Restricted accessResearch articleFirst published online 1998-11
Changing the Social Ecologies of Adolescent Sexual Offenders: Implications of the Success of Multisystemic Therapy in Treating Serious Antisocial Behavior in Adolescents
Current treatment models for adolescent sexual offenders are individually oriented and have limited empirical support. These models may not be effective in reducing recidivism because they do not address the multiple factors (i.e., individual, family, peer, school) related to sexual offending. Multisystemic therapy (MST), an ecologically based treatment model that addresses multiple determinants of behavior, has proven effective with chronic, violent nonsexual offenders in several randomized trials. Preliminary research also indicates promise for MST with sexual offenders. This article: (a) presents empirical support for use of an ecological approach with adolescent sexual offenders based on a multidetermined etiology, (b) provides a theoretical and clinical description of MST, and (c) describes a recent adaptation of MST that maintains the ecological emphasis of MST and integrates important conceptualizations from the literature on adolescent sexual offending.
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References
1.
Awad, G. A.
, & Saunders, E. B. (1991). Male adolescent sexual assaulters: Clinical observations. Journal of Interpersonal Violence, 6, 446-460.
2.
Becker, J. V.
(1988). Effects of child sexual abuse on adolescent sexual offenders. In G. E. Wyatt & G. J. Powell (Eds.), Lasting effects of child sexual abuse (pp. 193-207). Newbury Park, CA: Sage.
3.
Becker, J. V.
, Cunningham-Rathner, J., & Kaplan, M. S. (1986). Adolescent sexual offenders: Demographics, criminal and sexual histories, and recommendations for reducing future offenses. Journal of Interpersonal Violence, 1, 431-445.
4.
Becker, J. V.
, Harris, C., & Sales, B. (1993). Juveniles who commit sexual offenses: A critical review of research. In G. C. Nagayama Hall, R. Hirschman, J. R. Graham, & M. S. Zaragoza (Eds.), Sexual aggression: Issues in etiology, assessment, and treatment (pp. 215-228). New York: Taylor & Francis.
5.
Becker, J. V.
, Hunter, J. A., Stein, R. M., & Kaplan, M. S. (1989). Factors associated with erection in adolescent sex offenders. Journal of Psychopathology and Behavioral Assessment, 11, 353-362.
6.
Becker, J. V.
, & Kaplan, M. (1993). Cognitive behavioral treatment of the juvenile sex offender. In H. E. Barbaree, W. L. Marshall, & S. M. Hudson (Eds.), The juvenile sex offender (pp. 264-277). New York: Guilford.
7.
Benoit, J. L.
, & Kennedy, W. A. (1992). The abuse history of male adolescen sex offenders. Journal of Interpersonal Violence, 7, 543-548.
8.
Bischof, G. P.
, Stith, S. M., & Whitney, M. L. (1995). Family environments of adolescent sex offenders and other juvenile delinquents. Adolescence, 30(117), 157-170.
9.
Blaske, D. M.
, Borduin, C. M., Henggeler, S. W., & Mann, B. J. (1989). Individual, family, and peer characteristics of adolescent sex offenders and assaultive offenders. Developmental Psychology, 25, 846-855.
10.
Borduin, C. M.
, Henggeler, S. W., Blaske, D. M., & Stein, R. J. (1990). Multisystemic treatment of adolescent sexual offenders. International Journal of Offender Therapy and Comparative Criminology, 34, 105-113.
11.
Borduin, C. M.
, Mann, B. J., Cone, L. T., Henggeler, S. W., Fucci, B. R., Blaske, D. M., & Williams, R. A. (1995). Multisystemic treatment of serious juvenile offenders: Long-term prevention of criminality and violence. Journal of Consulting and Clinical Psychology, 63, 569-578.
12.
Bronfenbrenner, U.
(1979). The ecology of human development: Experiments by design and nature. Cambridge, MA: Harvard University Press.
13.
Brunk, M.
, Henggeler, S. W., & Whelan, J. P. (1987). A comparison of multisystemic therapy and parent training in the brief treatment of child abuse and neglect. Journal of Consulting and Clinical Psychology, 55, 311-318.
14.
Camp, B. H.
, & Thyer, B. A. (1993). Treatment of adolescent sex offenders: A review of empirical research. The Journal of Applied Social Sciences, 17, 191-206.
15.
Cohen, J. A.
, & Mannarino, A. P. (1996). A treatment outcome study for sexually abused preschool children: Initial findings. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 42-50.
16.
Davis, G. E.
, & Leitenberg, H. (1987). Adolescent sex offenders. Psychological Bulletin, 101, 417-427.
17.
Deblinger, E.
, Lippman, J., & Steer, R. (1996). Sexually abused children suffering posttraumatic stress symptoms: Initial treatment outcome findings. Child Maltreatment, 1, 310-321.
18.
Elliott, D. S.
(1994). Youth violence: an overview. Boulder: University of Colorado, Center for the Study and Prevention of Violence, Institute for Behavioral Sciences.
