Skip to main content

Clinical Case Study...Teen Sexual Problems

By Stephen C. Schultz

Case Study:

Jason, age 15, was referred to us because he was repeatedly sexually acting out in two previous placements. Each placement had a policy against these behaviors. Supervision was adequate for students without sexual issues. However, Jason required more extensive monitoring.

Although he was acting out with same age peers, the sexual activity was not consensual and other students were complaining to their therapists, counselors and parents that Jason was actively and persistently seeking sexual activity with them.


Jason was repeatedly warned and given sanctions but nothing stopped his behaviors. Treatment became marginalized for both Jason and his peers. Other students ostracized him from activities and would not discuss their issues in group therapy settings because he was present. Parents complained to therapists that they did not want this young man anywhere near their student, let alone in a therapy group. Jason was eventually removed from both placements.

By the time he came to Oxbow Academy, Jason was extremely embarrassed, ashamed, and appeared to be genuinely ignorant of how to control himself. His parents were devastated and embarrassed. They were not ready to take Jason home because of his anger management issues and substance abuse, not to mention the sexual acting out with other students.

As we worked with Jason we discovered that prior to his first placement he had been in trouble for inappropriately touching a female cousin and his younger brother. The behavior had been reported to child protective services. No criminal charges were forthcoming because his parents were in the process of sending Jason to a wilderness program.

His evaluation for that program contained only a casual mention of sexual behaviors. Apparently, no one thought it was a serious issue - until the sexual acting out in these programs was out of control. At Oxbow, Jason reported much more extensive sexual acting out than either of the previous programs were aware of.

The lesson from our experience with Jason is two-fold. First, our experience indicates if sexual issues are disclosed prior to program placement they are almost always minimized. It is important to ask some very delicate questions and you should not hesitate to probe further.

Secondly, students like Jason are often admitted to therapeutic settings; outpatient, day treatment, wilderness therapy and residential programs with behaviors that mask their sexual issues, i.e.: depression, substance abuse, etc. Treatment for depression, anxiety, ADHD or other common adolescent "diagnosis" will not automatically result in the cessation of sexual behaviors.

It is important to seek specialized care when sexual issues manifest themselves.

Comments

Popular posts from this blog

Perfectly Wicked - A new take on an old fairy tale!

Guest Blogger Amanda Schultz Age 15 There she was…hair as black as night, lips as red as blood, skin as white as snow. Standing by the window, washing dishes, whistling while she worked. Snow White. I shudder with disgust every time I hear her name. What kind of a name is that anyway? “Snow White”. Gahhh, it’s a name that practically begs to be made fun of. Yet, there she goes, frolicking around like she owns the Enchanted Forest. No. I’m the Queen. I’m in charge. My magic mirror was mistaken. I’m the Fairest of them all, not that sorry excuse for a princess. One bite from my poison apple and that air-head will be so ugly not even her mother could love her. And I will be the Fairest once again! I suppose that I should rewind a little bit. It wasn’t always a competition between Snow White and me. In fact, back in the day, we had a nice little system going on. I would rule the kingdom and practice my magic, while Snow did the dishes and tended the garden. She stayed out of my w

An Open Letter to Parents Researching RedCliff Ascent

By Stephen C. Schultz "We will be known forever by the tracks we leave." Having been raised in Oregon, I spent the majority of my childhood and teenage year’s steelhead fishing the coastal waters, climbing the Middle Sister in the Cascade Mountain Range, drifting the McKenzie River and hiking the Pacific Crest Trail.  I have mentioned to friends, family and colleagues on many occasions;   “From a therapeutic standpoint, there is no better place to have a student’s issues manifested quickly than in a wilderness setting.” The question then becomes, “Why do therapeutic issues rise to the surface in an Outdoor Behavioral Healthcare program like RedCliff Ascent ?” Throughout the years of teenage development, most teens spend a lot of time with friends. These friends think the same, dress the same, act the same, listen to the same music and sometimes get into the same types of trouble. Some teens also develop patterns of communication and manipulation

Life transitions are inevitable! I'm no exception

By Stephen C. Schultz This is just a quick email to share with you that after 20 years with the Ascent Companies, I am making a transition. I want you to know that the last 20 years have been more than I could have ever wished for. What a great opportunity I have had to not only work with, serve with and be friends with all who are a part of the RCA , DRG , DRB , Oxbow , Discovery Day PHP , Connections and Oasis programs. I owe such a debt of gratitude to the four original owners, Dane Kay, Steve Peterson, Scott Peterson and Jim Salsbury for seeing my potential and taking a risk on me back in 2002. Steve Nadauld, Brent Hall, Andrea Burgess, Clint Dorny, Shawn Brooks, Steve DeMille and the program teams have been like family and an absolute joy to be around.  I feel honored to have played a small role in the success you as educational consultants, private clinicians and us as treatment providers (working together) have had over the years on literally thousands of families.  #GRATITUDE