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Children With Sexually Harmful Behaviour 

 
When Children that exhibit sexualised behaviour and sexual aggression professionals often feel anxious over the potential for harm that is inherent in the behaviour and and the potential long term effects of criminalising the young person. 
There is no 'typical'young person who exhibits sexually harmful behaviour. The age of criminal responibility is 10 years,but younger children can also display similarly prolematice behaviour. Research also suggests that children and young people with learning disabilities are over-represented within this group. 

Facts and Figures: 

Retrospective studies present a broad consensus  
that between 25-35% of all alleged sexual abuse involves young, mainly adolescent perpetrators. 
Over 9,000 recorded child sex offences were perpetrated by children in 2016 (Barnardo's (2017)  
The vast majority of children with harmful sexual behaviour have themselves experienced physical, emotional or sexual abuse. (Hackett, S. (2014) 
"Children and young people with harmful 
sexual behaviours") 
A minority of victims of child sexual exploitation are also perpetrators.Berelowitz, S. et al (2012. 
Peer on Peer sexual violence accounts for a significant proportion of CSE and often occurs in Gang Contexts 
Whilst males are responsible for the majority of sexuall offences, research suggests that approximately 10% of victims are molested by women and girls. 

Victim Characteristics: Siblings Extended Family Members Foster and Step Siblings Children in Care Settings Some abuse either boys or girls, while others abuse both groups The age of victims ranges from less than two years to adult 

Factors Associated With Long-Term Sexually Abusive Behaviour 

There is a general clinical consensus that correlates poorer long term outcomes for children and young people with sexually harmful behaviours. Consistent with other problems that put adolescents at risk of harm, the follwoing adverse childhood experiences may contribute to long term offending:  
History of frequent physical abuse 
History of childhood neglect 
Childhood conduct disorder 
In Adoelscence: 
Anti social bheaviour 
Delinquencey 
Vandalism 
Aggression 
High Impulsivity 
Low Social Competence 

Risk Factors: Whilst some aspects of sexually harmful behaviour are very similar to adult patterns of abusive behaviour (which are sometimes established in adolescence) care must be taken not to assume a parity with adults in terms of risk factors. James Worling has identified a range of risk factors for sexually abusive behaviour in juveniles: 

WELL SUPPORTED RISK FACTORS 

Deviant sexual interests 
Pro-offending attitudes 
Numerous previous sexual offences 
Stranger victims 
Social isoation 
high stress family environment 
Problematic relationships with parents / parental rejection 
Failure to complete an offence specific treatment program 

PROMISING RISK FACTORS 

Found to be predictive of adult rather than adolescent male sexual offending 
Obsessive sexual interests 
Impulsivity 
Environment that support oportunities to re-offend 

POSSIBLE RISK FACTORS 

Speculative and therefore need further research 
Selection of male victim 
Threats of or use of excessive violence 
Use of weapons during sexual offence 
Interpersonalaggression 

UNLIKELY RISK FACTORS 

Should not be used for adolescents because of the lack of empirical support 
Denial of sexual offence 
Lack of victim empathy 
History of non-sexual crimes 
Penetrative sexual assaults 
Offender's own history of childhood sexual abuse 

Assessment Domains: 

 
OFFENCE 
PERSONAL AND SOCIAL 
DEVELOPMENT OF  
THE CHILD 
 
FAMILY SITUATION AND CARERS 
 
 
THE CHILD'S ENVIRONMENT 

THE AIM INITIAL ASSESSMENT MODEL 

Watch the video interview /read transcript 
Listen to the PACE Interview 
Read and collate the available information 
4. 
Assess what is known /unknown in the 4 assessment domains 
Plan interviews with the child,parents /carers 
Conduct the interviews 
Use a structured professional jusdgement framework to assess concerns, strengths, needs, capacity for change, degree of support required 
Multi-disciplinary liaison in planning, intervention and ongoing management 

CASE FORMULATION: 

PREDISPOSING PRECONDITIONS TO SEXUAL OFFENDING 
Static, Dynamic and Acute Dynamic Risk Factors;  
FACTORS THAT MAINTAIN THE ABUSIVE BEHAVIOUR 
Motivation / Criminogenic needs, attitudes that supoort or condone abuse, facilitators of the abuse and access to victim, lack of adult / parental supervision, collusion with abusive behaviours and attitudes, unboundaried environment, lack of sex education 
FACTORS THAT PROTECT AGAINST ABUSIVE BEHAVIOUR 
Appropriate Supervision, Eduactional help for young person and parents / carers, good engagement with support and therapeutic services, specialist intervention where required,opportunities to express emotions and experience positive nurtuting interactions, development of good communication 

TARGETS FOR INTERVENTION 

OFFENDING CYCLE 
COGNITIVE DISTORTIONS 
SEXUAL HISTORY 
SEXUAL ISSUES 
FEELINGS 
VICTIM EMPATHY 
ATTITUDES 
RELAPSE PREVENTIO
SOCIAL SKILLS