19.
Elliott, D. S.
, Huizinga, D., & Ageton, S. S. (1985). Explaining delinquency and drug use. Beverly Hills, CA: Sage.
20.
Fagan, J.
, & Wexler, S. (1988). Explanations of sexual assault among violent delinquents. Journal of Adolescent Research, 3, 363-385.
21.
Fehrenbach, P. A.
, Smith, W., Monastersky, C., & Deisher, R. W. (1986). Adolescent sexual offenders: Offender and offense characteristics. American Journal of Orthopsychiatry, 56, 225-233.
22.
Foa, E. B.
, Rothbaum, B. O., Riggs, D. S., & Murdock, T. B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715-723.
23.
Ford, M. E.
, & Linney, J. A. (1995). Comparative analysis of juvenile sexual offenders, violent nonsexual offenders, and status offenders. Journal of Interpersonal Violence, 10, 56-70.
24.
Forman, S. G.
(1993). Coping skills interventions for children and adolescents. San Francisco: Jossey-Bass.
25.
Gomes-Schwartz, B.
(1984). Juvenile sexual offenders. Sexually exploited children: Service and research project. Washington, DC: U.S. Department of Justice.
26.
Graves, R. B.
, Openshaw, D. K., Ascione, F. R., & Ericksen, S. L. (1996). Demographic and parental characteristics of youthful sexual offenders. International Journal of Offender Therapy and Comparative Criminology, 40, 300-317.
27.
Hains, A. A.
, Herrman, L. P., Baker, K. L., & Graber, S. (1986). The development of a psycho-educational group program for adolescent sex offenders. Journal of Offender Counseling, Services and Rehabilitation, 11, 63-76.
28.
Haley, J.
(1976). Problem solving therapy. San Francisco: Jossey-Bass.
29.
Hawkins, J. D.
, Catalano, R. F., & Miller, J. Y. (1992). Risk and protective factors for alcohol and other drug problems in adolescence and early adulthood: Implications for substance abuse prevention. Psychological Bulletin, 112, 64-105.
30.
Henggeler, S. W.
(1989). Delinquency in adolescence. Newbury Park, CA: Sage.
31.
Henggeler, S. W.
(1991). Multidimensional causal models of delinquent behavior. In R. Cohen & A. Siegel (Eds.), Context and development (pp. 211-231). Hillsdale, NJ: Lawrence Erlbaum.
32.
Henggeler, S. W.
(1997). The development of effective drug abuse services for youth. In J. A. Egertson, D. M. Fox, & A. I. Leshner (Eds.), Treating drug abusers effectively (pp. 253-279). New York: Blackwell.
33.
Henggeler, S. W.
, & Borduin, C. M. (1990). Family therapy and beyond: A multisystemic approach to treating the behavior problems of children and adolescents. Pacific Grove, CA: Brooks/Cole.
34.
Henggeler, S. W.
, Melton, G. B., Brondino, M. J., Scherer, D. G., & Hanley, J. H. (1997). Multisystemic therapy with violent and chronic juvenile offenders and their families: The role of treatment fidelity in successful dissemination. Journal of Consulting and Clinical Psychology, 65, 821-833.
35.
Henggeler, S. W.
, Melton, G. B., & Smith, L. A. (1992). Family preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders. Journal of Consulting and Clinical Psychology, 60, 953-961.
36.
Henggeler, S. W.
, Melton, G. B., Smith, L. A., Schoenwald, S. K., & Hanley, J. H. (1993). Family preservation using multisystemic treatment: Long-term follow-up to a clinical trial with serious juvenile offenders. Journal of Child and Family Studies, 2, 283-293.
37.
Henggeler, S. W.
, Pickrel, S. G., & Brondino, M. J. (1997). Multisystemic treatment of substance abusing/dependent delinquents: Outcomes for drug use, criminality, and out-of-home placement at posttreatment and 6-month follow-up. Manuscript submitted for publication.
38.
Henggeler, S. W.
, Pickrel, S. G., Brondino, M. J., & Crouch, J. L. (1996). Eliminating (almost) treatment dropout of substance abusing or dependent delinquents through home-based multisystemic therapy. American Journal of Psychiatry, 153, 427-428.
39.
Henggeler, S. W.
, Rodick, J. D., Borduin, C. M., Hanson, C. L., Watson, S. M., & Urey, J. R. (1986). Multisystemic treatment of juvenile offenders: Effects on adolescent behavior and family interactions. Developmental Psychology, 22, 132-141.
40.
Henggeler, S. W.
, Rowland, M. D., Pickrel, S. G., Miller, S. L., Cunningham, P. B., Santos, A. B., Schoenwald, S. K., Randall, J., & Edwards, J. E. (1997). Investigating family-based alternatives to institution-based mental health services for youth: Lessons learned from the pilot study of a randomized field trial. Journal of Clinical Child Psychology, 26, 226-233.
41.
Henggeler, S. W.
