Inappropriate sexual behaviour in a person with developmental disability
Difficulty understanding appropriate context for sexual behaviour (eg where, when, how and with whom) may lead a person with developmental disability to express their sexual feelings in socially inappropriate or unhealthy ways.
Consider the underlying cause of any form of sexual behaviour that is considered problematic for the person, or others. Behaviour that is (or appears to be) sexual may be related to:
- the person’s developmental disability (eg repetitive and obsessive behaviour, this may affect how they express their sexuality)
- a medical condition (eg the discomfort of a urinary tract infection, menstrual cramps or chronic constipation)
- recent or past sexual (or other) abuse
- adverse effects from medications that alter sexual function
- boredom or a lack of meaningful activity
- lack of knowledge or experience (eg if a person masturbates in public, it may be because they don’t understand the difference between public and private places).
Provide support and education for healthy sexual expression and encourage a person with inappropriate sexual behaviour to seek opportunities to develop worthwhile and meaningful relationships (including sexual relationships if they want this and are able to consent).
Refer those with ongoing inappropriate sexual behaviour to an expert for assessment and positive behaviour support strategies; see also Problem sexual behaviour. Explore whether accessing a disability trained sex worker would be appropriate—for information, see The Touching Base website.
The National Disability Insurance Scheme (NDIS) funds a range of therapeutic supports including education about sexuality. The NDIS also has funding categories for social activities—consider referral if countering loneliness is part of the person’s support needs.