2023 Wednesday Schedule

The National Symposium on Sexual Behavior of Youth
Be a Voice, Not an Echo
Wednesday, February 22, 2023
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦

8:30a - 9:00a
Symposium Opening, Welcome, and
Distinguished Awards Ceremony
Jane F. Silovsky, PhD
9:00a - 10:00a
Opening Plenary
Tyffani Monford Dent, PsyD
Diversity and Equity in Work with Youth with Problematic Sexual Behavior
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
10:30a - 12:00p
Concurrent Sessions A

Concurrent Session A-1

Keeping Families Engaged in a Tele-Health Only World
Nicole Croteau-Johnson, MA, Rachel Maid, MSW, Curtis Brownlee, MS, and Abe Hickey, MA

This workshop will outline and review telehealth strategies for treatment engagement from initial contact through the assessment and treatment process. While telehealth delivery has become more popular, a hybrid approach wherein clinicians attempt to engage families in person at some point in the initial contact and assessment phase is widely utilized. This workshop will focus on the engagement of families solely using telehealth.
  1. Identify a plan for pre-treatment engagement, assessment and treatment in a tele-heath model
  2. Implement strategies for practical implementation
  3. Identify ethical, clinical and equity considerations for working with this population

Concurrent Session A-2

Challenges of Placement Decision Making and Reentry Planning in Juvenile Justice and Child Serving Agencies
Paul Shawler, PhD and Jacqueline Page, PsyD

This interactive roundtable is designed to seek input from attendees on experiences in decision making for out of home placement decision making for adolescents who have engaged in sexually abusive behavior and/or when returning home is not possible. While the majority of these youth can safely remain in the community, at times out of home placement is needed including residential placement. The roundtable addresses common issues encountered when making out of home decisions and when working with young people who cannot return home following sexually abusive behavior. The session will highlight several reoccurring concerns and how members can support cross system partnerships. The session is designed to encourage audience participation to collaboratively identify guidance strategies for placement decisions and re-entry planning that support successful following an out of home placement.  
  1. Identify the unique, diverse situations impacting the long-term sustainability of youth who have sexually offended when home is not an option
  2. Explain the decision matrix and cross system partnerships which are essential in situations in which returning to the home placement is not possible
  3. Outline a series of recommendations to support the field of practitioners who navigate these struggles with youth and system partnerships

Concurrent Session A-3

Youth in the Age of Technology: An Overview of Electronic and Online Sexual Behaviors
Erin Taylor, PhD and Andrew Monroe, MSW

Increased internet and technology access for children and adolescents has been accompanied by concern regarding how easily youth can engage in sexual behaviors online or via electronics (e.g., sending sexual messages or images, viewing pornography online;). This workshop will provide an overview of the current research on youth engagement in electronic and online sexual behaviors. Recommendation for families, mental health providers, other professionals, and policy-makers will also be discussed.

  1. Cite current literature on the rates and types of electronic and online sexual behaviors engaged in by children and adolescents
  2. Explain correlates, effects, and risks of youth engagement in electronic and online sexual behaviors
  3. Identify at least 2 recommendations and potential solutions for families, providers, and policy-makers regarding youth engagement in electronic and online sexual behaviors

Concurrent Session A-4

Children with Problematic Sexual Behavior: Recommendations for the Multidisciplinary Team and Children's Advocacy Center Response
Jimmy Widdifield, Jr., MA and Jeri Sites, MA 

Cases of children ages 12 and younger with problematic sexual behavior (PSB) can present a myriad of challenges for multidisciplinary teams (MDTs) and Children's Advocacy Centers (CACs). Fortunately, the MDT approach and the CAC model are ideal vehicles for development and implementation of an integrated and comprehensive systems approach to cases of children with PSB, recipient children, and their families. This webinar will review recommendations designed to guide and support MDTs and CACs to enhance current practices to improve professional response and promote positive outcomes for children with PSB, children impacted by the PSB, and their families.
  1. Identify 4 areas in which multidisciplinary teams and Child Advocacy Centers can enhance professional response to children with problematic sexual behavior and their families
  2. Describe the use of assessment and treatment strategies to support an integrated response to cases of children with problematic sexual behavior
  3. Identify at least 3 available resources that support multidisciplinary teams and CACs to provide a comprehensive response to children with problematic sexual behavior and their affected family members

