White's Trial Counsel elicited testimony from two expert witnesses that challenged the opinions of McMahon and Griffith. Dr. Kamel Rekab (Rekab), a professor of statistics at the University of Missouri-Kansas City, testified that actuarial instruments such as the Static-99R and the Static-2002 were inaccurate predictors of behavior. Rekab also pointed out that according to the Static 99R model, White's score of 4, did not statistically predict him to recidivate.
Q. So even if we accept the Static-99R and use it on it's [sic] own terms, the model itself says that with a score of 4 that person is predicted not to recidivate?
A. It's not that -- I can say more. Any score of 5 and up he will recidivate. Any score of 5 and up; 5, 6, 7 and up to 12 will recidivate. Any score from 4 and below will not recidivate because of the threshold. Threshold is 18 percent.
White's second expert, Eric Janus (Janus), was a law professor who specialized in the study of how the law addresses sexually violent offenders and had published on the subject of volitional control. Janus testified that, after he had reviewed the reports completed by the State's experts, it was his opinion that the reports failed to incorporate the standard and principles accepted in the field of law and psychology to distinguish a sexually violent predator from a typical recidivist. However, the trial court limited Janus' testimony, sustaining objections that Janus could not testify regarding the sufficiency of the work of the state's experts, as follows: "The question is whether he's qualified to offer an opinion about whether the forensic psychologists did their jobs properly which he's not qualified to do, so the objection is sustained."
At the conclusion of the evidence the jury returned a verdict finding that White was a sexually violent predator, and the trial court then entered its judgment committing him to the Department of Mental Health as a sexually violent predator. This appeal follows.
ANALYSIS
No error in refusing to submit the limiting instruction proposed by White.
In order to have White committed as a sexually violent predator, the State was required to prove that he had been convicted of an "index" sexually violent offense5 and that he had a mental abnormality making him more likely than not to *293commit a future act of sexually predatory violence unless confined to the custody of the Department of Mental Health. § 632.480(5). There is no dispute that the 1996 convictions in Atchison County (of statutory sodomy in the first degree) met the first requirement that White had been convicted of an "index" sexually violent offense. Id. The dispute at trial was whether White had a mental abnormality that made him more likely than not to commit a future act of predatory sexual violence if not confined. Id.
In his first point on appeal, White contends that the trial court erred in failing to give a limiting instruction regarding hearsay evidence that the experts related to the jury as part of the basis for their opinions. White concedes that such "evidence which is inadmissible for one purpose may be admissible for another." Danbury v. Jackson Cty. , 990 S.W.2d 160, 165 (Mo. App. W.D. 1999). At the instruction conference, White submitted the following proposed jury instruction: "An expert can rely on hearsay information provided that those sources are not offered as independent substantive evidence, but rather serve only as a background for his or her opinion." The trial court found this instruction improper, and Trial Counsel did not provide an alternative limiting instruction.
"Whether to give a cautionary instruction is generally within the trial court's discretion. When exercising its discretion, the court should be guided by the degree to which the jury may be misled by the evidence." Martin v. Durham , 933 S.W.2d 921, 924 (Mo. App. W.D. 1996) (internal citations omitted). In this case, White asserts that, under Missouri law, he is entitled to the limiting instruction as a matter of right. Eltiste v. Ford Motor Co. , 167 S.W.3d 742, 756 (Mo. App. E.D. 2005) (" 'When a trial court receives evidence admissible for one purpose but not for another, a party upon request is entitled to an instruction limiting the extent and purpose for which the jury may consider the evidence.' ") (quoting Clayton Center Associates v. W.R. Grace & Company, 861 S.W.2d 686, 691 (Mo. App. E.D. 1993) ). Our inquiry is not only into whether White was entitled to a limiting instruction, but also whether the failure to provide the instruction materially affected the result of the trial, resulting in prejudice to White. Id. ("While failure to give an instruction to which a party is entitled to [sic] is error, reversal is warranted only if the error is prejudicial, that is when the merits of the action are materially affected.").
