Adolescent Sex Offenders


Adolescent Sex Offenders

by Gail Ryan; Sandy Lane. B.S., R.N.; John Davis, M.A.; Connie Isaac, B.S.
In Press: Child Abuse and Neglect: The International Journal

The juvenile sexual offender is defined as a youth, from puberty to the legal age of majority, who commits any sexual act with a person of any age, against the victims will, without consent, or in an aggressive, exploitive or threatening manner (1). Historically, juvenile sexual offenders have not been dealt with in an accountable manner (2). In many cases, rapes have been minimized by “boys-will-be-boys” attitude, punished by a slap on the hand and admonitions to behave. Molestation of children by teens has been labeled “curiosity” or “experimentation,” and many sexual offenses are termed as “adolescent adjustment reactions.” Even in cases where the offender’s behavior was clearly sexual and criminal, many systems have been reluctant to label a juvenile a “sex offender.” Family and community systems alike have ignored early warning signs, minimized exploitive behaviors and denied the deviant nature of sexual assaults by teenagers.

Within the last decade many clinicians have begun recognizing and addressing the seriousness of juvenile sexual offenses, inspired in part by recent findings which suggest that most incarcerated adult sex offenders began committing sexual crimes in early adolescence. More recently, increased awareness of the number of molestations committed by teenagers has alerted the child abuse community to the need to intervene with juvenile offenders. The histories of both juvenile and adult sexual offenders reveal a high incidence of sexual victimization in the childhood experience of these offenders, suggesting a cyclical pattern of sexual abuse. The high incidence of childhood victimization suggests a reactive, conditioned, and/or learned behavior pattern while the progression from early behaviors reflects the reinforcing pattern in the development and perpetration of sexually abusive behaviors.

DEVELOPMENTAL FACTORS

In our society, female children are alerted in early childhood to the potential risk of victimization and taught to avoid dangers and seek protection. We are often quite oblivious, however, to the victimization of males even though male children are more often victims of serious physical injury from child abuse than females, males are at least 25% of the victims of sexual abuse, and males of all ages are more often victims of both violent crimes and property crimes than their female peers. In all types of victimization, however, there is little recognition of the impact upon the male victim, and few services attempt to identify and aid in him coping with and resolving the feelings of anger, powerlessness, and lack of control which victimization may produce. We build the expectation that being male includes protecting and defending oneself. If the child on the playground who is hit is a female, we say, “Go tell the teacher,” but if the child is male, we say, “Hit him back!”. When the young child leaves home to play in the neighborhood, the female child hears “Be careful,” while the male child hears, “Stay out of trouble.” Consequently, when the young male is victimized he finds himself powerless to defend himself. We have set him up believing that it is his weakness, his failure as a male, or perhaps even his behavior, which has resulted in the victimization. It is, therefore, very unlikely that he will seek help or protection but rather will internalize the quilt for his own victimization, carrying with him his feelings of anger and powerlessness.

For the victims of abuse, the abuse may produce either a learned helplessness or a repetitive aggressiveness. The victims, without therapeutic intervention, are often destined to a future of repeated victimization of themselves, the inability to protect others, or the development of similar abusive behaviors toward others. While sexuality may be biological and instinctual in nature, the ways we behave sexually and our definitions of appropriate sexual behavior are learned from the models and information made available to us in our environment. The male who has been exposed to deviant sexual behaviors, attitudes, or information during the developing years, (through his own victimization or exposure to inappropriate sexuality or attitudes in his environment) may add these behaviors to his repertoire of potential sexual behaviors. In puberty, when establishment of his male identity becomes urgent, he may conquer his earlier feelings of powerlessness, confusion, and/or victimization by taking control of others, even re-creating his own victimization or trauma by taking the role of the perpetrator, and in this way, attempt to establish his own power as a male. By overpowering, exploiting, manipulating, or controlling others, he may be attempting to undo or protect himself against the impact or implications of his own victimization, or be over identifying with the aggressor. In his role as perpetrator, he now perceives himself as powerful and able to protect himself.

