Q and A with the trainer

Q&A with the trainer: Harmful sexual behaviour

Feb 2022

Written by Kelly Royds Cyra Fernandes Dan Howell

Working with young people who engage in harmful sexual behaviour is complex and challenging.

Cyra Fernandes and Dan Howell have spent over a 1000 hours in the past year helping carers and professionals working in out-of-home care better respond to young people who have engaged in harmful sexual behaviours.

Harmful Sexual Behaviour is an umbrella term to describe children or young people who engage in behaviour that is sexual in nature but is developmentally outside of their age range. The behaviour can be targeted towards another child or to self-such as excessive masturbation. Harmful sexual behaviour can involve the use of force and coercion, and the impact on the victim child can be as serious and long term as abuse from an adult to a child.

A month out from their next workshop: Empowering young people’s sexuality: an attachment-based understanding of harmful sexual behaviours in out-of-home care, I caught up with Dan and Cyra to find out what keeps them going and grounded in this space steeped in guilt, shame and stigma.

 

How do you describe your work for others?

Cyra:  We have been doing this work for a long time, and it is all about helping children, young people and families where there has been harmful sexual behaviour.

Dan: So, our work has included everything from direct therapeutic intervention with children, young people and their families and secondary consultation with out of home care providers to delivery of training to carers and clinicians and presentations at conferences and writing of articles and blogs.

 

What is one question you always get asked about harmful sexual behaviours?

Cyra: This is not so much a question as a frequent comment. People have often said, “I never realised that children or young people would do something sexual to another child”.

There is often a view about childhood where children and young people are seen as pure and innocent. So when children and young people engage in harmful sexual behaviour, their behaviour is either minimised, “no big deal … boys being boys”, or they are monsters.

Dan: This polarisation of children as either pure and innocent or evil and monstrous stops them from getting help to address their behaviours.

 

What are the most common fears or anxieties you hear from carers and workers supporting young people who have sexually harmed other children or young people?

Dan: The most common fear or anxiety is that this child or young person will grow up and be a paedophile, and other children and the community are at risk of being abused. Many years of research has found that this is not the case. With the proper support, the chance that children and young people will continue to engage in the behaviour is considerably reduced.

 

What is one thing you wish everyone knew about young people who may have engaged in harmful sexual behaviour?

Cyra & Dan: We wish everyone knew that the risk level for children and young people engaging in harmful sexual behaviour is low, particularly if they receive help and support. Therefore, it is essential to seek help for children and young people as early as possible before the behaviour becomes entrenched.

 

How do you look after yourself when doing this work?

Cyra: Having the support of colleagues and good supervision is really important to help maintain perspective on the work.

Dan: Yes, and being a specialised area of work, having the listening ear and sounding board of each other has helped.

Reading relevant articles and attending training is also helpful.

 

What keeps you going and grounded in this space?

Dan: We have often seen children and young people and families come in feeling intense shame and a sense of hopelessness about the situation. However, with help and support, we have seen them lead healthy and productive lives in the community.

Cyra: Knowing in a small way that we have contributed to helping children, young people, and their families heal from this trauma fuels our passion and hope in continuing in this work.

Check out our training page to register for one of Dan and Cyra’s upcoming workshops.

