[Lilathe]

Since you just suspect that there might have been abuse but aren't sure if there was or wasn't, be very careful of the therapist and type of therapy involved.
You don't want some trauma implanted into the child's mind that may or may not have occurred.

If there was abuse, just because the caregivers were primarily female doesn't mean one of them is the perp. There are usually older children, maintenence men, groundskeepers, cooks, ministers etc that also have access to the children in group homes or orphanages.

The counseling for SA is basically the same whether you know the perp or not. The most important thing for the child is to not blame themselves and to regain a sense of them being in control of their own bodies.

Counseling to address the main issues can be done without even actually being specifically for SA itself. Counseling to help a child work through that the loss of control that might have occurred. Counseling to address issues of loss ie; the loss of feeling safe, protected etc. Counseling for self esteem issues. Teaching them that sometimes bad things happen to good people. That just because bad things have happened to him, that he isn't bad.

An adopted child could use all of the same interventions even if there was no SA. They have had many losses. They have had many people in control of their lives and they have had no say in it. They tend to blame themselves for anything bad that has happened to them.