Because of the reinforcing nature of sexual behaviors, the deviant acts of a sexual offender may become repetitive, ingraining deviant patterns which become habitual and may progress to incorporate more and more deviant sexual acts. Reinforcement comes from the thrill of secrecy, the anticipation in fantasizing, planning, and stalking, the addictive qualities of seeking more and better “highs.” and the thinking errors which rationalize and support the behaviors. Behavioral reinforcement occurs with the arousal and ejaculation from masturbator fantasies as wall as during the sexual assaults. The perceived positive feelings of power and control combine with physical gratification to outweigh the potential negative consequences of the behavior.

THE DEVELOPING OFFENDER” “STRETCH”

The case of Stretch, a 16-year-old male who was committed to a secure juvenile treatment center two and one-half years ago and recently recommitted for an additional 18 months, demonstrates the progressive development of deviant behaviors. The offense history (having been put together retrospectively during the client’s treatment) is a classic example of a puzzle which was never put together. Behaviors and incidents, starting at age five and progressing over ten years, demonstrate many points at which educated teachers, neighbors, mental health and social services providers might have been able to identify the developing sexual offender. By the offender’s own retrospection, he discloses rape-cycle behaviors in place at age nine. Offenses which appeared to be “non-sexual,” in his memory prove to have been linked to sexual motives.

The offense history begins with voyeuristic behaviors from ages five to seven, including attempts to watch grandmother and mother using the bathroom or taking showers. These activities would be considered within the realm of normal exploratory curiosity of an 18 to 30-month-old who is interested in learning how adults do everything from baking cookies to driving the car, and including use of the bathroom. These behaviors should subside by age five when the child is no longer curious about the bathroom, having mastered its use for himself. By Stretch’s own account, this stage included observing the babysitter having sex with her boyfriend, and was accompanied by assaultive behaviors toward girls in the school grounds motivated by a desire to actually frighten, control, and degrade them.

By age eight, Stretch was showing the development of what, by age 13 would become obscene phone calls, beginning with writing sexually orientated notes to his third grade classmates, and gradually progressing into degrading sexual comments and open sexual harassment. Intrusive behaviors and inappropriate touching began at age nine with supposedly “accidental” incidents of contact with female genitalia during play in crowds, and the stealthy watching and waiting for girls, which by his own admission, were the beginnings of intent to assault and the first development of the planning and stalking of his rape cycle.

At age ten, he was beginning experimental cross-dressing and intrusiveness had developed into stealing keys and sneaking into houses. By age 11 he had progressed to actually grabbing the chests and butts of female classmates, threatening them with sexual acts, and was discovered standing in the bedroom of a friend’s mother, watching her sleep. (By his own report, he was planning to rape her). It was also at this point that he began sodomizing his little brother on a regular basis, although this was never disclosed except by his own admission years later in treatment.

In seventh grade, at age 12, he selected four girls for continual harassment and touching, and encouraged friends to join him in the behaviors. During this time, he also began cross-dressing during his victimization of his little brother and was finally reported for a sexual assault on two seven-year-old girls whom he had bribed to disrobe and touch each other. Within 12 months, he was reported to police for two property crimes of theft and one sexual assault on a child, but all charges were dismissed or refused by the DA for insufficient evidence. He finally received probation for a burglary charge when he was 13, with outpatient psychiatric treatment stipulations. The “burglary” included trying on a woman’s underwear, cutting up her clothing, cutting phone wires, and spreading butcher knives around the house while he waited for her to come home. During his probation, by his own report, he continued frequent, multiple break-ins of neighborhood homes, frequently stalking school peers, grabbing at them in halls, and engineering a gang rape which was never reported.

During the last six months prior to his commitment, he was reported to the principal for rubbing himself against a girl at school, assaulting the same girl with intent to rape her after she threw a snowball at him, and after hitting her with his fist, was expelled from school. The behaviors resulting in his commitment included 13 obscene phone calls to a neighbor culminating in breaking into her home following threatening her on the phone. While in the house, he stabbed her waterbed repeatedly. He was committed at age 15 to the department of corrections for sex offender treatment as a rapist in an unprecedented decision based on the evidence supporting his potential behavior without ever having succeeded in completing the act of rape on record. The placement decision was difficult because it was felt that Stretch would need intensive psychiatric work as well as a sex offender program and no resource was available to provide both. Although he is working on the cognitive/behavioral aspect of his problem, clinicians continue to feel psychiatric work would be beneficial because the early origins of his disturbance remain unclear. The case points to the need for massive educational efforts at many levels in order to pick up on the developing offender earlier, as well as the need for increased resources to provide more multi disciplinary options to meet the needs and challenges of these clients.

