“…Although the CBT-RP approach represents the standard of care for juvenile sexual offenders in the United States (Letourneau, 2004;Letourneau & Miner, 2005), the limited research literature provides tentative support, at best, for this treatment approach when delivered in outpatient settings. Of three studies comparing CBT-RP with other intervention groups, one reported no between-groups differences in posttreatment recidivism rates (Lab, Shields, & Schondel, 1993), while two reported limited positive effects on recidivism for CBT-RP (Guarino-Ghezzi & Kimball, 1998;Worling & Curwen, 1998).…”