White argues that he was prejudiced because the jury could have considered the hearsay statements relied upon by the experts in forming their opinions as substantive evidence of the truth of the matters asserted in those statements. In particular, White contends that there was a danger that the jury would commit him because of the incidents of sexual abuse that he related to McMahon. White maintains that the State encouraged this in its closing argument. "[W]e know that he has at least 11 victims in his history that we never charged, that he was never punished for. Mr. White is the reason why we have this [SVP] legislation, why we have this proceeding."6 White's claim that the trial court was required to provide the instruction, and the prejudice he contends sprang from it, fails to acknowledge the nature of the proceeding.
In Missouri, SVP commitments are civil proceedings. While some criminal due process protections are afforded to those facing commitment, there is no requirement *294that the trial court give a 'statement to doctors' instruction in civil cases generally or under the SVP statute. The instruction is required only in criminal cases to protect the accused from self-incrimination, a constitutional right which the U.S. Supreme Court has held is not applicable in civil commitment proceedings. Because treatment, rather than punishment, was the purpose of the proceeding, Mr. Wadleigh's statements to the mental health experts were not shielded by the Fifth Amendment privilege.
Care & Treatment of Wadleigh v. State, 145 S.W.3d 434, 439-40 (Mo. App. W.D. 2004) (internal citations omitted).
In Missouri, the statements made by White to McMahon, even though hearsay, would be admissible as an admission against interest. Gamble v. Browning , 277 S.W.3d 723, 728 (Mo. App. W.D. 2008). Consequently, the jury would have been free to view White's admissions to McMahon and Griffith as substantive evidence of the truth of the matter they asserted.
White's proposed limiting instruction asked that the jury be informed that all hearsay evidence utilized by the experts not be viewed "as independent substantive evidence." In the context of evidence which is admissible for one purpose but not another "the giving of a limiting instruction depends on the making of 'a proper request' ... '[i]n the absence of a proper request therefor, the objector cannot successfully complain of the failure of the court to give a limiting instruction.' " Sapp v. Morrison Bros. Co. , 295 S.W.3d 470, 484 (Mo. App. W.D. 2009) (quoting Dyer v. Globe-Democrat Publ'g Co., 378 S.W.2d 570, 581 (Mo. 1964) ). When a party's request for a limiting instruction does not "recognize[ ] the full range of the issues to which the ... evidence was relevant, they cannot obtain reversal here based on the trial court's refusal to give the limiting instruction they actually tendered." Id. at 486. Since White's proposed limiting instruction failed to delineate which hearsay statements relied upon by the State's experts were not admissible as substantive evidence of the truth asserted, we do not find that the trial court erred in failing to give it.
Furthermore, White's own admissions (that he had sexually abused 11 other children before the 1996 offenses in Atchison County) were the primary sources of hearsay discussed by the State's experts in explaining their opinions at trial. White's counsel made no specific contemporaneous objection to hearsay of others relied upon by the State's experts, and, in fact, it appears there is little discussion in the direct examination of the State's experts regarding such other hearsay.7 In light of White's own damning admissions, even if defense counsel had made a timely or proper request for a limiting instruction regarding the other hearsay relied upon by the State's experts, the failure to give a limiting instruction did not materially affect the result of the trial. See Eltiste, 167 S.W.3d at 756.
Point I is denied.
No error in denying White's motion for a directed verdict.8
In his fourth point on appeal, White maintains that the trial court erred in denying *295his motion for a directed verdict, because the State failed to introduce evidence that he was more likely than not to reoffend by committing predatory acts of sexual violence. White argues that the State therefore failed to make a submissible case under the Act.
When reviewing the denial of a motion for a directed verdict, this Court is required to determine whether the State made a submissible case. In re Care & Treatment of Cokes , 107 S.W.3d 317, 321 (Mo. App. W.D. 2003). In making that determination, we view the evidence and all reasonable inferences from that evidence in the light most favorable to the State. Id. We disregard all evidence contrary to the State's case. Id. We do not supply missing evidence nor do we "give the plaintiff the benefit of unreasonable, speculative, or forced inferences." Id. Ultimately, we require that the evidence, and reasonable inferences drawn from it, establish all elements and not leave any substantive issue to speculation. Id.
