Our clinical services

Marie-Vincent’s team of professionals and specialized partners provides a range of services centralized under one roof (police, medical, socio-judicial, psychosocial and psychotherapeutic services) to child and adolescent victims of sexual violence, to children under the age of 12 presenting sexual behaviour problems, and to their families.

Our services are follow the same model at our two centres, located in Montréal and Montérégie.

By grouping all services together and providing a caring environment, we are able to minimize potential trauma caused by the disclosure process. Service integration also streamlines interventions by partners to serve the best interest of the child or youth.

In parallel, our close collaboration with the Marie-Vincent Interuniversity Research Chair on Sexual Abuse of Children allows us to evaluate these services and their impact, strengthening our ability to provide optimal support while ensuring an integrated, evidence-based approach.

If a child or adolescent confides that they have experienced sexual abuse, we invite you to see the following page:

Specialized support for youth and their parents and/or significant adults

Marie-Vincent is not an emergency service. When a referral is issued by a professional so that a child or family may receive Marie-Vincent’s services, and once the request is complete, our team will assess the priority of the case.

To know who can be referred to our services and how to proceed, see the following section:

Following the disclosure of sexual violence or sexual behaviour problem, and when the service request is completed, immediate psychosocial intervention is made available to parents and/or adolescents as promptly as possible.

This short-term intervention consists of several meetings aimed at:

  • Restoring a sense of safety
  • Acknowledging the impacts of sexual violence
  • Developing a concrete action plan to support empowerment
  • Understanding the socio-judicial process (when applicable) and the services offered at Marie-Vincent
  • Strengthening parenting skills (when applicable)
  • Exploring thoughts associated with sexual abuse or sexual behaviour problems
  • Appropriately regulating emotions associated with sexual abuse or sexual behaviour problems
  • Practicing self-care

In order to determine the most appropriate services for the referred child or adolescent, Marie-Vincent conducts a needs assessment.

A Marie-Vincent professional (psychotherapist or psychosocial practitioner) conducts an assessment to determine the child’s or adolescent’s needs. The resulting recommendations orient the child, adolescent, and their parents and/or significant adults toward appropriate internal and external services.

As part of the needs assessment, a research assistant affiliated with the Marie-Vincent Research Chair works in collaboration with the clinician responsible for the assessment to present the modalities of ongoing research projects. If the family, child or adolescent consents, the research assistant may administer standardized questionnaires to obtain a global view of strengths and weaknesses in order to better orient them within our service offering.

The objectives of the assessment are to:

  • Document the child’s situation across different areas of life (social, emotional, behavioural, academic, family, etc.)
  • Assess issues related to sexual abuse and/or sexual behaviour problems
  • Identify coping strategies or feelings related to the sexual abuse
  • Assess the parent’s capacity to be supportive of their child
  • Evaluate the consequences of sexual abuse and/or sexual behaviour problems for the child and parents
  • Recommend services tailored to the child’s specific needs

Based on the needs assessment and ongoing adaptation to the child’s situation, they may receive one or more specialized services.

Based on a cognitive-behavioural approach, this treatment aims to reduce the negative impacts on the child’s or adolescent’s functioning. Depending on the intervention plan, the parent or significant adult may be invited to participate in sessions.

The objectives of psychosocial therapy are to:

  • Develop skills for identifying, expressing and managing emotions
  • Develop cognitive coping strategies (understanding the link between thoughts, emotions and behaviour)
  • Acquire knowledge about sexual violence and/or sexual behaviour problems (SBP)
  • Identify harmful or inaccurate thoughts related to sexual abuse, sexuality and SPB
  • Identify factors that trigger and sustain SBPs
  • Build knowledge in sex education
  • Develop assertiveness and self-protection skills

Psychotherapeutic treatment is based on trauma-focused cognitive behavioural therapy (TF-CBT). The objective of psychotherapy is to bring about meaningful changes (cognitive, emotional or behavioural), improve the youth’s functioning and reduce psychological distress. Depending on the intervention plan, the parent or significant adult may be invited to participate.

This treatment is associated with a significant reduction in symptoms among young victims of sexual violence or those who present sexual behaviour problems, including reduced anxiety and guilt and improved self-esteem.

The objectives of psychotherapy are to:

  • Develop skills for identifying, expressing and managing emotions
  • Develop cognitive coping strategies
  • Acquire knowledge about sexual violence and/or SBPs
  • Gradually uncover trauma-related memories
  • Reduce post-traumatic stress symptoms
  • Identify and restructure harmful or inaccurate thoughts
  • Identify factors that trigger and sustain SBPs
  • Build knowledge in sex education
  • Develop assertiveness and self-protection skills

Delivered by two professionals—a psychotherapist and a psychosocial practitioner—this service is also based on a cognitive-behavioural approach and on playful and creative activities. Like individual intervention, group psychotherapy is associated with a significant reduction in symptoms among child and adolescent victims of sexual violence.

The objectives of group psychotherapy are to:

  • Develop skills for identifying, expressing and managing emotions
  • Develop cognitive coping strategies
  • Acquire knowledge about sexual violence and/or SBPs
  • Facilitate the structured sharing of trauma-related memories
  • Reduce post-traumatic stress symptoms
  • Identify and restructure harmful or inaccurate thoughts
  • Identify factors that trigger and sustain SBPs
  • Build knowledge in sexual education
  • Develop assertiveness and self-protection skills

All of the above-mentioned services are provided directly by Marie-Vincent staff. However, our team also works closely with several partners to offer additional services, under one roof, to youth and their families.

Through a partnership with CHU Sainte-Justine, a team of physicians and nurses provides medical consultation services to children and adolescents on-site at Marie-Vincent. The consultation is intended primarily to assess and reassure the child or adolescent regarding their overall health, including sexual, physical and mental health. The consultation can be followed by referrals to specialized professionals. In cases of sexual violence, a medical examination can help reassure the child or adolescent regarding their physical integrity.

The objective of the police investigative interview is to obtain an accurate account of the events disclosed by the child and to determine, in a non-suggestive manner, whether sexual violence occurred. During the interview:

  • An investigator questions the child or adolescent
  • The interview takes approximately 45 minutes and is held in a small room at Marie-Vincent; the child’s testimony is recorded
  • The recording avoids the need for the child or adolescent to repeat their story multiple times
  • Another investigator, accompanied by a youth protection worker, observes the interview live from another room
  • Parents or significant adults present at Marie-Vincent are informed of the process but cannot attend the interview

This program is a structured preparation process for minors aged 5 to 17 who are required to testify in criminal court. It may be delivered on-site at Marie-Vincent by a practitioner from the Crime Victims Assistance Centre (CAVAC). The program aims to:

  • Minimize stress before and during testimony
  • Promote high-quality testimony
  • Familiarize minor witnesses with the court and key terminology
  • Help overcome fears
  • Build confidence
  • Explain skills to be applied
  • Practice skills through role-playing

To discover our complete specialized service pathway, see the interactive diagram below.

 

Discover the different services offered by our clinical team