Concurrent Session A-5

Engagement Strategies for PSB in Youth: From Individual Caregivers and Youth to Stakeholders and Systems
Margaret "Peggy" Moulton, MSW and Margaret Hensley, MS

Clinical work with problematic sexual behavior in youth presents unique challenges around engagement of clients, caregivers and stakeholders. Participants in this presentation will have the opportunity to learn culturally responsive strategies for engaging caregivers and youth from across various referral sources starting from initial contact. The presentation will identify the value of becoming a community expert in PSB as well as identifying common barriers to engagement and review strategies to overcome barriers with caregivers and stakeholders.
  1. Identify effective strategies for engaging caregivers and youth from across various referral sources starting with initial contact
  2. Identify common barriers to engagement and review strategies to overcome barriers with caregivers and stakeholders
  3. Explain the importance of cultural responsiveness in engaging families of youth with problematic sexual behavior

Concurrent Session A-6

Trafficking and Commercial Sexual Exploitation of Youth: Overview of Vulnerabilities, Impacts, and Intervention Considerations, Part I
Kelly Kinnish, PhD, Julia Grimm, MSW, and Anna Smalling, MSW

The Trafficking and Commercial Sexual Exploitation of Youth is a severe form of abuse and trauma with a complex array of intersecting risk factors and impacts. This often includes youth engagement in concerning or problematic sexual behaviors that are challenging for professionals across multiple child-serving systems engaged in response to trafficking (child welfare, juvenile justice, mental health, etc.). In the 1st session of this 2-part workshop we will provide an overview of Trafficking and Commercial Sexual Exploration and an initial exploration of vulnerabilities and impacts.

  1. Define Human Trafficking and Commercial Sexual Exploitation
  2. Describe at least 2 individual, familial, community, and societal risk factors for trafficking and commercial sexual exploitation
  3. List and describe common trauma types and trauma-related impacts experienced by trafficked and exploited youth
  4. Identify the intersection of concerning and problematic sexual behaviors, trafficking, vulnerability and impacts on clients
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
12:15p - 1:15p
Mark J. Chaffin Lecture and Luncheon
(Registration and Fee required)
Apryl Alexander, PsyD

Trauma Informed-Care and Dismantling the Abuse-to-Prison Pipeline
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
1:30p - 3:00p
Concurrent Sessions B

Concurrent Session B-1

What About Black Girls? Working with Children with Sexual Behavior Problems from an Intersectional Lens
Tyffani Monford Dent, PsyD

  1. Identify the importance of gender-specific treatment
  2. Explain the role of intersectionality in providing culturally-informed services to Black girls
  3. Identify best-practice treatment from a Resilient+Resistance framework

Concurrent Session B-2

Working with Adolescents: Creative Interventions to Engage and Help
Jacqueline Page, PsyD

The session focuses on interventions designed to capture the youth's interest while addressing relevant areas of treatment. Activities to address motivation, learning styles, learning difficulties and other factors impacting the youth's response to treatment will be presented. A framework for developing creative interventions will be provided. The goal is for this interactive session to re-energize and provide you with helpful ideas.
  1. Define “responsivity factors” and identify at least 3 of these factors
  2. Identify strategies for working with resistant youth and identify at least 2 factors related to motivation
  3. Describe various learning styles and identify at least 2 interventions for youths’ learning style

Concurrent Session B-3

Creating and Sustaining a Successful Youth Advisory in High Risk Environments
Sharon "Shel" Millington, MA, Clifford Sipes, and Andrew Monroe, MSW

The National Center of the Sexual Behavior of Youth (NCSBY) that specializes in working with youth with problematic or illegal sexual behavior created the Youth Partnership Board (YPB). The YPB serves as the youth voice component of the center. This presentation will cover the traditional barriers that many youth advisories face to become sustainable, unforeseen barriers faced both inside and outside the program that resulted from sensitive nature of the topic, and finally the personal and professional development of board members.
  1. Explain the benefit that a youth voice can have on clinical programs and how it differs from family and provider voices, especially when dealing with an extremely sensitive topic
  2. Identify strategies for navigating sensitive, but needed interventions with community partners and stakeholders around the topic of serving children with problematic sexual behavior problems
  3. Describe how trainings and engagements with stakeholders and community partners can become stronger by utilizing youth voice responsibly

Concurrent Session B-4

Supporting Sexual Health and Safety for Children and Youth: Is There a Role for Child Protection Services
Janet Rosenzweig, BS, MS, PhD, MPA