SIGNIFICANT ISSUES

While both the offender and the offenses are uniquely individual, some commonalities have been observed and have enabled sex offender therapists to identify significant issues which need to be considered in all treatment settings. These issues include denial and minimization of assaulting behaviors rejected, ignored, put down, victimized, criticized, controlled, jealous or powerless. Failures, family problems and disrupted relationships with peers may reflect some element of reality within the situation, but because of the offender’s distorted perceptions and negative self-image, the effect on the offender is unrealistically extreme, and triggers a negative chain of maladaptive coping strategies.

The first reaction to these negative feelings is termed “expectation of rejection.” In this stage or mode, one reacts to situations by relating to others in a way which will either fulfill his expectations of being rejected or act to reject others before they can reject him. This may be done in a violent way by picking a fight or provoking angry outbursts which cause people to withdraw, or may be done through inappropriate approaches to people such as being too forward, too controlling, trying to overpower, or asking the impossible. However this expectation of rejection is played out, it results in the offender becoming isolated, often by his own withdrawal.

Withdrawal is often used to defend against rejection, but then becomes self-fulfilling. It is in this stage of withdrawn isolation that the offender resorts to fantasies designed to make him “feel better” and provide him with the illusion that he has defenses to control whatever provoked him. For the sexual offender, these fantasies may involve a deviant sexual theme, but often are more concerned with creating a powerful, desirable self-image. For the more aggressive “rapist” (who may be assaulting adults, peers of children) whose reaction to rejection has taken an angry or violent form, these fantasies may include violent retaliations against those who have rejected him, including use of weapons and force and may or may not result within the fantasy in the rape of some victim. For the less-violent offender, fantasies may include exaggerated abilities to control with seduction, exploitation, or embarrassment resulting in the fantasized assault. For all offenders, their fantasies compensate for the feelings of powerlessness, victimization, and lack of control which triggered the cycle. The central theme is usually power and control exaggerated in direct proportion to the level of personalization in the offender’s interpretation of the incidents which triggered his negative self-image and perceived rejection. The goal within the fantasies may be to evoke the same negative feelings in the victim by controlling, overpowering, defiling and degrading. For all sexual offenders, the fantasies result in the offender feeling more powerful and lead into a series of cognitive distortions which support their progression into planning to carry out their sexual assault. These fantasies may include the coercion and molestation of a child or the seduction of some other inappropriate sexual partner such as a movie star or teacher. However, often the sexual fantasies involve an age appropriate, submissive partner. Distorted thinking then acts to enable the offender to act out his fantasies with an inappropriate and/or unwilling partner whom he thinks either “wants,” “invites,” or “deserves” his sexual assault. These fantasies may be repeated again and again and may be supported by masturbation.

The planning process may be carried out entirely in fantasies or may include the selection, stalking, and setting up of the victim. During this stage, victims may be watched, their homes may be broken into, clothing may be taken, etc., or a relationship may be started, designed to create a potential situation where the victimization may occur.

The next stage in the cycle is the sexually offending behavior it self which is reflective of the earlier parts of the cycle in its content. For the more aggressive offender whose cycle includes a lot of anger and violence, the offense may be so violent as to even result in death of the victim. For the less violent offenders, the offense may be more explosive and coercive but still fulfill the need for power and control. The offense vindicates the offender’s feelings of rejection and makes him feel powerful. More cognitive distortions follow the offense: attempts to rationalize the behavior, minimize its meaning, and feelings of “transitory guilt” which are most often related to guilt over getting caught (thus losing his power and control) as opposed to guilt over his behavior. Finally, sobering thoughts of potential consequences have a suppressing affect, bringing him to the end, and the beginning, feeling bad about himself.

