Sexual Behavioral Problems

Sexual Behavioral Problems

  • Services

    Sexual Behavior Problems can take many shapes and forms.  They range from pornography to addictions, paraphilias and can include illegal or dangerous sexual activities. These sexual behavior problems can be so destructive to every aspect of your life. They can affect you physically, emotionally and spiritually. You can make a fresh start and get professional help to learn to manage  unhealthy thoughts and learn new ways of behaving and relating.  

    Clients

    Texas PCS works with pre-adjudicated youth, juveniles with sexual behavioral problems and adults. Our program for youth typically lasts 12-18 months. Adult treatment sometimes parallels the length of probation, however with demonstrated progress, individuals can move into aftercare.

    Sexual Behavior Problems and  Relationships....

    Sexual Behavior Problems can wreak havoc on your relationships. Adults who have committed a sexual offense, may endure a separation, a divorce, or rejection from other family members.
     
    Parents of juveniles with sexual behavioral problems, often find that this issue is perhaps one of the most embarrassing problems to talk about with others. Sexual behavioral problems, regardless if you are seeking our services as an adult or, you are the parent of a juvenile,  thrive in isolation and secrecy. We are here to help you to be honest with yourself and your loved ones.
     
    Texas PCS offers the following for both adults and juveniles with sexual behavior problems in Denton, Collin, and surrounding counties:
    • Psycho-sexual evaluations
    • Safety Plans
    • ABEL Assessment
    • Supervision Plans
    • A Family Systems Approach
    • Offense Specific Treatment
    • Risk Assessments
    • Boundary Counseling
      • Boundary Awareness, Counseling, and Education ( BACE™ Program )
    • Chaperone Training
     
  • The Process for Adults

    1. Complete intake paperwork and arrange to complete psychosexual testing.

    2. Complete the ABEL Assessment for Sexual Interest.
    3. Individual sessions to determine if you or your significant other is suited for a group setting.

    4. Establish a treatment plan.

    5. Begin individual sessions or group sessions.

    6. Learn to create safety plans when applicable.
    7. Begin working on a sexual history to prepare for a sexual history polygraph.

    8. Identify potential chaperones (a support person that is aware of the complete offense), work toward objectives, recognize risk situations and adhere to conditions of probation (for court referred Clients).

          9. Maintenance polygraphs occur one time per year (exceptions are polygraphs in which deception has been indicated). 

    A Few  Goals on An Adult Treatment Plan Include:  

    • Clarifying personal offense cycle, including thoughts, feelings, behaviors and situations.

    • Processing anger and suppressed anger in healthy ways.

    • Informing significant others completely and honestly about offending problem and seek.

    • Understanding how the past abuse affects your life and relationships in the present.

    • Acknowledging and accept personal responsibility for complete sexual assault history.

    • Changing dysfunctional behaviors that have become habit

    About Counseling

    Counseling individuals for sexual behavioral problems is not the same as traditional types of counseling. As described by the Council on Sex Offender Treatment, the most prominent difference is that the primary client in sex offender treatment is the community and the goal of treatment is no more victims.  Treatment is structurally mandated and victim centered. Treatment will be more directive and goals are established for the offender, not with the offender. Setting appropriate boundaries and limits is a vital component of treatment. At Texas PCS we carry out treatment in both a caring and confronting manner.
     
    Texas Premier Counseling Services  incorporates a team approach to treatment using a family  system lens. As well, we include  adjunct therapy which deals with, when determined necessary, to work with individuals regarding: substance abuse, anger and stress management, conflict resolution, sex education, social competence/life skills, clarifying, values, trauma resolution, problem solving, impulse control, and interpersonal communication. Our counselors have both clinical experience as well as specialized training in conflict resolution, motivational interviewing and substance use/abuse. Texas PCS counselors  exceeds requirements when in comes to working with individuals with sexual behavioral problems.

     Texas PCS keeps up-to-date with best practices in the field. Texas PCS works not only on correcting thinking errors, relapse prevention, and refraining from risk situations, we incorporate  the Good Lives & Self-Regulation Model. Self-regulation skills are taught to both juvenile and adults with sexual behavioral problems.

