Sex offender treatment

2017 ◽  
Author(s):  
John M. W. Bradford ◽  
Giovana V. de Amorim Levin ◽  
Adekunle G. Ahmed ◽  
Sanjiv Gulati
Keyword(s):  
Sexual Offenders ◽  
Sex Offender ◽  
Sexual Offending ◽  
Sexual Offender ◽  
Offender Treatment ◽  
Assessment Instruments ◽  
Sex Offender Treatment ◽  
Sexual Offender Treatment ◽  
Actuarial Risk ◽  
Offending Behaviour

There are many misconceptions about sexual-offender treatment, which are particularly magnified when it comes to understanding and managing the risk of sexual offending in the community. Many of the misconceptions are based on faulty information about the types of treatment, treatment outcomes, and sexual-offence recidivism. Additionally, public misconception of sexual-offending behaviour in sexually deviant individuals creates stigma and fear. This is despite the large number of studies on sexual-offender treatment, recidivism, and treatment outcome available in the scientific literature. In fact, various actuarial risk-assessment instruments can be used to estimate the probability that a sexual offender will recidivate. Risk can be managed through treatment. The aim of this chapter is to review the evidence-based studies on the efficacy of sexual-offender treatment, as well as how the risk management of sexual offenders is currently implemented in sexual-offender treatment programmes.

Rape Treatment: An Overview of Current Knowledge

2010 ◽  
Vol 27 (4) ◽  
pp. 227-250 ◽  
Author(s):  
Jo Thakker ◽  
Theresa A. Gannon
Keyword(s):  
Sexual Offenders ◽  
Current Knowledge ◽  
Sexual Offending ◽  
Sexual Offender ◽  
Research Literature ◽  
Treatment Programs ◽  
Offender Treatment ◽  
Sexual Offender Treatment ◽  
Behaviour Therapy ◽  
Cognitive Behaviour

AbstractSexual offending is frequently seen by the lay person as being a result of an innate abnormality that is relatively fixed and unchangeable. Accordingly, sexual offenders are seen as more likely to recidivate than other types of offenders. In fact, this is not the case, and most sexual offenders do not re-offend. Also, contemporary research has shown that treatment programs driven by cognitive behaviour therapy significantly reduce rates of sexual offender recidivism. Nevertheless, while there has been a great deal of research on the treatment of child sexual offenders, the treatment of rapists has received comparatively less attention. Thus, the main aim of this article is to summarise current knowledge of sexual offender treatment, paying specific attention to the needs of rapists. In particular, we pay attention to the content of sexual offender treatment programs, and the relevance of this content to rape. We also discuss therapeutic issues of relevance for rapist treatment that are typically ignored or underestimated in the research literature. Finally, based upon our analysis of the literature, we present a schematic overview of rape treatment and identify important areas for further research.

Treatment Progress and Behavior Following 2 Years of Inpatient Sex Offender Treatment

Sexual Abuse ◽  
2016 ◽  
Vol 29 (1) ◽  
pp. 3-27 ◽  
Author(s):  
Jill D. Stinson ◽  
Judith V. Becker ◽  
Lee Ann McVay
Keyword(s):  
Sexual Offenders ◽  
Sex Offender ◽  
Sexual Offending ◽  
Self Regulation ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Regulatory Ability ◽  
The Impact ◽  
Over Time

Emerging research highlights the role of self-regulation in the treatment of sexual offenders. Safe Offender Strategies (SOS) is a manualized sex offender treatment program that emphasizes the role of self-regulation and self-regulatory skills development in sex offender treatment, particularly for offenders with serious mental illness and intellectual/developmental disabilities. The current study involves 156 adult male sexual offenders in an inpatient psychiatric setting who received SOS treatment for a period ranging from 6 months to 1 year. Participants’ baseline and treatment data were obtained from archival medical records describing 1 year pre-treatment and up to 2 years of treatment participation. Dependent variables included monthly count rates of verbal and physical aggression and contact and noncontact sexual offending, as well as sexual deviancy attitudes, self-regulatory ability, and cooperation with treatment and supervision, as measured by the Sex Offender Treatment Intervention and Progress Scale (SOTIPS). Data were examined via paired-samples t tests, regression, and multilevel modeling, examining the impact of overall percentage of SOS groups attended over time, comparing participants’ baseline measures to data from 2 years of treatment. The impact of predicted risk was also evaluated. Significant treatment dose effects were identified for improvements in aggression, sexual offending, and indicators of treatment compliance and change. These findings suggest that the skills-based, self-regulation approach utilized in SOS may be effective in improving clients’ aggressive and sexual behaviors, attitudes toward their offenses and treatment, and self-regulatory ability over time. Implications for further research and treatment generalizability are discussed.