TREATMENT

Before treatment can really begin, the offender must admit his offenses. Denial may be very strong because it is supported by the cognitive distortions and lack of previous public response which have minimized the importance and impact of his behaviors. The offender must be confronted with his offense and own behavior, describing the whole offense and accepting responsibility before he can begin to understand his past and change his future. Breaking through his original denial often takes levels of confrontation beyond anything mental health practitioners are accustomed to using. The force of confrontation needed must be measured not by the practitioner’s own feelings but by watching the impact it has on the offender. He needs to reach a level of personal discomfort sufficient to motivate disclosure and facilitate change.

Part of the treatment process includes definition and exploration of each of the stages in the sexual assault cycle, identifying the unique characteristics of each offender’s cycle. The goal is for the offender to become so aware of the triggers which start his cycle that he will be instantly alerted and employ new behaviors to interrupt his cycle before he gets to the deviant sexual behaviors. First, situations which trigger the feelings of poor self-esteem are listed and each is explored to find ways to react which will have either positive or benign affects rather than creating the negative feelings. For example, feelings of being controlled may be channeled into establishing self-control, i.e., finding appropriate ways to take control of the situation; feeling criticized may be explored to establish what expectations are realistic for the offender and to avoid possible “no win” situations.

In looking for alternative behaviors to address the expectation of the rejection stage, social skills, positive sexuality and appropriate expectations are explored. By encouraging the offender to “take risks” by reaching out to establish appropriate relationships, the offender is taught new ways to approach people and to control the outcomes of his interpersonal experiences.

The ultimate goal is to interrupt the rape cycle before arriving at the isolation and withdrawal stage, which signals real danger. The offender must recognize that his withdrawal into isolation is the incubator wherein his problem grows beyond his control, and he must have emergency plans in place to escape before he progresses into deviant fantasies. Again, risk taking is explored as the escape from isolation: reaching out to establish reality contacts. Interruption of the cycle prior to beginning the deviant fantasies is considered imperative, because once engaged in the fantasies, they become reinforcing and it becomes extremely unlikely that the offender will regain control without offending. Offenders are encouraged to recognize the “lack of control” which develops in isolation, relating it back to the original “powerlessness” which contributed to their poor self-image.

Understanding and controlling the sexual assault cycle may take months or years and many tools are available to facilitate the process:

  1. Journal keeping and homework assignments raise the offender’s awareness of how everyday situations may trigger his cycle. Homework assignments might include putting one of their assaults on the cycle and trying to fill in what went before and after; listing every situation during the week which makes him feel mad, sad, or bad; or writing an “escape” scenario to get out of his cycle prior to offending.
  2. Once identified, the triggers of poor self-esteem must be explored in a psychotherapeutic framework which may include family therapy sessions, recognition and resolution of childhood victimization, and exploration of power and control issues.
  3. Sex education and positive sexuality training help the offender develop appropriate sexual interests, and socialization skills enhance his dating experiences. In defining sexual abuse and appropriate sexuality, the issues of equality and consent are paramount and must be fully understood. The molester must understand that the compliant child victim is neither equal nor able to consent, identifying the subtle threats of being larger and in control as well as the verbal coercion and/or threats used in gaining the child’s cooperation.
  4. Victim empathy sessions are designed to sensitize the offender to the impact of his own behaviors and reduce his objectification of people. These sessions may include confrontation with rape victims, viewing the movie, “silent scream,” victim impact statements from the offender’s own victim’s feelings. It is imperative that the offender gets in touch with whatever victimization he has experienced in the past (especially early childhood). It is only as he allows himself to feel his pain that he can begin to appreciate his victim’s feelings as well as resolving his own conflicts.

    Understanding and controlling the sexual assault cycle may take months or years and many tools are available to facilitate the process. It is equally important, however, that he realizes his own victimization does not excuse his current behavior. He must give the guilt and responsibility for his own pain back to whoever traumatized him and accept the responsibility for his own offending behaviors.

