This article discusses the nature and extent of the problem of sexual abuse in community programs that serve people with mental retardation, as well as differing judicial approaches in assessing their ability to consent to sexual relations. Potential sources of provider liability for harm caused to program participants are explained. (Author/DB)

This comment on an article by A. J. Cooper rejects the suggestion that a mentally retarded youth's playing of a "sexual game" with a child may be innocuous. Cooper reaffirms that such "sex offending" is usually merely a crude attempt to fulfill normal sexual impulses in the context of poor adaptive behavior skills, sexual naivety, and social…

A retrospective chart review was used to examine sexual behaviors and cognitive impairment in 200 youth (ages 5-18) with serious mental illness. Lower IQ was associated with increased sexual acting-out. For more serious victimizing sexual behaviors, only verbal IQ differences were statistically significant. Overall, sexual behavior disorders were…