1. The Juvenile Sex Offender By Evelyn Stone, RN., BSN., M.Ed. Legal Nurse Consultant

2. Sexual Behavior: Why : Sexual Abuse How to Recognize: a. touching another’s private parts against their will with their hands, objects, or one’s own genitals b. exposing self to another person without consent c. exposing self to a much younger child

3. Scope of the Problem Widespread Widespread 250,000 – 300,000 cases a year 250,000 – 300,000 cases a year Juveniles account for 1/5 of all rapes in US Juveniles account for 1/5 of all rapes in US Juveniles commit i/2 of all cases of child molestation each year (CSOM,1999) Juveniles commit i/2 of all cases of child molestation each year (CSOM,1999)

4. Juvenile Sex Offenses From NC legal standpoint these offenses are not sexual abuse even if they are committed by another child. From NC legal standpoint these offenses are not sexual abuse even if they are committed by another child. Sexual abuse of children can only be committed by caretaking adults – parents, foster parents etc. [NCGS 7B-1-1(d)] Sexual abuse of children can only be committed by caretaking adults – parents, foster parents etc. [NCGS 7B-1-1(d)]

5. Definition: Any Child who has a problem with sexual Any Child who has a problem with sexualBehavior Sexual aggression regardless of his or her involvement with the law Sexual aggression regardless of his or her involvement with the law

6. Who is The Offender 11 years at the time of commission 11 years at the time of commission First Degree rape First Degree rape Second Degree rape Second Degree rape First Degree Sexual Offense First Degree Sexual Offense Second Degree Sexual Offense Second Degree Sexual Offense Attempted Rape/Sexual Offense Attempted Rape/Sexual Offense

7. Who is The Sex Offender (continued) The Attempt The Attempt Sexually violent offense Sexually violent offense Conspiracy Conspiracy Solicitation of another to commit any of Solicitation of another to commit any of the preceding offenses the preceding offenses Aiding & Abetting of any of these offenses Aiding & Abetting of any of these offenses

8. Sexually Violent Offense a. Incest between near relatives b. Sexual Exploitation of a Minor c. Promoting Prostitution of a minor d. Taking indecent Liberties with a minor e. Solicitation of a child by computer to commit an Unlawful Sex Act f. Subjecting or Maintaining a person for Sexual Servitude

9. Behavior that Qualify as Sexual Abuse a. Forcing another person to watch one masturbate b.. Repeated acts of “peeping” tom c. Forcing another person to look at pornography d. Showing pornography to a much younger child e. Taking pornographic pictures of a child f. Touching another’s private parts against their will

10. Behaviors that Warrant Attention Sexualized language Sexualized language Public masturbation Public masturbation Injuring the genitals of another by kicking or hitting with an object Injuring the genitals of another by kicking or hitting with an object Kissing someone without consent Kissing someone without consent Kissing a much younger child Kissing a much younger child Cybersex Cybersex Kiddie porn Kiddie porn

11. Behavior Warranting Attention Use of pornography at an age before puberty Use of pornography at an age before puberty Early consensual sexual activity Early consensual sexual activity Bragging about sex Bragging about sex Calling sex talk numbers Calling sex talk numbers Close friendly relationships with much younger children Close friendly relationships with much younger children

12. Behavior Warranting Attention (continued) Lack of friendship with peers Lack of friendship with peers Frequent lying and deceitfulness Frequent lying and deceitfulness Physical abuse of others Physical abuse of others Knowledge of sexuality unexpected of one’s age Knowledge of sexuality unexpected of one’s age

13. Theories of Causes Learning theory Learning theory Exposure to sexuality Exposure to sexuality Sexual victimization Sexual victimization Exposure to sexual pornography Exposure to sexual pornography Substance abuse Substance abuse School problems School problems Family problems Family problems Varies from one individual to another Varies from one individual to another

14. Traits of Offenders Most are male Most are male Every socioeconomic group, race ethnic, religious, and cultural group Every socioeconomic group, race ethnic, religious, and cultural group 40%-80% have been abused 40%-80% have been abused 20%-50% physically abused (CSOM,1999) 20%-50% physically abused (CSOM,1999) Dysfunctional family Dysfunctional family Impulse control difficulty Impulse control difficulty Learning disabilities Learning disabilities Psychiatric disorder Psychiatric disorder

15. Treatment Relapse prevention Relapse prevention Empathy training Empathy training Anger management Anger management Social skills training Social skills training Interpersonal skills training Interpersonal skills training Cognitive restructuring Cognitive restructuring Assertiveness training Assertiveness training Journaling Journaling Sex education Sex education

16. Registered Sex Offender Prohibited from: Prohibited from: care or supervision of minors – schools, children’s museum, child care centers, nurseries playgrounds care or supervision of minors – schools, children’s museum, child care centers, nurseries playgrounds Within 300 feet of any location intended for the use of minors – located in malls, shopping centers or other areas open to the general public Within 300 feet of any location intended for the use of minors – located in malls, shopping centers or other areas open to the general public

17. Services Continuing education Continuing education Certified Nurse Assistant Certified Nurse Assistant Med Aide *** (NCBON) Med Aide *** (NCBON) Medication transcription, medication administration & documentation Medication transcription, medication administration & documentation Mental health hab tech Mental health hab tech Seizure management Seizure management Blood borne pathogens Blood borne pathogens Care of the behaviorally impaired Care of the behaviorally impaired

18. Services Developmental Disabilities Developmental Disabilities Mental Illness Mental Illness Schizoaffective Disorder Schizoaffective Disorder Bipolar Disorder Bipolar Disorder Schizophrenia Schizophrenia PTSD PTSD Culture Diversity Culture Diversity

19. Services (continued) Client’s RightsClient Abuse Client’s RightsClient Abuse Policy ManualsConultation Policy ManualsConultation Incidents Incidents Becoming a “Q” and Forms Becoming a “Q” and Forms Client Admission Client Admission Diabetes Diabetes Administering Insulin (skills check off) Administering Insulin (skills check off)

20. Conclusion Be attentive to all behaviors that may be suspicious Be attentive to all behaviors that may be suspicious Early intervention is prudent Early intervention is prudent Seek help immediately Seek help immediately Prevention of abuse is very important Prevention of abuse is very important

21. Conclusion Remember if client us registered, there are places he/she is prohibited from going Remember if client us registered, there are places he/she is prohibited from going

22. Contact Instructor Evelyn Stone, RN., BSN., M.Ed. www.qprofessionalmentalhealthservice.com Email: stn_vlyn@yahoo.com stn_vlyn@yahoo.com (919) 266-7050 phone (919) 266-7052 fax