MAY 6, 2024 9:15AM

One Size Does Not Fit All: Treatment of ID Youth With Sexual Behaviour Problems

Kevin Creeden, M.A., LMHC, Director of Assessment and Research at the Whitney Academy

Adolescents with intellectual disabilities who exhibit problematic sexual behaviors are a diverse group whose cognitive and neurodevelopmental challenges are reflected in a wide array of social, emotional, cognitive, and behavioral impairments that are frequently combined with comorbid psychiatric conditions.  While the specific research on effectively addressing the assessment and treatment of ID youth exhibiting problemed sexual behavior remains limited incorporating approaches with ID youth from outside the PSB field can serve to improve our effectiveness and broaden our understanding of the challenges these children and adolescents may face in integrating and utilizing various treatment interventions (Blasingame, Creeden, and Rich, 2022; Byrne, 2022; Creeden, 2023; D’Amico, et al., 2022).

This workshop will focus on highlighting the common principles and obstacles associated with the effective assessment and treatment of ID youth exhibiting problematic sexual behaviors while identifying specific treatment needs and treatment interventions for some of the different constellations of social, emotional, and cognitive difficulties with which these youth may present.

Learning Objectives

  1. Examine the different ways that youth with neurodevelopmental and intellectual disabilities can present within the social service, juvenile justice, and educational systems that may impact the type of services they receive.
  2. Learn about the how to address common issues that emerge in the assessment of ID youth with sexual behavior problems.
  3. Explore different treatment approaches and modalities that can be utilized in working with youth who present with a range of learning and neurodevelopmental issues.


Kevin Creeden, M.A., LMHC is the Director of Assessment and Research at the Whitney Academy in East Freetown, MA. He has over 40 years of clinical experience treating children, adolescents, and their families working extensively with sexually and physically aggressive youth. Over the past 30 years, his primary focus has been on issues of trauma and attachment difficulties, especially regarding the neurological impact of trauma on behavior.  He has authored several articles and book chapters on the neuro-developmental impact of trauma on sexual behavior problems and harmful sexual behavior and he was one of a team of clinicians and researchers tasked with developing the ATSA Adolescent Treatment Guidelines. Kevin has served as the board Chair of MASOC (Massachusetts Society for a World Free of Sexual Harm by Youth), the president of the Massachusetts chapter of the American Professional Society on the Abuse of Children (APSAC), a Teaching Fellow at Boston College, an Instructor in Psychology at the Harvard Medical School, and a guest faculty at the Boston University School of Social Work and the Simmons School of Social Work. Mr. Creeden trains and consults nationally and internationally to youth service, community mental health, and forensic service programs.


MAY 6, 2024 1:00PM

Ensuring Positive Behavioural Supports for Individuals with FASD Who Engage in Problematic Sexual Behaviours

Christa Outhwaite-Salmon, MSW, RSW, Mackenzie Health

Lauren Ireland, M.A., BCBA, Mackenzie Health

The past few decades have seen great gains made in better understanding the nature and manifestation of sexual violence; however, only recently has the field seen research regarding best practice for adolescents with Fetal Alcohol Spectrum Disorders (FASD) who engage in problematic sexual behaviours. As is the case for many adolescents with presentations in need of accommodation, identifying and managing problematic sexual behaviours in individuals with FASD is complex and requires a multi-level response. The popular Risk-Need-Responsivity framework requires that we intervene at the level of risk while targeting specific criminogenic needs in a fashion that is responsive to individual client characteristics.

In this presentation we will consider the nuances inherent in responsively providing positive behavioural supports for persons with FASD. We will explore and discuss how contemporary approaches may differ or overlap with current perspectives in addressing prevention and treatment needs. Strategies, teaching tools, and adaptive behavior analytic-informed models of support will be discussed and reviewed.

Learning Objectives

  1. Upon completion of this educational activity, learners will be able to describe research findings related to FASD and its intersection with the criminal justice system.
  2. Upon completion of this educational activity, learners will better understand the necessity of applying the responsivity principle when addressing treatment needs for individuals with FASD.
  3. Upon completion of this educational activity, learners will be able to enunciate many of the complexities associated with individuals with FASD and risk for engaging in problematic sexual behaviours.


Christa Outhwaite-Salmon, MSW, RSW is a registered Social Worker and a member of the Ontario Association for Social Work. She currently holds the position of Clinical Programs Consultant with the Centre for Behaviour Health Sciences; Program for the Assessment and Treatment for Healthy Sexuality (PATHS). She specializes in socio sexual assessment, risk assessment and the treatment of persons with Intellectual Disabilities and Dual Diagnosis who engage in sexually abusive behaviours. Christa provides clinical consultation, training and workshops for fellow clinicians and community partners and has presented at a number of national and international conferences.