In the instant case, White contends that the State failed to put forward "evidence from which the jury could reasonably infer that Mr. White's past or future acts would be 'directed towards individuals, including family members, for the primary purpose of victimization.' " App. Br. 42, (quoting § 632.480(3)). White relies on Cokes for this assertion. In Cokes , the expert witness for the State was asked whether the defendant was likely to "sexually reoffend." 107 S.W.3d at 322. The expert answered that in his opinion "in terms of probability it is more likely than not that he will reoffend." Id. This Court found that the state's expert never expressed an opinion as to whether he would reoffend in a predatory and sexually violent way as required by the Act; and reversed and remanded the case for a new trial. Id. at 323-25. White asserts that the same issue is present in McMahon's testimony in this case:
Q. Doctor, you already told us you believe within a reasonable degree of scientific certainty that Mr. White suffers from a mental abnormality. Do you have an opinion within a reasonable degree of scientific certainty whether or not that mental abnormality makes Mr. White more likely than not to engage in predatory acts of sexual violence if he is not confined within a facility?
A. Yes, I do.
Q. What is your opinion?
A. If Mr. White is not confined to a secure facility his mental abnormality of pedophilic disorder is going to make it so that he is more likely than not to reoffend.
In Cokes , this Court noted that the expert's written report stated that the defendant's "mental abnormality makes him more likely than not to engage in predatory acts of sexual violence." Id. at 325. The report was not offered into evidence at trial, but had it been, this Court found that it would have been sufficient evidence:
[T]he record indicates that the State could have presented sufficient evidence to allow the jury to reasonably infer that the appellant was more likely than not to engage in predatory acts of sexual violence had the State's counsel simply asked Dr. Mandracchia whether, in his expert opinion, the appellant's likelihood of sexually reoffending would occur in a violent and predatory manner.
In this matter, the State asked its expert, McMahon, exactly what was suggested *296in Cokes -- whether she had an opinion as to whether White was more likely than not to engage in such predatory acts of sexual violence if not confined. McMahon replied that she had such an opinion, and her opinion was that, if not confined, he was more likely than not to reoffend. White argues that McMahon's answer was not an affirmative response to the State's question, but instead a clarification. This argument elevates form over substance. In the context of the testimony it is reasonable to infer that McMahon was answering affirmatively to the State's inquiry - that it was her opinion that he was more likely than not to reoffend by committing a predatory act of sexual violence if not confined.9
Point IV is denied.
No prejudice resulted from purported ineffective assistance of counsel.
In his second, third, and fifth points on appeal, White claims that the trial court erred in permitting him to be committed as a sexually violent predator because he did not receive effective assistance of counsel. Because an SVP proceeding impairs a protected liberty interest, the Missouri Supreme Court has held that individuals subject to a commitment proceeding have a due process right to counsel that attaches when the action is brought. Bernat v. State , 194 S.W.3d 863, 868 (Mo. banc 2006). In Grado v. State , 559 S.W.3d 888 (Mo. banc 2018), the Missouri State Supreme Court recently made clear that the right to counsel includes the right to effective counsel.
[A]n SVP proceeding is the original trial at which the initial determination is made whether the respondent can be involuntarily committed as an SVP. These original actions are brought by the State and result in a proceeding in which the courts determine in the first instance whether the person's liberty will be taken away. Counsel in these proceedings help to protect the individual from having a fundamental right of liberty taken away. The SVP proceeding is in this way more comparable to the trial of a criminal defendant than to the criminal defendant's postconviction proceeding. In the criminal context, this Court has recognized the right to counsel means the right to effective counsel.
Noting that there is currently no statutory mechanism that provides a method for the subject of an involuntary commitment as a sexually violent predator to assert that their right to effective counsel was infringed, the Grado Court held that, where the record was adequate, claims of *297ineffective assistance of counsel could be raised on direct appeal. Id. at 897.
