Relationships Between Treatment Delivery, Program Attrition, and Reoffending Outcomes in an Intensive Custodial Sex Offender Program

Sexual Abuse ◽  
2018 ◽  
Vol 31 (4) ◽  
pp. 477-499 ◽  
Author(s):  
Mark V. A. Howard ◽  
Abilio C. de Almeida Neto ◽  
Jennifer J. Galouzis
Keyword(s):  
Sex Offenders ◽  
Sex Offender ◽  
Treatment Effectiveness ◽  
Potential Interaction ◽  
Program Completion ◽  
Offender Treatment ◽  
Therapist Characteristics ◽  
Treatment Delivery ◽  
Program Adherence ◽  
Program Attrition

Retention of sex offenders to the completion of treatment is critical to program adherence to risk need responsivity (RNR) principles; however, it is also important to consider the potential interaction between attrition and treatment outcomes such as reoffending. The first aim of this study was to evaluate the influence of changes to treatment delivery in a residential sex offender treatment program (SOTP), including introduction of rolling groups and systematic emphasis on positive therapist characteristics, on likelihood of program noncompletion ( n = 652). Pooled regression modeling indicated that these operational interventions were associated with a significantly increased likelihood of program completion. We also examined whether variance in rates of participant attrition was related to reoffending outcomes for program completers ( n = 494). Incidence of attrition within completing participants’ treatment cohorts had a significant negative association with hazard of sexual reoffending that was not accounted for by pretreatment risk. Results are discussed in terms of their implications for treatment delivery processes that aim to optimize both participant retention and treatment effectiveness.

Measuring the effectiveness of sex offender treatment

2011 ◽  
Vol 26 (S2) ◽  
pp. 2062-2062
Author(s):  
J. Endrass ◽  
A. Rossegger ◽  
F. Urbaniok
Keyword(s):  
Sex Offenders ◽  
Sex Offender ◽  
Treatment Effectiveness ◽  
Future Research ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Recidivism Rates ◽  
Therapy Effectiveness ◽  
Key Factor ◽  
Sex Offense

Depending on the subject of the evaluation different outcome measures are necessary. Generally recidivism rates are considered to be state of the art in the assessment of forensic therapy effectiveness. In this context, recidivism can be defined differently. Thus a definition may include only new convictions for a specific type of offense or any offense or may even include new charges as well. In the evaluation of sex offender treatments it is often considered to be self-evident to define recidivism as a reconviction or new charge for a sex offense. Some authors however argue - not without reason - to include any type of violent offense in the definition. The evaluation of treatment effectiveness suggests however, also including therapeutic criteria such as level of openness of the patient. Especially openness about sexual fantasies relevant to the sex offense may be a key factor in the treatment of sex offenders. It is suggested that future research in the area include such ‘softer’ criteria as well.

scholarly journals “Mr S, you do have sexual fantasies?” The Parole Hearing and Treatment of a Sex Offender at the Turn of the 21st Century

2013 ◽  
Vol 38 (1) ◽  
pp. 33-64 ◽  
Author(s):  
Dany Lacombe
Keyword(s):  
Sex Offenders ◽  
Treatment Program ◽  
Sex Offender ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Sexual Fantasies ◽  
Parole Board ◽  
Clear Sign ◽  
Prevention Plan

How does the Parole Board decide a sex offender is rehabilitated and can be released into the community? This case study of a parole hearing reveals the significance the Parole Board gives to a sex offender’s management of his arousal as a clear sign of his rehabilitation. To explain the Board’s preoccupation with a sex offender’s sexual fantasies and arousal, I draw on a prison ethnography of a sex offender treatment program. Rehabilitation as risk management relies on the development of a crime cycle and relapse prevention plan designed to grasp the connection between fantasies, arousal and offending. I argue the parole hearing and treatment program exist in a symbiotic relationship that fabricates the sex offender into a species larger than life, one at risk of offending all the time. Key words: rehabilitation, sex offenders, parole, sexual fantasies, ethnography, prison.