You may be interested in: Harmful sexual behaviour Residential care

Creating positive social climates and home-like environments in therapeutic care - Practice guide
Creating positive social climates and home-like environments in therapeutic care - Practice guide
This guide has been developed to support the implementation of Essential Element: Physical Environments from the Ten Essential Elements of Therapeutic Care. It explores how to create therapeutic care contexts...
Read more
Putting theory into practice
Putting theory into practice
Sometimes you might wonder why you need to learn about theory. I have heard people say:   Residential work with young people is often conducted amidst high anxiety, uncertainty and...
Read more
Working with young people with harmful sexual behaviours - Research brief
Working with young people with harmful sexual behaviours - Research brief
This research briefing provides an overview of the current literature reporting on young people who engage in harmful sexual behaviours. Workers at the front line of practice have known for...
Read more
What does stability in residential care mean? Part I
What does stability in residential care mean? Part I
After four years working in residential care, both on the floor and as a clinician, I wanted to better understand what stability really means for young people in residential care?...
Read more
Stability in residential Care: Part II
Stability in residential Care: Part II
Sarah is 14 and has been in placement for 18 months. She lives in a residential house with two boys and one girl. The boys display aggressive behaviours and are...
Read more
8 ways to support young people in residential care during COVID-19
8 ways to support young people in residential care during COVID-19
How do we keep to the therapeutic care principles of safety, consistency, predictability, and routine in a world that feels like it has turned upside down overnight? It’s near impossible!...
Read more
How do we create excellence in Intensive Therapeutic residential care practice?
How do we create excellence in Intensive Therapeutic residential care practice?
What creates high quality therapeutic residential care? This is the question often asked of agencies, of staff, of policy makers and of the young people themselves. There is no simple...
Read more
Cultivating curiosity in Therapeutic residential care
Cultivating curiosity in Therapeutic residential care
Curiosity is something that has excited me my whole life. I am sure a lot of you share my fascination and enthusiasm for curiosity. There seems to be wide support...
Read more
Therapeutic residential workers? Who are we?
Therapeutic residential workers? Who are we?
This blog is to introduce my recent research with therapeutic residential workers. Further blogs and practice guides relating to finding, keeping, acknowledging and celebrating the best person for the job...
Read more
10 ways to enable young people's participation in therapeutic residential care
10 ways to enable young people's participation in therapeutic residential care
In this blog, I’m keen to offer practitioners in therapeutic residential care some ideas about how to involve young people in decisions that affect their lives. Many young people in...
Read more
The Intensive Therapeutic Care dance
The Intensive Therapeutic Care dance
Therapeutic residential work can be conceptualised as a dance. It works best when therapeutic workers display therapeutic presence, are in sync with the young person, can making meaning of the...
Read more
Understanding and supporting young people who self-harm in residential care
Understanding and supporting young people who self-harm in residential care
Some of the young people we care for in the ITC programs deal with emotional distress and pain by hurting themselves physically. Young people hurting themselves is distressing to them...
Read more
What are the needs of Aboriginal and Torres Strait Islander children and young people in care? Research brief
What are the needs of Aboriginal and Torres Strait Islander children and young people in care? Research brief
Indigenous children and young people face unique challenges in the child welfare system. The dimensions of this problem are complex and multifaceted. Providing culturally safe and traumainformed therapeutic care to...
Read more
‘Tis the Season to be Jolly’ – but not for everyone
‘Tis the Season to be Jolly’ – but not for everyone
It’s all too easy to get wrapped up in the fun and happiness of Christmas and forget that, for others, the season isn’t necessarily a joyful one. For some the...
Read more
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
The 10 essential elements of Intensive Therapeutic Care NSW - Practice guide
This guide has been developed to describe the 10 Essential Elements that form the basis for Intensive Therapeutic Care (ITC) service provision in NSW. The 10 Essential Elements have been...
Read more
What makes a good therapeutic residential care worker? Practice guide
What makes a good therapeutic residential care worker? Practice guide
Trained staff and consistent rostering are essential elements of therapeutic residential care. The purpose of this guide is to consider more broadly what makes an excellent therapeutic residential care worker...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 2
In the first part of the Blog, we explored limit and expectation setting, maintaining a state of occupancy and the planning process for a successful transition. In part two of...
Read more
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
How do you prepare for the transitioning of young people into an Intensive Therapeutic Care house? Part 1
This is a two-part blog and will focus on the transition of young people into an Intensive Therapeutic Care house; however, most of the content is transferrable to other placement...
Read more
Changing your practice to being trauma informed in therapeutic residential care
Changing your practice to being trauma informed in therapeutic residential care