The well documented traumatic effects of sexual abuse on children and the high rate of placement disruptions experienced by victims of child sexual abuse placed by Child Protective System, often related to problematic sexual behaviors might indicate that CPS agencies have a vested interest in sexual abuse prevention and promoting sexual health and safety. However, an in-depth analysis of the underpinnings of CAPTA reveals multiple reasons why prevention rarely flourishes in CPS. Combining the perspectives of a policy analyst and sex abuse prevention practitioner, this workshop will help participants with community planning by reviewing CPS structure and functions and resources to promote sexual health and safety.
  1. Articulate the legislative history of the Child Abuse Prevention and Treatment Act (CAPTA) and explain how it impacts organizational and operational priorities
  2. Explain how problematic sexual behaviors can disrupt foster placement
  3. Explain the importance of using accurate age-appropriate information about human sexuality as a key component in promotion of sexual health and safety of children and youth

Concurrent Session B-5

What do Judges Need to Know about Illegal Sexual Behavior
Paul Shawler, PhD, Cheri Ely, MA, and Tricia Gardner, JD

Members of the legal community are faced with making difficult decisions on how cases of juvenile sexual offending are managed. This session will review the latest research on the population as well as provide insight into how the judicial system makes decisions into the processing and management of a youth's rehabilitation plan. Focus will be placed on frameworks around how courts can make informed decisions while managing the rippling impact that illegal sexual behavior can have on victims and the community.
  1. Cite current research information on adolescents who have engaged in illegal sexual behavior
  2. Develop a framework for evidence-based decision making in response to adolescent illegal sexual offending
  3. Identify key considerations for informed decisions in the court room at various points in a youth’s rehabilitation plan

Concurrent Session B-6
Trafficking and Commercial Sexual Exploitation of Youth: Sexual Behaviors of Concern Among Trafficked and Commercially Sexually Exploited Youth, Part II

Kelly Kinnish, PhD, Julia Grimm, MSW, and Anna Smalling, MSW

The Trafficking and Commercial Sexual Exploitation of Youth is a severe form of abuse and trauma with a complex array of intersecting risk factors and impacts. This often includes youth engagement in concerning or problematic sexual behaviors that are challenging for professionals across multiple child-serving systems engaged in response to trafficking. The 2nd session of this 2-part workshop will focus on the impact of sexual exploitation on a youth’s sexual development and behavior and begin a dialogue exploring how we, as professionals, conceptualize concerning sexual behaviors, sexual risk-taking behavior, and problematic sexual behavior in the context and aftermath of sexually exploitive experiences. Finally, we will apply this context to considerations and implications for intervention.

  1. Conceptualize the interconnectedness of sexually exploitive experiences and the sexual development and behavior of youth
  2. Differentiate definitions of concerning sexual behavior, sexual risk-taking behavior, and problematic sexual behavior through a trauma-informed lens
  3. Examine the systematic vulnerabilities and strengths of youth who have experienced exploitation and explain how these dynamics manifest in the way youth present with professionals
  4. Identify implications for trauma-informed interventions for youth who are demonstrating sexual behaviors of concern and who also have experienced sexual exploitation
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
3:30p - 5:00p
Concurrent Sessions C

Concurrent Session C-1

Working with Caregivers Struggling with Their Child's LGBTQ+ Identity
Shauna Lawlis, MD

  1. Cite current statistical data on the numbers of children and teens in the U.S. struggling with LGBTQ+ identity
  2. Identify at least 2 strategies for effective collaboration with parents struggling with their child’s LGBTQ+ identity
  3. Identify best-practice interventions with children/ teens and their parents struggling with LGBTQ+ issues

Concurrent Session C-2

Restoring Hope: The Reality of Sibling Sexual Abuse and the Process of Reunification
Jacqueline Page, PsyD

This workshop examines what we know about sibling sexual abuse, reviews the impact of sibling abuse, addresses questions about separation of siblings and explores reunification considerations and the reunification process. A continuum approach to reunification will be presented and common questions and challenges that are present will be addressed. The format is interactive to encourage discussion and sharing of ideas. Issues will be examined from a real-world perspective.
  1. Identify at least 2 strategies for effective collaboration with reunification issues
  2. Identify the 3 main considerations in reunification
  3. Identify at least 2 challenges for parents in sibling sexual abuse cases

