The treatment program provided at Kites follows a broad curriculum designed to address the factors outlined in the initial assessment report. The programme marries forensic interventions to address key criminogenic factors with trauma informed/psychodynamic interventions (see Trauma Focused Interventions) to address any problematic and abusive experiences in the young person’s life that may have been instrumental in the onset of their harmful sexual behavior.
Generally the aim of the initial phase of treatment is to formulate a detailed behavioural analysis of the young person’s presentation, identifying and moderating deviant sexual arousal and fantasy, whilst raising levels of global and offence specific empathic concern. Central to this is improving the young person’s ability to self-regulate.
This type of approach has a high degree of clinical consensus within the professional community who provide services to this population (Hackett et al, 2003). This approach is also well supported in terms of its ability to reduce recidivism. Worling and Curwen (2000) found a 73% reduction in recidivism for those young people who had completed at least one year of cognitive/behavioural intervention.
A second strand of treatment focuses on addressing secondary, yet fundamental aspects of the young person’s global development. This addresses aspects such as:
- Self esteem building
- Self-confidence building
- Self-regulation skills
- Familial and social relationships
- Social communication and skill building
- Emotional literacy
- Intimate and non-intimate relationships
- Decision making skills
- Assertiveness skills
- Anger management
- Moral development
- Healthy and safe sexual expression.
Whilst each young person will have an individual treatment programme, specific to their level of risk and therapeutic need (see Integrative Treatment), empirical research has identified key factors associated with sexual offending, and these areas are targeted within the cognitive/behavioural element of our treatment programme. They include:
- Addressing Cognitive Distortions
- Empathy Development
- Social Skills Development
- Addressing Deviant and Obsessive Sexual Interest
- Coping Skills/Styles
- Relapse Prevention
Key behavioural strategies are developed in partnership with residential staff, the young person’s family, and the referring authority so that behavioural change is consolidated and supported within all contexts of the young person’s life.
Kites provide adapted treatment programmes to meet the needs of young people with learning difficulties or other emotional, behavioural and psychological diagnoses. This can involve additional assessment to identify the young person’s optimum learning style, leading to the development of bespoke therapeutic programmes facilitated at a level that is congruent with the young person’s cognitive and emotional developmental level.
Intervention for young people with learning difficulties includes adapted sex education programmes, improving pro-social cognitive attitudes, and increasing social skills and pro-social behaviour leading to improved self-esteem and self-confidence. Vital is on-going reinforcement of positive behaviour, praise and role modelling across social contexts.