A Non-Clinical Referral Tool to Help Identify Problematic Child Sexual Behavior: Development, Training, and Initial User Feedback

References

• Allen, B. (2018). Implementing trauma-focused cognitive-behavioral therapy (TF-CBT) with preteen children displaying problematic sexual behavior. Cognitive and Behavioral Practice, 25(2), 240–249. https://doi.org/10.1016/j.cbpra.2017.07.001
   Web of Science ®Google Scholar
• Allen, B., Tellez, A., Wevodau, A., Woods, C. L., & Percosky, A. (2014). The impact of sexual abuse committed by a child on mental health in adulthood. Journal of Interpersonal Violence, 29(12), 2257–2272. https://doi.org/10.1177/0886260513517550
   PubMed Web of Science ®Google Scholar
• American Academy of Pediatrics. (2016). Sexual behaviors in young children: What’s normal, what’s not? https://www.healthychildren.org/English/ages-stages/preschool/Pages/Sexual-Behaviors-Young-Children.aspx
   Google Scholar
• Araji, S. K. (1997). Sexually aggressive children: Coming to understand them. Sage Publications. Association for the Treatment of Sexual Abusers. Practice guidelines for assessment, treatment, and intervention with adolescents who have engaged in sexually abusive behavior. https://www.atsa.com/Members/Adolescent/ATSA_2017_Adolescent_Practice_Guidelines.pdf
   Google Scholar
• Association for the Treatment of Sexual Abusers. (2017). Practice guidelines for assessment, treatment, and intervention with adolescents who have engaged in sexually abusive behavior. https://www.atsa.com/Members/Adolescent/ATSA_2017_Adolescent_Practice_Guidelines.pdf
   Google Scholar
• Barnett, M., Guaquinto, A., Hunter, L., & Worth, C. (2017). Age-appropriate sexual behaviours in children and young people: Information for carers, professionals and the general public. South Eastern Centre Against Sexual Assault & Family Violence. https://www.ncsby.org/sites/default/files/Age-appropriate-behaviours-book.pdf
   Google Scholar
• Baumann, A. A., Kohl, P. L., Proctor, E. K., & Powell, B. J. (2016). Program implementation. In J. J. Ponzetti (Ed.), Evidence-based parenting education: A global perspective (pp. 24–33). Routledge.
   Google Scholar
• Bonner, B. L., Walker, C. E., & Berliner, L. (1999). Children with sexual behavior problems: Assessment and treatment. U.S. Department of Health and Human Services, Administration for Children, Youth, and Families, National Center on Child Abuse and Neglect.
   Google Scholar
• Bonner, B. L., Walker, C. E., & Berliner, L. (2001). Children with sexual behavior problems: Assessment and treatment. University of Oklahoma Health Sciences Center.
   Google Scholar
• Brownson, R. C., Colditz, G. A., & Proctor, E. K. (2017). Dissemination and implementation research in health: Translating science to practice. Oxford University Press.
   Google Scholar
• Carpentier, M. Y., Silovsky, J. F., & Chaffin, M. (2006). Randomized trial of treatment for children with sexual behavior problems: Ten-year follow-up. Journal of Consulting and Clinical Psychology, 74(3), 482. https://doi.org/10.1037/0022-006X.74.3.482
   PubMed Web of Science ®Google Scholar
• Chaffin, M., Berliner, L., Block, R., Johnson, T. C., Friedrich, W. N., Louis, D. G., Lyon, T. D., Page, I. J., Prescott, D. S., Silovsky, J. F., & Madden, C. (2008). Report of the ATSA task force on children with sexual behavior problems. Child Maltreatment, 13(2), 199–218. https://doi.org/10.1177/1077559507306718
   PubMed Web of Science ®Google Scholar
• Chugai, O., Terenko, O., & Ogienko, O. (2017). Methods that work: Best practices of adult educators in the USA. Advanced Education, 8(8), 72–77. https://doi.org/10.20535/2410-8286.109216
   Google Scholar
• Cosentino, C. E., Meyer-Bahlburg, H. F., Alpert, J. L., Weinberg, S. L., & Gaines, R. (1995). Sexual behavior problems and psychopathology symptoms in sexually abused girls. Journal of the American Academy of Child & Adolescent Psychiatry, 34(8), 1033–1042. https://doi.org/10.1097/00004583-199508000-00013
   PubMed Web of Science ®Google Scholar
