Seeking an Integrated Approach to Trauma and Problematic Sexual Behaviors in Adolescents: Learning from Practitioners.

More than a third of all sexual crimes are committed by adolescents. In addition, many adolescents struggle with problematic sexual behaviors (PSB) that may not rise to a criminal offense, but cause harm to themselves and those around them. A significant number of these adolescents also have histories of their own trauma; yet there are no treatment models that integrate both PSB and trauma into one comprehensive treatment for this population.

Attachment Theory and Sexual Offending: Making the Connection.

Purpose Of Review: The purpose of this review is to discuss how attachment theory can be applied to explain sexual violence. Specifically, it discusses how the development of certain risk factors contributes to these behaviors and how attachment-based models can be used to address this issue through prevention and therapeutic interventions.

Recent Findings: Recent research demonstrates that individuals who commit sexual offenses have higher rates of insecure attachment styles and that these styles are associated with a number of criminogenic risk factors associated with sexual offending.

Learning From Consumers of Mandated Sex-Offending Programs: "It's Not Treatment, I Wish It Was.".

The purpose of this qualitative study was to explore clients' perceptions of sex-offending treatment. The sample included 291 people required to register as sex offenders in the U.S.

Developing a trauma focused cognitive behavioral therapy application for adolescents with problematic sexual behaviors: A conceptual framework.

Sexual abuse (SA) perpetration is a significant public health problem; SA perpetration is most likely to emerge during adolescence and youth ages 13 to 17 account for a significant portion of all child sexual abuse. While research shows that these youth have high rates of adversity, once they have engaged in problem sexual behavior (PSB), their own trauma histories are often ignored with treatment primarily focused on reducing risk for reoffending. Although sexual re-offense rates among adolescents with PSB are very low, the rates of non-sexual recidivism are considerably higher; with almost half of known youth have reoffended non-sexually, requiring development, implementation, and testing of therapeutic interventions responsive to the indicated risks and unmet needs of adolescents who have engaged in a range of problematic sexual behaviors (PSB-A) and their families.

The Perceptions and Needs of Practitioners Working to Promote Smart Decarceration.

Unlabelled: The social work Grand Challenge to Promote Smart Decarceration's aim is to address the high rates of incarceration in the United States.

Purpose: Yet very little is known about criminal justice practitioners in the U.S.

Relationships between Early Life Victimization, Antisocial Traits, and Sexual Violence: Executive Functioning as a Mediator.

Few research studies examine how the relationship between trauma and executive functioning can influence sexual violence among youth. Knight and Sims-Knight (2004) proposed a Developmental Etiological Theory (DET) connecting early life physical and sexual victimization to sexual violence via antisocial traits. Drawing from research that identifies a link between early life victimization and executive functioning, this study tests an adaptation to the DET by including executive functioning as an intervening factor.

Criminogenic Needs as Intervening Factors in the Relation Between Insecure Attachments and Youth Sexual Violence.

There is a strong theoretical and research base demonstrating the link between attachment styles and adolescent sexual offending. However, this relationship may be best explained by deficit-based mediational pathways including criminogenic needs such as emotional or affect regulation and callousness. Grady, Levenson, and Bolder propose a framework that details criminogenic needs as intermediary variables in the attachment-sexual offending relationship.

Childhood Maltreatment Experiences, Attachment, Sexual Offending: Testing a Theory.

The aim of this study was to empirically examine the theoretical model proposed by Grady, Levenson, and Bolder used to explain the relationships between experiencing trauma, attachment styles, and risk factors associated with sexual offending. The specific risk factors tested were emotional, behavioral, and cognitive regulation deficits. The research questions were as follows: (1) What specific childhood traumatic experiences (physical and sexual abuse and/or other domestic trauma events) are associated with anxious-ambivalent and anxious-avoidant attachments? (2) Are anxious-ambivalent and anxious-avoidant attachment styles differentially linked to dysregulation outcomes (emotional, behavioral and cognitive shift, and inhibitions)? (3) Do insecure attachment styles explain why childhood trauma is associated with dysregulation? and (4) Do these early life experiences contribute to sexual offending behavior? The sample included 200 male youth adjudicated for either a sexual or nonsexual crime and living in the community or a residential facility.

