Problematic Sexual Behavior

Sexual behavior can sometimes become problematic in various ways. You might find that you've crossed personal or relational boundaries, or perhaps your sexual thoughts and actions feel overwhelming. In some cases, these behaviors could even be illegal. Acknowledging and discussing these issues can be incredibly difficult. At Solid Foundation, we focus on helping individuals navigate these challenges. We provide a safe, judgment-free environment where you can openly address your concerns.

Evaluations

Sex Offense Specific Evaluation - This evaluation covers a comprehensive social and family history, mental health history, substance abuse history, and employment/school history. It also includes a detailed exploration of the individual's sexual development and history, covering attitudes, fantasies, and adjustments. Following the evaluation, a comprehensive report will be prepared and sent to the referring agency, detailing the individual's recidivism risk level and treatment recommendations. The purpose of this evaluation is to identify potential psychological and/or sexual problems and may be used to assist the court or referring agency in their determinations, assess the risk of re-offending, understand behaviors and psychological issues related to sexual deviancy, and report treatment needs or progress to the relevant authorities.

Evaluations are conducted by Ivan Quan, who is certified to use the following instruments:

  • Abel Assessment for sexual interest™ for Men (AASI-3): This computerized test measures problematic, abusive or atypical sexual interest in a subject. It can be used to complete an objective measure of a person’s sexual interest in various potential sexual partners, including both adolescent and adult males and females.

  • Static 99R: This tool is based on static (unchanging) risk factors which predict the potential for sexual re-offending.

  • Stable 2007: This tool Measures dynamic (changing) risk factors which are empirically related to the risk of re-offense.

  • LS/CMI (Violence Risk): This tool is predictive of the risk of violent re-offending, and is an evidence-based risk assessment tool. Violence risk assessment supplements the static and dynamic risk assessments. The LS/CMI must be rescored annually. 

Treatment Programs

Problematic Sexual Behavior (Adult) - This program is designed for men dealing with allegations or concerns related to inappropriate, problematic, or illegal sexual conduct, such as child molestation, voyeurism, exhibitionism, public masturbation, sexual assault, and sexual harassment. Blending elements from the Cognitive Behavioral Intervention - Adult program (CBI-A) and the Cognitive Behavioral Intervention - Sexual Offense (CBI-SO) program, it emphasizes the development of coping skills, healthy decision-making, self-control, social skills, respect for personal boundaries, and empathy. Treatment includes psychoeducation, individual sessions, and/or group sessions, specifically tailored for individuals currently facing legal issues who have not been convicted. The program lasts between 3 to 6 months.

Problematic Sexual Behavior (Adolescent) - Designed for boys ages 12 to 17 who exhibit inappropriate, problematic, and/or illegal sexual behavior. The program addresses concerns with respecting physical boundaries, sexual offenses against family members or peers, inappropriate/lewd sexual behaviors, excessive or public masturbation, inappropriate sexual comments, inappropriate sexual gestures, and pornography obsession. The program focuses on developing coping skills, healthy decision-making, selfcontrol, social skills, abuse prevention, sexual education, and empathy development. The main goals of treatment are to prevent further sexual victimization and teach prosocial skills that allow youth to abstain from abusive behavior. Treatment often involves parents or caregivers to emphasize proper supervision, understanding of sexual development, establishing clear household rules, and effective communication about sex education to reduce behavior problems.

Cognitive Behavioral Intervention – Sex Offense (CBI-SO) - This program addresses the risks and needs associated with sexual offenses, emphasizing personal accountability, self-awareness, and effective problem-solving skills. Participants learn to identify and challenge negative thoughts, improve emotional regulation, enhance interpersonal skills, and develop strategies to prevent sexual offenses. Risk factors targeted include poor lifestyle choices, impulsiveness, ineffective coping, indifference toward others, lack of positive social influences, sexual preoccupation, deviant sexual interests, offensive attitudes, hostility toward women, and inadequate problem-solving skills. The program also addresses broader criminogenic needs such as antisocial thinking, high-risk peer associations, and problematic personality traits like anger and aggression, while tackling substance use and promoting healthy leisure activities.

The CBI-SO meets the treatment standards for the South Carolina Department of Probation.

Enrollment in the Cognitive Behavioral Intervention - Sex Offense (CBI-SO) Program

The CBI-SO program operates on a referral basis. Participants may engage in individual and/or group sessions on a weekly schedule. To successfully complete the program, individuals must attend regularly, actively participate, complete assigned written homework, and show progress toward their goals. Discharge from the program is a collaborative decision made through discussions among the provider, supervising officer, and client. Clients are eligible for discharge once they have met the program requirements and demonstrated their ability to effectively manage and reduce risk factors.

The program consists of several core modules, including:

  • Motivational Engagement 

  • Cognitive Distortions and Cognitive Restructuring

  • Emotional Regulation 

  • Understanding Our Behavior Patterns / Choosing Behavior Responses

  • Problem Solving 

  • Taking Responsibility 

  • Empathy 

  • Victim Awareness 

  • Healthy Sexual Behavior /Dysfunctional Sexual Behavior

  • Relationship/Intimacy Issues

  • Social Skills

  • Relapse Prevention 

    Referral Process

    Referrals are normally sent to the administrative office by the referring agency. Once received:

  • The administrative staff will contact the referred individual to schedule the appropriate evaluation.

    • Sex Offense Specific Evaluation: If the referral indicates the need for a Sex Offense Specific Evaluation, the individual will be scheduled for an evaluation.

    • Initial Evaluation / Program Orientation: If a Sex Offense Specific Evaluation is not required, the individual will be scheduled for an Initial Evaluation/Orientation. During this session, information on the individual’s sexual offense history, current risk factors, mental health background, and substance abuse history will be collected to formulate an appropriate treatment plan. Clients will also receive an overview of their program, and all relevant paperwork will be reviewed and signed. 

  • Following the evaluation, the referring agency will be provided with recommendations for treatment services.

    Treatment Plan Review: Throughout treatment, participants will be continuously assessed to ensure that all risks and needs are addressed. Each participant is required to attend a treatment plan/risk assessment review every 45 days, which allows for an evaluation of acute dynamic risk factors for sexual recidivism using the ACUTE-2007.