• Coyne, S. M., Ward, L. M., Kroff, S. L., Davis, E. J., Holmgren, H. G., Jensen, A. C., Erickson, S. E., & Essig, L. W. (2019). Contributions of mainstream sexual media exposure to sexual attitudes, perceived peer norms, and sexual behavior: A meta-analysis. Journal of Adolescent Health, 64(4), 430–436. https://doi.org/10.1016/j.jadohealth.2018.11.016
   PubMed Web of Science ®Google Scholar
• Crow, G. M., & Pounder, D. G. (2000). Interdisciplinary teacher teams: Context, design, and process. Educational Administration Quarterly, 36(2), 216–254. https://doi.org/10.1177/0013161X00362004
   Web of Science ®Google Scholar
• DeLamater, J., & Friedrich, W. N. (2002). Human sexual development. Journal of Sex Research, 39(1), 10–14. https://doi.org/10.1080/00224490209552113
   PubMed Web of Science ®Google Scholar
• Dong, M., Anda, R. F., Dube, S. R., Giles, W. H., & Felitti, V. J. (2003). The relationship of exposure to childhood sexual abuse to other forms of abuse, neglect, and household dysfunction during childhood. Child Abuse and Neglect, 27(6), 625–639. https://doi.org/10.1016/S0145-2134(03)00105-4
   PubMed Web of Science ®Google Scholar
• Elkovitch, N., Latzman, R. D., Hansen, D. J., & Flood, M. F. (2009). Understanding child sexual behavior problems: A developmental psychopathology framework. Clinical Psychology Review, 29(7), 586–598. https://doi.org/10.1016/j.cpr.2009.06.006
   PubMed Web of Science ®Google Scholar
• Ey, L., McInnes, E., & Rigney, L. I. (2017). Educators’ understanding of young children’s typical and problematic sexual behaviour and their training in this area. Sex Education, 17(6), 682–696. https://doi.org/10.1080/14681811.2017.1357030
   Web of Science ®Google Scholar
• Friedrich, W. N. (1993). Sexual victimization and sexual behavior in children: A review of recent literature. Child Abuse and Neglect, 17(1), 59–66. https://doi.org/10.1016/0145-2134(93)90008-S
   PubMed Web of Science ®Google Scholar
• Friedrich, W. N., Davies, W. H., Feher, E., & Wright, J. (2003). Sexual behavior problems in preteen children: Developmental, ecological, and behavioral correlates. Annals of the New York Academy of Science, 989(1), 95–104. https://doi.org/10.1111/j.1749-6632.2003.tb07296.x
   PubMedGoogle Scholar
• Friedrich, W. N., Fisher, J., Broughton, D., Houston, M., & Shafran, C. R. (1998). Normative sexual behavior in children: A contemporary sample. Pediatrics, 101(4), e9–e9. https://doi.org/10.1542/peds.101.4.e9
   PubMed Web of Science ®Google Scholar
• Friedrich, W. N., Grambsch, P., Broughton, D., Kuiper, J., & Beilke, R. (1991). Normative sexual behavior in children. Pediatrics, 88(3), 456–464. https://doi.org/10.1542/peds.88.3.456
   PubMed Web of Science ®Google Scholar
• Friedrich, W. N., Grambsch, P., Damon, L., Hewitt, S. K., Koverola, C., Lang, R. A., Wolfe, V., & Broughton, D. (1992). Child sexual behavior inventory: Normative and clinical comparisons. Psychological Assessment, 4(3), 303. https://doi.org/10.1037/1040-3590.4.3.303
   Google Scholar
• Friedrich, W. N., Gully, K. J., & Trane, S. T. (2005). Re: It is a mistake to conclude that sexual abuse and sexualized behavior are not related: A reply to Drach, Wientzen, and Ricci (2001). Child Abuse and Neglect, 29(4), 297–302. https://doi.org/10.1016/j.chiabu.2005.03.004
   PubMed Web of Science ®Google Scholar
• Friedrich, W. N., Jaworski, T. M., Huxsahl, J. E., & Bengtson, B. S. (1997). Dissociative and sexual behaviors in children and adolescents with sexual abuse and psychiatric histories. Journal of Interpersonal Violence, 12(2), 155–171. https://doi.org/10.1177/088626097012002001
   Web of Science ®Google Scholar
• Gil, E. (1993). Age-appropriate sex play versus problematic sexual behaviors. In E. Gil & T. Johnson (Eds.), Sexualized children: Assessment and treatment of sexualized children and children who molest (pp. 21–40). Launch Press.
   Google Scholar
• Gordon, B. N., & Schroeder, C. S. (2013). Sexuality: A developmental approach to problems. Plenum Press.
