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<p>Sexual offense recidivism has been a commonly used indicator of treatment outcomes for youth with problematic sexual behavior (PSB). However, low post-treatment reoffense rates and the frequent co-occurrence of anxiety, depression, and trauma symptoms suggest that broader indicators of psychological well-being should also be considered. Guided by this perspective, we conducted a preliminary evaluation of Alabama’s Continuum of Care Program (COCP). Between February 2016 and April 2023, 334 youth from 21 counties were recruited, 204 consented to data collection, and 67 completed pre- and post-treatment Trauma Symptom Checklist for Children (TSCC) assessments. The TSCC, a 54-item self-report measure, was administered as part of routine clinical care. Paired-samples <i>t</i>-tests were used to compare pre- and post-treatment scores. Significant reductions with moderate effect sizes were observed across trauma symptoms and most TSCC subscales, including anxiety, depression, anger, posttraumatic stress, dissociation (general and overt), and sexual concerns such as sexual preoccupation (<i>p</i> &lt; .01; <i>d</i> = 0.31–0.40). Findings provide preliminary evidence that participation in the COCP is associated with reductions in trauma-related symptoms among youth with PSB. Implications for social work practice and policy are discussed.</p>

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Evaluating the Preliminary Effectiveness of Continuum of Care Program (COCP) in Youth with Problematic Sexual Behaviors in Alabama: One-Group Pre-Posttest Design

  • 期刊论文

  • 发表日期：

    2026年7月11日

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  • Lewis Lee,
  • Mandi Fowler,
  • Kelly Bolton,
  • Faeze Bastany

摘要

Sexual offense recidivism has been a commonly used indicator of treatment outcomes for youth with problematic sexual behavior (PSB). However, low post-treatment reoffense rates and the frequent co-occurrence of anxiety, depression, and trauma symptoms suggest that broader indicators of psychological well-being should also be considered. Guided by this perspective, we conducted a preliminary evaluation of Alabama’s Continuum of Care Program (COCP). Between February 2016 and April 2023, 334 youth from 21 counties were recruited, 204 consented to data collection, and 67 completed pre- and post-treatment Trauma Symptom Checklist for Children (TSCC) assessments. The TSCC, a 54-item self-report measure, was administered as part of routine clinical care. Paired-samples t-tests were used to compare pre- and post-treatment scores. Significant reductions with moderate effect sizes were observed across trauma symptoms and most TSCC subscales, including anxiety, depression, anger, posttraumatic stress, dissociation (general and overt), and sexual concerns such as sexual preoccupation (p < .01; d = 0.31–0.40). Findings provide preliminary evidence that participation in the COCP is associated with reductions in trauma-related symptoms among youth with PSB. Implications for social work practice and policy are discussed.