  5. Risk taking is thought to encourage the offender to take chances, recognizing that he will be rejected by some but not all, and learning to minimize rejection by choosing appropriate approaches to appropriate situations.
  6. Cognitive restructuring is necessary throughout treatment, constantly confronting the distortions which enable the different stages of the cycle, especially those which support the deviant fantasies and minimize the deviant behaviors. Exploration of these messages present in our own culture and media which the offender has used to dis-inhibit his adherence to societal norms and taboos (i.e., sexualized advertising, inappropriate language, song lyrics, pornography, etc.) can also be helpful.
  7. Deviant arousal patterns must be addressed either from offender self-reports or with measurements of a penile plethysmograph, and the offender must be able to interrupt arousal to deviant themes. (Aversive conditioning with ammonia caps may be used in conjunction with the plethysmograph as a tool in treatment to change persistent, deviant arousal).
  8. Covert sensitization can be used, recording the offender’s cycle with aversive consequences and with escape scenes on an audiotape, to program interruption options.

    Understanding and controlling the sexual assault cycle may take months or years and many tools are available to facilitate the process: When treatment has addressed all these areas, the offender has been given the tools to change his behavior if he is motivated to do so. Like the alcoholic, the sexual offender may never be “cured,” but they may learn to control his sexually abusive behaviors.

LUKE

The case of Luke, now 16 years old and finishing three years of treatment following his molestation of his younger sister, demonstrates that treatment can provide self-awareness that may potentially enable a developing sexual offender to turn his behavior around. Luke was committed to a secure correctional facility at 15 and spent two years in their sex offender program where he was confronted daily to recognize inappropriate behaviors and cognitive distortions. He is an angry offender, resentful and jealous of the sister he victimized and afraid of rejection by his adoptive parents. His choice of victims may have been a classic setup to provoke (and thus control) the parental rejection he expected. For Luke, however, his offense did not result in parental abandonment and family therapy has been part of his treatment.

After two years at the correctional facility, he returned home and continued treatment in an outpatient group in the community. In his final group, he summarized his rape cycle without prompting, pointing to examples in his daily life of situations which make him angry. He acknowledged that anger is still a problem but feels his mother is a constant, available support, that she is not afraid for him to tell her about his negative feelings and that she is good at helping him figure out acceptable alternatives when he cannot. He seems confident in his knowledge of himself without minimizing his potential to re-offend if he is not alert to his feelings. He spent the most time dwelling on his fear of loss. His father’s recent experience with cancer makes this loss of a parent a very real threat, and he was able to acknowledge that loss will be his biggest trial.

Luke describes his cycle as a “whirlwind,” how he can move through the stages in a matter of minutes, compared to other offenders who may spend weeks moving from stage to stage. The speed of his cycle is the other real danger for Luke because a situation which triggers his feeling bad about himself can literally explode, isolating him within minutes. For this reason, prevention for Luke must concentrate on prediction of potential situations and development of escape plans to avoid the trigger situations. Once triggered, he must bail out immediately – walking away from the situation and immediately seeking his reality supports. It was suggested that he could have trouble if his mother was not available when he needed her, and that he needs to continue to define how she helps him process events until he can do it himself.

Luke is still a sex offender. He is still at risk of offending, and always will be. But, he has been given the tools to control his behavior, if he chooses to do so. He has been given choices.

CONCLUSIONS

Because experience to date indicates that sexually abusive behaviors develop steadily over time, early intervention is clearly indicted, both for the prevention of multiple victimization and to interrupt the reinforcing nature of the behaviors. While the sexual offender may always be at risk for sexual assaulting, we do have many tools to offer to enable him to control his deviancy if he chooses to do so. It is only through involvement in a program specifically for sexual offenders that these tools can be made available to him. To withhold the opportunity for treatment from the youthful offender, therefore, is irresponsible and only invites further victimization.



Dysfuntional Cycle

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Sexual Assault Cycle

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Sex Offender Registration Regulations
Background:

C.R.S 18-3.412.5 outlines the conditions of who must register, where they must register, time lines for registration, and the process by which certain youths may be exempt form registration.

If a youth is exiting a Division of Youth Corrections placement, they must register five days prior to release into the community.

The Division of Youth Corrections (DYC) must also notify the local police jurisdiction within 48 hours of the child’s release.

Generally a child who is not in the custody of DYC will be appointed a Probation Officer. It is also the duty of the officer to inform the child of his/her obligation to register. Youth already in the community are required to register within five business days of a move, whether it is temporary or permanent, and must register in the jurisdiction of their new placement. If a youth moves into a temporary placement (i.e., shelter care) and the placement exceeds five business days, the youth must register.

