Treatment Models for PSB

The Problematic Sexual Behavior - Cognitive-Behavioral Treatment models are family-oriented, cognitive-behavioral treatment group or family intervention models designed to eliminate problematic and illegal sexual behaviors and improve prosocial behavior and adjustment, while reducing stress and enhancing skills in parents and caregivers.

Important Facts about the University of Oklahoma's Treatment Model for Problematic Sexual Behavior 

  1. Cognitive-behavioral and social ecological approach.
  2. Short-term, community-based outpatient program for boys and girls and their caregivers.
  3. Treatment services provided either in family or group modality with 6-8 youth in group.
  4. Requires active involvement of parents or other caregivers in family therapy sessions or in a concurrent caregivers' group.
  5. Referrals to the program often come from a variety of community partners (e.g., child protective services, juvenile justice, schools, other mental health providers, and direct from families).
  6. Very low rates (2%) of problematic sexual behavior found in 10-year follow-up of school-age youth (Carpentier, Silovsky, Chaffin, 2006).  Program evaluation of the adolescent model suggests similar rates of 2% for future problematic or illegal sexual behavior over time, which is better than the national average (Caldwell, 2017).
  7. Programs for adolescents, school-age children ages 7 - 12 and up to age 14, and preschool ages 3 - 6.

Preschool (ages 3 - 6)

90-minute weekly concurrent child and caregiver group sessions (12 sessions) addresses:

  • Supervision and safety
  • Behavior management strategies
  • Boundaries
  • Assertiveness skills
  • How to make helpful choices and follow rules
  • How to get along with other children, and
  • Support for families

Boys and girls attend group together.

School-Age (ages 7 - 12)

60 to 90-minute weekly concurrent child and caregiver group sessions (18 sessions) addresses:

  • Supervision and safety
  • Parenting strategies
  • Rules about sexual behavior and boundaries
  • Affective and cognitive coping skills
  • Self-control strategies
  • Social skills
  • Abuse prevention
  • Sexual education
  • Empathy and impact of behavior on others

Boys and girls attend group together.

Adolescent (ages 13 - 18)

90-minute weekly concurrent youth and caregiver groups sessions (6-12 months) addresses:

  • Supervision and monitoring
  • Family negotiation and communication skills
  • Healthy sexual behaviors
  • Taking responsibility for own problematic sexual behaviors
  • Impact of behaviors on others
  • Applicable sex laws
  • Self-control strategies
  • Community safety

Typically youth are court-ordered or have court oversight for their illegal sexual behavior. Group is all boys, and girls receive individual family therapy treatment.

_Tx Model - group of teens