scholarly journals On the Effectiveness of Sexual Offender Treatment in Prisons: A Comparison of Two Different Evaluation Designs in Routine Practice

Sexual Abuse ◽  
2019 ◽  
Vol 32 (4) ◽  
pp. 452-475 ◽  
Author(s):  
Friedrich Lösel ◽  
Eva Link ◽  
Martin Schmucker ◽  
Doris Bender ◽  
Maike Breuer ◽  
...  
Keyword(s):  
Sex Offenders ◽  
Sex Offender ◽  
Sexual Offending ◽  
Sexual Offender ◽  
Offender Treatment ◽  
Routine Practice ◽  
Sex Offender Treatment ◽  
Exact Matching ◽  
Negative Effects ◽  
Meta Analyses

Although there is less continuity of sexual offending in the life course than stereotypes suggest, treatment should lead to a further reduction of reoffending. Contrary to this aim, a recent large British study using propensity score matching (PSM) showed some negative effects of the core sex offender treatment program (SOTP) in prisons. International meta-analyses on the effects of sex offender treatment revealed that there is considerable variety in the results, and methodological aspects and the context play a significant role. Therefore, this study compared different designs in the evaluation of sex offender treatment in German prisons. PSM was compared with an exact matching (EM) by the Static-99 in a sample of 693 sex offenders from Bavarian prisons. Most results were similar for both methods and not significant due to low base rates. There was a treatment effect at p < .05 on general recidivism in the EM and at p = .06 on serious reoffending in the PSM. For sexual recidivism, EM showed a negative trend, whereas PSM suggested the opposite. Overall, the study underlines the need for more replications of evaluations of routine practice, methodological comparisons, sensitive outcome criteria, and differentiated policy information.

Assessing and treating sexual offenders with mental disorders

2014 ◽  
Vol 16 (2) ◽  
pp. 94-109 ◽  
Author(s):  
Alex Lord ◽  
Derek Perkins
Keyword(s):  
Mental Disorder ◽  
Sexual Offenders ◽  
Sexual Offending ◽  
Sexual Offender ◽  
Offender Treatment ◽  
Sexual Offender Treatment ◽  
Content Type ◽  
Mentally Disordered ◽  
Good Lives ◽  
Practical Implications

Purpose – The purpose of this paper is to increase our understanding of the role of mental disorder in sexual offending as well as identifying innovations in assessment and treatment with offenders who present with these typically complex risks and needs. Design/methodology/approach – The converging literatures on “good lives” and other developments in sexual offender treatment are compared with recovery from mental disorder and what is known about the particular needs and characteristics of sexual offenders with mental illness and severe personality disorder (PD). Findings – A key outcome of this review is that many mentally disordered sexual offenders have similar needs to those in prison and the community but there are particular challenges posed by severe PD, paraphilias and the relatively rare individuals whose offending is functionally linked to psychotic symptoms. Practical implications – Practical implications include the need for case formulation of complex needs related to mental disorder using direct and indirect measures of attitudes and interests. Treatment needs to be responsive to very different personality and mental health presentations as well as problems with offending and cognitive schemas. Direct functional links between mental health symptoms such as delusions and hallucinations are very rare in practice and are usually secondary to PD and sexual offending issues. In practice, treatment promoting recovery from mental disorder is highly compatible with the “good lives” approach to sexual offender treatment. Staff development, supervision and support are particularly important for staff treating mentally disordered sexual offenders. Originality/value – It is argued that mentally disordered sexual offenders are an under-researched sub-group within the wider sexual offender population. This paper brings together the relatively limited literature on treatment with examples of recent treatment innovations, multi-modal assessment approaches and reviews of research on the needs of this relatively uncommon but highly risky group.

scholarly journals International overview of phallometric testing for sexual offending behaviour and sexual risk

2021 ◽  
pp. 1-4
Author(s):  
Andrew Bickle ◽  
Colin Cameron ◽  
Tariq Hassan ◽  
Hira Safdar ◽  
Najat Khalifa
Keyword(s):  
International Development ◽  
Sex Offender ◽  
Sexual Offending ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Sexual Offences ◽  
Future Directions ◽  
Legal Decisions ◽  
System Risk ◽  
Offending Behaviour

Phallometry is an objective method of assessing male sexual arousal. The main applications in forensic psychiatry concern the evaluation of men charged with or convicted of sexual offences, the evaluation of those with suspected paraphilias not subject to the criminal justice system, risk assessment and measurement of response to sex offender treatment. In some jurisdictions, phallometry is incorporated into legal decisions about release from custody or discharge from secure hospitals. This paper provides a brief overview of the international development of phallometry, considers challenges to its broader adoption and discusses future directions for research and clinical practice.