However, the Grado Court declined to elect a standard of review for evaluation of the effectiveness of counsel, finding that Grado's counsel was effective under either the "meaningful hearing" standard proposed by the State or the Strickland test proposed by Grado. Id. at 898.10 For the purpose of reviewing whether White's claims of ineffective assistance of counsel are cognizable on this direct appeal we will review the effectiveness of White's counsel under the more exacting Strickland standard. Under the test outlined in Strickland v. Washington , 466 U.S. 668, 687, 104 S.Ct. 2052, 80 L.Ed.2d 674 (1984), White was required to prove two elements to establish he was entitled to relief for the inadequate performance of counsel: "(1) that counsel's performance did not conform to the degree of skill, care and diligence of a reasonably competent attorney; and (2) that [White] was thereby prejudiced." Haskett v. State , 152 S.W.3d 906, 909 (Mo. App. W.D. 2005). If White fails to demonstrate either of the two elements it is not necessary for us to conduct an analysis of both the ineffective assistance and prejudice prongs. Johnson v. State , 451 S.W.3d 276, 279 (Mo. App. W.D. 2014).
In his second point, White contends that Trial Counsel's failure to call Dr. Luis Rosell (Rosell) as an expert witness constituted ineffective assistance of counsel, because Rosell would have testified that White was not a sexually violent predator. To establish that his trial counsel did not exercise the customary skill and diligence of a reasonably competent attorney, White has to show that the decision not to call Rosell as a witness "fell outside the wide range of professional competent assistance." Zink v. State , 278 S.W.3d 170, 176 (Mo. banc 2009) (quoting Anderson v. State , 196 S.W.3d 28, 33 (Mo. banc 2006) ). Failure to call a witness can support a claim for ineffective assistance of counsel if "(1) trial counsel knew or should have known of the existence of the witness; (2) the witness could be located through reasonable investigation; (3) the witness would testify; and (4) the witness's testimony would have produced a viable defense." Radmer v. State , 362 S.W.3d 52, 55 (Mo. App. W.D. 2012) (internal quotation marks omitted) (quoting Hutchison v. State, 150 S.W.3d 292, 304 (Mo. banc 2004) ). Our Supreme Court determined that "[t]rial counsel's selection of which expert witnesses to call at trial generally is a question of trial strategy and is virtually unchallengeable. To show ineffective assistance *298of counsel based on failure to present an expert witness, a movant is required to show what the evidence would have been if the witness had been called." Anderson v. State , 564 S.W.3d 592, 602 (Mo. banc 2018) (internal citation omitted).
The record on appeal is devoid of any discussion of why Trial Counsel did not call Rosell as a witness.11 The record does not establish whether Rosell was available to testify or whether that testimony would have been helpful to White.12 The record does not indicate whether the decision to not call Rosell as a witness was intended trial strategy; or whether it was an oversight or a failure to be prepared. The record is therefore inadequate to determine whether not calling Rosell as a witness was reasonable trial strategy; or whether, in failing to call Rosell, trial counsel's performance did not conform to the degree of skill, care and diligence of a reasonably competent attorney.13 The record does not therefore establish (one way or the other) whether not calling Rosell as a witness (as alleged in Point II) satisfies the first (performance) prong of the Strickland test.
In his third and fifth points on appeal, White contends that his counsel was ineffective in cross-examining the State's expert McMahon. In particular, in his third point White asserts that trial counsel's performance was ineffective, when, in cross-examining McMahon, he elicited testimony regarding a police report of the 1996 Missouri index offense, which indicated that White had anally sodomized the child victim. In cross-examining McMahon, White's counsel attempted to discredit McMahon's finding, which relied on this report, by introducing an earlier police report which indicated that White had not anally sodomized the victim. McMahon related that the police reports came up in her interview with White, because White felt it important to clarify that he had not committed that particular act (anally sodomizing the victim). McMahon conceded that this earlier report was consistent with White's denial of anal penetration in his interview with her. McMahon maintained that it was possible for the victim to have been assaulted in that manner and only share that fact later. We find the record sufficient to establish that this effort to discredit the foundation of the McMahon testimony was (as presumed) reasonable trial strategy, and that counsel's performance did not fail to conform to the degree of skill, care, and diligence of a reasonably competent attorney. Anderson , 564 S.W. 3d at 600.