    The Role of Adverse Childhood Experiences

    Texas Premier Counseling considers many factors when working with those with sexual behavioral problems. One vital area of that we consider  includes Adverse Childhood Experiences (ACE). Current research indicates that ACE have been highlighted as possible contributing factors in sexual offending behaviors. In the general population, child maltreatment and early household dysfunctions are associated with poorer outcomes in adulthood, including physical health, mental health, and high-risk behavior. A goal of the ACE research was to explore relationships between early adversity and adult health, mental health, and high-risk behaviors. The ACE is worth mentioning because it is  one of the largest studies examining childhood adversity in the general population to date, it included 17, 337 participants

    What is the Good Lives Model? Why Incorporate the GLM?

    The Good Live Model, if adapted, implemented and carried out by the Client helps mitigate possible adverse childhood experiences. Research suggests that individuals seek at least 10 primary goods.

    1. Life: Healthy Living and functioning. The basic needs in life.

    2. Knowledge: Desire for information and understanding about oneself and the world.

    3. Excellence in Play and Work: Including mastery experiences.

    4. Excellence in Agency: Autonomy, independence, and self-directness.

    5. Inner Peace: freedom from emotional turmoil and stress.

    6. Friendship: Connections to others through intimate, romantic, familial and other types of relationships.

    7. Community: A sense of belonging to a larger group of individuals with shared interests.

    8. Spirituality: A broad sense of finding meaning and purpose in life.

    9. Happiness: A state of being overall connectedness in one's life; the experience of pleasure.

    10. Creativity: The desire to have novelty or innovation in one's life.

    It is not problematic for an individual to desire these goals; instead, it is the methodology used to obtain these goals.  In conjunction with other treatment goals, such as victim empathy, and emotional regulation, treatment will consider helping client's to recognize four primary flaws:

    • Means
    • Scope
    • Conflict
    • Capacity

    An example of "means" occurs when an individual would like to connect with another, that is relatedness, yet he or she goes about meeting this goal in the wrong way.

    An example of "scope" occurs when an individual's plan is too narrow, and the client leaves out other important goods at the expense of another. Such as, the individual who places great emphasis on building friendships, yet dismisses responsibilities such as work, or achieving other important goals.

    An example of "Conflict" occurs when a person desires both relatedness and autonomy yet goes about meeting this need by trying to control or dominate a partner.

    An example of "Capacity" will occur when an individual does not have the skills or opportunities to obtain the sought after primary goods.

    Texas PCS utilizes goals to assist clients to develop skills, values, attitudes, and obtain resources that is needed to live a different kind of life.

    Treatment for juveniles and adults at Texas PCS will use evidenced based curriculum from The Safer Society Press. Additional information can be found by clicking on the Texas Administrative Code.

    Source: Yates, P.M; Prescott, D. and  Ward, T. (2010). From the Safer Society Press.
  • What to Expect

    Our program for juveniles, in most cases, require that juveniles and parents/guardians participate. Required attendance, normally, consists of four times each month for juveniles, in a group setting.  Parents and juveniles in our program are instructed to adhere to the Texas PCS Family Supervision Plan.  Texas PCS counselors will review the Family Supervision Plan with both the parent and the juvenile. Many of the stipulations are similar and have been adapted from the Orders of Release as well as components of the Court Safety Plans for juveniles. Regardless if one is court-ordered or attends voluntarily, Texas PCS clients, while in treatment, must follow the Family Supervision Plan.  The plan includes some of the following:
    • Parent(s)/Guardian(s) and child must obtain permission and a safety plan in advance for any high risk activities such as being around other children, family events, traveling out of town.
    • The child may have a cell phone for phone calls and texting.  The cell phone cannot have internet access or picture sending or receiving capabilities.
    • A door alarm must be installed on all bedroom doors of the child if there are children under the age of twelve (12) in the home or other potential vulnerable victims.
    • The Client shall have no unsupervised use of the Internet (through any device including but not limited to a computer, I pad, cellular phone, etc.) or of any social media outlet (including but not limited to Facebook, My Space, Twitter, etc.)