Research Note: An Evaluation of Juvenile Sexual Offender Treatment

1993 ◽  
Vol 39 (4) ◽  
pp. 543-553 ◽  
Author(s):  
Steven P. Lab ◽  
Glenn Shields ◽  
Connie Schondel
Keyword(s):  
Sexual Offenders ◽  
Sexual Offending ◽  
Sexual Offender ◽  
Offender Treatment ◽  
Sexual Offender Treatment ◽  
Juvenile Sexual Offenders ◽  
Adequate Knowledge ◽  
Appropriate Treatment ◽  
Juvenile Sexual Offender ◽  
Better Than

Although interest in the treatment of juvenile sexual offenders has increased significantly in recent years, there are still few programs specifically geared toward these youths and few of the existing programs have been evaluated. This article presents an evaluation of one court-based program. The results show that youths handled in the program fare no better than youths processed through normal, nonoffense specific programming. These results suggest that the growth of interventions has proceeded without adequate knowledge of how to identify at-risk youths, the causes of the behavior, and the most appropriate treatment for juvenile sexual offending.

Sexual offender treatment outcomes among psychopathy subtypes

2018 ◽  
Vol 4 (3) ◽  
pp. 161-173 ◽  
Author(s):  
Lindsay A. Sewall ◽  
Mark E. Olver
Keyword(s):  
Sexual Offenders ◽  
Cox Regression ◽  
Sexual Offender ◽  
Offender Treatment ◽  
Cognitive Disability ◽  
Sexual Offender Treatment ◽  
Treatment Change ◽  
Content Type ◽  
Psychopathy Checklist Revised ◽  
General Recidivism

Purpose The purpose of this paper is to examine sexual offender treatment responses as a function of psychopathy subtype. Design/methodology/approach Measures of sexual violence risk, treatment change and outcome variables were coded retrospectively on a sample of 86 high Psychopathy Checklist-Revised (PCL-R) scoring sexual offenders. Psychopathy subtypes were identified through cluster analysis of PCL-R facet scores. Findings Two subtypes were identified labeled classic and aggressive. They were comparable in their level of risk and need and did not differ in rates of treatment completion or change. The aggressive subtype had higher rates of violent and general recidivism and higher frequencies of major mental disorder and cognitive disability. Results of Cox regression survival analysis demonstrated that treatment-related changes in risk were associated with reductions in violent recidivism for the aggressive, but not classic, psychopathy variant. Practical implications Psychopathy is a heterogeneous syndrome. Moreover, psychopathic offenders can demonstrate risk relevant treatment changes. PCL-R facet profiles have important responsivity implications. However, not all psychopathic offenders fare poorly in treatment. Originality/value This is one of very few studies to examine treatment response and links to outcome among psychopathic offenders, particularly as this relates to subtype.

Cognitive-Behavioral Therapy in the Treatment and Management of Sex Offenders

2010 ◽  
Vol 24 (2) ◽  
pp. 92-103 ◽  
Author(s):  
Megan Schaffer ◽  
Elizabeth L. Jeglic ◽  
Aviva Moster ◽  
Dorota Wnuk
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Sex Offenders ◽  
Sex Offender ◽  
Behavioral Therapy ◽  
Sexual Offending ◽  
Cognitive Behavioral ◽  
Offender Treatment ◽  
Sex Offending ◽  
Sex Offender Treatment ◽  
Adult Sexual Offending

In this article, current methods of conceptualizing and treating adult sexual offending are reviewed. First, the Risk-Needs-Responsivity (RNR) approach to sex offender management is presented and critiqued. Then, the newer Good Lives Model is discussed and contrasted with the aforementioned RNR approach. The discussion of these approaches to sex offender management and rehabilitation is followed by a review of those cognitive-behavioral therapy (CBT) techniques used to treat risk factors associated with sex offending, as such techniques are employed in both paradigms. Finally, research regarding the efficacy of using CBT techniques to treat sex offending behavior is presented, and future directions for sex offender treatment and management are discussed.

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