Lauren Ireland, M.A., BCBA has worked at the Centre for Behaviour Health Sciences in FASD Services since 2014. She specializes in Fetal Alcohol Spectrum Disorder and challenging behaviour; she also has a keen interest in neurodevelopmental trauma. Lauren has a Masters in Applied Disability Studies and is a Board Certified Behaviour Analyst. She is a member of Mackenzie Health’s Assessment and Diagnostic Collaborative and the lead consultant for FASD services, providing oversight to both the community clinics and FASD classrooms.


MAY 6, 2024 2:30PM

Women Who Sexually Offend: Latest Findings and Implications for Intervention

Franca Cortoni, PhD., CPsych, Professor – School of Criminology, Université de Montreal and Research Fellow – International Center for Comparative Criminology

Women who sexually offend constitute a small yet significant proportion of all sexual offenders. In recent years, increased empirical attention has revealed a number of gender-specific issues related to women who sexually offend. This presentation will review our latest empirically-based understanding of women who sexually offend. The implications for gender-responsive assessment, treatment, and management practices with these women will also be discussed. When relevant, a contrast with male-based information will be provided.

Learning Objectives

  1. Enhance knowledge of the similarities & differences between women and men who have sexually offended.
  2. Understand current best practices for gender-responsive assessment, treatment, and management of women who have sexually offended.


Franca Cortoni received her PhD in clinical & forensic psychology from Queen’s University in Kingston. In 2007, after many years with the Correctional Service of Canada where she worked as a psychologist specialized in research and treatment of sexual offending, she joined the School of Criminology at the Université de Montréal where she is Professor of criminological psychology and Research Fellow at the International Centre of Comparative Criminology. Her research focuses on the factors associated with the development of sexual offending behavior, risk assessment, and treatment of both women and men convicted for sexual offences. She has published two books on women who have sexually offended, and her current project focuses on understanding the factors associated with improved outcomes in the treatment of sexually offending behaviour.


MAY 7, 2024 9:15AM

Ensuring Effective Treatment for Youth with Autism Spectrum Disorder Who Cause Sexual Harm

Kim Spence, Ph.D., Clinical Director Autism Support Services for Specialized Treatment and Assessment Resources, PA

Youth with Autism Spectrum Disorder (ASD) who commit sexual harm preset with unique treatment needs often not adequately addressed by well-meaning treatment providers, community-based programs, and secured settings. Techniques to assist attendees in supporting youth with ASD who engage in sexually harmful behaviour will include suggestions to address: difficulty with victim empathy, Theory of Mind (T0M) deficits (e.g., perspective taking), making unwanted attempts to engage in romantic relationships, and stalking will be reviewed utilizing case examples. Evidence-based teaching techniques to improve appropriate social interactions between youth with ASD and their peers will be discussed along with targeted intervention strategy development.

Learning Objectives

  1. Describe current trends in peer-reviewed literature related to youth with Autism Spectrum Disorder (ASD) who cause sexual harm.
  2. List strategies for increasing the effectiveness of social interventions for youth with Autism Spectrum Disorder (ASD) who cause sexual harm.
  3. Describe several evidence-based, therapeutic intervention strategies recommended for youth with Autism Spectrum Disorder (ASD) who engage in problematic sexual behaviour.


Dr. Kim Spence, Ph.D is the Clinical Director Autism Support Services for Specialized Treatment and Assessment Resources, PA and has worked for the Center for Autism and Related Disabilities (CARD) at the University of Central Florida (UCF) since 1999 as an Autism Disorders Specialist. For the past 20 years she has lectured internationally regarding treatment supports, specialized therapeutic intervention, and the creating of specialized sexuality education programs for individuals with autism spectrum disorders (ASD). Dr. Spence began providing specialized sexuality education training for parents, teachers, and care providers of individuals with ASD in 2000 and has offered numerous learning opportunities focused on discriminating between maladaptive sexual behaviours versus mental health issues and specialized educational and behavioral interventions to support healthy sexual knowledge for individuals with ASK across the life-span. She has been training emergency responders, law enforcement personnel, and members of the criminal justice system across the nation since 2001 and is an appointed Advisory Board Member to the Florida Department of Law Enforcement (FDLE).


MAY 7, 2024 10:45AM

Working With Transgender and Gender Diverse Adults and Adolescents Who Sexually Harm

Shan Jumper, Ph.D., Liberty Healthcare

This workshop will provide an overview of the literature on the experiences of transgender and gender diverse (TGD) adults and youth who interact with the criminal justice system.  The presentation will outline a cultural humility-based approach to the care and management of these individuals. There is an extremely sparse professional literature on TGD offenders in general, with no published studies on TGD adolescents or adults who have committed sexual offenses.  As such, case presentations and audience participation will be utilized as a framework to discuss the special needs and gender identity development of TGD individuals in both inpatient and outpatient treatment programs for sexual offending. The presentation will also focus on the potential impact of gender identity concerns on dynamic risk and treatment approaches to address this risk among TGD adolescents who have engaged in sexually abusive behavior.