The Use of Leuprolide Acetate in the Management of High-Risk Sex Offenders

Sexual Abuse ◽  
2018 ◽  
Vol 31 (8) ◽  
pp. 930-951 ◽  
Author(s):  
Alessandra Gallo ◽  
Jeffrey Abracen ◽  
Jan Looman ◽  
Elizabeth Jeglic ◽  
Robert Dickey
Keyword(s):  
Sex Offenders ◽  
Sexual Offenders ◽  
Sex Offender ◽  
Behavioral Therapy ◽  
A Priori ◽  
Dependent Measure ◽  
Leuprolide Acetate ◽  
Offender Treatment ◽  
Term Outcome ◽  
Long Term Outcome

The present study investigates whether leuprolide acetate (Lupron) adds to the efficacy of traditional sex offender treatment. A group of sex offenders receiving both Lupron and cognitive behavioral therapy (CBT; n = 25) were compared with a group of sex offenders receiving only CBT ( n = 22). Treated subjects were compared with norms available with reference to the Static-99R, as well as compared with a sample of untreated, nonsexual violent offenders ( n = 81), to provide baseline data regarding risk of violent recidivism. Results indicated that subjects receiving Lupron were at significantly higher risk of recidivism and significantly more likely to be diagnosed with a paraphilia than subjects receiving only CBT, a priori. Both treated groups of sexual offenders recidivated at substantially lower rates than predicted by the Static-99R. Currently, this study represents the only, long-term outcome study on Lupron administration using officially recorded recidivism as the primary dependent measure.

Prison-based sex offender treatment programs in the post sexual psychopath era

1995 ◽  
Vol 23 (4) ◽  
pp. 555-581 ◽  
Author(s):  
Patricia M. Harris
Keyword(s):  
Sex Offenders ◽  
Behavioral Treatment ◽  
Sex Offender ◽  
Treatment Programs ◽  
Offender Treatment ◽  
Sex Offender Treatment ◽  
Social Scientists ◽  
Treatment Methods ◽  
State Prisons ◽  
New Generation

Throughout the 1980s sex offender treatment programs proliferated in state prisons in the wake of repealed sexual psychopath legislation, driven by much favorable publicity over novel cognitive and behavioral treatment methods. This article examines the scope and likely impact of the new generation of sex offender treatment programs and concludes that heightened optimism may be premature. The new programs embody the same defects that the repeal of psychopath legislation was intended to correct. The enterprise of sex offender treatment would benefit from participation of social scientists outside of the treatment field in research on sex offenders.

The Impact of Interpersonal Style on Ruptures and Repairs in the Therapeutic Alliance Between Offenders and Therapists in Sex Offender Treatment

Sexual Abuse ◽  
2015 ◽  
Vol 29 (7) ◽  
pp. 709-728 ◽  
Author(s):  
Rachael Watson ◽  
Stuart Thomas ◽  
Michael Daffern
Keyword(s):  
Sex Offenders ◽  
Therapeutic Alliance ◽  
Therapeutic Relationship ◽  
Sexual Offenders ◽  
Group Treatment ◽  
Sex Offender ◽  
Psychological Treatment ◽  
Offender Treatment ◽  
Interpersonal Style ◽  
The Impact

The therapeutic relationship is a critical component of psychological treatment. Strain can occur in the relationship, particularly when working with offenders, and more specifically, those offenders with interpersonal difficulties; strain can lead to a rupture, which may affect treatment participation and performance. This study examined ruptures in the therapeutic relationship in sexual offenders participating in offense-focused group treatment. Fifty-four sex offenders rated the therapeutic alliance at the commencement and completion of treatment; at the completion of treatment, they also reported on the occurrence of ruptures and whether they believed these ruptures were repaired. Ruptures were separated by type, according to severity—Each relationship was therefore characterized as experiencing no rupture, a minor rupture, or a major rupture. Offender characteristics including interpersonal style (IPS) and psychopathy were assessed at the commencement of treatment; their relationship with ruptures was examined. Results revealed that more than half of the offenders (approximately 55%) experienced a rupture in the therapeutic alliance, with one in four of these ruptures remaining unresolved. Offenders who did not report a rupture rated the therapeutic alliance significantly higher at the end of treatment compared with those offenders who reported a rupture that was not repaired. Offenders who reported a major rupture in the therapeutic relationship were higher in interpersonal hostility and hostile-dominance. No interpersonal or offense-specific factors affected the likelihood of a rupture repair.

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.

scholarly journals Establishing a sex offender treatment programme within a prison

1996 ◽  
Vol 20 (5) ◽  
pp. 261-263
Author(s):  
C. Jones
Keyword(s):  
Sex Offenders ◽  
Sex Offender ◽  
Offender Treatment ◽  
Treatment Programme ◽  
Sex Offender Treatment ◽  
The Core

In 1991 the Prison Service began to develop a programme of treatment for sex offenders in custody. HMP Risley was the first establishment to successfully establish and run the ‘Core Treatment Programme’. This paper examines some of the issues involved in setting up such a programme, which was designed to be implemented by relatively inexperienced staff.

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