Child and Adolescent Forensic Medical Assessment Services
We care for young people aged 14 and under who have been sexually abused.
If the abuse was more than 7 days ago, we care for adolescents aged up to 16 years.
We can also help if there is a concern about child sexual abuse.
Adolescents aged 14 and over can get help from a Sexual Assault Treatment Unit.
To be seen, you need a referral from the Gardaí, Tusla or another healthcare department.
If the child has urgent medical needs, go to your local paediatric Emergency Department.
If you think a child may have been sexually abused
Steps to take if you think a child has been sexually abused
- Listen to the child.
- Make sure the child is safe now.
- Tell the child’s parents or carers (if the child is not yours).
- If the parents or carers are the alleged abusers, contact Tusla or the Gardaí as soon as possible.
- Don’t ask them probing or leading questions.
- Tell them they are brave and that they have done the right thing talking about any abuse that has happened.
- Report the abuse to the Gardaí by calling 112 or 999.
- Contact a Tusla social worker in your area.
If the abuse happened recently
If the abuse happened in the last 72 hours, the child can have a forensic medical assessment. This is a type of medical exam to get evidence after sexual abuse.
The best time to collect forensic evidence is as soon as possible after the abuse. This is because forensic evidence deteriorates (breaks down) over time. Having this evidence helps the Gardaí to investigate the crime.
Forensic assessment for children under 14
The forensic assessment is done in a child-friendly environment. If you are the parent or carer, we encourage you to stay with your child for the full examination.
A parent or guardian must consent to the examination. The doctor or nurse will then carry out a head-to-toe physical examination of the child.
They will decide if any samples (swabs or hair combings) need to be collected for forensic evidence.
Children who have not reached puberty will not have an internal (speculum) exam.
On a case by case basis, the child or adolescent may be asked to:
- have a blood test
- give a urine sample
- give their clothes to the Gardaí for forensic evidence - please bring a change of clothing for them if possible
Photographs may be taken to document the examination. This includes normal findings as well as any injuries the child may have. We use photography so that a child or adolescent only has to be examined once.
The results of the forensic assessment go directly to the Gardaí.
What to expect at a forensic assessment
This video shows parents and children what happens during a forensic assessment.
What to do before a forensic assessment
To make sure forensic evidence is not lost, after a recent sexual assault, encourage the child not to:
- use any toilet tissue if they use the toilet
- brush their teeth
- wash or bathe
- eat or drink
Do not worry if you can't follow any of these steps. We can still do a forensic assessment.
Support after a forensic assessment
During the forensic assessment, we will:
- assess the child’s health and psychological needs
- look after their urgent medical needs
- give information and referrals for follow-up care such as therapy
You will also be referred to social services to make sure you and your child have the ongoing support you need.
CARI also provide an aftercare support service if you are helping a child through the forensic exam process.
If the abuse happened more than 7 days ago
We also help children and adolescents who have experienced sexual abuse more than 7 days ago.
We can offer them a health check and arrange any follow up care they need.