Presentation in Sexpo's international seminar "Sex Offending: Preventive Interventions and Recidivism" 2013

1. 020-66 77 88
www.preventell.se

2. During the period 2011-2014 the government intensified efforts to prevent sexual
violence and sexual abuse.
A Government program of € 14 M. “Psychological, physical and sexual violence can
under no circumstances be accepted or excused. Men's physical, psychological and
sexual violence against women is a serious barrier to gender equality and women's
full enjoyment of human rights. Sexual violence contributes to inequality between
men and women in society at large, not only in the close relationship. The fear of
being exposed confines of girls and women living space. In addition to protecting and
assisting the victims, society must confront the underlying values ​​and attitudes that
contribute to violent exercise.”
Background

3.  Develop a helpline to prevent sexual violence by developing
existing telephone and Internet operations.
 Identify and chart healthcare providers and other stakeholders
in Sweden, and lay a foundation for a national network.
 Develop evidence-based treatment programs and evaluate the
effect of a helpline.

5. Target groups:
•Women and men who worry about their sexual thoughts and
acts, or have lost control of their sexual behavior
-”hypersexual disorder” and “sexual paraphilias”
•Persons at risk of a sexual behavior that might hurt
themselves or others.
•Loved ones, other care-givers, public authorities,
organizations or associations

6. •Toll free call number toPrevenTell
•Anonymous helpline
•No records on the phone bill
•Direct access weekdays between 10-14
•Always able to email or leave message 24/7
•Competent experienced Psychologists, psychotherapists and nurses take
PrevenTell calls
•Back up with psychiatrists / doctors are available if necessary
PrevenTell

7. •Containing 56 questions covering:
-Sexual History
-Socio-demographics, including previous healthcare contacts
-Intimate Partner Violence
-Psychiatric co-morbidity, including suicide risk assessment
-Triggers to call PrevenTell
-Motivation for treatment
-Intervention
Telephone screening,
semi-structured

9. •Target group the vast majority (68%)
•18% loved ones or relatives
•8% are care-givers, public authorities, organizations or
associations
•6% Not target of Helpline
Incoming calls
March 2012-March 2013 n=345
68%
18%
8%
6%
Target group Loved ones Profession Not target

10. “Out of control” sexual behavior (53%)
The behavior is accelerating and it scares person , limits of what
is allowed or not is fading
Ongoing crisis in partner relationship or relatives complained that
the person needs help (35%)
Recognition factors, as articles in newspapers and on the Internet
(10%)
Ongoing police investigation or criminal case (7%)
Triggers to call
March 2012-March 2013 n=212

11. •24% pedo/hebephilic sexual behavior and/or fantasies,
4 women
•14 % child-pornography use
•22 % coersive sexual interest
•26 % bought sexual services
PrevenTell callers
Data collected March 2012- March 2013. n=212

12.  18% have exposed their intimate partner for Violence,
during lifetime
 17% reported suicidal thoughts and/or plans
 53% of PrevenTell callers are referred to Casm for
treatment
 64% are highly motivated to get help for their
problematic sexual behavior

13. The majority of callers are women, 83%
The call concerns in 81% a man
Relation:
•72% partner
•13% parent
•12 % Other; ex-partner, children, colleague
•Approximately half (48%) called from large city
Area of problematic Sexual Behavior:
•57% Hypersexual Disorder
•33% Sexual paraphilias
•10% Other
Information:
•PrevenTell 24%
•Contact information for other care-givers 29%
Loved ones and relatives
Data collected March 2012 –March 2013 . n=58

14. Illustration of a call
Oskar 37 years male, working as a technician at a computer company. He has a
steady relationship since 4 years with a woman. His sexual orientation is bisexual,
he fantasizes a lot about men. His trigger to call PrevenTell is that his partner
threatening to leave him because she found out that he used child-pornography.
According to him, this only happened once, but he describes a behavior of
extensive pornography use and this is becoming a problem for him. His Internet
surfing sometimes reaches 6-7 hours a day and he has difficulties controlling his
behavior. Oskar’s interest in porn is wide, but preferably adults with bisexual
orientation.
Oskar has previously in life been depressed and is now most likely experiencing a
relapse. He has used violence against his partner occasionally and sometimes he
uses an ugly vocabulary to his partner when they fight. He is highly motivated for
treatment, and estimates 9, on a scale between 1-10, in interest to be free from his
compulsive pornography consumption.
Intervention?

15. Stefan Arver, Katarina Öberg, Elin Zamore, Cecilia Dhejne
katarina.oberg@karolinska.se
15
Centre for Andrology
and Sexualmedicine
Thank you