Pathways Fourth Edition

About This Program

Target Population: Adolescent males and females with sexual behavior problems, ages 12-18

For children/adolescents ages: 12 – 18

For parents/caregivers of children ages: 12 – 18

Program Overview

Pathways Fourth Edition is a structured, guided workbook for use with adolescent males and females with sexual behavior problems, including but not limited to sexual offending. Pathways Fourth Edition focuses extensively on helping clients develop healthy and responsible patterns of thinking and behavior, and also provides concrete guidance about how to control sexual feelings in healthy and responsible ways, including guidelines for successful friendships and dating relationships. Relapse prevention techniques are reinforced, as is a new focus on helping clients develop healthy and responsible lifestyles by creating a Healthy Living Project to follow. Pathways Fourth Edition includes new skill and knowledge-based exercises that aim to help clients identify feelings, manage anger, and become more sensitive to others. Pathways Fourth Edition also provides concrete tools for completing the victim clarification (apology) process and the family reunification process. This workbook is a treatment tool that hopefully leads the client towards a lifestyle of honesty, responsibility, sensitivity, and integrity.

Program Goals

The goals of Pathways Fourth Edition are:

  • Reduction in sexually inappropriate or illegal behavior
  • Increase in adaptive social behavior
  • Increase in overall responsibility in daily life
  • Increase in sensitivity to others
  • Increase in honesty about sexual feelings and behavior
  • Increase in self-esteem and improve social relationships
  • Decrease in aggressive behavior

Logic Model

The program representative did not provide information about a Logic Model for Pathways Fourth Edition.

Essential Components

The essential components of Pathways Fourth Edition include:

  • Psychoeducation about sexuality and legal and illegal sexual behavior
  • Cognitive restructuring, and awareness of thinking errors (cognitive distortions)
  • Group therapy with 8-12 adolescents to provide peer-support and guidance
  • Support for disclosure of sexual feelings and behavior
  • Victim awareness training
  • Cognitive-behavioral training in understanding the connection between feelings, thoughts, and behavior, and understanding behavior chains
  • Specific training in arousal reconditioning methods to gain mastery over sexual feelings, including covert sensitization, thought stopping, and other arousal control methods
  • Education about responsible sexual relationships, and training in establishing healthy peer-age relationships
  • Guidance in the victim clarification (apology) process, and training in family reunification skills
  • Chapter-by-chapter testing to ensure acquisition of skills and knowledge
  • Provision of a culminating project consisting of development of a Healthy Living Project that incorporates relapse prevention techniques, victim awareness, as well as components of the "Good Lives" model of rehabilitation
  • Parent companion guide - see "Services Involve Family/Support Structures" section in "Child/Adolescent Services" below

Program Delivery

Child/Adolescent Services

Pathways Fourth Edition directly provides services to children/adolescents and addresses the following:

  • Sexual behavior problems, including sexual offending, pornography addiction, sexual harassment, and any sexually motivated behavior problem.
Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: Many of the exercises in Pathways Fourth Edition require parental involvement, and a companion guide, Healthy Families, A Guide for Parents of Children and Adolescents with Sexual Behavior Problems is also available. The Healthy Families book provides supportive information for parents about the evaluation and treatment process for youth with sexual behavior problems, and also includes a parental involvement section so that parents can follow and participate in their child’s treatment process.

Parent/Caregiver Services

Pathways Fourth Edition directly provides services to parents/caregivers and addresses the following:

  • Have an adolescent who is having problems managing their anger

Recommended Intensity:

1.5 hour weekly sessions

Recommended Duration:

12 – 24 months, generally

Delivery Settings

This program is typically conducted in a(n):

  • Outpatient Clinic
  • Group or Residential Care


Pathways Fourth Edition includes a homework component:

Pathways Fourth Edition has regular homework assignments where clients are asked to practice key skills. A daily journaling requirement is also included.

Resources Needed to Run Program

The typical resources for implementing the program are:

Any counseling office

Manuals and Training

Prerequisite/Minimum Provider Qualifications

Usually a Master's degree and specialized training in working with adolescents with sexual behavior problems

Manual Information

There is a manual that describes how to deliver this program.

Training Information

There is training available for this program.

Training Contact:
Training Type/Location:

Onsite at request of the agency

Number of days/hours:

Variable, usually 1-2 days

Relevant Published, Peer-Reviewed Research

Currently, there are no published, peer-reviewed research studies for Pathways Fourth Edition.

Additional References

No reference materials are currently available for Pathways Fourth Edition.

Contact Information

Timothy Kahn, MSW
Agency/Affiliation: Timothy Kahn and Associates
Phone: (425) 462-9647
Fax: (425) 462-9333

Date Research Evidence Last Reviewed by CEBC: June 2015

Date Program Content Last Reviewed by Program Staff: March 2020

Date Program Originally Loaded onto CEBC: June 2011