    The Process for Juveniles

    1. Complete intake paperwork, determine level of Pathways workbook and arrange to complete psychosexual testing.

    2. Individual sessions and/or group sessions.

    3. Instant offense polygraph, if needed.
    4. Establish a treatment plan. Some of the learning objectives include, but are not limited to: identifying high-risk situations, developing self-efficacy and clarification.

    5. Juveniles will attend four times per month and Parents will attend twice per month.
    6. Begin working on a sexual history to prepare for a sexual history polygraph.

    7. Work towards objectives, complete pathways assignments and participate in group or individual sessions.

    8. Maintenance polygraphs occur one time per year (exceptions are polygraphs in which deception has been indicated).

    A common question by parents of juveniles relates to causation:  what causes youth to act out sexually. While there is not a cause, up-to-date studies indicate common risk factors. According to studies by Phil Rich (2011) a few risk factors include: poor parent-child relationships, separation from parents, domestic violence, disrupted early care, poor-self regulation, academic difficulties, and negative school experiences. This list is not exhaustive. The good news is that juveniles, who receive proper treatment, have low Recidivism rates. Less than 10% of juveniles commit another sexual offense. In working with juveniles, Texas PCS will work with the juvenile’s family, offering a supportive non-judgmental environment. Texas PCS counselors are trained not only to work with sexual behavioral problems, but also have training and practice in family therapy, mediation, and parenting education.

    Risk Factors

     Emotionally Distressed Parents Involved in Anti-social Behaviors

    • Harsh Inconsistent Discipline
    • Poor Parental Supervision
    • Learning Problems
    • Bullying, or Being the Target of Bullying

    Protective Factors

    Several Protective factors that parallel factors found in resiliency research include:

    • Positive Family Functioning (e.g. adequate supervision, consistent and fair discipline)

    • Positive Peer Social Group
    • Availability of Supportive Adult
    • Commitment to School,
    • Pro-social / Non-criminal Attitudes
    • Emotional Maturity
    • Self-regulation and Problem-Solving Skills

    Family Dynamics

    Family Dynamics may include some of the following:

    •       Parental fights about sex
    •       Sexual jealousy of partners
    •       Sexual language
    •       Sexual jokes
    •       Sexual comments about others’ bodies
    •       Sexual gestures
    •       Sexual comments (negative) about men and women
    •       Pornography, explicit videos, and R-rated or X-rated movies watched when children are around.
    •       Children are told the details of their parents’ sex lives and problems
    •       Children must kiss people they do not like, regardless of their discomfort
    •       Children have been used to fulfill a parent’s emotional needs that may be sexualized.  Almost fulfilling the role of a substitute partner, the child may hear about the parent’s problems.
    •       Children live with parents who act in sexual ways after drinking or taking drugs regardless of the presence of children.
    •       Children live in places where sex is routinely paired with aggression, such as fights about sex, violent sexual language, or forced sex.
    •       Children have observed physical violence, particularly between their parents/caregivers, due to sexual jealousy and sexual mistrust.
    •             Children are physically or hormonally different from other children.

    Evolution of Juvenile Treatment

    Adolescents who sexually abuse vary in their treatment needs. The dominant treatment model combines elements of cognitive-behavioral therapy with relapse prevention and focuses on individual youth-level factors such as responsibility and victim empathy. Treatment is typically provided in clinics to groups of youth and often lasts a year or longer. Yet, the field of adolescent treatment is evolving. Texas Premier Counseling Services is part of this evolution because we believe adolescents are not adults, what works for one adolescent may not work for another.
     
    Studies repeatedly demonstrate the importance of family involvement in the treatment of adolescents with sexual behavior problems.  As a  result more provider agencies now identify as “family-focused” treatment than in prior years, according to national provider surveys.Texas PCS approaches sexual behavioral problems by incorporating a family-focused, systemic  approach. Texas PCS counselors work as a team when tackling  blame, barriers, and burdens that often go hand in hand in families in which sexual abuse occurred.
     