Learning Objectives

  1. Summarize the socio-cultural and neurological research on gender identity development.
  2. Discuss treatment of dynamic risk of sexual harm in adolescents with justice system involvement.
  3. Utilize cultural humility as an approach to treating adolescents who engage in sexually abusive behavior.



Shan Jumper, Ph.D. received his doctorate in counseling psychology from the University of North Dakota and is licensed in Illinois as a Clinical Psychologist, Sex Offender Treatment Provider, and Sex Offender Evaluator.  Dr. Jumper has worked in the field of sexual violence since 1991. Following a pre-doctoral internship in mental health and forensics at Connecticut Valley Hospital/Whiting Forensic Division, he was employed at the Sexually Violent Predator program in Wisconsin, where he conducted SVP re-examinations and provided court testimony and sex offense treatment.  In 1999 Dr. Jumper joined the staff of the Sexually Violent Persons program at the Illinois Dept. of Human Services Treatment and Detention Facility as a psychologist, later serving as Treatment Team Leader and Associate Clinical Director.   An employee of Liberty Healthcare, he has been the program’s Executive Clinical Director since 2005. Dr. Jumper has worked in private practice as an expert witness, has published various peer reviewed articles and book chapters on sexual violence and has served on the adjunct faculty at Argosy University Chicago.  Dr. Jumper served as the President of the Association for the Treatment and Prevention of Sexual Abuse (ATSA) from 2020-2021   He served on the ATSA board from 2013-2022 as Secretary and Treasurer in addition to his term as ATSA President.  Dr. Jumper is a member of the Sex Offender Civil Commitment Programs Network (SOCCPN), having served as President of this organization from 2012 – 2018.

MAY 7, 2024 1:15PM

Working with BIPOC Youth with Sexual Behaviour Problems

Robert Wright, Social Worker and Sociologist, The Peoples’ Counselling Clinic

We all stumble towards a healthy gender identity and sexual orientation.  This is especially true for young people whose life experiences have led them to be involved with the criminal justice system.  Add to this the intersection of being racialized, and it is clear that the management and supervision of BIPOC juvenile sex offenders will require deep insight and care.

In this workshop, we will discuss theories related to normative psycho-social development, the development of positive racial identity, the etiology of juvenile sex offending, and the effect of trauma and racial trauma on development.  Some reflection on the Cultural Formulation Interview of the DSM-V will be made, though the workshop will challenge participants to go beyond “cultural” considerations to address the effect of racism in our practices.

From that knowledge base we will discuss concrete things that those practitioners who provide care for BIPOC Youth with Sexual Behaviour Problems can do to improve the cultural competence of their work.  This will support the 3 goals of juvenile sex offender management and care:  Addressing the harm experienced by our clients; reducing the risks they present to others; and supporting them in their healthy development.

Learning Objectives

  1. Participants will understand several principles of healthy youth development including psycho-sexual development and racial identity development.
  2. Participants will understand racial identity as a significant factor to be considered in the care and supervision of juvenile sex offenders.
  3. Participants will increase their comfort using the language of race, sex and gender.


Robert Seymour Wright is a Social Worker and Sociologist whose 34 year career has spanned the fields of education, child welfare, forensic mental health, trauma, sexual violence, and cultural competence.  A “clinician/academic/administrator,” he has always integrated his work delivering direct practice clinical service to clients with teaching and supervising interns, and promoting lasting systemic change through social policy advocacy.  He also consults, trains, speaks and comments on a wide range of issues.

Robert was raised in the Black Baptist tradition but was baptized in the Adventist Church at the age of 13.  Like James Baldwin, he began preaching at 14.  He was an active lay supply preacher and taught and served in churches wherever he lived, studied and worked for more than 20 years.  For several years he served as head elder of his home church, serving as the acting pastor for 2 years.  Robert left the non-affirming Adventist church after coming out as queer.  Since then, he has continued to be a community spiritual leader and activist for the full recognition of all God’s peoples.

Robert has served in developmentally critical and notable positions throughout his career.  He was the first Race Relations Coordinator for the Dartmouth District School Board, the Executive Director of Family and Children’s Services of Cumberland County and the Executive Director of the Child and Youth Strategy of Nova Scotia.  His pioneering work with colleagues in cultural competence and conducting cultural assessments has received national attention. His extensive pro bono work gave birth to The Peoples’ Counselling Clinic, a non-profit mental health clinic, which he serves as the Executive Director.   Robert also serves as the acting Executive Director of the African Nova Scotian Justice Institute.

Robert’s work was recognized by his profession with the Canadian Association of Social Workers Distinguished Service Award in 2012 and on January 1, 2022 it was highlighted in the Globe and Mail Difference Makers feature which highlighted some of the “people working to make Canada a better place”.

