Abstract
Sexual crimes committed by youths are a major social concern. Currently, adult-based models of service delivery are applied to juveniles with very little evidence to support treatment effectiveness. With prevailing limitations to these approaches, consideration of methods for improving services to youths is warranted. Adapting traditional treatment approaches to incorporate family-oriented models of service delivery is likely to improve youth and family outcomes. The goal of this article is twofold: (1) to review the state of the evidence of current treatments for sexually abusive youths, identifying gaps in services and research, and (2) to suggest service improvements by incorporating family treatment approaches and reviewing the extant evidence for existing family-oriented models.