| 22741. |
- Kjellgren, Cecilia
(author)
-
A six year follow-up of a clinical sample of sexually offending adolescents. Exploring the outcome on health, sexuality, social adjustment, and sexual reoffending.
- 2011
-
Conference paper (other academic/artistic)abstract
- Background: Risk assessment protocols have been taken into practice during the last fifteen years. Further research is needed to validate the assessment practice. Some follow up studies have used solely data from registers as outcome variables. Individual follow up of clinical samples may contribute further to our knowledge.Method: A sample of previously risk assessed males aged 12-18 years was used for this study. ERASOR (Worling & Curwen, 2001) was used to support the structured clinical assessments.To explore outcome on health, sexual reoffending and social adjustment among assessed males, 78 young adults were invited to participate in the follow-up study, at least four years past assessment. Their mean age by assessment was 14.9 years (SD 1.6) and by follow-up 21.59 years (SD 2.4). Respondents were seen for a face-to-face interview and for completing six questionnaires.Result: Thirty-nine males (50%) agreed to participate. As index-offence the majority sexually targeted children. Twelve young males were assessed being of high risk of sexual reoffending. The remaining 27 were assessed being of moderate or low risk.One-fifth of the sample (n=8) had sexually reoffended by follow-up. Those who had sexually reoffended by follow up were significantly more likely by index offense to be assessed in high risk of sexual reoffending. Four of the suggested risk factors of ERASOR were significantly associated with sexual reoffending. The total of correct predictions was 62.0%. Those who sexually reoffended were significantly more likely to have learning disabilities, to self rate a risk of sexual reoffending by follow-up, and to report being a victim of sexual abuse than the non-reoffenders. The reoffenders vs non-reoffenders did not differ on the extent of received specialized treatment interventions.Discussion: We examined the validity of using a structured risk assessment (ERASOR) and identified 62% correct predictions by follow up, which confirms previous promising results. Further learning disabilities emerged as a risk factor for sexual reoffending together with previously suggested risk factors. Those who sexually reoffended received specialized treatment to the same extent as non-reoffenders of the sample. The findings underline the importance of adjusted interventions for the group of young people with impairment.Results on a number of variables will be presented and discussed as well as clinical implications.
|
|
| 22742. |
- Kjellgren, Cecilia, et al.
(author)
-
Adolescent sexual offenders: a total survey of referrals to social services in sweden and subgroup characteristics.
- 2006
-
In: Sexual Abuse. - 1079-0632 .- 1573-286X. ; 18:4, s. 357-372
-
Journal article (peer-reviewed)abstract
- Sampling methodology (e.g. population-based vs. clinical samples, anonymous self-reports vs. data collected as part of mandated treatment) affects the validity of conclusions drawn from research addressing the etiology of adolescent sexual offending. Studies of unselected samples allow testing of the generalizability of etiological models suggested from investigation of selected clinical or forensic populations. Further, representative epidemiological data on adolescent sexual offending is needed for policy-making and the planning of services. We conducted a national survey of all adolescent sexual offenders (ASOs, 12-17 years) referred to Social Services during 2000. Social workers at all child and adolescent units in Social Service authorities throughout Sweden (N=285, 99% response rate) completed a questionnaire about new ASO referrals in 2000. The National Board of Health and Welfare commissioned the survey and questionnaire items tapped offender, offence, and victim characteristics. A total of 197 boys and 2 girls aged 12-17 years were referred to Social Services because of sexually abusive behavior in 2000. Focusing specifically on males, this yielded a one-year incidence of .060% (95% confidence interval = .052-.068). Forty-six percent of male ASOs abused at least one child younger than age 12 years (child offenders) whereas the rest had abused peer or adult victims (peer offenders). Forty-two percent of male ASOs had ever committed sexual offences together with at least one other offender (group offenders). Child- vs. peer offenders and group vs. single offenders, suggested typologies in the literature, were compared to explore potential subtype-specific risk factors and correlates. The results suggested a higher proportion of group ASOs than previously reported and stronger support for subdividing ASOs into child vs. peer offenders than into group vs. single ASOs.
|
|
| 22743. |
- Kjellgren, Cecilia, 1951-, et al.
(author)
-
Child Physical Abuse—Experiences of Combined Treatment for Children and their Parents: A Pilot Study
- 2013
-
In: Child Care in Practice. - London : Routledge. - 1357-5279 .- 1476-489X. ; 19:3, s. 275-290
-
Journal article (peer-reviewed)abstract
- This paper reports on the results of treatment for families where child physical abuse has occurred. The Combined Parent Child Cognitive Behavioral Therapy for Families at Risk for Child Physical Abuse (CPC-CBT) model includes parent and child interventions. Four teams (within child protection and child and adolescent psychiatry services, based in Sweden) were trained to run the treatment. CPC-CBT is a 16-session programme where children and parents receive treatment in parallel groups and joint family sessions. A pilot study, with pre and post measures for both children and parents, was carried out to evaluate the treatment effects (18 families, 26 adults and 25 children). Significantly decreased symptoms of depression among parents, less use of violent parenting strategies and less inconsistent parenting were reported after treatment. Children initially reported high levels of traumatic experiences and symptoms of posttraumatic stress disorder. After treatment, trauma symptoms and depression among children were significantly reduced. Children also reported that parents used significantly less violence and increased positive parenting strategies after completion of the treatment. The implications of the findings are discussed.
|
|
| 22744. |
- Kjellgren, Cecilia, 1951-, et al.
