet. Angkor Wat.

It is sad that this country had the capabilities to build something so incredible in the 12th century yet the country was practically destroyed in the 20th.

It’s been a fantastic two weeks:
Clinics in the health centre…


Mobile clinics with displaced communities…



Teaching health, education & social care staff children’s rights, first aid and recognition of abuse…


as well as a visit to the Royal Palace…

learning about the Khmer Rouge…


and land mines…


and a visit to the Angkor Archaeological Park.

Photos to follow but updates from the fortnight are here:
 https://drandrewrowland.wordpress.com
https://mobile.twitter.com/drandrewrowland
https://mobile.twitter.com/SicKidsUK
https://mobile.twitter.com/dencarter1
Good night! 🇰🇭

A harrowing but fascinating & enlightening visit to a UNESCO memory of the world site: The Khmer Rouge S-21 interrogation centre

Before reading this you need to know that it may be upsetting. That isn’t deliberate. It isn’t gratuitous. It isn’t intended. But I think it is impossible to not be moved by learning about what happened in the Khmer Rouge S21 interrogation centre & prison.

The site is a former high school which was used as the Security Prison 21 (S-21) by the Khmer Rouge from 1975 to 1979. 

We’re talking about something occurring during my lifetime. S-21 was one of at least 150 execution centres in Cambodia during those four terrible years at at least 12000 but possibly up to 20000 prisoners were killed in S21 alone.

The Khmer Rouge adapted high school to become a prison by converting classrooms to torture chambers & tiny prison cells.

Prisoners were provided with a munitions box in which to defaecate and a plastic bottle in which to urinate. Any spillage is on the floor resulted in beatings or electrocution.

Prisoners were showered by hose pipes – sometimes once every three months – and spent their time shackled to iron bars and each other in the larger chambers.

The people who were brought here – children, women and men – were repeatedly tortured and coerced into providing false confessions to “crimes” they never committed, after which they were murdered.

Medical experiments were carried out in the prison by Khmer Rouge doctors who had received four months of training – including blood draining until death and removal of organs without anaesthetic.

Physical torture, mental torture, neglect, disease, dehumanisation and outright degrading treatment occurred, it would seem, every day.

Only 7 people are known to have survived S21 and when the prison was discovered during the liberation in 1979, the final 12 prisoners who had been murdered there – and left behind – were given a proper funeral in the grounds of the compound.

This is a place of great sadness but it is preserved very carefully, very factually and very respectfully.

I believe it is important, when working in a different country from home to try and learn more about the history of the communities and the society in which they are now placed. It is only by trying to learn about this that I think it is possible to even try to understand about why people living in communities today do, or have to do, the things we see.

I’ve had the privilege over the last week to be able to speak privately to an academic lawyer working in the Khmer Rouge Tribunal:

http://www.eccc.gov.kh/en

That tribunal – properly constituted in accordance with law – is still hearing cases now of people from the Khmer Rouge who are accused of genocide and other crimes against people. What is absolutely right is that they have the right to full legal representation and to defend themselves. Their cases are handled in accordance with accepted legislation with international and Cambodian legal experts involved.

To do otherwise would be no better than the lack of human rights in S21 interrogation centre itself.

This centre is now a very calm and peaceful place.

As we finished the visit there was an old man sitting on a chair, asleep in the shade.

He was one of the seven survivors of S21. 

He deserves to sleep there, or wherever he wants to, for as long as he wants to.

Hello, my name is Andrew… in Khmer

It has been great to meet the Youth Volunteers at the Board Meeting today.

Andrew

Young people who have been teaching me Khmer as well as talking about their experiences here at the centre – what works well and what they would like to see changed.

We had a lot of laughs as I mis-pronounced my name MANY times but I can now count to THREE (four and five are a bit of a struggle at the moment), say “Hello, my name is Andrew”, say I am a Doctor, say “Thank you”… and also tell a joke (thankfully it is only two words in Khmer!).

The value of co-designing services with children and young people cannot be underestimated. I’ve seen here in Cambodia that the Youth Volunteers often have things said to them that the children and young people may be shy about telling the teachers and this can be incredibly beneficial to ensure that some of the more difficult issues facing children and young people are found out about and tackled.

Back in the UK there are many great examples of children and young people taking a leading role in policy development. Have a look at these for a few examples:

NHS England Youth Forum

http://www.byc.org.uk

Becoming a Member