The duty to provide notice to an offender of the duty to register is that of the juvenile parole and probation officers as well as appropriate personnel of the DYC.

Because a youth is generally not allowed to leave placement unsupervised after a move, it is the duty of the caseworker to insure that the youth is registered, unless negated for the out-of-home provider to do so.

Procedure or Information:

It is recommended that a “Notice of Requirement to Register” form be completed for each youth who is required to register as a sex offender. The form would then be given to the youth, their parent/guardian and any out-of-home care providers and a copy placed in the legal section of the child’s case file.

Contact Personnel:

Meg Williams, Adolescent Programs Administrator, Colorado Department of Human Services
1575 Sherman Street, Second Floor, Denver, Colorado 08203-1714.
Phone: (303) 866-4706
FAX: (303) 866-5563
e-mail: meg.williams@state.co.us
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Juvenile Standards Guiding Principles


Sexual offenses cause harm to those who are victimized and jeopardize community safety:

The impact may be magnified by the length and frequency of the abuse, age of the onset, the relationship between the victim and the youth, and the violence and intrusiveness of the abuse. By defining the sexually abusive behavior of the juveniles and holding those youth accountable for the abusive and illegal nature of their behavior, victims can experience protection and support.

Community safety is paramount:
The highest priority of these standards is community safety. When the needs of these youths conflict with the needs of the community to be safe, community safety takes precedence, modeling for youth the importance of community safety

Juveniles who commit sexual offenses may be at risk to continue sexual offending, and some may become habitual sexual offenders:b>
The goal of early identification and intervention of juveniles who have sexually offended is to decrease the risk of further offending, and making them an un-abusive member of the community. Some youths will desist without intervention, while others will desist after legal intervention, and some will re-offend. Because there is no way to tell who will re-offend and who will not, the youth should be referred for an offense specific assessment in order to develop and implement an individualized treatment and a management plan designed to decrease the risk of further offending.
There is no one profile of youth who commit sexual offenses:
One youth may offend in different patterns with different victims, and so must have an offense specific assessment to determine necessary and reasonable interventions that will rehabilitate the youth into a non-abusive member of the community.

Adolescent sexual identity and behavior are fluid and may be strongly influenced by family, culture, moral development and peers:b>
It is imperative in understanding, treating, and intervening with sexually abusive youth to consider their sexual behavior in the context of the many formative aspects of their personal development. A youth’s sexual behavior should not be the primary identifier of that person.

Every effort should be made to not label youth as if their sexual behavior defines who they are:
Labeling a youth as a rapist, child molester, pedophile, psychopath and predator; can be detrimental to their future development and rehabilitation.

Sexually abusive behaviors and offenses encompass a wide range of behaviors.
Sexually abusive offenses may be hands-off: verbal sexual harassment, voyeurism, and indecent exposure; or hands-on: sexual assault and rape. The level of risk should not be based solely on the adjudicated offense because a complete knowledge of the history, extent, type of sexual offending, and other factors is needed before risk of re-offense and risk to community safety can be adequately determined. Un-adjudicated youth and youth adjudicated for non-sexual offenses may benefit from treatment under these standards and should not be excluded if they are seeking treatment and comply with programmatic expectations in the same way as youth adjudicated for sexual offense.
Sexual interactions involving juveniles should be considered abusive when there is a lack of consent, lack of equality or the presence of coercion:b>
For there to be consent between juveniles to engage in sexual behavior, they must have similar knowledge regarding the nature of the sexual behavior, the possible consequences, societal attitudes regarding the behavior, and they must choose to participate freely without pressure or coercion.

Assessment, evaluation, treatment and behavioral monitoring of youth who have sexually offended should be nondiscriminatory and humane, and bound by the rules of ethics and law.b>
Individuals and agencies carrying out the assessment, evaluation, treatment and behavioral monitoring of youth who have sexually offended should not be discriminated based on race, religion, gender, sexual orientation, disability or socioeconomic status. Youth who have sexually offended and their families must be treated with dignity and respect by all members of the team who are managing and treating the youth regardless of the nature of the youth’s crimes or conduct.

