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Sexual Abuse: A Journal of Research and Treatment
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Factors Associated with Treatment Compliance in a Population of Juvenile Sexual Offenders

John A. Hunter, Jr.

Pines Residential Treatment Center, 1801 Portsmouth Boulevard, Portsmouth, Virginia 23704, Department of Psychology, University of Arizona, Tucson, Arizona

Aurelio José Figueredo

Department of Psychology, University of Arizona, Tucson, Arizona

Structural equation modeling was utilized to assess predictors of outcomes in a sample of 204 juvenile male sexual offenders participating in community-based treatment programming. Lower levels of client denial at intake predicted successful program compliance. Higher levels of denial were found in nonadjudicated youths. Although program attrition was high (50% in the first year), relatively few youths were expelled for sexual (4.9%) or nonsexual delinquency (6.6%) over a 12- to 24-month period. Program failure during years 1 and 2 was attributable largely to expulsion for failure to comply with attendance requirements and/or therapeutic directives. Youths failing to comply were found to have higher overall levels of measured sexual maladjustment and may be at greater long-term risk for sexual recidivism. Implications of the findings for clinical risk assessment, and directions for future research, are discussed.

Key Words: cognitive distortions • denial • juvenile offenders • sexual offender treatment • treatment compliance.

Sexual Abuse: A Journal of Research and Treatment, Vol. 11, No. 1, 49-67 (1999)
DOI: 10.1177/107906329901100105
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