    As described by ATSA, There also are indications that some programs are more closely matching treatment intensity to youth needs and estimated risk levels and de-emphasizing empirically unsupported treatment elements (e.g., requiring youth to journal about sexual thoughts or discuss deviant sexual fantasies during group sessions). Provider surveys also document a reduction in average treatment duration in recent years. Texas PCS will teach healthy vs. unhealthy sexual behaviors, yet it is not the main focus of treatment.
     
    These changes likely reflect consideration of rapid youth development and improved treatment outcomes for interventions that involve families and that address dynamic risk, (dynamic risk factors are factors that are more likely and able to change and/or fluctuate)  needs and responsivity.
     
     
    At Texas Premier Counseling Services, our counselors will help your family, using a family systems approach by decreasing risk factors and increasing protective factors. Our Texas PCS counselors have direct clinical experience in working with sexual behavioral problems, both juveniles and adults, as well as specialized training and clinical experience in working with  family systems. Additionally, our counselors have training A as well as clinical experience in motivational interviewing and conflict resolution.

    Counseling for Sexually Abusive Youth

    Counseling individuals for sexual offenses, is not the same as traditional types of counseling.  Some therapist and clients believe they “must” know the causes of troubling behaviors before they can find solutions for changing behaviors.  While there are some common factors, there is not a “cause” and there is not a “cure.”  The most prominent difference is that sex offender counseling operates from a containment model.  The sex offender treatment provider will work with probation, the courts, or attorneys.  The primary client in sex offender treatment is the community and the goal of treatment is no more victims.  Treatment is structurally mandated and victim centered.  Treatment will be more directive and goals are established for the offender, not with the offender.  However, this does not mean that treatment is standard.  While many goals are common and are established for the juvenile, idiosyncratic goals are formulated with the juvenile and family.
     
    Some common goals include communication, improved self-esteem, and social competency.  As related to social competency, many juveniles struggle with keeping and maintain friendships.  One expert, described troubling adolescent sexual behavior problems like this,” that children and adolescents simply want what they want.”  He goes on to describe,  rather than intending to harm or engage in deviant behavior, they typically operate from a self-centered drive, coupled with lack of awareness, intimacy, attachment, and social competency.  Some juveniles, lack the intrinsic skill of social competency that tell us when to get our needs met in a socially appropriate manner,  or, better stated-- how to get the need met (Rich, 2011).

     



  • About Polygraphs

    Both juveniles and adults are required to take polygraph(s). Why? Simply stated polygraphs are used as a treatment tool. Many programs in Texas and around the United States incorporate polygraphs as part of treatment requirements. However, polygraphs should not be used in isolation.  Polygraphs are only one of several ways that juveniles who sexually abuse, as well as adults  are monitored in the community. Other methods are vital  such as client self-reports, spousal or parental reports , drug testing, and input from probation officers  are important as well.

    There are different types of polygraphs, they include the following:

    • Instant Sexual Offense Polygraph – Addresses the offense of conviction in conjunction or adjudication with the official version.  
    • Sexual History Polygraph – Addresses the complete sexual history of the client up to the instant offense. 
    • Maintenance Polygraph – Addresses compliance with conditions of supervision and treatment.  
    • Monitoring Polygraph – Addresses whether the client has committed a "new" sexual offense.
    A common question: What if no deception is indicated on the instant offense polygraph? An LSOTP treats sexual behavior problems for adults and youth who sexually abuse. Should the individual pass (no deception indicated) the instant offense polygraph, he or she will subsequently take a sexual history polygraph. If the instant offense polygraph and the sexual history polygraph indicate no deception, he or she will be released from services with Texas Premier Counseling. An adult offender will generally be required to complete the ABEL as well.
     