   Google Scholar
• Hall, D. K., Mathews, F., & Pearce, J. (1998). Factors associated with sexual behavior problems in young sexually abused children. Child Abuse & Neglect, 22(10), 1045–1063. https://doi.org/10.1016/S0145-2134(98)00078-7
   PubMed Web of Science ®Google Scholar
• Haugaard, J. J. (1996). Sexual behaviors between children: Professionals’ opinions and undergraduates’ recollections. Families in Society, 77(2), 81–89. https://doi.org/10.1606/1044-3894.850
   Web of Science ®Google Scholar
• Herbenick, D., Fu, T. C., Wright, P., Paul, B., Gradus, R., Bauer, J., & Jones, R. (2020). Diverse sexual behaviors and pornography use: Findings from a nationally representative probability survey of Americans aged 18 to 60 years. The Journal of Sexual Medicine, 17(4), 623–633. https://doi.org/10.1016/j.jsxm.2020.01.013
   PubMed Web of Science ®Google Scholar
• Herman-Giddens, M. E., Steffes, J., Harris, D., Slora, E., Hussey, M., Dowshen, S. A., Wasserman, R., Serwint, J. R., Smitherman, L., & Reiter, E. O. (2012). Secondary sexual characteristics in boys: Data from the pediatric research in office settings network. Pediatrics, 130(5), e1058–e1068. https://doi.org/10.1542/peds.2011-3291
   PubMed Web of Science ®Google Scholar
• Hornor, G. (2004). Sexual behavior in children: Normal or not? Journal of Pediatric Health Care, 18(2), 57–64. https://doi.org/10.1016/S0891-5245(03)00154-8
   PubMedGoogle Scholar
• Human Rights Watch. (2013). Raised on the registry: The irreparable harm of placing children on sex offender registries in the US. https://www.hrw.org/sites/default/files/reports/us0513_ForUpload_1.pdf
   Google Scholar
• John, S. (2019). McCain national defense authorization act for fiscal Year 2019, 115-232 U.S.C. §, 1089. https://www.congress.gov/bill/115th-congress/house-bill/5515
   Google Scholar
• Johnson, C. F. (2004). Child sexual abuse. The Lancet, 364(9432), 462–470. https://doi.org/10.1016/S0140-6736(04)16771-8
   PubMed Web of Science ®Google Scholar
• Johnson, T. C. (2002). Some considerations about sexual abuse and children with sexual behavior problems. Journal of Trauma & Dissociation, 3(4), 83–105. https://doi.org/10.1300/J229v03n04_05
   Google Scholar
• Johnson, T. C. (2013). Sexual, physical, and emotional abuse in out-of-home care: Prevention skills for at-risk children. Routledge.
   Google Scholar
• Johnson, T. C. (2015). Understanding your child’s sexual behavior: What’s natural and healthy. New Harbinger Press.
   Google Scholar
• Kaeser, F., DiSalvo, C., & Moglia, R. (2000). Sexual behaviors of young children that occur in schools. Journal of Sex Education and Therapy, 25(4), 277–285. https://doi.org/10.1080/01614576.2000.11074361
   Google Scholar
• Kellogg, N. D. (2009). Clinical report—the evaluation of sexual behaviors in children. Pediatrics, 124(3), 992–998. https://doi.org/10.1542/peds.2009-1692
   PubMed Web of Science ®Google Scholar
• Kendall-Tackett, K. A., Williams, L. M., & Finkelhor, D. (1993). Impact of sexual abuse on children: A review and synthesis of recent empirical studies. Psychological Bulletin, 113(1), 164. https://doi.org/10.1037/0033-2909.113.1.164
   PubMed Web of Science ®Google Scholar
• Lamb, S., & Coakley, M. (1993). “Normal” childhood sexual play and games: Differentiating play from abuse. Child Abuse & Neglect, 17(4), 515–526. https://doi.org/10.1016/0145-2134(93)90026-2
   PubMed Web of Science ®Google Scholar
• Larsson, I., & Svedin, C.-G. (2002). Sexual experiences in childhood: Young adults’ recollections. Archives of Sexual Behavior, 31(3), 263–273. https://doi.org/10.1023/A:1015252903931
   PubMed Web of Science ®Google Scholar
• Larsson, I., & Svedin, C. G. (2002). Teachers’ and parents’ reports on 3-to 6-year-old children’s sexual behavior—A comparison. Child Abuse & Neglect, 26(3), 247–266. https://doi.org/10.1016/S0145-2134(01)00323-4
   PubMed Web of Science ®Google Scholar
• Lévesque, M., Bigras, M., & Pauzé, R. (2010). Externalizing problems and problematic sexual behaviors: Same etiology? Aggressive Behavior, 36(6), 358–370. https://doi.org/10.1002/ab.20362
   PubMed Web of Science ®Google Scholar
• Lévesque, M., Bigras, M., & Pauzé, R. (2012). Persistence of problematic sexual behaviors in children. Journal of Clinical Child & Adolescent Psychology, 41(2), 239–245. https://doi.org/10.1080/15374416.2012.651991
   PubMed Web of Science ®Google Scholar
