intervention manual

Adolescents

This guide is commissioned by the AIM Project in Greater Manchester and written by staff at G-Map.

The AIM Project provides an inter-agency framework across Greater Manchester for the referral, assessment and management of young people who have displayed sexually harmful behaviours and G-MAP is an independent agency that provides a range of services for this group of young people, their families and the professionals who work with them. The other guides on young people who sexually harm that complement this edition are: Family Assessment and Intervention; Comprehensive Assessment and Intervention with Young People who have Learning Disabilities; Comprehensive Assessment and Intervention with Children under 10 years.

Contents

  page
INTRODUCTION 4
Purpose of this guide 5
Style of the guide 5
Rationale and principles of intervention 6
A holistic perspective 11
GETTING STARTED, PROMOTING ENGAGEMENT,
THE USE OF MANDATES AND CONTRACTS 		12
Motivating and engaging young person 12
Identifying strengths 14
Establishing goals 14
The use of Mandates 16
Contracting 16
COMPREHENSIVE ASSESSMENT 21
INTRODUCTION 21
PURPOSE OF A COMPREHENSIVE ASSESSMENT 22
Short-term intervention cases 22
STYLE AND APPROACH OF ASSESSORS 23
PLANNING A COMPREHENSIVE ASSESSMENT 23
Steps, stages and process of a Comprehensive
Assessment (Adapted from Rich, 2003) 		24
The 4 assessment domains 25
Information sources 26
Time tabling 27
QUESTIONNAIRES AND PSYCHOMETRIC TESTING 28
REPORT WRITING AND ANALYSING OUTCOMES
OF ASSESSMENT 		29
G-MAP Comprehensive Assessment Report Framework 29
Notes on completion of the report 31
METHODS ON INFORMATION GATHERING 37
Exploration of relationships with family and significant others 37
Future plans and goals 46
Sexual knowledge, attitudes and interests 48
TREATMENT PLANS, METHODS AND TECHNIQUES 55
MODEL OF CHANGE AND KEY PRINCIPLES 58
Model of Change 58
Old Life / New Life 59
Four Steps to Sexual Offending 60
KEY PRINCIPLES 61
TREATMENT STYLE / SOCRATIC METHOD 62
MOTIVATIONAL INTERVIEWING TECHNIQUES 64
HOW TO DEILVER A TYPICAL SESSION 66
THE PROGRAMME 68
1.a: STARTING WORK - old life - new life 69
Exploring the concept of Old and New Lives 69
Old/New Life Booklet 70
1.b: STARTING WORK - Using the Six Boxes to Plan for Change 88
The Six Boxes 88
2.a: HEALTHY SEXUALITY: Growing Up 99
Adolescence and Puberty 99
How young people learn about sex 99
Helpful and unhelpful messages and experiences 100
Learning about sex 101
2b: HEALTHY SEXUALITY: What is abuse? 102
Fair - Abuse Continuum 102
Sexual behaviour case studies 103
In what way was my sexual behaviour abusive? 105
2.c: HEALTHY SEXUALITY - Being sexual in a safe way 106
Sexual health: Looking after your own health
and the health of a sexual partner 		106
Relationships 109
Relationships Matrix 110
Healthy sexual relationships 111
3: EXPLORING MY OWN ABUSE 113
How safe is where I am now? - Constructing a safety plan 114
How I cope with the past 115
Exploring trauma 117
4: STEPS TO SEXUAL ABUSE 119
The human iceberg: Thoughts, feelings and behaviour 120
Introducing the 'Four Steps' 121
Four Steps to Sexual Offending 123
The Four Steps applied to sexual abuse: The story of Bill 128
My own 4 steps 142
Adapting the Four Steps 146
Decision chains 146
5: EXPLORING SEXUAL INTERESTS 149
What might interest people sexually 149
Mapping the young persons sexual interests 150
Sexual thoughts diary 157
6: THE CONSEQUENCES OF SEXUAL ABUSE 159
Costs / benefits analysis: Understanding consequences 159
What have been the consequences for me of my abuse behaviour? 160
Future consequences 162
How abuse hurts people 162
Respecting others vs I come first 164
Poems by survivors 165
7: MANAGING RISK 167
ACE 170
How I could have avoided offending 171
Self analysis workbook 172
Work Book 173
How I could have avoided offending - revisited 191
Managing risk now 191
Helpers 192
8: COMMUNICATING WITH OTHERS 192
Why do we need to be able to communicate with others? 193
How do people communicate? 194
Communication self assessment worksheet 195
What are the most difficult things to communicate? 196
Communication skills planner 196
How do the poeple I know communicate? 198
How can better communication with others help me control
my sexual behaviour 		198
9: RELATIONSHIPS WITH OTHERS 199
My social network 199
A positive / helpful relationship and
a negative / unhelpful relationship 		200
Making new relationships 200
How relationships start and continue 202
10: MANAGING ANGER 204
Understanding angry behaviour 205
The costs and benefits of 'losing it' 205
Anger diary 206
Four stages in the build up to aggression 207
Dealing with provocation 208
Controlling behaviour changes 210
Changing negative thoughts 211
Managing bodily arousal 217
BEING ASSERTIVE 220
Choices of behaviour - passive / aggressive / assertive 220
Assertive behaviour 222
Expressing anger assertively: An assertiveness script 224
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