In his fifth point on appeal, White maintains that his trial counsel was ineffective, when, in the course of his cross-examining McMahon regarding her calculation of his Static99-R score, counsel elicited testimony that was damaging to White's position.14 In particular, White *299contends that this cross-examination of McMahon provided the only evidence which would indicate that White would be likely to reoffend. As previously discussed, this contention is inaccurate, as there was ample evidence that White had repeatedly committed sexual offenses, and committed the index offenses shortly after his release from prison on a separate offense and while on parole. Trial Counsel's cross-examination of McMahon revealed that White's score on the Static99R was 20.1%. By bringing this into evidence, White was able to argue that a 20% chance of reoffending did not mean that White was more likely than not to reoffend. Again, we find the record adequately demonstrates that this was a reasonable trial strategy, and that in conducting this portion of the cross-examination of McMahon, White's counsel conformed to the degree of skill, care, and diligence of a reasonably competent attorney.
To prevail on his claim of ineffective assistance of counsel, White must also show that he was prejudiced by his counsel's alleged failure to perform in a competent fashion (the second prong of the Strickland standard). Id. If we assume, arguendo , that White's Trial Counsel was ineffective in failing to call Rosell as a witness (which we cannot determine by the record), and that counsel was ineffective in his cross-examination of McMahon (which is actually refuted by the record), we find that the record is adequate to determine the second prong of the Strickland test: whether "there is a reasonable probability that, but for counsel's [alleged] unprofessional errors, the result of the proceeding would have been different. A reasonable probability is a probability sufficient to undermine confidence in the outcome." Deck v. State , 68 S.W.3d 418, 426 (Mo. banc 2002) (quoting Strickland , 466 U.S. at 694, 104 S.Ct. 2052 ). "This standard is not met by showing that the errors 'had some conceivable effect on the outcome of the proceeding' or that the errors 'impaired the presentation of the defense,' as those standards are either unworkable or subject to being satisfied by every error." Id. (quoting Strickland , 466 U.S. at 693, 104 S.Ct. 2052 ).
In the instant case, the evidence was that White had engaged in a pattern of repeated sexual assault on ten underage victims by the time he was nineteen; and *300that this pattern was only interrupted when he was imprisoned for sexual assault of a minor in Texas. This pattern resumed within five months after he was released from Texas when he committed the index offenses in Missouri, which occurred while he was on supervised parole. The evidence further established that White had failed to complete the Missouri Sex Offender Program while in prison and that he continued to act out sexually while in prison, despite the highly controlled correctional environment, and even though he incurred negative consequences for these actions. White also reported to Griffith that he "lately" had been masturbating to sexual thoughts of children. Based on that and other evidence, Griffith and McMahon both concluded that White suffered from a mental abnormality that caused him to have sexual desires for children and that he had not demonstrated an ability to control those urges.
White asserts in his second point on appeal that Rosell would have indicated that White was not a sexually violent predator; and the State appears to acknowledge that Rosell's opinion would have been that "the facts that [the State's] experts looked at do not lead me to the conclusion that he has serious difficulty controlling his behavior."15 In light of the overwhelming evidence that White was unable to control his urges, the testimony of an expert (Rosell) who examined the same evidence, but purportedly came to a different conclusion than the State's two experts, without something more, does not demonstrate a reasonable probability that the jury would have come to a different conclusion. Even if Rosell would have testified as alleged in White's Brief and as acknowledged by the State, and if we assume, arguendo , that counsel was ineffective in its cross-examination of McMahon, these purported errors do not undermine confidence in the outcome, and do not establish that "there is a reasonable probability that" the results of the proceeding would have been different. Liggins v. State , 512 S.W.3d 847, 850 (Mo. App. E.D. 2017).
Points II, III, and V are denied.
CONCLUSION
The judgment of the trial court is affirmed.
All concur.