The laws define sexual offenses:
Laws represent social values regarding sexual behavior. The laws that define unlawful sexual behavior define consent as “cooperation in act or attitude pursuant to an exercise of free will and with knowledge of nature of the act. Submission under the influence of fear shall not constitute consent.” The laws define the equality of two participants in terms of age differences and/or one’s authority over the other, but may not define differences in terms of knowledge, development, or power.

Assignment to community supervision is a privilege and juveniles who commit sexual offenses must be completely accountable for their behaviors::
Community supervision refers to any situation in which an adjudicated juvenile is not incarcerated. The juvenile and care givers must understand that community safety is the highest priority, and agree to the intensive, and sometimes intrusive, conditions of community supervision in order to maintain the youth in the community while under the jurisdiction of the court. Juveniles and their care givers must learn and demonstrate their understanding of the importance of accountability and informed supervision.

Youth who commit sexual offenses must waive confidentiality for purposes of evaluation, treatment, supervision and case management in the community:
Juveniles adjudicated for unlawful sexual offenses who expect to remain it the community under supervision must waive confidentiality of treatment. This waiver of confidentiality must be based on complete informed consent of the parent or legal guardian and voluntary assent of the juvenile. The youth and parent/guardian must be fully informed of alternative dispositions that would occur in the absence of consent/assent.

A continuum of juvenile offense specific management and treatment options should be accessible in each community in the state:
Many juveniles who commit sexual offenses can be managed in the community on diversion, probation or parole. It is in the best interest of public safety for each community to have a continuum of supervision, treatment services and care providers for the juveniles in that community that will allow then to move between more structured and less structured settings as their ability to accept responsibility and demonstrate responsible behavior increases and/or decreases. The continuum of supervision, treatment services, and care in each community will be influenced by available resources, but must comply with current standards of practice.

Treatment and management decisions of sexually abusive youth should always favor maximum exposure to positive peer and adult role models and caregiver’s stability:
Research has shown that there are risks associated with exposure to deviant peers, the absence of pro-social adult role models, and the disruption of caregiver’s relationships. Therefore, emphasis should be given to maintaining positive relationships.

Risk assessment of sexually abusive youth is necessary for the identification of treatment issues, community safety issues, family support, and placement options:
Factors that have contributed to a particular youth committing a sexual offense may have been present in early childhood, but were not recognized as factors placing the youth at risk of offending. Other factors are situational, developmental, emotional, cognitive, behavioral or familial. Factors defined in the past (static) cannot be changed but may indicate risk. Dynamic, factors that are changeable, can be controlled but may fluctuate day to day. Risk assessment instruments still need to be tested and further research is needed to increase the validity and reliability. These tools are important in making placement decisions regarding these youth and protecting those whom they have victimized, as well as potential victims in their hopes or community. Risk assessment should be designed to identify the risk of future delinquent conduct, including offending.

Assessment and evaluation of youth who commit sexual offenses are an ongoing processes. Progress in treatment and level of risk are not constant over time and may not be directly correlated:
The assessment and evaluation of youth who commit sexual offenses are best seen as a process. Changes the youth makes over the course of treatment are also a process. There are different types of assessment and evaluation that need to occur throughout the process to inform different types of decisions and treatment planning. Ongoing assessment and evaluation must be constantly evaluating changes in the youth, the family, and the community. To manage risk and minimize the opportunities for re-offense, these assessments and evaluations should form the basis for decisions made about restrictions of supervision and placement, and the intensity of treatment and levels of care.

It is in the best interest of all youth to grow up in the care of their own family. When youth can safely remain in or be returned to their family without jeopardizing community safety, the needs of victims, or the needs of the youth, they should receive services in the community in which their family resides.
Family members are an integral part of any assessment and treatment process for juveniles. Parents possess invaluable information about the etiology of youth problems and may be the youth’s primary support system throughout treatment. Parental involvement aids in a successful prognosis in treatment. The parents’ ability to provide informed supervision and support positive changes can be critical in providing community supervision and reducing risk of re-offense.

