Problematic Sexual Behavior Program (PSB)
COMPREHENSIVE STATEWIDE RESPONSE TO SUPPORT YOUTH AND FAMILIES IMPACTED BY PROBLEMATIC SEXUAL BEHAVIORS.
What is the Problematic Sexual Behavior Program?
The PSB Program is a comprehensive statewide initiative addressing problematic sexual behaviors between minors in New Jersey. It ensures that all youth involved in PSB – both those engaging in PSB and those impacted by it – and their caregivers have access to specialized medical and mental health services.
The program includes four primary components: a referral process, training, funding administration, and oversight and accountability.
What is Problematic Sexual Behavior?
Problematic Sexual Behaviors are deviations from normative or typical sexual behavior, involving child-initiated actions with sexual body parts (i.e., genitals, anus, buttocks, or breasts) that are developmentally inappropriate and/or potentially harmful.
These behaviors are not limited to any specific age range, cultural background, socioeconomic level, or family structure. Contributing factors may include exposure to inappropriate sexual material, neglect, family violence, or being a victim of sexual abuse.
The Numbers
Behind PSB
In 20-25% of cases handled by Children’s Advocacy Centers (National Children’s Alliance 2015), youth under age 18 have sexually acted out against another child.
In New Jersey, 15%-30% of cases referred to Children’s Advocacy Centers and Regional Diagnostic and Treatment Centers involved a minor initiator/actor (NJ Problematic Sexual Behavior Workgroup 2022).
New Jersey's Problematic Sexual Behavior Program Annual Report 2024-2025
How Referrals Work
A specialized referral team within the State Central Registry assesses calls involving PSB to determine if the case should be screened in for potential child abuse/neglect or screened out.
Screened-out cases are referred to the local Specialized Care Coordinator (SCC), who provides families with referrals for specialized services and offers psychoeducation and resources.
Effective Treatment for PSB
Problematic sexual behaviors are serious, but there is hope. Evidence-based treatments are effective; 98% of children who complete treatment do not engage in the behavior again.
The program utilizes several evidence-based treatment models, including:
PSB-CBT School Age: Ages 7-12 years
PSB-CBT Adolescent: Ages 13-18
TF-CBT: Trauma-Focused Cognitive Behavioral Therapy for ages 3-12
Benefits: These treatments improve parent-child relationships, social skills, emotional regulation, and overall well-being.
Training and Technical Assistance
Evidence-based treatment training is provided to mental health clinicians throughout the state to increase the number of available providers.
Normal vs. Problematic Behaviors
Funding Support
Child Treatment Assistance Fund: Administered by the Department of Children and Families, this fund covers costs for specialized services for youth without an open case with the Division of Child Protection and Permanency.
Contact Us
For more information on the program, contact Maria Isabella (MIP) Pontoriero, Program Manager
Provider Roster
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