What Kind of Therapy Works With Juveniles Who Have Sexually Offended? A Randomized-Controlled Trial of Two Versions of a Specialized Cognitive Behavioral Outpatient Treatment Program.

There is ongoing debate about whether specialized treatment is effective to reduce sexual recidivism in juveniles who have sexually offended (JSOs). Although most treatment programs are based on cognitive behavioral therapy principles for preventing sexual offending, accordant scientific evidence is poor. Following CONSORT guidelines, the present study aimed to evaluate two versions of a short-term outpatient treatment program for JSOs in Switzerland: (a) the Therapy Program for Adequate Sexual Behaviors Version 1 (ThePaS-I), which included offending-specific skills training; (b) the ThePaS-II, which included general socioemotional skills training. Based on changes in self-reported mental health, sexual behaviors, victim empathy, and therapist-rated risk, as well as comprehensive data on sexual and general recidivism, we found some similarities regarding the effects of the two treatments. ThePaS-II showed better short-term changes in self-reported mental health than the ThePaS-I. However, JSOs in the ThePaS-I showed lower rates of sexual reoffending (but not general reoffending) after treatment than those in the ThePaS-II. Despite some methodological limitations, the current findings favor offending-specific skills-based therapy over general skills-based ones for preventing sexual reoffenses. The findings may encourage further methodologically sound studies to examine different treatment approaches for juveniles and adults who have committed criminal offenses.

[Psychosocial disadvantages in incarcerated girls and boys]. / Psychosoziale Belastungen bei inhaftierten Mädchen und Jungen.

OBJECTIVE: Longitudinal studies found that criminal behavior in juveniles often concurs with neighborhood disadvantage and family dysfunction, especially in girls. In this study we assessed the psychosocial background in incarcerated juveniles and analyzed the data for each gender separately. METHOD: The Multidimensional Clinical Screening Inventory for delinquent juveniles (MCSI) was used to assess school history, psychiatric history, family background, abuse and neglect and motive for crime. The sample consisted of 294 juveniles (46 females and 248 males). RESULTS: Innerfamilial abuse/neglect was reported by 91% (girls) and 79% (boys). 76% (girls) and 88% (boys) reported school-problems. 57% (girls) and 29% (boys) reported to have recieved psychiatric pretreatment. In girls we found significantly higher prevalence rates for parental divorce, incarceration of mother, abuse/neglect and psychiatric pretreatment. Significantly more girls reported a co-occurrence of school-problems and experiences of separation and loss and abuse (65.2% vs. 46.4%, χ²=5.51, df=1, p<.05). CONCLUSION: Incarcerated juveniles, especially females, are and have been exposed to multiple psychosocial burdens. Therefore it is necessary to implement prevention programs for psychosocially stressed families. Forensic intervention in and after detention has to include a family centered approach.

Offender types and criminality dimensions in male juveniles convicted of sexual offenses.

Previous studies have described juveniles who sexually offended (JSO) as a rather heterogeneous population. In consequence, different typologies of JSO have been proposed for a better understanding of the causes and interventional needs of JSO. Three previously described types have received support in previous studies, namely, the victim age type (JSO offending against children vs. adolescents or adults), the co-offender status type (JSO offending as singles vs. in groups), and the crime history type (JSO with vs. without a previous history of crime). The validity of these types is tested in a consecutive sample of 223 criminal male adolescents, who had been convicted of a sexual offense between 2000 and 2008 in the Canton of Zurich (Switzerland). By analyzing nine offender characteristics, four victim characteristics and six offense characteristics, the best evidence is found for the victim age-based type. The co-offender status and the crime history types are less well supported. However, all three types are related to each other and do not provide a comprehensive characterization of JSO. Therefore, an additional principal component analyses is performed searching for basic dimensions of juvenile sexual delinquency and leading to the following factors: "single offender with severe molestation of a related child," "persistent general delinquent with migrant background," "older offender with alcohol use and familial constraints," "multiple and aggressive offender with social adversities," and "offender with unselected and multiple victims." These five dimensions reflect different relevant factors of sexual offending behavior in male juveniles and may have further impact on forensic and clinical practice.