, Schoenwald, S. K., Borduin, C. M., Rowland, M. D., & Cunningham, P. B. (1998). Multisystemic treatment of antisocial behavior in youth. New York: Guilford.
42.
Henggeler, S. W.
, Schoenwald, S. K., & Pickrel, S. G. (1995). Multisystemic therapy: Bridging the gap between university- and community-based treatment. Journal of Consulting and Clinical Psychology, 63, 709-717.
43.
Henggeler, S. W.
, Schoenwald, S. K., Pickrel, S. G., Brondino, M. J., Borduin, C. M., & Hall, J. A. (1994). Treatment manual for family preservation using multisystemic therapy. Columbia: South Carolina Health and Human Services Finance Commission.
44.
Henggeler, S. W.
, Swenson, C. C., Kaufman, K. L., & Schoenwald, S. K. (1997). MST supplementary treatment manual for juvenile sexual offenders and their families. Unpublished manual.
45.
Hunter, Jr., J. A.
, & Santos, D. R. (1990). The use of specialized cognitive-behavioral therapies in the treatment of adolescent sexual offenders. International Journal of Offender Therapy and Comparative Criminology, 34, 239-247.
46.
Kahn, T. J.
, & Chambers, H. J. (1991). Assessing reoffense risk with juvenile sexual offenders. Child Welfare, 70, 333-345.
47.
Kaufman, K. L.
(1991). Adolescent Modus Operandi Questionnaire. Columbus, OH: Children's Hospital.
48.
Kaufman, K. L.
, Hilliker, D. R., & Daleiden, E. L. (1996). Subgroup difference in the modus operandi of adolescent sexual offenders. Child Maltreatment, 1, 17-24.
49.
Kazdin, A. E.
(1987). Treatment of antisocial behavior in children: Current status and future directions. Psychological Bulletin, 102, 187-203.
50.
Kempton, T.
, & Forehand, R. (1992). Juvenile sex offenders: Similar to, or different from, other incarcerated delinquent offenders. Behavior Research and Therapy, 30, 533-536.
51.
Kendall, P. C.
, & Braswell, L. (1993). Cognitive-behavioral therapy for impulsive children (2nd ed.). New York: Guilford.
52.
LeCroy, C. W.
(1994). Handbook of child and adolescent treatment manuals. New York: Lexington Books, Imprint of Macmillan.
53.
McMahon, R. J.
, & Wells, K. C. (1989). Conduct disorders. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 73-132). New York: Guilford.
54.
Meichenbaum, D.
(1994). A clinical handbook/practical therapist manual for assessing and treating adults with Post-Traumatic Stress Disorder (PTSD). Waterloo, CN: Institute Press.
55.
Minuchin, S.
(1974). Families and family therapy. Cambridge, MA: Harvard University Press.
56.
Munger, R. L.
(1993). Changing children's behavior quickly. Lanham, MD: Madison.
57.
Reppucci, N. D.
, & Clingempeel, W. G. (1978). Methodological issues in research with correctional populations. Journal of Consulting and Clinical Psychology, 46, 727-746.
58.
Resick, P. A.
, & Schnicke, M. K. (1993). Cognitive processing therapy for rape victims. New York: Guilford.
59.
Ryan, G.
, & Lane, S. (1991). Juvenile sexual offending: Causes, consequences, and correction. Lexington, MA: Lexington Books.
60.
Sermabeikian, P.
, & Martinez, D. (1994). Treatment of adolescent sexual offenders: Theory-based practice. Child Abuse and Neglect, 18, 969-976.
61.
Simcha-Fagan, O.
, & Schwartz, J. E. (1986). Neighborhood and delinquency: an assessment of contextual effects. Criminology, 24, 667-703.
62.
Stauffer, L. B.
, & Deblinger, E. (1996). Cognitive behavioral groups for nonoffending mothers and their young sexually abused children: A preliminary treatment outcome study. Child Maltreatment, 1, 65-76.
63.
Tate, D. C.
, Reppucci, N. D., & Mulvey, E. P. (1995). Violent juvenile delinquents: Treatment effectiveness and implications for future action. American Psychologist, 50, 777-781.
64.
Thornberry, T. P.
, Huizinga, D., & Loeber, R. (1995). The prevention of serious delinquency and violence: Implications from the program of research on the causes and correlates of delinquency. In J. C. Howell, B. Krisberg, J. D. Hawkins, & J. J. Wilson (Eds.), A sourcebook: Serious, violent, and chronic juvenile offenders (pp. 213-237). Newbury Park, CA: Sage.
65.
Veronen, L. J.
, & Kilpatrick, D. G. (1983). Stress management for rape victims. In D. Meichenbaum & M. E. Jaremko (Eds.), Stress reduction and prevention (pp. 341-374). New York: Plenum.
66.
Weiss, B.
, & Weisz, J. R. (1995). Relative effectiveness of behavioral versus nonbehavioral child psychotherapy. Journal of Consulting and Clinical Psychology, 63, 317-320.
