Best Practices for Addressing Problem Sexual Behavior in Youth An Academic Certificate Training In one year’s time it is estimated that people remember: 10% of what they hear, 15% of what they see, 20% of what they see and hear, 40% of what they discuss with others, 80% of what they directly experience and practice, and 90% of what they teach to another person. -Louisville Science Center Louisville, Kentucky September 13 – 18, 2015 Sunday 3:00 – 6:00 pm Monday thru Friday 8:30 am – 5:00 pm Winston-Salem, North Carolina Joann Schladale, M.S., L.M.F.T. Resources for Resolving Violence, Inc. 28 Marshview Drive, Freeport, Maine 04032 207-232-3195 schladale@me.com resourcesforresolvingviolence.com Syllabus and Course Requirements This course provides an intensive didactic and experiential approach for addressing sexual harm by youth. The content includes a comprehensive overview of a full continuum of care highlighting a clearly defined treatment process. By the end of this training participants will be able to: Coordinate services and collaborate across systems of care through Wraparound Meet the intellectual capacity of each client Engage youth and reduce resistance to change through Motivational Interviewing Facilitate comprehensive evaluations and ongoing assessment Plan a clearly defined empirically-based treatment process for each youth and family Use educational resources to promote change Successful completion requires: Attendance and active participation in all course activity Completion of daily reading outlines assigned in the course schedule Written self-evaluation Texts: Calder, M. (2011). Contemporary Practice with Young People Who Sexually Abuse: Evidence-based Developments. NEARI Press Schladale, J. & Langan, T. (2012). Stop It! A Practical Guide for Youth Violence Prevention. Resources for Resolving Violence, Inc. Schladale, J. (2010). The T.O.P.* Workbook For Sexual Health. Resources for Resolving Violence, Inc. Schladale, J. (2002). The T.O.P.* Workbook For Taming Violence and Sexual Aggression. Resources for Resolving Violence, Inc. Electronic Reading Assignments: Association for Treatment of Sexual Abusers (ATSA). (2006). Report of the Task Force on Children With Sexual Behavior Problems. Cook, A., Blaustein, M., Spinazzola, J. & van der Kolk, B. (2003). Complex Trauma in Children and Adolescents. White Paper from the National Child Traumatic Stress Network. Cox, A. (2006). Lost in Electronica. Psychotherapy Networker. Evaluation Folder (Multiple Documents) Office of Justice Program (2014). Sex Offender management Assessment and Planning Initiative (SMART-SO Document: Juvenile Section) Prescott, D. (2013). The Rashomon Dilemma: Perspectives on and Dilemmas in EvidenceBased Practice. International Journal of Behavioral Consultation and Therapy. 8:34, 43-48. Schladale, J. (2013). A Trauma Informed Approach for Adolescent Sexual Health. Schladale, J. (2012). Making Amends After Sexual Harm by Youth. Schladale, J. (2010). The T.O.P.* Workbook For Sexual Health Facilitator’s Manual. Schladale, J. (2008). Empirically Driven Assessment of Juvenile Sex Offenders. Schladale, J. (2002). The T.O.P.* Workbook For Taming Violence and Sexual Aggression Facilitator’s Manual. Schladale, J., Langan, T., Barnett, P., Nunez, J. Fredricks, K., Moylan-Trigiano, J. & Brown, D. (2007). Community-Based Standards For Addressing Sexual Harm By Youth. Stemple, L. & Meyer, I. (2014). The Sexual Victimization of Men in America: New Data Challenge Old Assumptions. American Journal of Public Health 104:e19-e26. Evaluation Scale: Class Participation Reading Outlines Final Evaluation Total Points Points 35 30 35 100 (75% required for successful completion) Preliminary Readings Outlines are due Sunday Afternoon Book Chapters: Calder, M. (2011). Chapter 5: Specialist Intervention Services for Young People: Where Are We Now and Where Can We Go Chapter 6: Working Effectively With At Risk Youth: A Strength-Based Approach Chapter 11: Responding to Adolescent Sexual Offending: Recommendations for a Coordinated and Integrated Systemic Response Chapter 19: Reducing Shame and Increasing Guilt and Responsibility With Adolescents Who Have Offended Sexually: A CBT-Based Treatment Approach Chapter 20: A Brief CBT Programme for Low Risk Adolescent Sex Offenders Schladale, J. & Langan, T. (2012) Chapter 1: Working Together for Community Safety Chapter 3: The Facts, Ma’am, Just the Facts: Research That Informs Services Chapter 6: Working Toward Success Chapter 10: Taking Good Care of Ourselves. Articles: Association for Treatment of Sexual Abusers (ATSA). (2006). Report of the Task Force on Children With Sexual Behavior Problems. Chaffin, M. (2008). Our Minds Are Made Up-Don’t Confuse Us With the Facts: Commentary on Policies Concerning Children With Sexual Behavior Problems and Juvenile Sex Offenders. Office of Justice Program (2014). Sex Offender management Assessment and Planning Initiative (SMART-SO Document: Juvenile Section)) Prescott, D. (2013). The Rashomon Dilemma: Perspectives on and Dilemmas in EvidenceBased Practice. International Journal of Behavioral Consultation and Therapy. 