Decreased risk of sexual offending is likely to be most lasting when paired with increased health.
Assessment and treatment must address dysfunctions and deficits related to all areas of functioning in order to increase the youth’s ability to function successfully in their home and community and decrease the risk of further abusive or criminal behaviors. Research shows that a youth who has committed a sexual offense is more likely to commit a non-sexual re-offense. Deficits and/or dysfunctions that increase stress and indicate inadequate skills and resources are likely to increase the risk of continued dysfunction, abusive behaviors, or offending. Treatment plans should specifically address the risk of further sexual offending, other risks that might jeopardize community safety, and successful pro-social functioning, also enhancing and fortifying developmental and environmental assets.

Assessment of progress in treatment must be made on the basis of the youth’s consistent demonstration of relevant changes in their daily functioning, and cannot be solely measured in terms of time in treatment or completion of assignments:
The individualized treatment plans for youth who have sexually offended should address all needs and issues which the assessment process has identified. Treatment plans must include goals relevant to decreasing the risk of further sexual offending, all types of deviance and dysfunction, and increasing health. Treatment plans must designate measurable outcomes that will indicate successful completion of treatment.

Aftercare services support the youth in managing ongoing risks.
The final phase of assessment and treatment must address ongoing risks by developing long-term “relapse prevention” plans and recommendations for aftercare services. Relapse prevention plans that have been well thought out and critically created with the youth’s needs in mind are likely to decrease a youth’s risk. These plans must consider the dilemmas posed by static risk factors that are specific to the individual and/or family. Successful aftercare services will have a high cost/benefit ration if they can effectively increase the likelihood of less re-offending.

Implementation of standards and guidelines for assessment, evaluation, treatment, care, behavioral management, and monitoring of youth who have sexually abused will be most effective when juvenile justice, social services, educational and treatment systems apply the same principles and work cooperatively and collaboratively with each other as well as with the youth, their families and the victims of their offenses:
Adoption of standards and guidelines for treatment providers is not likely to significantly improve public safety unless all agencies working with youth who have sexually offended are working together cooperatively and collaboratively.

Treatment and supervision of youth who have sexually offended require a multi-systematic orientation and a coordinated multi-disciplinary team response:
Multi-systematic coordination and collaboration are likely to improve outcomes. The multi-disciplinary team responsible for treatment may involve parents, treatment providers, probation officers, human services caseworkers, Guardian Ad Litems, judges, educators/school personnel, extended family, law enforcement, peers, church leaders, victim therapists, victims, coaches, employers, polygraph examiners, and/or alternative care providers. Local services should be made available to the multi-disciplinary team in a continuum. Each team member has a unique responsibility and role, including consistency and open communication, which is in the interest of improved accountability, monitoring treatment compliance, and reducing the secrecy that allows sexually abusive behaviors to occur without detection. An individualized assessment, and the goals of the treatment plan shall specify individual differences that will shape the roles and expectations of such teams and their members.

When a child has been sexually abused by another child within the family or household, the needs for safety, protection, developmental growth, and psychological well-being of the child who has been abused take precedence over the interests of the abusive youth, the family as a whole, or parents. Reunification of youth with families that includes children can only occur when all children are able to feel safe and protected, and the abusive youth demonstrates significant changes relevant to decreasing the risk of further offending.
All aspects of community and intervention systems’ responses to child sexual abuse which has been perpetrated by a juvenile shall be designed to promote the best interests of the victim first, and the best interests of the sexually abusive youth secondarily. This includes the removal of the abusive child if the victim or other potentially vulnerable children share the home. Reunification of sexually abusive youth with the family must be accompanied by the parents/caregivers’ becoming fully informed and educated regarding the needs of their child who was victimized as well as the needs and risks of the sexually abusive youth.

Most youth who commit sexual offenses will not continue to be at high risk for sexual offending after treatment. Those who do remain at high risk as older teens and young adults shall be referred for long-term relapse prevention and containment approaches:
Research has shown that majorities of youth who commit sexual offenses do not have a primary diagnosis of sexual deviance and do not continue committing sexual offenses after treatment. Those youth who do have deviant sexual interests and/or arousal patterns, who continue to demonstrate attitudes and behavior characteristics of antisocial and exploitive patterns, or who do not successfully achieve the changes which constitute successful completion of treatment, shall be referred for ongoing services and management as young adults.

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