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Specialized Training in Problematic Sexual Behavior

Practical, developmentally informed training for clinicians and organizations working with children, adolescents, and families impacted by problematic sexual behavior.

Led by Dr. Kimberly Ernest, Ph.D., LPC, PCTI offers specialized training designed to help professionals approach problematic sexual behavior with greater clinical confidence, developmental understanding, and practical skills.

Trainings are available live via Zoom or in person in Lebanon, Pennsylvania. On-site training may also be arranged for organizations, with travel and related expenses covered by the requesting organization.

Whether you are an individual clinician looking to develop specialized competency or an organization seeking training for an entire team, we can help identify the training option that best fits your needs.

Interested in training for yourself or your organization?

Complete our Training Interest Form and we will connect with you to discuss your setting, goals, preferred format, and budget.

Trainers:
Dr. Kimberly Ernest, Ph.D., LPC
Carrie Meehan, MA, LPC
Susan Wright, MPA

Our Core Training Offerings

PCTI currently offers three primary training programs addressing problematic sexual behavior across childhood and adolescence.

Juveniles with Problematic Sexual Behavior

Children with Reactive Sexual Behaviors Following Trauma

Ethics in the Assessment and Treatment of Problematic Sexual Behavior

Juveniles with Problematic Sexual Behavior: 5-Day Core Clinical Training

Comprehensive training for professionals working with adolescents with problematic or illegal sexual behavior

Our five-day JPSB training provides clinicians with a comprehensive foundation for assessing and treating adolescents who have engaged in problematic, harmful, or illegal sexual behavior.

Rather than applying adult offender models to adolescents, this training takes a developmentally informed, systemic, and clinically practical approach. Participants learn to understand problematic sexual behavior within the broader context of adolescent development, family relationships, trauma, mental health, behavioral functioning, technology use, accountability, and safety.
Topics Include:

Two Ways to Participate

Core 5-Day Training

Clinicians may complete the five-day training as a stand-alone intensive educational experience. This option is ideal for professionals who want specialized knowledge and practical clinical skills without pursuing advanced certification.

Advanced Certification Pathway

Clinicians who want to continue developing advanced competency may elect to participate in our certification pathway following the five-day core training. The advanced pathway adds twice-monthly clinical consultation, allowing participants to apply the material to real clinical work, receive ongoing case consultation, strengthen their conceptualization and intervention skills, and demonstrate advanced competency over time.

Participants do not need to commit to the advanced pathway simply to attend the five-day training.

Day 1 - Introduction to Training and Overview

The purpose of the Day 1 sessions is to increase participants’ awareness and understanding of problematic sexual behavior in juveniles.

By the end of Day 1, participants will be able to:

TimeSession and Description
09:00 - 10:00Introduction Warm-up: Stereotypes of Juveniles / Overview of the purpose of problematic sexual behavior
10:00 - 10:20Statistics and history of problematic sexual behavior
10:20 - 11:10Dynamics and causes of problematic sexual behavior
11:10 - 11:20BREAK
11:20 - 12:15Discussion on typologies of juveniles
12:15 - 12:45LUNCH
12:45 - 02:15Technology and concerning behavior
02:15 - 04:00Positive Practice – Discussing High Risk Technology Behaviors with Adolescents and families

End at 4:00pm. Homework/Reading Assigned

The purpose of Day 2 is to develop understanding surrounding denial in individuals engaged in problematic sexual behavior. Family resistance to treatment and intervention is also common, and its causes and background will be discussed. Participants will learn the elements of intake and assessment surrounding the juvenile and their family, including various assessment tools and techniques.

By the end of Day 2, participants will be able to:

TimeSession and Description
09:00 - 10:00What is denial and how does it appear in referral, intake, treatment?
10:00 - 11:00Resistance in families – why is this natural?
11:00 – 11:15
BREAK
11:15 – 12:15Assessment issues and techniques
12:15 – 12:45LUNCH
12:45 – 02:00Continue Assessment issues and techniques
02:00 – 04:00Positive Practice – Assessments and Rolling with Resistance

End at 4:00pm. Homework/Reading Assigned

The purpose of the Day 3 sessions is to develop and increase participants’ awareness and understanding of the components of treatment planning and phases of treatment.

By the end of Day 3, participants will be able to:

TimeSession and Description
09:00 - 10:00Identifying treatment goals / Inviting collaboration in treatment planning
10:00 - 11:10Phases of treatment
11:10 – 11:20BREAK
11:20 - 01:00Educating clients and families on stages of treatment; overview of what may happen when challenges arise
01:00 - 01:30LUNCH
01:30 - 02:00Family Culture
02:00 – 04:00Trauma Informed Care

End at 4:00pm. Homework/Reading Assigned

The purpose of the Day 4 sessions is to increase participants’ ability to utilize a variety of interventions when working with juveniles with problematic sexual behavior and their support systems.

By the end of Day 4, participants will be able to:

TimeSession and Description
09:00 - 10:00Curriculum use / Elements of curriculum implementation
10:00 - 11:10Cycle of violence; offense cycle; trauma reactive behavior
11:10 – 11:20BREAK
11:20 - 12:15Healthy sexual education for adolescents and their family
12:15 - 12:45LUNCH
12:45 - 01:30Elements of individual, group, and family treatment
01:30 - 02:00Boundaries and Vicarious Stress of the Helper
02:00 - 04:00Positive Practice – Group Processes

End at 4:00pm. Homework/Reading Assigned

The purpose of the Day 5 sessions is to increase participants’ ability to work collaboratively with clients and their families to plan for success in the future. This may include reunification or transition into other forms of treatment. Participants will also discuss elements of ongoing professional development and appropriate self-care.

