Young Men Who Have Sexually Abused - A Case StudyGuide
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Young men who sexually abuse is a subject of increasing concern amongst professionals.

This important volume explores the current theoretical and practice issues involved in working therapeutically with young men who have sexually abused. Linking theory to practice, Andrew Durham provides detailed case studies of young men who have committed varying acts of inappropriate or harmful sexual behaviours, and analyses the therapeutic interventions provided for each.

Key features of this accessible guide include:

  • A clear, practical framework for assessing whether or not a child’s sexual behaviour is a problem.
  • Full assessment schedule for determining the risks and needs of young men who have sexually abused.
  • Discussion of family assessment and support.
  • Guidance for managing difficult foster placements.
  • Advice on deciding when a young person is no longer a risk.

Young Men Who Have Sexually Abused identifies the need for therapeutic interventions to be holistic and reach beyond purely offence-specific work. It will be a valuable resource for practitioners, academics and students in social work, social care, psychology and residential childcare.


Andrew Durham has the Advanced Award in Social Work (AASW), and a Ph.D. in Applied Social Studies, from the University of Warwick, Which researched into the impact of child sexual abuse. He has over 20 years' experience of providing therapeutic services to children and young people, and is a specialist in post-abuse counselling and interventions for children and young people with sexual behaviour difficulties.

He is currently a consultant practitioner and manages the Sexualised Inappropriate Behaviours Service (SIBS) in Warwickshire. He is a visiting lecturer at the University of Warwick. He also occasionally works as an independent child care consultant, undertaking therapeutic work with children and young people, consultancy, lecturing and training. He is registered with the Law Society as an expert witness, and has been as adviser to the BBC. He is the author of Young Men Surviving Child Sexual Abuse - Research Stories and Lessons for Therapeutic Practice published by John Wiley in 2003. He has also published a range of other papers and chapters on the subject of child sexual abuse.


About the Author vii

Foreword by Christine Harrison viii

1 Introduction 1

Part One Theoretical Context and Initial Practice Issues 15

2 A Practice Framework for Holistic Therapeutic Intervention 17

3 Assessing Sexual Behaviour 33

4 Family Assessment 46

5 Foster Care 55

Part Two Therapeutic Intervention with Young Men Who Have Sexually Abused 63

6 Assessment and Initial Engagement 65

Case Study – Neil (15) 78

7 Exploring Patterns of Behaviour 87

Case Study – Tony (14) 97

8 Victim Empathy 111

Case Study – Alan (15) 121

9 Sex and Relationships Education 134

Case Study – Luke (15) and Jon (15) 142

10 Self-esteem 152

Case Study – Mark (9) 158

11 Relapse Prevention 168

Case Study – Stephen (9) and Graham (14) 176

12 Evaluation 189

Case Study – Carl (14) 198

13 Conclusions 207

Appendix A Details of the Sexualised Inappropriate Behaviours Service (SIBS) in Warwickshire 213

Appendix B Excerpt from Warwickshire Safeguarding Children Board (WSCB) Inter-agency Child Protection Procedures 215

Appendix C Protocol for Referral between YOT, Children’s Teams and SIBS in Circumstances When Young People Have Committed Sexual Offences 219

Appendix D Young People Who Display Inappropriate Sexual Behaviours – Issues For Schools 225

Bibliography 227

Index 235


"...a guide for people who work in social work, social care, psychology and residential care." (Heartland Evening News, April 2006)

"... a navigable, interesting and informative book." (Community Care, September 2006)