**NOTE: We welcome an open and free exchange of ideas and perspectives at this year’s Continuum Conference.  Please note that Radius does not endorse nor repudiate the views and opinions of any of the guest speakers/presenters. Further, the target audience of the Continuum Conference is: mental health professionals, social workers, probation officers, residential staff, child welfare staff, judiciary, therapists and child and youth workers.

Past Speakers and Workshop Topics

Kevin Creeden, M.A, LMHC

A Developmental Treatment Approach for Understanding and Addressing Sexual Offending in Youth: What, Why, and How

Bente Skau, MSW, Ph.D. and Heather Barbour, B.Sc., RSW

The Pursuit of “Good Sex” in a Pornofied World: Assisting Adolescents in Constructing Positive Sexual Scripts

Nancy Falls, Ed. D and Alice Olsen, M.S.W

Parental Involvement: Treating the Sexually Harming Adolescent in the Context of Their Family

Dr. James R. Worling, Ph.D., C.Psych.

What Does The Research Say? Gaining New Insights For Assessment And Treatment From Recent Investigations

John Briere, Ph.D.

Complex Trauma in Adolescence: Treatment Implications for Young Offenders

Denyse Brushett, BA, MSW, RSW and Stephanie Francois, BSc, MSW, RSW


Shelley Kavanagh

Expanding Your Tool Kit: Using Expressive Arts to Engage At-Risk Youth Through Creative Interventions

Andrea Joyce, MSW, RSW

Values and Attitudes about Sex… Is this the elephant in the therapy room? Engaging adolescents and their families in such discussions

Stefen Joseph, B.A and Arlene Gonash-Nelson, MSc., BSc.

The role of the youth mental health court worker and the importance of the specialized youth mental health courts

Detective Constable Michele Bond

Self-peer exploitation – Let’s work together

Craig Latham, Ph.D.

Problematic sexual behaviour in children and adolescents with autism spectrum disorders

David A. Wolfe, Ph.D.

Impact of media violence on adolescent development and behaviour

Jaqueline Page, PSY.D.

Intervening with adolescents who have engaged in sexually abusive behaviour

David Prescott, LICSW

Good lives and beyond: building better lives with youth

Bente Skau, MSW, PHD, Heather Barbour, B.SC., RSW and Melissa Maltar, MSW. RSW

Sexual descision making: your own code

David Delmonico

Online, Offline and Over the Line: Adolescence in a Digital World

Jo Langford

Internet Safety 101 for Practitioners

Dr. James R. Worling, Ph.D., C.Psych., Clinical & Forensic Psychologist

Changing Perspectives: Focusing on Protective Factors, Strengths, and Resiliency

Kevin Vowles

Decoding the Language of Sexual Violence: Exploring Rape Culture, Toxic Masculinity, Gender Equality and Building Understanding and Allyship Amongst Men and Boys

Geraldine Crisci

Self-care in Working with Sexual Offending Behaviours

Dr. Michael F. Caldwell, Psy.D

Decline in Juvenile Sexual Recidivism Rates: Implications for Assessment and Treatment

Dr. Ryan T. Shields, Ph.D.

Help Wanted: A Public health Approach to the Prevention of Child Sexual Abuse

Cordelia Anderson

Sexual Violence Prevention: Accountability and Responsibility in the Post #MeToo Era

Dr. David Ley

Developing Positive Sexuality and Responsible Pornography Use in Adolescents

Karen (B.K.) Chan

Doorways to Dance Through: Engaging Young People on Healthy Sexuality, Consent, Relationships and Intimacy

Heather Barbour, Karen Holladay, Franca Iannotta, Nancy Rumble

My Digital Journey (MDJ)©

Dr. Sandy Jung, Ph.D., R.Psych.

Applying the Risk, Need , and Responsivity (RNR) Principles to Adolescents Who Have Engaged in Sexually Abusive Behaviour

Dr. Nadine Thornhill, Ed.D.

Applying the Risk, Need , and Responsivity (RNR) Principles to Adolescents Who Have Engaged in Sexually Abusive Behaviour

Julie S. Lalonde

“But I Don’t Want to Make it Awkward!” Engaging Youth to End Sexual Violence

Dr. Michael Seto, Ph.D., C.Psych

Prevention of Online Perpetration of Sexually Harmful Behaviour by Young People

Bente Skau and Anthony Odoardi

Following Unfounded

Dr. Apryl Alexander, Psy.D.

Blending Voices. Strengthening Lives.

Maree Crabbe

Pornography and Sexual Abuse Prevention: Why is Porn an Issue and How Can We Address It?

Dr. Alex Rodrigues, Psy.D.

Rebooting Our Approach: Talking Tech, Teens, & Sex