Preventing Sexual Abuse: Perspectives of Minor-Attracted Persons About Seeking Help.

The primary aim of this exploratory research was to gain information from minor-attracted persons (MAPs) about their (a) formal and informal experiences with help-seeking for minor attraction, (b) perceived barriers to seeking help for concerns about minor attraction, and (c) treatment priorities as identified by consumers of these services. A nonrandom, purposive sample of MAPs ( = 293, 154 completed all questions) was recruited via an online survey. Results show that 75% of participants did seek formal help from a professional; however, just less than half of them found the experience to be helpful.

Linking Adverse Childhood Effects and Attachment: A Theory of Etiology for Sexual Offending.

Sexual violence continues to be a significant public health problem affecting significant portions of the population. Unfortunately, an agreed upon theory of etiology remains elusive leading to challenges in developing effective prevention and treatment interventions. Recently, there is a growing body of literature examining the role of adverse childhood experiences (ACEs) in the development of sexually violent behavior.

A Longitudinal Outcome Evaluation of a Prison-Based Sex Offender Treatment Program.

Sex offender outcome studies continue to produce mixed results. A common critique of these studies is their lack of methodological rigor. This study attempts to address this critique by adhering to the standards established by the Collaborative Outcome Data Committee (CODC) aimed at increasing the quality and confidence in outcome studies.

Does volunteering for sex offender treatment matter? Using propensity score analysis to understand the effects of volunteerism and treatment on recidivism.

A common critique of program evaluations of prison-based sex offender treatment holds that the samples inherently show selection bias because the participants typically volunteer for treatment. To address this critique, we used propensity score analysis to assess the influence of volunteerism on treatment effects. We examined recidivism outcomes for a sample of participants who volunteered for treatment, of whom some participated in treatment (n = 161) and some did not (n = 282) and compared these outcomes to the recidivism rate of a matched sample of nonvolunteers for treatment (n = 443).

The Empathy Index: an evaluation of the psychometric properties of a new empathy measure for sex offenders.

This article examines the analysis of the psychometric properties, including the validity and reliability, of the Empathy Index (EI), a new instrument designed to measure empathy deficits of sex offenders. The EI was tested with a sample of 158 sex offenders incarcerated in North Carolina prisons. An exploratory factor analysis yielded three subscales: social aggression; instrumental (proactive) aggression; and justification.

Are curriculum decisions based on the evidence? How social work faculty members make choices in curriculum decisions.

An important step in translating evidence-based practice and empirically supported interventions into large-scale service improvements is to develop an understanding of practitioners' education and training in these practices. This understanding begins with discovering the factors that influence the decision-making process by social work faculty regarding curriculum content for master's level social work programs. This exploratory study uses quantitative and qualitative survey data to examine the decision-making process used by 42 master's level social work programs to select the models of direct practice taught in their master's level social work programs, and whether evidence-based practice and research evidence influences those decisions.

The missing link: the role of social work schools and evidence-based practice.

The translation and adoption of evidence-based practice principles has proved to be more difficult than researchers anticipated. Schools of social work are in a unique position to support this process within their home communities. Using the evidence-based practice process steps outlined by previous researchers, this article identifies specific strategies that schools of social work can adopt to support their broader communities as they attempt to adopt and sustain empirically supported interventions.

Do children with developmental disabilities and mental health conditions have greater difficulty using health services than children with physical disorders?

The objective of this study is to determine whether achievement of the Maternal and Child Health Bureau core outcome ease of use of health services differs between children with developmental disabilities, mental health conditions and physical disorders. We analyzed data from the 2005 National Survey of Children with Special Health Care Needs. Children with special health care needs were classified into 4 health condition groups: developmental disabilities (DD), mental health conditions (MH), physical disorders (PD) and multiple conditions.

Suppression of racial disparities for children with special health care needs among families receiving Medicaid.

This study examines whether the US public health insurance program Medicaid suppresses racial disparities in parental identification of service needs of their children with special health care needs (CSHCN). We analyze data from the 2001 US National Survey of CSHCN (n = 14,167 children). We examine three outcomes which were parental identification of (a) the child's need for professional care coordination, (b) the child's need for mental health services, and (c) the family's need for mental health services.