RESUMO
BACKGROUND: Sexually transgressive behaviour by adolescents is a serious societal issue. Unfortunately, as this is a difficult group to research, the scientific evidence on which mental health workers can base their treatment is rather limited. AIM: Mapping treatment interventions and their impact based on practical experience. METHOD: Qualitative research, through in-depth interviews with Flemish mental health workers (n = 10), presented as a narrative thematic analysis. RESULTS: Adolescents who showed sexually transgressive behaviour were often scarred by developmental and psychological trauma. They should not necessarily be regarded as a separate category. Five main themes surfaced as focal points for treatment: aligning with the profile of the adolescent, resistance and motivation, therapeutical relationship, need for a positive story, and the context. In addition, some common practical obstacles for succesful treatment were also identified. CONCLUSION: Common factors of psychotherapy are key elements for their treatment as well. Treatment would also benefit from additional efforts, including investments into the continuity of care.