Concurrent Session C-3

Racial Trauma in Cases of Youth with Problematic Sexual Behavior
Apryl Alexander, PhD

Research on adverse childhood experiences (ACE) and poly-victimization has suggested that clinicians should incorporate broader conceptualization of trauma into their framework. However, the integration of racial and cultural trauma continues to be neglected in the assessment and evaluation of trauma. Research has found that youth of color frequently experience incidents of racial stress and discrimination. Further, intergenerational trauma can affect the families of youth of color. Dr. Alexander will discuss how to incorporate an intersectional framework into the assessment and treatment of trauma.
  1. Define the concepts of racial, cultural, and intergenerational trauma
  2. Describe the short and long-term effects of racial trauma and racialized violence on youth
  3. Identify and describe an intersectional framework into trauma assessment and treatment

Concurrent Session C-4

How Multidisciplinary Teams Can Effectively Work to Address the Systemic Needs of Adolescents with Problematic Sexual Behaviors
Geoff Sidoli, MSW

Multidisciplinary Teams (MDT) have long been utilized to form strategies for the sexual abuse of children by adults, but studies show that up to 40% of alleged child sexual abuse cases referred to CAC’s occur between children. MDTs often find themselves inadequately prepared to determine the varying developmental and contextual needs of adolescents that initiate problematic sexual behaviors. The focus of this training will be to examine the systemic needs of MDTs and how they can form best practices by developing policies and procedures that are empirically supported and informed.

  1. Describe normative sexual development for adolescents
  2. Describe the process of identifying problematic sexual behaviors for adolescents and differentiating from normal sexual behaviors
  3. Identify and develop strategies for multidisciplinary team members to utilize with problematic sexual behaviors in adolescents

Concurrent Session C-5

LatinX Responses to Youth with Problematic Sexual Behavior
Ingrid Mürrle, MA, Ashley Galsky, PhD and Lisa Pineda, MSW

Problematic sexual behavior (PSB) in children and youth can be challenging for families and communities holding inherent reluctance to engage or seek supportive services based on several factors such as cultural experience. Latinos are dramatically changing the demographic profile in the U.S. resulting in increasing numbers of Latinos being referred for services; yet remaining a demographic less likely to connect to services and/or being underserved.  Approaching clinical care for this population with sensitivity and cultural humility is critical for providers of PSB. Limited understanding of cultural norms and language may present as barriers which can be further impacted by the shame of PSB and cultural views of mental health treatment. This presentation will feature and review a guide on Cultural Considerations for working with Hispanic/ Latino/ and Latinx families with PSB focusing on the impact of PSB, clinical considerations, and the clinician’s role in engagement and treatment.

  1. Explain how health-related beliefs, practices, and cultural values influence the understanding of problematic sexual behavior and parenting
  2. Identify the power of cultural values that may influence a reluctance to seek or engage in supportive services on the various stages of treatment from the initial phone call, assessment, treatment, and completion of treatment to address problematic sexual behavior in youth
  3. Identify at least 2 strategies that enhance effective communication and increased sensitivity working with Hispanic, Latino, and Latinx families

Concurrent Session C-6

Supporting Biological Parents in Child Welfare Cases
Amanda Mitten, M.A. and Hannah Frye, M.A.

This workshop will aim to provide support to professionals in the inclusion of biological parent(s) who are involved in the child welfare system. A focused approach towards family reunification that includes increased attention on child safety, family well-being, and community partnerships resulted in a rate of reunification at 76% compared to a control group of 44% (Chambers, Brocato, Fatemi, & Rodriguez, 2016). This suggests the importance of community collaboration and involvement of biological parent(s) across all aspects of the child welfare case. As such, this presentation will discuss these approaches, emphasizing inclusion of biological parent(s) throughout, recommendations for the management of difficult parent behaviors, and a focused discussion related to provider/professional perception of the parent(s) as a means of supporting success.

  1. Identify empirical evidence for parent-child visitation in child welfare cases to support ongoing inclusion of the biological parents in services for meeting long-term goals of family reunification
  2. Identify recommendations for the management of difficult/ challenging emotions and behaviors demonstrated by biological parents in therapeutic services
  3. Identify creative strategies to engage biological parents in services with and/or without their children in cases of foster care placement
♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦  ♦ ♦ ♦ ♦ ♦ ♦ ♦ ♦
5:00p - 7:00p
Welcome Reception and Poster Session