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Publication

The clinical assessment of young people with sexually abusive behaviour

2004-06, O'Reilly, Gary, Carr, Alan

This chapter outlines some basic ideas that can be used to plan and conduct a clinical assessment for a young person referred for problems with sexually abusive behaviour. It begins by considering key characteristics that reflect a good approach to clinical assessment with this population. It then considers aspects of motivation that are important in planning such assessments. It will outline the main areas usually covered during a clinical assessment and concludes with ideas on formulating information from the assessment, report writing, and contracting for intervention. We use fictional case material to illustrate key points made regarding assessment throughout. The ideas contained in this chapter are drawn from a variety of sources including Beckett (1994), Graham, Richardson and Bhate (1997), Becker, (1998), APA Task Force (1999), Will (1999), and Sheerin and O’ Reilly (2000), and O’ Reilly (2001). Each of these authors provide useful information and ideas on conducting clinical assessments with young people who sexually abuse.

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Publication

Assessment and treatment of criminogenic needs

2005-10, O'Reilly, Gary, Carr, Alan

In this chapter we will consider the assessment and treatment of criminogenic factors in young people who engage in sexually abusive behaviour. Evidence from the theoretical and research literature will be used to highlight the extent of this problem and the significant role played by a coercive style of family interaction in its aetiology. We put forward our view that a useful approach to tackling non-sexual criminal and antisocial behaviour among juvenile sexual offenders is with reference to the "what works" literature concerning young people who present with Conduct Disorder. Consistent with ideas presenting an aetiological role for dysfunctional family interaction in sexual and nonsexual criminal and antisocial behaviour, the what works literature provides an evidence base that points to a continuum of therapeutic response ranging from parental behavioural training, to functional family therapy, multi-systemic therapy, and special foster care placement. We conclude the chapter by illustrating a functional family therapy approach to assessing, formulating, and intervening with a young person whose sexually abusive behaviour is part of more general criminal and antisocial activities with reference to a case example.