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An Evidence-Based Approach for Estimating Present and Future Damages From Child Sexual Abuse

Dr. Bernet is Director, Division of Forensic Psychiatry, and Professor, Department of Psychiatry, Vanderbilt University School of Medicine, Nashville, TN. Dr. Corwin is Chief, Division of Child Protection and Family Health, and Professor, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT. Address correspondence to: William Bernet, MD, The Psychiatric Hospital at Vanderbilt, 1601 Twenty-Third Avenue South, Suite 3050, Nashville, TN 37212. E-mail: william.bernet{at}vanderbilt.edu

This article illustrates the use of evidence-based practice to develop conclusions for a forensic report. The authors present a case vignette in which an early adolescent boy was sexually abused by an employee of a private school, and a lawsuit ensued. They explain how to utilize relevant research regarding the prognosis of victims of sexual abuse to address the forensic issues of psychological injury and future damages. It is notable that the two authors, who have at times testified on opposite sides of similar cases, were able to agree on conclusions that were based on relevant published research.