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A Stitch in Time Saves Nine

Dr. Ian Burke - Clinical & Forensic Psychologist
Wednesday 27 May 2026
Stitching - love

As the old saying goes, 'a stitch in time saves nine'. In no area is this more relevant than harmful sexual behaviour (HSB) in children and young people. Put simply, small, timely actions taken early can prevent far bigger problems later - for the child, their family, potential victims, and already stretched public services.

When early warning signs are missed, minimised or misunderstood, behaviour can become more frequent, more entrenched and more harmful. By the time services respond at crisis point, the costs - human and financial - are often significant.

Children who display HSB are not ‘mini versions’ of adults who engage in sexual offending. They are children, often with their own vulnerabilities, unmet needs, trauma histories, developmental delays, family stress, exposure to inappropriate sexual material, or difficulties with emotional regulation and boundaries. Research and practice guidance consistently emphasise that responses should be child-centred, proportionate and focused on support as well as safety.

"Children who display HSB are not ‘mini versions’ of adults who engage in sexual offending. They are children, often with their own vulnerabilities, unmet needs and trauma histories."

Early intervention might include:

  • Advice and consultation for parents, schools and professionals
  • Clear safety planning and supervision guidance
  • Specialist assessment to understand the behaviour in context
  • Therapeutic work addressing trauma, regulation, empathy and boundaries
  • Support for parents who may feel overwhelmed or ashamed
  • Education around consent, privacy and healthy relationships

These interventions are often modest in cost compared with the expense of later crisis responses such as repeated safeguarding investigations, placement breakdown, specialist foster care, residential care, exclusions, youth justice involvement, or long-term mental health support.

John was an 11-year-old boy whose school first noticed concerning behaviour. He had become increasingly intrusive with peers, used sexualised language well beyond his age, and had twice been accused touching peers inappropriately during play. Staff raised concerns, but these were seen as 'boys being boys' and no specialist advice was sought.

At home, John had experienced parental conflict, little supervision online, and had been exposed to adult sexual material. He was anxious, angry and socially isolated, but these wider issues were never explored or acknowledged.

Over the next 18 months, the behaviour escalated. John began coercing vulnerable peers, sending inappropriate messages online, and was eventually involved in a serious incident requiring police and social work involvement. The family became overwhelmed, his mother took time off work, and John was excluded from school. Relationships within the home deteriorated and his younger siblings required separate mental health support.

What might have helped earlier?

  • A prompt consultation with a specialist service
  • Guidance to school staff on supervision and boundaries
  • Support for parents to manage risk calmly and consistently
  • Assessment of trauma, emotional regulation and family stressors
  • Therapeutic intervention focused on empathy, impulse control and healthy development

Instead of a relatively low-cost early package of support, multiple agencies later became involved at far greater cost: social care meetings, police time, educational disruption, family support, mental health input and placement discussions. Most importantly, several children were harmed who may otherwise have been protected.

When systems wait for a threshold to be crossed, everyone pays more later. The child displaying the behaviour may become more stigmatised and entrenched. Victims may carry emotional consequences. Families can fracture. Services become reactive rather than preventative.

"When systems wait for a threshold to be crossed, everyone pays more later."

Early intervention is not about overreacting to every concern. It is about responding wisely, proportionately and promptly when warning signs emerge. It means recognising that children can change, and that support delivered at the right time can redirect a life trajectory.

The key message is simple: address issues early to avoid bigger problems later.  In the context of HSB, prevention is not only more economical - it is more compassionate, more effective, and safer for everyone involved.

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