Treating Youth Who Sexually Abuse

A comprehensive program of treatment for adolescent sex offenders! Covering every phase from assessment to relapse prevention, this valuable book offers specific suggestions and backs them with the latest research as well as years of clinical experience. Treating Youth Who Sexually Abuse: An Integrated Multicomponent Approach is a training tool, reference book, and field manual for the use of therapists, administrators, and everyone involved with the assessment, treatment, and placement of sexually abusive youth. Beginning with a broad view of the continuum of programs available and the structure of the service-delivery system that provides treatment, Treating Youth Who Sexually Abuse continues with specifics of program policy and design in both outpatient and inpatient settings. From choice of client to aftercare, the book covers the specifics of pretreatment, various modalities of therapy, inpatient and outpatient programs, and relapse-prevention programs. The foundations of program structure and the specific components (such as family therapy, group therapy, milieu treatment) are integrated to make a powerful, flexible, and above all effective treatment tool. Treating Youth Who Sexually Abuse offers practical advice and help for therapists and administrators, including: - ready-to-use treatment materials - reproducible group curricula - sample schedules for full-day treatment and afterschool programs - discussions of staff training and administrative concerns - information on liability issues - ideas for coordinating care with other treatment providers Treating Youth Who Sexually Abuse: An Integrated Multicomponent Approach is an essential training tool for students, a field manual for professionals, and a reference book for everyone interested in sex offence-specific treatment for youth. With case studies, diagnostic criteria, helpful tables and diagrams, listings of organizations in the field and Web addresses, this volume deserves a permanent place on your professional bookshelf.

Stephen Lundrigan

Contents
* Foreword * Preface * Acknowledgments * Part I. Introduction to the Treatment of Sexually Abusive Youth * Chapter 1. The Challenge of Treating the Sexually Abusive Adolescent * An Unusual Line of Work * Four Sources of the Challenge * Chapter 2. Treatment within a Continuum of Care * Tiers in a Continuum of Care * A Proposed Scope for Treatment * Part II. Treatment Programs * Chapter 3. Elements of a Treatment Program for Youth Who Sexually Abuse * Sex Offense-Specific versus Uni-Modal versus Multi-Modal Treatment * The Multi-Component Model * Chapter 4. The Group Care Program * Issue to be Considered in a Sex Offense-Specific Program * Standards for Sex Offense-Specific Residential Treatment * Deciding Which Clients Are Appropriate for Residential Treatment * Safety Issues in the Program * Treating a Mixed Population or Sexually Abusive Youth Alone * Visits, Passes, and Client Contact with the Community * Notes on Program Liability * Chapter 5. The Outpatient Program * Unique Challenges Faced by Outpatient Providers * Proposed Outpatient Service Delivery System * Additional Outpatient Services * A Comprehensive Outpatient Treatment Program * Program Development Issues * A Cost-Saving Alternative? * A Continuum Committee * Chapter 6. Developing the Foundation for Sex Offense-Specific Treatment * Incorporating Offense-Specific Treatment into the Program * Unifying Conceptual Model of Offending * Treatment Stages * Defining a Course of Treatment * The Use of Client Mentors * Notes on Tolerance, Responsibility, and Culture * Part III. The Components of Treatment * Chapter 7. The Sex Offense-Specific Group * What Makes a Group Sex Offense-Specific? * The SO Group As a Three-Dimensional Process * The Principal Goal Areas * The Functions of the SO Group * The Curriculum: The Guiding Plan * Group Orientation and Prerelease Preparation * Chapter 8. Parent Education and Family Therapy * Three Principal Aspects of the Component * A Model for the Family Treatment of the Sexually Abusive Adolescent * Multiple Family Therapy Groups * Scheduled Individual Family Meetings * Parent and Family Education Groups * Getting Parents to Invest in Treatment and Attend Family Treatment Activities * Three Final Notes * Chapter 9. Individual Therapy * The Place of Individual Therapy in the Treatment of the Sexually Abusive Adolescent * The Scope of Individual Therapy * Coordinating with the Other Components * The Therapist and the Youth in Therapy * Chapter 10. Adjunctive Treatments and Therapies * The Range and Scope of Adjunctive Therapies * Using Various Program Services As Adjuncts * A Sometimes Neglected Adjunct * Chapter 11. Milieu Treatment * The Milieu As a Venue for Treatment * Extending and Enhancing the Impact of Formal Therapy * The Milieu As In Vivo Experiential Application of Therapy * Chapter 12. Assessment and Treatment Planning * A Proposed Assessment and Treatment Planning Protocol * Connections Among and Within Programs * Notes on the Assessment Process * Part IV. Pretreatment and Aftercare * Chapter 13. Pretreatment * The Defense Known As "Denial" * What Is Pretreatment? * When and Where Is Pretreatment Indicated? * A Model Intervention for Pretreatment * Chapter 14. Aftercare Component Development and Implementation * Good Aftercare Planning Is Vital * Developing an Aftercare Component * An Aftercare Component Model * A Case Example * Part V. Training and Education * Chapter 15. Staff Training * The Importance of Specialized Training for All Staff Working in the Program * Special Issues Addressed by Staff Training * The Delivery of Training to the Staff * Suggested Topics to Be Covered * The Use, Presence, and Training of Interns