In Cleveland in 1987 a medical diagnosis of child sexual abuse was made in 127 children, resulting in their removal from home. The consequent intense scrutiny and public criticism around the case, together with the subsequent Butler-Sloss inquiry, resulted in the medical evidence being discredited, giving rise to a system which relies on children to speak out about their abuse. This book argues that this 1987 crisis continues to shape child protection today, resulting in opportunities to protect children being missed. Now re-issued with a substantial new introduction and concluding reflections, this book provides the only account by key professionals directly involved in the Cleveland cases, allowing readers to understand what really took place in Cleveland and why it continues to matter today. It analyses the many failures to address the plight of sexually abused children and makes constructive suggestions for the way forward to provide more effective interventions for children at risk.

Despite heightened media attention and the increase in professional knowledge about child abuse, many children are still being failed by the system. Using attachment theory as a foundation, this book addresses in depth the acute practice dilemmas concerning children who, despite the climate of increased awareness, multi-disciplinary cooperation and legislative and procedural change, cannot easily be protected. The contributors give guidelines for working with the children, in particular those who, unable to disclose their experience themselves, are the most difficult to support. Illustrated throughout with case material and informed by the experiences of survivors themselves, the book presents a framework for well managed and resourced, flexible and integrated intervention with children, their families, and the community that will enable professionals and families to work together to break the `cycle of abuse'.