8:34, 43-48. Schladale, J., Langan, T., Barnett, P., Nunez, J. Fredricks, K., Moylan-Trigiano, J. & Brown, D. (2007). Community-Based Standards For Addressing Sexual Harm By Youth. Schladale, J. (2012). A treatment Process Addressing Problem Sexual Behavior in Youth. Stemple, L. & Meyer, I. (2014). The Sexual Victimization of Men in America: New Data Challenge Old Assumptions. American Journal of Public Health 104:e19-e26. Course Outline Sunday Afternoon: Introduction and Creating a Foundation for Collaboration This course Involves intensive focus on sexual harm by youth. In order to maximize learning the training parallels a treatment process. It begins with global issues relating to sexual harm by youth and moves into specifics of empirically based interventions. Monday Morning: Guiding Principles for Treatment Working with this population necessitates interventions based on strengths, competencies, and resources of each family. Empirically based practices that focus on motivation for change provide the means for achieving treatment goals. Monday Afternoon: Understanding the Context of Sexual Abuse Social attitudes regarding sexuality and gender influence attitudes and behavior. Cultural and family values can contribute to risk for sexual abuse or protect against it. Understanding such influences informs intervention. Readings: Cox, A. (2006). Lost in Electronica. Psychotherapy Networker. Schladale, J. & Langan, T. (2012). Chapter 2. Growing Up Physically, Emotionally, and Sexually Healthy Tuesday Morning: Therapeutic Engagement and Inviting Client Responsibility The goal for all intervention is to support youth in taking responsibility for their actions in order to prevent future harm. The first priority is to engage all participants so they are motivated to integrate positive change into their lives. Readings: Calder, M. (2011). Chapter 7: Meaningful Engagement of Adolescents in Change Schladale, J. & Langan, T. (2012). Chapter 4: Connecting with Kids and Families Schladale, J. & Langan, T. (2012). Chapter 8: Everyone’s Not the Same: Addressing Uniqueness in Families Tuesday Afternoon: Evaluation and Assessment The focus of both evaluation and assessment are to explore how a youth came to cause sexual harm; what family strengths and vulnerabilities can influence outcomes; risk factors for re-offense; and protective factors that mitigate risk. Readings: Calder, M. (2011). Chapter 1: Examining Risk of Youth who Sexually Offend Schladale, J. (2007). Empirically Driven Assessment of Juvenile Sex Offenders. Schladale, J. & Langan, T. (2012). Chapter 5: Assessing Family Strengths and Needs Wednesday Morning: The Impact of Trauma on Problem Sexual Harmful Behavior Problem sexual behavior may reflect harmful copies strategies created in response to childhood trauma. Neuroscience is providing vital information to enhance successful outcomes. Readings: Cook, A., Blaustein, M., Spinazzola, J. & van der Kolk, B. (2003). Complex Trauma in Children and Adolescents. White Paper from the National Child Traumatic Stress Network. Wednesday Afternoon: Providing A Trauma-Informed Approach to Stop Harm Service delivery involves a trauma informed approach to balance healing with accountability for harmful behavior. Youth explore how they came to respond to difficulties this way and how it affects their victims, others, and themselves. Readings: Schladale, J. (2002). The T.O.P.* Workbook. Schladale, J. (2007). The T.O.P.* Workbook Facilitator’s Manual. Thursday Morning: Sexual Health and Development Understanding human sexual development is a complex, life long journey. Teaching children about sexual health creates a vision for sexual health and well being. Readings: Cohen, K. (2005). Psychotherapy With Same-Sex Attracted Youth. Family Therapy Magazine, November/December, 42-45. Nolan, T & Nucua, A. (2005). “Throwaways” Lesbian, Gay, Bisexual, and Transgender Youth in Crisis. Family Therapy Magazine November/December, 34-37. Schladale, J. (2013). A Trauma-Informed Approach for Adolescent Sexual Health. Schladale, J. (2010). The T.O.P.* Workbook For Sexual Health. Schladale, J. (2010). The T.O.P.* Workbook For Sexual Health Facilitator’s Manual. Thursday Afternoon: Eliminating Harm Affect regulation is the key to stopping problem sexual behavior. Youth are supported in learning how thoughts, feelings, physiological reactions, and behavior influence sexual decision making. Through repetitive practice with corrective feedback they can stop it. Readings: Schladale, J. & Langan, T. (2012). Chapter 7: Stopping Violence for Good Schladale, J. & Langan, T. (2012). Chapter 9: When All Else Fails… Out of Home Placement Friday Morning: Promoting Ongoing Change & Planning for Continued Success Youth, and family members are taught to manage difficult situations by practicing multisensory coping strategies. A detailed plan for self-intervention becomes the foundation for transition planning and aftercare. Readings: Schladale, J. (2012). Making Amends After Sexual Harm by Youth. . Friday Afternoon: Wrap Up and Self-Evaluation Reflecting on all aspects of the course allows service providers an opportunity to organize thinking, enhance memory retention, and plan for practical implementation. © Copyright 2015 Resources for Resolving Violence, Inc. Joann Schladale, M.S., L.M.F.T. 28 Marshview Drive Freeport, Maine 04032 (207)-232-3195