(author)
-
Experiences with crisis management when child sexual abuse was perpetrated by staff in early childhood education : A Swedish case study
- 2022
-
In: Cogent Social Sciences. - : Taylor & Francis Group. - 2331-1886. ; 8:1
-
Journal article (peer-reviewed)abstract
- Institutional child sexual abuse is a concern for children, families, and society. Limited research has explored how school leaders and municipalities handle cases of sexual abuse in educational settings. This case study examines how a municipality managed the suspicion that 19 toddlers were sexually abused by an educator at several Early Childhood Education and Care institutions (ECEC). A nine-member crisis management team was formed that included key persons from the department of education and social welfare. During the initial phase of the investigation, only the team members were informed about the suspected abuse. In individual interviews, team members were asked how the team was organised and how their plans were implemented. In addition, they were asked about their experiences of participating in the crisis management. Three themes were identified: the set-up of the crisis management, the implementation of the crisis management plan, and important experiences. The crisis team emphasised that a child perspective rather than a general crisis perspective was applied and this approach was operationalised by key people in the educational and social welfare sectors. This paper highlights the impact of this case on the respondents as well as implications for the educational sector.
|
|
| 22745. |
- Kjellgren, Cecilia, et al.
(author)
-
Female Youth Who Sexually Coerce : Prevalence, Risk, and Protective Factors in Two National High School Surveys
- 2011
-
In: Journal of Sexual Medicine. - : Elsevier. - 1743-6095 .- 1743-6109. ; 8:12, s. 3354-3362
-
Journal article (peer-reviewed)abstract
- Introduction. Sexual coercion is recognized as a serious societal problem. Correlates and risk factors of sexually abusive behavior in females are not well known. Aim. Etiological theory and empirical study of female perpetrators of sexual coercion are usually based on small or highly selected samples. Specifically, population-based data are needed to elucidate risk/protective factors. Main Outcome Measures. Main outcome measures include a self-report questionnaire containing 65 items tapping socio-demographic and health conditions, social relations, sexual victimization, conduct problems and a set of normative and deviant sexual cognitions, attitudes, and behaviors. Methods. We used a 2003-2004 survey of sexual attitudes and experiences among high school students in Norway and Sweden to identify risk factors and correlates to sexually coercive behavior (response rate 80%); 4,363 females participated (Mean = 18.1 years). Results. Thirty-seven women (0.8%) reported sexual coercion (ever talked someone into, used pressure, or forced somebody to have sex). Sexually coercive compared with non-coercive women were similar on socio-demographic variables, but reported less parental care and more parental overprotection, aggression, depressive symptoms, and substance misuse. Also, sexually coercive females reported more sexual lust, sex partners, penetrative sexual victimization, rape myths, use of violent porn, and friends more likely to use porn. When using the Swedish subsample to differentiate risk factors specific for sexual coercion from those for antisocial behavior in general, we found less cannabis use, but more sexual preoccupation, pro-rape attitudes, and friends using violent porn in sexually coercive compared with non-sex conduct problem females. Conclusions. Sexually coercive behavior in high school women was associated with general risk/needs factors for antisocial behavior, but also with specific sexuality-related risk factors. This differential effect has previously been overlooked, agrees with similar findings in men, and should have substantial etiological importance. Kjellgren C, Priebe G, Svedin CG, Mossige S, and Langstrom N. Female youth who sexually coerce: Prevalence, risk, and protective factors in two national high school surveys. J Sex Med 2011;8:3354-3362.
|
|
| 22746. |
- Kjellgren, Cecilia, 1951-, et al.
(author)
-
Implementering av en strukturerad behandlingsmodell vid barnmisshandel – ett tioårsperspektiv
- 2017
-
In: Socialmedicinsk Tidskrift. - : Stiftelsen Socialmedicinsk Tidskrift. - 0037-833X. ; 94:4, s. 457-466, 476
-
Journal article (peer-reviewed)abstract
- För tio år sedan introducerades en evidensbaserad behandlingsmodell vid barnmisshandel i Sverige och en omfattande implementeringsprocess inleddes. Behandlingsmodellen KIBB (CPC-CBT, Combined Parent Child-Cognitive Behavioral Therapy) introducerades som ett bottom-up initiativ från socialt arbete. Implementeringen kan beskrivas utifrån faserna behovsinventering, installation av metoden, metoden börjar användas och vidmakthållande av metoden. Fyra team utbildades inledningsvis och lovande resultat av behandlingen identifierades i en pilotstudie. Fortsatt implementering pågår och ytterligare ett hundratal behandlare har utbildats i metoden. Mer än tusen familjer har hittills fått del av behandlingen. I pågående studier undersöks behandlingseffekter och barns upplevelser av behandlingsinterventionen. Erfarenheter från implementeringsprocessen liksom remitterande socialsekreterares uppfattningar om behandlingsprogrammet presenteras i artikeln. Erfarenheterna från tio års implementering diskuteras, där såväl hinder som framgångsfaktorer i implementeringsprocessen identifierats.