• Lucier-Greer, M., Nichols, L., Peterson, C., Burke, B., Quichocho, D., & O’Neal, C. (2018). Problematic sexual behavior among children and youth: Considerations for reporting, assessments, and treatment. Military REACH Research and Outreach. https://oneop.org/wp-content/uploads/2019/02/Problematic-sexual-behavior-among-Children-and-Youth_Report.pdf
   Google Scholar
• Maas, M. K., Bray, B. C., & Noll, J. G. (2019). Online sexual experiences predict subsequent sexual health and victimization outcomes among female adolescents: A latent class analysis. Journal of Youth and Adolescence, 48(5), 837–849. 10.1007%2Fs10964-019-00995-3
   PubMed Web of Science ®Google Scholar
• McKibbin, G., & Humphreys, C. (2021). Frontline workers’ response to harmful sexual behavior: Building blocks for promising practice. Trauma, Violence, & Abuse, 24(2), 597–612. https://doi.org/10.1177/15248380211036077
   PubMed Web of Science ®Google Scholar
• Mesman, G. R., Harper, S. L., Edge, N. A., Brandt, T. W., & Pemberton, J. L. (2019). Problematic sexual behavior in children. Journal of Pediatric Health Care, 33(3), 323–331. https://doi.org/10.1016/j.pedhc.2018.11.002
   PubMed Web of Science ®Google Scholar
• Mori, C., Temple, J. R., Browne, D., & Madigan, S. (2019). Association of sexting with sexual behaviors and mental health among adolescents: A systematic review and meta-analysis. JAMA Pediatrics, 173(8), 770–779. https://doi.org/10.1001/jamapediatrics.2019.1658
   PubMed Web of Science ®Google Scholar
• Mussak, S. (2006). Understanding sexual development and competence of persons with intellectual disabilities. In G. Blasingame (Ed.), Practical treatment strategies for persons with intellectual disabilities (pp. 43–54). Safer Society Press.
   Google Scholar
• National Children’s Alliance. (2015) . 2015 statistical data submitted by children’s advocacy center members. Author.
   Google Scholar
• National Child Traumatic Stress Network. (2009). Sexual development and behavior in children: Information for parents and caregivers. U.S. Department of Health and Humans Services. https://www.nctsn.org/sites/default/files/resources//sexual_development_and_behavior_in_children.pdf
   Google Scholar
• Pithers, W. D., Gray, A., Busconi, A., & Houchens, P. (1998). Caregivers of children with sexual behavior problems: Psychological and familial functioning. Child Abuse & Neglect, 22(2), 129–141. https://doi.org/10.1016/S0145-2134(97)00123-3
   PubMed Web of Science ®Google Scholar
• Russell, K. N., & Marsh, S. C. (2018). When juveniles commit sexual offenses: Considerations and recommendations for judges. Juvenile and Family Court Journal, 69(2), 37–48. https://doi.org/10.1111/jfcj.12111
   Web of Science ®Google Scholar
• Ryan, G. (2000). Childhood sexuality: A decade of study. Part 1 research and curriculum development. Child Abuse and Neglect, 24(1), 33–48. https://doi.org/10.1016/S0145-2134(99)00118-0
   PubMed Web of Science ®Google Scholar
• Schoentjes, E., Deboutte, D., & Friedrich, W. (1999). Child sexual behavior inventory: A Dutch-speaking normative sample. Pediatrics, 104(4), 885–893. https://doi.org/10.1542/peds.104.4.885
   PubMed Web of Science ®Google Scholar
• Silovsky, J. F., & Bonner, B. L. (2003). Children with sexual behavior problems: Common misconceptions vs. Current findings. National Center on Sexual Behavior of Youth. https://doi.org/10.1016/j.chiabu.2019.104317
   Google Scholar
• Silovsky, J. F., & Niec, L. (2002). Characteristics of young children with sexual behavior problems: A pilot study. Child Maltreatment, 7(3), 187–197. https://doi.org/10.1177/1077559502007003002
   PubMedGoogle Scholar
• Silovsky, J. F., & Swisher, L. (2008). Sexual development and sexual behavior problems. In M. L. Wolrach, D. D. Drotar, P. H. Dworkin, & E. C. Perrin (Eds.), Developmental-behavioral pediatrics: Evidence and practice (pp. 805–825). Mosby.
   Google Scholar
• Snyder, H. N. (2000). Sexual assault of young children as reported to law enforcement: Victim, incident, and offender characteristics. Bureau of Justice Statistics.
   Google Scholar
• Szanto, L., Lyons, J. S., & Kisiel, C. (2012). Childhood trauma experience and the expression of problematic sexual behavior in children and adolescents in state custody. Residential Treatment for Children & Youth, 29(3), 231–249. https://doi.org/10.1080/0886571X.2012.702519
   Google Scholar
• Wurtele, S. K. (2009). Preventing sexual abuse of children in the twenty-first century: Preparing for challenges and opportunities. Journal of Child Sexual Abuse, 18(1), 1–18. https://doi.org/10.1080/10538710802584650
   PubMed Web of Science ®Google Scholar