Towards an Environmental Perspective on Intervention for Problem Sexual Behaviour in People with an Intellectual Disability

Abstract

The evolution of intervention for people with an intellectual disability who have problem sexual behaviour is described. Accepted treatments for non‐disabled sexual offenders are now being applied to offenders with a disability. Intervention should be broad‐based and individualised and attend to deviant sexual preference, patterns of offending behaviour and the environmental context of the behaviour. There is a need for controlled studies to isolate the effects of individual components in multi‐component interventions. Applied behaviour analysis makes an important contribution to assessment and intervention with its attention to analysis of the function of behaviour, setting events and maintenance issues. The problem‐solving approach provides a clinical decision‐making model to facilitate the generation of recommendations for community access as well as a means for overcoming obstacles to intervention.

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