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Implementati<strong>on</strong><br />
Support would take over this role after that. 746 For the provisi<strong>on</strong> of assistance, use was made of the assistance<br />
<strong>on</strong> offer <strong>in</strong> Amsterdam. The care that was provided was not specifically arranged with the <strong>in</strong>tenti<strong>on</strong><br />
that it would cease aga<strong>in</strong> when the <strong>in</strong>dividual’s <strong>in</strong>volvement <strong>in</strong> the crim<strong>in</strong>al proceed<strong>in</strong>gs came to an end.<br />
The Mayor and Aldermen of Amsterdam announced that the victims and parents <strong>in</strong>volved would be able to<br />
receive assistance for many years <strong>in</strong> order to process their experiences. They also <strong>in</strong>dicated that the <strong>in</strong>tensive<br />
emergency assistance would be c<strong>on</strong>t<strong>in</strong>ued until after the crim<strong>in</strong>al proceed<strong>in</strong>gs had been completed. 747<br />
Provisi<strong>on</strong> of assistance with regard to victims of child pornography<br />
Discussi<strong>on</strong>s were carried out with employees from the Amsterdam Municipal Health Service, <strong>in</strong> order<br />
to determ<strong>in</strong>e how the provisi<strong>on</strong> of assistance <strong>in</strong> the c<strong>on</strong>text of child pornography was handled <strong>in</strong> the<br />
Amsterdam sexual abuse case. 748 Am<strong>on</strong>gst other th<strong>in</strong>gs, they reported that the Municipal Health Service<br />
actually had no previous experience of cases <strong>in</strong> which child abuse material played a part. At the most, material<br />
c<strong>on</strong>stitut<strong>in</strong>g child pornography was found <strong>in</strong> a flat by co<strong>in</strong>cidence; referr<strong>in</strong>g this to the police was<br />
then sufficient. As far as this is c<strong>on</strong>cerned, the Amsterdam sexual abuse case certa<strong>in</strong>ly forms an excepti<strong>on</strong>.<br />
The employees <strong>in</strong>dicated that they had experienced difficulties with many cases of abuse, but that<br />
the employees had not been aware of the fact that child abuse images could have played a part <strong>in</strong> this.<br />
They reported that <strong>in</strong> the event of abuse, children <strong>in</strong> Amsterdam were exam<strong>in</strong>ed physically, psychologically<br />
and forensically; a so-called directi<strong>on</strong> group compris<strong>in</strong>g experts <strong>on</strong> sexual violence aga<strong>in</strong>st children<br />
from the Municipal Health Service, the Netherlands Institute for Psychological Care and Addicti<strong>on</strong> Care<br />
and the Academic Medical Centre, University of Amsterdam, where an assessment is made regard<strong>in</strong>g<br />
the help that is necessary. Accord<strong>in</strong>g to the employees, the essence of the Municipal Health Service’s<br />
<strong>in</strong>volvement <strong>in</strong> this <strong>in</strong>volves referral to a care provisi<strong>on</strong>. Accord<strong>in</strong>g to the employees, communicati<strong>on</strong><br />
with the parents formed an important factor. They <strong>in</strong>dicated that, partly <strong>on</strong> the basis of experiences from<br />
the Benno L. case, the decisi<strong>on</strong> was made to always <strong>in</strong>form the parents of possible victims of new facts<br />
or developments first of all. A screen<strong>in</strong>g of the parents and employees of the day nurseries <strong>in</strong>volved took<br />
place <strong>in</strong> order to determ<strong>in</strong>e the extent to which treatment was required.<br />
Furthermore, the employees stated that the decisi<strong>on</strong> was made to make use of the regular treatment<br />
<strong>on</strong> offer <strong>in</strong> Amsterdam, essentially c<strong>on</strong>sist<strong>in</strong>g of a number of modules, <strong>in</strong> the Amsterdam sexual abuse<br />
case as well. However, they referred to the fact that the aspect of child pornography had also been new<br />
for these care workers. In this c<strong>on</strong>necti<strong>on</strong>, the employees also asked what the dist<strong>in</strong>ctive elements or<br />
signals are of a case of abuse of which images have been made. 749 In sexual abuse cases, the provisi<strong>on</strong> of<br />
assistance is specifically aimed at disrupt<strong>in</strong>g the family as little as possible, accord<strong>in</strong>g to the employees<br />
from the Municipal Health Service: the impact of the abuse <strong>on</strong> the children is, <strong>in</strong> the ma<strong>in</strong>, l<strong>in</strong>ked to the<br />
questi<strong>on</strong> as to the extent to which parents rema<strong>in</strong> capable of provid<strong>in</strong>g a safe envir<strong>on</strong>ment for the child.<br />
In the Amsterdam sexual abuse case, it was therefore recommended, for example, for the parents not<br />
to see the images of their children. 750 On the <strong>on</strong>e hand, parents want to know what has happened to<br />
746 Mayor and Aldermen of Amsterdam, municipal council report, 13 January 2011.<br />
747 Mayor and Aldermen of Amsterdam, municipal council report, 13 January 2011.<br />
748 Team leader and psychiatrist/first-l<strong>in</strong>e medical practiti<strong>on</strong>er, Vangnet & Advies [Safety net & Advice],<br />
Amsterdam Municipal Health Service, 20 June 2011.<br />
749 See §3.3.2 for the identificati<strong>on</strong> of victims of sexual abuse.<br />
750 This presents a very difficult dilemma for parents, because <strong>on</strong> the <strong>on</strong>e hand, they want to know everyth<strong>in</strong>g<br />
<strong>in</strong> detail (e.g. Was the child <strong>in</strong> pa<strong>in</strong>? Was the child awake?)<br />
253