The information in this program outline is provided by the program representative and edited by the CEBC staff. The Safety, Mentoring, Advocacy, Recovery, and Treatment (SMART) program has been reviewed by the CEBC in the area of: Sexual Behavior Problems in Children, Treatment of, but lacks the necessary research evidence to be given a Scientific Rating.

• Type of Maltreatment: Sexual Abuse
• Target Population: Children ages 4-11 who have a history of child sexual abuse (CSA) and are exhibiting problematic sexual behavior (PSB).

The SMART Model is an innovative, structured, phase-based, abuse-focused treatment approach to address the emotional and behavioral needs of young children with a history of child sexual abuse (CSA) exhibiting problematic sexual behavior (PSB). A major premise of the model is that the PSB stems from emotional responses to the prior CSA causing the child to form cognitive distortions about themselves, others, and the world around them. The family unit is a major target of treatment. Important aspects of family values and beliefs are integrated into the model including examining the family power structure, perceptions regarding sexuality, gender roles and identity, stigmatization of mental health, and spirituality. Unique to the model is the formation of parallel narratives of the child’s experiences as a victim and as one who victimizes others and the development of a family narrative that addresses the impact and difficulties associated with caring for a child with a history of CSA and PSB.

The goals of the Safety, Mentoring, Advocacy, Recovery, and Treatment (SMART) model are to:

• Reduce/eliminate the PSB.
• Address the dual-treatment needs of the child as a victim and one who victimizes others.
• Establish stability and a sense of safety for the child and their family.
• Increase the child’s and family’s awareness of personal and familial risk patterns and triggers.
• Develop coping skills and strategies aimed at improving emotional and behavioral regulation across domains (home, school, and community).
• Build a strong resource structure that will support the family across the child’s life trajectory.