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Treatment Efficacy and Program Evaluation with Juvenile Sexual Abusers: A Critique with Directions for Service Delivery and Research

Western Psychiatric Institute and Clinic University of Pittsburgh Medical Center

David J. Kolko

Western Psychiatric Institute and Clinic University of Pittsburgh Medical Center

The actions of juveniles who sexually abuse other children and youth (JSAs) result in significant social and economic costs. Nevertheless, a brief empirical review of studies designed to evaluate the efficacy of treatment for JSAs reveals limited knowledge about this population. Similar conclusions are drawn from a review of effectiveness studies of service delivery in the community in which most of the treatment is conducted. Bringing together treatment-outcome and services research approaches, the authors discuss a number of issues warranting further discussion and investigation. Information is needed regarding the appropriate setting, components, and methods for evaluation of the treatment programs. We then describe a clinical research program initiated in Pittsburgh that will examine service delivery for JSAs and evaluate treatment outcome in a comparison study of treatment provided by the juvenile court with and without adjunct mental health, community-based services. Recommendations for practice, service delivery, and research are presented.

Child Maltreatment, Vol. 3, No. 4, 362-373 (1998)
DOI: 10.1177/1077559598003004008


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