Whilst the following Arabian proverb takes a bit to get your head around it leads rather nicely into this blog and our brief introduction on the relevance of the conscious...
Read more
How to thrive in lock down, lean into what works in therapeutic care
How to thrive in lock down, lean into what works in therapeutic care
Lockdown means we lose touch with many things: friends, family, freedom. For young people, therapeutic youth workers and other staff in Intensive Therapeutic Care, however, it also offers an opportunity...
Read more
Trauma-informed relationship-based recovery reflection tool - Practice tool
Trauma-informed relationship-based recovery reflection tool - Practice tool
Children and young people need adults who can co-regulate with them and teach them about feelings and their inner world. This Trauma Informed Relationship-Based Recovery Reflection tool can be used...
Read more
Client mix and client matching in therapeutic care - Practice guide
Client mix and client matching in therapeutic care - Practice guide
Client mix and the process of client matching is one of the 10 Essential Elements underpinning the Intensive Therapeutic Care (ITC) system in New South Wales. This guide has been...
Read more
Trauma-informed care - Research brief
Trauma-informed care - Research brief
This research briefing aims to define and clarify what trauma, complex trauma and trauma informed care are. Extensive literature has now surmised that exposure to adverse experiences such as child...
Read more
Strengthening connections & relationships project
Strengthening connections & relationships project
What is this research about? Young people in residential care face major challenges that can prevent them from forming healthy relationships and a strong personal identity, which are critical building...
Read more
Come on it’s only a game
Come on it’s only a game
Many of you will have experienced something like the following… A residential worker is observing two young people playing table tennis in the rear yard of the residential unit. One...
Read more
Responding to children and young people living in out-of-home care who engage in harmful sexual behaviour - Practice guide
Responding to children and young people living in out-of-home care who engage in harmful sexual behaviour - Practice guide
This practice guide aims to support carers and professionals working in and around the out of home care system to know how to best understand their role when responding to...
Read more
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Do ‘no touch’ policies in residential care keep workers and children safe? It’s not that simple
Lyn was 16 and had grown up in foster and residential care. Lyn was interviewed about her experience and views about out of home care. She was extremely positive about...
Read more
“If you don’t feed the staff, they’ll eat the kids” Kevin Creeden on self-care and harmful sexual behaviours
“If you don’t feed the staff, they’ll eat the kids” Kevin Creeden on self-care and harmful sexual behaviours
Kevin Creeden, Director of Assessment and Research at Whitney Academy Massachusetts and a speaker at the 2022 International Child Trauma Conference said in recent training, “If you don’t feed the...
Read more
What Was I Thinking? Handling the Amygdala Hijack
What Was I Thinking? Handling the Amygdala Hijack
Remember that time when you put the child you care for back to bed for the fourth time? Your thoughts suggested a level of desperation and wishful thinking, hoping that...
Read more
Christmas in residential care: It doesn’t need to be the most wonderful time of the year
Christmas in residential care: It doesn’t need to be the most wonderful time of the year
Christmas is a time of joy and celebration for many Australians, but it can also bring pressure and unrealistic expectations. The shops are decorated, Christmas songs are everywhere, and cheesy...
Read more
How are restrictive practices interpreted in therapeutic residential care?
How are restrictive practices interpreted in therapeutic residential care?
This blog article was written by Glenys Bristow,  Senior Specialist, Therapeutic Residential Care, CETC. Restrictive practice in therapeutic care The Royal Commision into Violence, Abuse and Exploitation of People with...
Read more
The most difficult thing about residential care work
The most difficult thing about residential care work
The most difficult aspect of working in residential care is not managing the behavioural challenges of the children and young people, the demanding shifts, or the lack of resources. Rather,...
Read more
Research Update: Understanding Relationships in Therapeutic Residential Care
Research Update: Understanding Relationships in Therapeutic Residential Care
The Centre for Excellence in Therapeutic Care (CETC) is engaged in ongoing research to understand how positive, trusting relationships and social connections can be fostered for young people in Therapeutic...
Read more
Meet the CareSouth team
Meet the CareSouth team
CareSouth was recently awarded the Outstanding Therapeutic Residential Care Team Award at Youth Action NSW's Youth Work Awards. The CETC proposed the new Outstanding Therapeutic Residential Care Team award category...
Read more
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas time when glad tidings of joy should abound, and love be with us all
Christmas, for many, is an exciting time of year. However, for some children and young people, particularly those who have experienced attachment difficulties, trauma and/or adverse childhood events, Christmas can...
Read more
What is neuroaffirming practice and how can it help young people in out-of-home care?
What is neuroaffirming practice and how can it help young people in out-of-home care?
The 2nd of April is World Autism Awareness Day, celebrating and promoting understanding and inclusiveness of people on the autism spectrum. In out-of-home care, neurodiversity is a highly prevalent and...
Read more