    Polygraph results alone are not sufficient evidence to determine facts or to be the basis for termination from treatment.  Your Texas PCS counselor will consider other factors, such as attendance, participation, and degree of change.  While polygraphs are known as "lie detector tests" they cannot and should not be used as a sole reason for discharge if a person "fails" because honesty and overcoming denial are not the only goals of treatment.  Another problem with relying only on a polygraph to discharge is because not everyone is suited to take a polygraph. At
     
    Your Texas PCS  counselor's role is to arrange and to prepare individuals to take the polygraph but  the polygraph examiner is the authority in determining if a polygraph is appropriate. Sometimes individuals with mental disorders, learning disabilities, psychotic symptoms, active manic-depressive or dissociative symptoms, panic disorders, and those below the age of 11 are not good candidates.
  • BACEBoundary Awareness, Counseling, and Education ( BACE )

    Boundary Awareness, Counseling, and Education ( BACE™ ) is designed to assist Juveniles who are not suited for the full terms of Sex Offender Treatment, however they would benefit from Boundary Counseling by a LSOTP.  The BACE program is conducted in a group setting with other youth.

    Learning objectives include shared components of sex offender treatment counseling but have unique components including but not limited to:

    • Healthy Relationships.
    • Elements of True Consent.
    • Emotional Regulation.
    • Communication Skills.
    • Assessing the juveniles problematic on-line behaviors and the link between off-line and on-line relationships.
    • The dangers of viewing Child Sexual Abuse Images (CSAI) No, viewing pictures is not a victimless crime just because the juvenile doesn’t not know the person in the pictures name.
    • The pitfalls of sending personal information to unknown persons.
    • Victim Empathy.
    • On-line safety and potential long-term consequences from use of sites such as ask.fm. Ask.fm does not provide anonymity as the juvenile perceives and it is often linked to cyberbullying. The dangers of sexting by the use of  Snapchat and KiK and ooh.me, ooh.me is not moderated and has a combination of adults and teens—just to name a few.
    • The on-line disinhibition effect, what is that? When you don’t know the person, the juvenile is more likely to take risks and cross boundaries. Juveniles will learn the importance of face-to-face communication through peer interaction.
    • On-line hyper sexuality.
    • Planning for an Acceptable Use Policy (AUP) of the internet upon successful completion of the BACE program.
    • Motivation behind collecting images.
    • Risk Taking.
    • Gateway Behaviors.

    Materials used will include, but not limited to:

    • Pathways from the Safer Society Press.
    • Material from ATSA and information provided through U.S Sentencing Commission website.

     

  • Chaperone Training & Support

    Chaperones Purpose

    • To monitor the juveniles behavior and environment.
    • An extra set of eyes for the therapists.
    • To provide special support for the juvenile in possibly risky situations and environments.
    • Serve as a barrier between the offender and potential victims.
    • To aid in keeping juvenile offender away from vulnerable others.
    • Report suspected abuse.
    • Alert therapists to problems or concerns at chaperone outings.
    • Adults attending training are not guaranteed approval.

    Chaperones May Be

    • Family
    • Extended family
    • Friend of family

    Chaperones Must

    • Be knowledgeable about juvenile offender’s victims.
    • Gain knowledge about offender’s pre-offense pattern, cycles, styles of grooming, thinking errors, isolating.
    • Demonstrate understanding of victim empathy and damage done by abuse.
    • Demonstrate understanding of victim’s need to establish boundaries, need for protection and privacy needs.
    • Know their individual strengths and weaknesses, as well as his/her reactions and interactions with juvenile offender.
    • Be willing to enforce rules and establish new behaviors when the juvenile offender is in possible risky situations.
    • Be willing to report risky situations and tolerate consequences that the juvenile will have.
    • Recognize dishinhibitors, and refrain from substances such as alcohol or other substances that can reduce reaction time to responding to the juvenile’s behavior.
    • Seek help when events or perceptions hinder one’s ability to monitor the juvenile.
    • Be aware of one’s own vulnerabilities to be groomed.

    As Chaperones / Family Members You Will Learn

    • Boundary Setting and Maintenance
    • Reframing
    • Emotional cutoffs and alternative approaches
    • Triangulation
    • Culture and Context
    • Divorce / Separation
    • Splitting
    • Cognitive Dissonance