Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment
The information in this program outline is provided by the program representative and edited by the CEBC staff. This program has been reviewed by the CEBC in the following Topic Areas:
About This Program
Target Population: Children aged 7-12 years who have sexual behavior problems and their parent(s)/caretakers
For children/adolescents ages: 7 – 12
For parents/caregivers of children ages: 7 – 12
This program is designed especially for professionals who work with school-age children exhibiting sexual behaviors problems. The program provides insights and intervention strategies. Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment is designed to help and heal child and family using a full array of activities to help foster key life skills such as safety planning, relationship skills, emotional expressive skills and empathy, cognitive coping, and self-regulation.
The goals of Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment are:
- Reduce a child’s risk to engage in further inappropriate/abusive sexual behaviors
- Facilitate safety/prevention planning
- Improve the parent-child relationship
- Enhance emotional expressive skills and affect regulation
- Alter cognitive distortions
- Resolve issues related to past trauma and/or abuse
- Improve social skills
- Provide age appropriate psychosexual educations
- Develop accurate and positive self-perceptions
The essential components of Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment include:
- Three modalities:
- Group therapy (5-10 participants with 2 therapists)
- Treatment framework addresses issues in eight areas of focus which include:
- Attachment/mobilizing support systems
- Affective regulation
- Cognitive distortions
- Gradual exposure
- Social skills development
- Psychosexual education
- Self-perception/personal identify
- Treatment tailored and directed based on an assessment of the unique characteristics of the child and family:
- Safety most important area of focus
- Incorporates elements of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) and Trauma-Focused Integrative Eclectic Therapy (IET) developed by William Friedrich
- Focuses primarily on children who have engaged in inappropriate or abusive sexual behaviors
- Focus for the parent/caregiver that includes:
- Increasing the frequency of positive interactions between parent(s)/caretakers and children
- Helping parent(s)/caretakers and family members develop more positive perceptions and beliefs regarding their child
- Helping parent(s)/caretakers provide adequate supervision and structure
- Educating parent(s)/caretakers about the effects of trauma and abuse
- Providing education on normative vs. problematic sexual behaviors
- Educating parent(s)/caretakers on ways to communicate about safety, boundaries, and sexuality
- Helping parent(s)/caretakers develop more effective behavioral management strategies
Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment directly provides services to children/adolescents and addresses the following:
- Engaged in inappropriate or abusive sexual behaviors
Services Involve Family/Support Structures:
This program involves the family or other support systems in the individual's treatment: Parents/caretakers/family learn how to address safety issues, enhance attachments, mobilize support systems, talk to the child using appropriate terms for body parts, overall parent intensive interventions. The treatment framework does encourage the inclusion of non-offending siblings in various parts of treatment. The clarification process between victims and family members who have engaged in sexually abusive behaviors is briefly discussed.
Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment directly provides services to parents/caregivers and addresses the following:
- Have a child who has engaged in inappropriate/abusive sexual behaviors, lack of adequate structure and supervision to reduce the child’s risk for further problems, negative perceptions of child
In general, 1 hour of individual or family therapy per week in addition to 1 hour of group therapy
Treatment is not recommended to be time limited when optional. Rather, completion of treatment is based on symptom reduction, behavioral change, and skill acquisition.
This program is typically conducted in a(n):
- Community Agency
- Day Treatment Program
- Outpatient Clinic
Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment includes a homework component:
Age appropriate homework. Various activities based on lessons learned in sessions.
Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment does not have materials available in a language other than English.
Resources Needed to Run Program
The typical resources for implementing the program are:
Private office, group room, office supplies (paper, markers, crayons, etc.) for activities, book which includes a CD that has predesigned activities
Minimum Provider Qualifications
Clinical license or supervision by clinician, graduation with Master’s level degree from accredited school (for example, in Utah, clinicians can be LCSW, LPC, CSW supervised by LCSW, or CPC-I supervised by LPC or LCSW)
Education and Training Resources
There is a manual that describes how to implement this program; but there is not training available for this program.
Relevant Published, Peer-Reviewed Research
This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.
Currently, there are no published, peer-reviewed research studies for Interventions for Children with Sexual Behavior Problems: Research, Theory and Treatment.
Grant, R. K., & Lundeberg, L. H. (2009). Interventions for children with sexual behavior problems: Research, theory, and treatment. Kingston, NJ: Civic Research Institute.
Date Research Evidence Last Reviewed by CEBC: September 2013
Date Program Content Last Reviewed by Program Staff: February 2018
Date Program Originally Loaded onto CEBC: October 2011