Key elements to consider when choosing an assessment tool for understanding risk related to harmful sexual behaviours

Abstract

This article critically examines the process of selecting assessment tools to evaluate children and young people who exhibit harmful sexual behaviours (HSB). Recognising the complexity of such assessments, it blends practice-based wisdom and research evidence to identify six key elements that help practitioners choose tools tailored to individual cases. These elements ensure that assessments are fit-for-purpose, addressing the diverse needs of children and young people in different contexts, including forensic, clinical, and child protection settings. The authors emphasise that while traditional assessment tools focus on risk and recidivism, many fail to incorporate dynamic factors, protective factors, and specific developmental needs unique to children and adolescents. The article advocates for tools that move beyond merely predicting recidivism to offering nuanced insights into risk, enhancing safety, and supporting therapeutic planning.<br><br>

A significant focus is placed on the need for culturally responsive, developmentally appropriate, and context-sensitive tools. The article highlights common challenges in using standardised tools that may not fully account for the heterogeneity of children and young people displaying HSB. Factors like age, gender, intellectual ability, and cultural background must be considered to avoid biased outcomes. Additionally, the article discusses the impact of technology-assisted harmful sexual behaviour (TA-HSB), such as exposure to pornography and inappropriate online interactions, which are increasingly relevant in modern assessments. Overall, the article underscores the importance of holistic, flexible assessment approaches that align with contemporary understanding and the evolving nature of harmful sexual behaviours among youth.