|
|
| 22747. |
|
|
| 22748. |
- Kjellgren, Cecilia, 1951-
(author)
-
Outcomes for Treatment of Hypersexual Behavior Provided by Specialized Social Welfare Units
- 2019
-
In: Research on social work practice. - : Sage Publications. - 1049-7315 .- 1552-7581. ; 29:1, s. 103-112
-
Journal article (peer-reviewed)abstract
- Purpose: This study explores outcomes of treatment provided by specialized units within the social welfare sector in Sweden to clients seeking help with hypersexual behavior. Method: The participants were 27 males and 1 female (M . 40.3 years) who sought help from one of the three specialized units within social welfare in Sweden. A pretest–posttest group design was used to assess changes after treatment. Quantitative data were collected through interviews and self-report forms. Results: At posttreatment stage (on average a 10-month follow-up), mental health was significantly improved and hypersexual behavior reportedly reduced. The treatment at the specialized units appeared to help the clients. Conclusions: The specialized units seemed to deliver favorable service without shaming and stigmatizing participants. As this study can be considered a pilot study, it needs to be replicated.
|
|
| 22749. |
- Kjellgren, Cecilia, 1951-
(author)
-
Perspectives of young adult males who displayed harmful sexual behaviour during adolescence on motive and treatment
- 2019
-
In: Journal of Sexual Aggression. - : Taylor & Francis. - 1355-2600 .- 1742-6545. ; 25:2, s. 116-130
-
Journal article (peer-reviewed)abstract
- Few studies have examined the subjective experiences of young people following interventions for sexually abusive behaviour. To learn more about how this population experienced these interventions and how these interventions, affect their adult life, 22 adult males (m = 22 years) who were assessed as teenagers (m = 15 years) for sexually abusing children or peers were interviewed, on average six years after the assessment of their offence. Three main themes were identified: something sexual happened (recalling memories of the sexual acts and motives of the behaviour), societal actions (interventions offered), and life has been affected (memories and feelings associated with the abuse still being present). Seven respondents (32%), who all had a cognitive disability, had sexually reoffended by follow-up. If the respondents received interventions that focused on their abusive behaviour, they were likely to find the interventions helpful. Interventions that did not address abusive behaviour, were perceived as less helpful for dealing with their behaviour, and the short- and long-term consequences associated with this behaviour. Respondents reported feelings of sadness and guilt associated with their sexually abusive behaviour and these feelings remained into adulthood. These findings suggest that interventions for this population need to address the individual needs of the adolescent as well as sexual behaviour problems. In addition, interventions should include opportunities for follow-up.
|
|
| 22750. |
- Kjellgren, Cecilia, et al.
(author)
-
Sexually Coercive Behavior in Male Youth : Population Survey of General and Specific Risk Factors
- 2010
-
In: Archives of Sexual Behavior. - : Springer. - 0004-0002 .- 1573-2800. ; 39:5, s. 1161-1169
-
Journal article (peer-reviewed)abstract
- Little is known about risk/protective factors for sexually coercive behavior in general population youth. We used a Swedish school-based population survey of sexual attitudes and experiences (response rate 77%) and investigated literature-based variables across sexually coercive (SEX), non-sexual conduct problem (CP), and normal control (NC) participants to identify general and specific risk/protective factors for sexual coercion. Among 1,933 male youth, 101 (5.2%) reported sexual coercion (ever talked or forced somebody into genital, oral, or anal sex) (SEX), 132 (6.8%) were classified as CP, and the remaining 1,700 (87.9%) as NC. Of 29 tested variables, 25 were more common in both SEX and CP compared to NC youth, including minority ethnicity, separated parents, vocational study program, risk-taking, aggressiveness, depressive symptoms, substance abuse, sexual victimization, extensive sexual experiences, and sexual preoccupation. When compared to CP youth only, SEX youth more often followed academic study programs, used less drugs and were less risk-taking. Further, SEX more frequently than CP youth reported gender stereotypic and pro-rape attitudes, sexual preoccupation, prostitution, and friends using violent porn. Finally, in a multivariate logistic regression, academic study program, pro-rape attitudes, sexual preoccupation, and less risk-taking independently remained more strongly associated with SEX compared to CP offending. In conclusion, several sociodemographic, family, and individual risk/protective factors were common to non-sexual and sexually coercive antisocial behavior in late adolescence. However, pro-rape cognitions, and sexual preoccupation, were sexuality-related, specific risk factors. The findings could inform preventive efforts and the assessment and treatment of sexually coercive male youth.
|
|
