Sexual Abuse Series

1. Sexual Abuse Series 203: Working with Juveniles Who Sexually Offend

2. Introductions • Name • Agency • Length of Employment w/Agency • Employment Duties • Three things that come to mind when one hears “Juvenile Sex Offender”

3. Housekeeping • 15 min. Rule • Breaks & Lunch • Cell Phone, Computers, Side Bar Conversations • Packets • Parking Lot • Idea Catcher

4. Training Agenda Day One I. Welcome and Introductions II. Understanding Sexual Behaviors III. Characteristics of Juveniles Who Sexually Offend IV. Victim-Centered Approach V. Assessment

5. Training Agenda Day Two VI. Treatment and Supervision Interventions VII. Case Planning With the Family VIII. Reunification and Case Closure IX. Closing and Evaluation

6. Child Sexual Abuse Series • Overview of Child Sexual Abuse • 203: Sexuality of Children: Healthy Behaviors vs. Behaviors That Cause Concern • 203: Investigative Interviewing in Child Sexual Abuse Cases • 203: Working with Juveniles who Sexually Offend • 209: Family Reunification and Case Closure in Child Sexual Abuse Cases

7. Learning Objectives • The Child Welfare Professional understands the importance of his/her responsibility to protect the victim(s) from further abuse, to prevent juveniles who sexually offend from re-offending, and knows how to assure that the juvenile is held accountable for his/her behaviors. • The Child Welfare Professional can identify and coordinate multiple services to multiple parties including the victim, the juvenile who sexually offends, the juvenile’s parents/caregivers and siblings. • The Child Welfare Professional knows the components of a comprehensive and individualized psychosexual assessment, how to obtain the assessment and can use the assessment to plan services for the juvenile and his/her family. • The Child Welfare Professional is familiar with various treatment modalities and understands the complex issues involved in reunification, service termination and case closure.

8. True or False Quiz Directions: Respond to the following statements by saying “True”or “False.” 1. Children age 0 – 3 will watch or poke at others’ bodies. 2. Children age 9 – 12 do NOT value privacy. 3. Children age 4 – 5 play games like “Doctor.” 4. Children age 6 – 8 prefer to socialize with the opposite gender than with their own gender. 5. Most adolescents age 18 and over understand their sexual orientation, although they may still experiment. 6. Children age 4 – 5 experience vaginal lubrication or erection.

9. True or False Quiz 7. Children age 13 – 17 do NOT understand consequences of sexual expression. 8. It is “normal” for a 15 year old boy to rub his penis until it becomes raw. 9. It is “normal” for a child to draw pictures in which the genitals are the predominant feature. 10. It is NOT “normal” for children to engage in sexual behaviors with those who are much older or much younger. 11. It is “normal” for male and female siblings (age 8, 11, 14, and 15) to play “Spin the Bottle” with one another. 12. It is “normal” for a child to request that an adult touch his/her genitals.

10. Sexualized Behaviors – Case Scenarios ROBERT Robert has shown an intense and anxious interest in sexual matters. He has exposed himself to his cousin and he has attempted to initiate oral sex with his cousin. TIMMY Timmy has been publicly masturbating in the boy’s locker room while watching other males in his gym class disrobe. Timmy had a male peer touch his penis while in the showers in the locker room.

11. Theories about the Etiology of Sexual Offending • Biological Factors • Behavioral Factors • Attachment Intimacy Factors • Sociocultural Factors

12. Cultural Factors to Consider • Fear of the system • A belief that justice cannot be obtained • A belief that family problems should not be discussed outside the family • A belief that counseling and other social services are not needed

13. The Clinical Assessment The clinical assessment should include: • An evaluation of the number and types of sexual behaviors of the juvenile. • A history of the juvenile’s sexual behaviors. • Whether the juvenile engages in sexual activities alone or with others. • The motivations for the juvenile’s sexual behaviors. • Other individuals’ descriptions, responses, and feelings in regard to the juvenile’s sexual behaviors.

14. The Clinical Assessment • The juvenile’s emotional, psychological, and social relationship to the others involved. • Whether trickery, bribery, physical or emotional coercion is involved. • The affect of the juvenile regarding sexuality. • A thorough developmental history of the juvenile, including abuse and out-of-home placements.

15. The Clinical Assessment • Access and careful reading of protective services’ reports, court reports, and probation documents (if applicable). • An assessment of the juvenile’s school behaviors, peer relations, behaviors at home, and behaviors when participating in out-of-home activities, such as daycare or recreational programs. • A history of each family member, the overall family history, and an evaluation of the emotional and sexual climate of the home.

16. Ongoing Assessment Ongoing assessment should include: • Access to victim and victim safety issues • Level of risk to the community • Commission of additional sex offenses • Commission of other delinquent acts • Frequency and types of behavior – to include “normal” and deviant behaviors

17. Ongoing Assessment • Emotional and/or psychological difficulties • Intellectual/Cognitive functioning • Information about the family system, dynamics and environment • Exposure to violence, aggression and/or maltreatment • Community influences (i.e. socioeconomic conditions and culture norms and values) • Strengths

18. Risk Factors Associated with Reoffending • Deviant sexual interests (either self-reported or rated by a clinician) • Prior sexual offenses • Criminal/delinquent behavior and/or attitudes • Sexual preoccupation • Unwillingness to alter deviate sexual behaviors, attitudes, and interests • Impulsivity

19. Risk Factors Associated with Reoffending • Offense after prior sanctions for inappropriate and/or sexual acting out behaviors • Offenses against both males and females, or related and non-related, or child and peer victims • Lack of intimate peer relationships/social isolation • Negative peer associations • High stress family environment • Escalation in aggression and/or negative affect (i.e. anger, depression, loneliness) • Non-compliance with treatment and/or supervision

20. Treatment Approaches • Cognitive Behavioral Techniques • Relapse Prevention • Modifying Cognitive Distortions • Building Empathy • Impulse Control • Psycho-educational Techniques • Skills Training • Sex Education • Pharmacological/biological Techniques

21. Supervision Strategies • Incarceration • Probation • Electronic Monitoring • Residential Treatment • Group Home Placement • Foster Home Placement • Community-Based Treatment

22. My Greatest Concern Is …. Victim: “I am a molested child, and my greatest concern is…. Juvenile who sexually offended: “I molested my sibling and my greatest concern is… Father: “My child was molested by a brother or a sister and my greatest concern is… Mother: “My son or daughter molested a brother or sister and my greatest concern is…

23. Purposes of Prosecution • Prevent further victimization • Protect community • Assure complete investigation of complaint • Demonstrate that sexually abusive behavior is serious, illegal and will not be tolerated

24. Purposes of Prosecution • Hold the juvenile accountable/responsible for his behavior • Determine consequences • Support victim's rights and reduce minimization and denial by the juvenile and others • Evaluate the need for treatment • Facilitate and/or mandate entrance into specialized treatment and enhance the juvenile’s motivation for change

25. Purposes of Prosecution • Assure continued treatment • Provide for supervision and follow-up (orders for probation/parole, also safeguards/safety plan) • Document record of the offending behavior • Help families who are denying the juvenile’s sexual offending behavior to follow through with treatment