Sexually abusive or offending behavior committed by adolescents Mental and Behavioural Disorders
Conditions
Interventions
STOP is a new, sexual abuse-specific, individualized Cognitive Behavioral Therapy (CBT) intervention aimed to reduce recidivism in adolescent sexual offenders.
STOP draws on the limited existing evi
adolescents and sexual offenders.
Central to STOP theory is that poor emotional regulation skills contribute substantially to several of the dynamic risk factors implicated in (young) sexual offende
skills, individual therapy, network and everyday environment.
The skills track takes place individually/in groups, and provides YSOs with social learning-theory-based and sexuality-specific informati
Sponsors
Karolinska institutet
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: 1. 13-21 years of age 2. Male 3. Placed in one of 4 locked institutions held by the Swedish National Board of Institutional Care (Statens institutionsstyrelse, SiS) 4. Suspected or convicted of one or more index sexual offences 5. ERASOR-rated moderate to high risk for sexual recidivism 6. Remaining time in custody four months or more 7. Sufficient understanding of Swedish / English or (in some cases) communication with an interpreter
Exclusion criteria
Exclusion criteria: 1. Intellectual impairment (Total IQ < 70) 2. Any psychiatric disorder currently characterized by marked instability. This includes, but is not limited to, ongoing manic episode, a psychotic condition or a markedly elevated suicide risk.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pre-post changes in expert-completed Estimate of Risk of Adolescent Sexual Offense Recidivism (ERASOR) 2.0-based, pre-specified summary scores of intermediate sexuality-specific and other dynamic risk factors for criminal recidivism, respectively. Assessments are conducted by trained and supervised evaluators (other than the therapist) and cover the past month at baseline and at follow-up the past month immediately before the completion of the intervention. 2. Register-based sexual and (non-sexual) violent criminal recidivism rates (suspicions according to the National Crime Register) for 3 years following completed treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1a. Pre-midtherapy-post changes in self-reported emotional instability problems according to the Difficulties in Emotion Regulation Scale (DERS-16). 1b. Pre-midtherapy-post changes in teacher-rated impulse control difficulties according to the Swanson, Nolan and Pelham scales (SNAP-IV). 2. Register-based psychiatric diagnoses and psychotropic medication use, 3 years following completed treatment (according to the Swedish National Board of Health and Welfare's a) National patient register, and b) National register of prescribed and dispensed medications, respectively). 3. STOP participants are compared to two comparison groups of male, individually matched (birth year, criminal and psychiatric history) young offenders also convicted to residential treatment within the National Board of Institutional Care I) YSOs for whom, due to logistical reasons (but not treatment refusal), STOP was not provided. II) Young offenders convicted of non-sexual, violent index offences, not eligible for specialized sexual offending-specific treatment. | — |
Countries
Sweden
Contacts
Public ContactMia;Dan Jörgensen;Wetterborg
;
Outcome results
None listed