Problem Sexual Behavior and Engagement in Therapeutic Intervention among Children Aged 4–12

Early intervention in problem sexual behavior (PSB) is critical; however, little is known about the engagement of children and families in therapeutic intervention for PSB. This research explored the characteristics, presenting issues, and engagement of 242 children aged 4-12 years attending a therapeutic service for PSB. Most frequently, PSB occurred within sibling relationships. Girls were more likely to engage in PSB alone (self-directed or non-targeted behaviors), while boys were more likely to involve other young people (interpersonal PSB). One-third (35%) of clients engaged in completion of therapy. Parental noninvolvement and self-directed or non-targeted PSB predicted early disengagement. Client demographics, sexual abuse, and interpersonal sexual behaviors were not associated with therapy completion. Implications for therapeutic intervention in children's PSB are discussed.