Safety, Mentoring, Advocacy, Recovery, and Treatment (SMART)

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:

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About This Program

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

For children/adolescents ages: 4 – 11

For parents/caregivers of children ages: 4 – 11

Brief Description

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.

Program Goals:

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

  • Reduce/eliminate the problematic sexual behavior
  • 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

Contact Information

Betsy Offermann, LCSW-C
Phone: (443) 923-5907

Date Research Evidence Last Reviewed by CEBC: June 2015

Last CEBC Contact Date: October 2017

Date Program Content Last Reviewed by Program Staff: October 2017

Date Program Originally Loaded onto CEBC: April 2011