Harmful Sexual Behaviour

Harmful Sexual Behaviour (HSB) is a sexual behaviour expressed by children and young people under the age of 18 years old that is developmentally inappropriate, may be harmful towards themselves or others, or be abusive towards another child, young person or adult. (Hackett, 2014).

This behaviour needs to be understood within a wider societal culture that can, at times, appear to normalise or trivialise sexual harassment and violence. We all have a role in promoting healthy and consensual relationships, and in identifying and understanding behaviours which are not acceptable.

Possible Indicators of At-Risk or Abusive Behaviour

Sexual Behaviour

Behaviours beyond those expected for age (e.g. vaginal or oral intercourse, simulating intercourse with clothes off, sexually explicit proposals, compulsive masturbation). Behaviours become repetitive or obsessive. They are planned. They are not isolated events.

Nature of Interaction

Use of force, coercion, secrecy, or all three. Force may be physical or social in nature. It may involve threats, bribes, trickery, persuasion, intimidation, or peer pressure, potentially aimed at preventing the victim from disclosing. Any sexual acts unwanted by recipient. Any sadistic quality such as humiliation or degradation. The victim will present as having less power and control. There’s likely to be a disparity in age; size; status; IQ; emotional vulnerability, and so on.

Emotional Behaviour

A range of emotional responses are associated with HSB, including: anger, rage, fear, loneliness, a lack of empathy for victims, and excitement or arousal. HSB may be a maladaptive coping mechanism to regulate emotional states.

Motivation

Young people at risk of abusive behaviour may display a need to reduce negative feelings, e.g. fear, anger, loneliness, anxiety, guilt. They may exhibit a need for power and control. Other motivations could include a need to raise low self-esteem, achieve sexual gratification, or a compulsive re-enactment of their own abuse.

Lambeth Harmful Sexual Behaviour (HSB) Forum

Purpose: The forum consists of a multi-agency panel of senior practitioners, who provide a supportive and reflective space to collaboratively discuss, reflect, coordinate, and address the intersecting needs of young people who are presenting with inappropriate/harmful sexual behaviours. The forum can offer specialist advice and guidance on assessments, interventions, safety planning, formulations, and referrals for specialist support. Please note, the HSB team will not case-hold or act as a care coordinator. The young person must be open to social care to enable a clear safety plan.

When: The last Tuesday of each month (9.30am-12.30pm)

Chaired By: The Lambeth CAMHS HSB Team.

Who Can Refer? Professionals working with young people living in Lambeth who are presenting with inappropriate/harmful sexual behaviours. This includes those from social care, education, CAMHS, youth justice services, and other relevant sectors.

How Can They Refer? Please complete the referral form below (which outlines the process in more depth) and send it to camhsyjsteam@slam.nhs.uk

Support and Resources

Guidance for Lambeth Schools

Developed by Lambeth Education & Health professionals, this guide supports schools to manage HSB

Specialist Local Support

For guidance, support or to request a consultation to support your work with a young person experiencing or displaying HSB, please contact the Harmful Sexual Behaviour Forum

Early Intervention Service

The Gaia Centre offers a range of services to those experiencing any form of gender-based violence in Lambeth.

Dedicated helpline: "Everyone's Invited"

Advice and support for children & adults; regarding their own experiences of abuse, or concern they have for others.

HSB Guide & Resources

A guide to support professionals to protect young people from harmful sexual behaviour

Projects with young people

Tender run creative violence prevention workshops in schools, enabling young people to recognise and avoid abuse and violence.

Traffic Light Tool

A tool from Brook to support professionals to identify and respond appropriately to sexual behaviours.

NICE Guidelines

Guidance on intervening early and preventing an escalation in harmful sexual behaviour displayed by children and young people.

Pan-London Exploitation Protocol

This police-led, multiagency document sets out the operating protocol for safeguarding children from exploitation.

Free Resources

The Contextual Safeguarding Network provides free resources, tutorials, videos and briefings – including on HSB.