By the end of Day 5, participants will be able to:

TimeSession and Description
09:00 - 10:00Ongoing family engagement / Family reunification
10:00 - 10:20Safety planning
11:10 – 11:20BREAK
10:20 - 11:10Accountability partners
11:20 - 12:30Staff development; ongoing resources
12:30 - 01:00Lunch
01:00 - 01:40Positive Practice: Accountability Sessions
01:45 - 04:00Systemic Family Factors and Maintaining Safety within the home

End at 4:00pm. Homework/Reading Assigned

Children with Reactive Sexual Behaviors Following Trauma: 2-Day Intensive Training

Problematic sexual behavior in younger children requires a very different clinical lens than problematic sexual behavior in adolescence.

This two-day training is designed primarily for professionals working with children under age 12 who demonstrate reactive, concerning, or problematic sexual behaviors, particularly when these behaviors occur in the context of trauma, exposure, disrupted attachment, family stress, or other adverse experiences.

The training helps clinicians move beyond simply asking “How do we stop the behavior?” and toward understanding what the behavior may be communicating, what maintains it, and what the child and family need in order to establish safety and healing.

Participants explore topics including:

This training is appropriate for clinicians and organizations serving younger children in outpatient, community-based, child welfare, school-based, residential, and other behavioral health settings.

Interested in attending this training or scheduling it for your organization?

Ethics in the Assessment and Treatment of Problematic Sexual Behavior: 3.5-Hour Ethics Training

Working with problematic sexual behavior creates clinical situations in which ethical decision-making can become unusually complex.

Clinicians must balance client welfare, confidentiality, caregiver involvement, mandated reporting, documentation, safety concerns, professional competence, stigma, legal involvement, and the needs of multiple people who may be affected by the behavior.

This 3.5-hour training examines the ethical challenges that arise when working with children and adolescents with problematic sexual behavior and provides clinicians with a structured way to think through difficult decisions.

Topics may include:

This training is particularly well suited for clinical teams, supervisors, agencies, and professionals seeking ethics-focused continuing education relevant to complex behavioral health practice.

Interested in scheduling this ethics training for your team?

Need Something Different?

Training Designed Around Your Organization

Not every organization needs the same training.

You may have a particular population, clinical challenge, program model, amount of available training time, or budget that does not fit neatly into one of our standard offerings. We are happy to talk with you about it.

PCTI can work with organizations to explore customized training options based on your setting, audience, goals, available time, and budget.

Examples might include:

You do not need to know exactly what training you need before reaching out. Tell us about your setting, the professionals you hope to train, the challenges you are encountering, and what you hope your team will be able to do differently after the training. We can help determine what format makes the most sense.

About the Trainers

Dr. Kimberly Ernest, Ph.D., LPC

Dr. Kimberly Ernest is a licensed psychologist and Licensed Professional Counselor with extensive experience in community behavioral health, clinical leadership, supervision, and the assessment and treatment of children, adolescents, adults, and families.

Her clinical and training work has included a particular focus on complex and highly stigmatized behavioral health presentations, including problematic sexual behavior, trauma, substance use, and justice-involved populations, utilizing evidence-based practices and systemic approaches.

Her approach emphasizes creating safety through developmentally appropriate treatment, systemic case conceptualization, meaningful caregiver involvement, clinical accountability, and helping providers remain thoughtful and effective when working with behaviors that can evoke fear, judgment, or uncertainty.

Carrie Meehan, MA, LPC

Dr. Kimberly Ernest is a licensed psychologist and Licensed Professional Counselor with extensive experience in community behavioral health, clinical leadership, supervision, and the assessment and treatment of children, adolescents, adults, and families.

Her clinical and training work has included a particular focus on complex and highly stigmatized behavioral health presentations, including problematic sexual behavior, trauma, substance use, and justice-involved populations, utilizing evidence-based practices and systemic approaches.

Her approach emphasizes creating safety through developmentally appropriate treatment, systemic case conceptualization, meaningful caregiver involvement, clinical accountability, and helping providers remain thoughtful and effective when working with behaviors that can evoke fear, judgment, or uncertainty.

Susan Wright, MPA

Dr. Kimberly Ernest is a licensed psychologist and Licensed Professional Counselor with extensive experience in community behavioral health, clinical leadership, supervision, and the assessment and treatment of children, adolescents, adults, and families.

Her clinical and training work has included a particular focus on complex and highly stigmatized behavioral health presentations, including problematic sexual behavior, trauma, substance use, and justice-involved populations, utilizing evidence-based practices and systemic approaches.

Her approach emphasizes creating safety through developmentally appropriate treatment, systemic case conceptualization, meaningful caregiver involvement, clinical accountability, and helping providers remain thoughtful and effective when working with behaviors that can evoke fear, judgment, or uncertainty.

Let's Talk About What You Need

You may already know exactly which training you want. You may simply know that your clinicians are encountering these cases and need more support. Either is a good reason to reach out.