Youth with Problematic Sexual Behaviors


As Children’s Advocacy Centers (CACs) continue to evolve in their engagement with children, families, and communities, the question of how to address youth with problematic sexual behaviors has come to the forefront. National Children’s Alliance (NCA) believes that CACs are well-suited to effectively serve communities in the response to problematic sexual behaviors. NCA created this online training resource to provide CACs with the tools to get started in providing a robust community-based response that will not only help keep children and families safe and healthy, but will also create opportunities to improve multidisciplinary team function and for CACs to position themselves as leaders nationwide on an often difficult and complex topic. This course will provide an overview of youth with problematic sexual behaviors, discuss the CAC coordinated response, present the characteristics of evidence-based mental health treatment for problematic sexual behaviors, and provide guidance on engaging community stakeholders. It aims to dispel myths and misconceptions about youth with problematic sexual behaviors and to help CACs understand that they can and should serve this population.

Instructors Length Type
Jane Silovsky, Kim Day,
Libby Ralston, and Elizabeth Ciesar
2 hours Self-Paced

SKU: MGMT001-17 Category:

Jane SilovskyJane F. Silovsky, PhD, is a Professor of Pediatrics at the University of Oklahoma Health Sciences Center (OUHSC). She serves as the Associate Director of the Center on Child Abuse and Neglect (CCAN). Since 1996, she has been the Director of the Children with Sexual Behavior Problems program, an assessment, treatment, and research program for preschool and school age children with problematic sexual behavior. She is a licensed psychologist and actively provides treatment and supervision weekly for treatment groups serving these youth with PSB; these youth and their families are diverse and have a variety of needs such as reunification, trauma exposure, and other behavior problems. Dr. Silovsky is one of the primary developers of the Honoring Children, Respectful Ways: Treatment for Native American Children with Sexual Behavior Problems training and treatment manuals, which is a cultural adaptation of the treatment for children with sexual behavior problems (SBP) through the Indian Country Child Trauma Center (ICCTC; previously funded through SAMHSA). Dr. Silovsky has worked with several organizations to publish materials for dissemination to assist families and professionals who work with youth that have SBP. She authored fact sheets on sexual development and research related to children with SBP for the National Center on Sexual Behavior of Youth (NCSBY), National Child Traumatic Stress Network (NCTSN) and ICCTC. She also authored a publication for SaferSociety Press designed to help parents and caregivers of children with SBP: Taking Action: Support for Families of Children with Sexual Behavior Problems. Since 2010, Dr. Silovsky has been directing the T/TA activities for three OJJDP awards for fourteen sites who have been implementing collaborative community- and evidence-based interventions for families of youth with PSB and child victims.

elizabeth ciesarElizabeth R. Ciesar, MSW, LISW-CP, is the Director of Clinical and Forensic Services at the Dee Norton Lowcountry Children’s Center (DNLCC) in Charleston, South Carolina. Mrs. Ciesar holds a masters degree in social work from the University of South Carolina. She is a Licensed Independent Social Worker and Supervisor of Clinical Practice. In her current position, Mrs. Ciesar serves as the chief clinician responsible for the overall operation of the clinical and forensic service team at DNLCC (including planning, directing, creating and evaluating optimal clinical and forensic services). Prior to this position, Mrs. Ciesar served as the Director of Grants and Programs at DNLCC. In that role she successfully managed the development and implementation of grant funded programs and services designed to promote the use of best practices and evidence-supported interventions by professionals who respond to child abuse victims and their families. She has been active in several child maltreatment grants, including serving as Co-Principal Investigator of a U. S. Department of Justice, Office of Juvenile Justice Delinquency and Prevention (OJJDP) project aimed at increasing access to evidence-based treatments for youth with problematic sexual behavior, their child victims and families. During her previous employment with the SC Department of Mental Health, Mrs. Ciesar served as a forensic interviewer and therapist co-located at DNLCC. Ms. Ciesar has provided expert testimony on the dynamics of abuse and child maltreatment, and trained professionals in this area at the local, state and national levels. Ms. Ciesar is a former board member of the Charleston County First Steps, and she has served as a faculty member of Project BEST (Bringing Evidence Supported Treatments to children in South Carolina).

Libby Ralston, PhD was the founding director of the Dee Norton Lowcountry Children’s Center, Inc (DNLCC) an accredited Children’s Advocacy Center located in Charleston, SC and now serves as the Director Emeritus. Dr. Ralston is on the clinical faculty of the Department of Psychiatry and Behavioral Science at the Medical University of South Carolina. She served on the NCA Board of Directors, on the NCA mental health standard revision committee and participated in the partnership between NCA and NCTSN to develop the CAC Director’s Guide to Mental Health services. Since 2007 Dr. Ralston has served as the co-director of Project BEST, a Trauma Focused Cognitive Behavior Therapy dissemination and since 2013 has served as Co-Director of the South Carolina Trauma Practice Initiative, a collaboration between the South Carolina Department of Social Services, the SC Department of Mental Health and Project BEST. Both initiative have been funded by The Duke Endowment.


Kimberly Day, MSW, Ms. Day is the Deputy Director of the National Children’s Alliance where she directs organizational operations and is highly involved in the national child welfare public policy arena. Prior to her tenure at NCA, she coordinated efforts of the National Coalition to End Child Abuse Deaths in Washington, DC. There she developed and facilitated the child welfare policy work of the Coalition by engaging in non-partisan outreach efforts, enlisting congress, the executive branch and members of the media for the purpose of drawing attention to and preventing child abuse fatalities through the Protect Our Kids Act. She is a Master’s prepared social worker with more than 20 years of experience working in the child welfare arena and more than 15 years of management and leadership experience in the field. She has significant leadership experience at every level of the child welfare system (local, state, and national) and has worked in a variety of child welfare settings and with varying populations including child protective services, foster care, and special needs children. She also has extensive experience in developing and implementing behavioral intervention and training programs. Ms. Day has a long and successful track record of achievement dedicated to building and implementing programs and services that improve the lives of children. She is a committed and collaborative leader that is skilled at bringing partners together and moving them forward to ultimate success. Ms. Day received her Master Degree from the University of Maine.