A Qualitative Analysis of Family Perspective on Treatment Services for Youths with Problematic Sexual Behavior

The key to efficacious intervention for youths with problematic sexual behavior (PSB) is direct caregiver involvement. Engaging families in treatment for youths PSB has unique complexities beyond known challenges with behavioral health treatment overall. Qualitative research with youths and caregivers in treatment for PSB complements clinical outcome research by examining consumer perception of impact, supports, and barriers. The authors sought to understand consumer impressions of treatment for PSB to identify factors that impact family participation. Following the completion of PSB-cognitive behavior therapy, 149 caregivers and 144 youths completed a program exit survey. Qualitative interviews were also conducted with 30 caregivers to gain further insight into their experiences. Results revealed that caregivers and youths communicated targets of improvements in their knowledge and skills, family communication, youth behavior, and social support. Recommendations from participants were to expand service availability and address logistical issues, approaches, and content of the program. Findings have implications for strategies to enhance engaging families in treatment programs for youths with PSB.