Early identification of youth with problematic sexual behavior: A qualitative study

Abstract

BackgroundEarly intervention efforts designed for youth with problematic sexual behavior (PSB) have strong promise. Prompt identification of youth with PSB is critical to ensuring early intervention and effective response. ObjectiveThe current study explored the complexities of how PSB of youth is identified in the community. SettingA qualitative semi-structured interview approach was utilized to explore the perceptions and experiences of community members involved in cases of youth with PSB. ParticipantsParticipants included 100 community members from eight geographically diverse locations in the United States. MethodThemes involving identification of PSB were classified by qualitative analyses, beginning with thematic analysis followed by focused coding. ResultsResults indicated multiple pathways for the identification of youth with PSB involving a variety of professionals and agencies. Victim disclosure and witnessing the PSB were the most common identification pathways, with caregivers and school personnel the most common initial identifiers. Once identified, cases were reported to child welfare, law enforcement, and/or behavioral health agencies. Complications due to unclear response pathways and fears held by caregivers were notable. ConclusionsDevelopmentally appropriate, evidence-informed policies and procedures for the identification of and response to PSB in youth within and across professions would facilitate a public health response to for prevention and early responses to PSB of youth.