Supporting Sex Offenders with ID/DD In the Community Mike Kontura, CCBDD Forensic Liaison Carey L. Kleinschmidt, LISWS, Supervisor of Forensic Liaison Services Dept. of Behavioral and Health Supports Cuyahoga County Board of Developmental Disabilities

DoDD Work Group Assessed areas of need Tools developed for -The individual -Their SSA -Their providers -Members of their team Assessed areas of need Workgroup was able to identify current weakness ( changed weakness to need- sounds more supportive) for those who provide services to individuals with developmental disabilities who have convictions for sex offenses and developed tools to aid service and support administrator, the individual and members of the team to be used in the development and review of the Individual Service Plan.

Workgroup Focus Assessed areas of need Sex Offender Protocol Tools developed for -The individual -Their SSA -Their providers -Members of their team Sex Offender Protocol Sex Offender Protocol –Explains the type(s) of evaluations needed Checklist Guide to aid in looking at/discussing what type of supervision may be necessary in a particular setting Environmental Assessment – Checklist to aid in examining various settings Considerations for developing a Relapse Prevention Plan

Workgroup Focus Assessed areas of need Sex Offender Protocol Tools developed for -The individual -Their SSA -Their providers -Members of their team Sex Offender Protocol Checklist Guide Checklist Guide to aid in looking at/discussing what type of supervision may be necessary in a particular setting

Environmental Assessment Workgroup Focus Tools developed for -The individual -Their SSA -Their providers -Members of their team Assessed areas of need Sex Offender Protocol Checklist Guide Environmental Assessment – Checklist to aid in examining various settings Environmental Assessment

Environmental Assessment Considerations for Relapse Prevention Workgroup Focus Tools developed for -The individual -Their SSA -Their providers -Members of their team Assessed areas of need Sex Offender Protocol Checklist Guide Considerations for developing a Relapse Prevention Plan Environmental Assessment Considerations for Relapse Prevention

When you’ve met one sex offender… Sex Offender Protocol When you’ve met one sex offender… you’ve met. one. sex offender.

Sex Offender Protocol Basic Assumptions: Purpose of the Protocol: Increased risk = increased scrutiny Risks can be mitigated in community-based settings Purpose of the Protocol: Better understanding of the individual Better service plan for the individual

Sex Offender Protocol SSAs need good basic knowledge about sex offenders and sex offending behaviors Person-centered information is needed about the individual to make best practice service/support decisions Protocol is simply a guide that outlines how to gather needed information: Which individuals should receive this type of assessment? Who can do a sex-offender specific assessment? What type of assessment tools can be used? What type of information do I need for planning? What other factors should I consider?  

Sex Offender Protocol What type of information do I need for planning? Identifying information, reasons for referral, sources of information Personal and Social History Offense History Current Findings Summary: Provide a framework for understanding the individual and their actions including the impact of their developmental disability and mental health needs.

Sex Offender Protocol What type of information do I need for planning? Residence Type Support needs Offense-related restrictions Conditions of probation or parole Other requirements required by the Ohio Revised Code for those convicted of a sex offense. Level of Supervision How staff supervise (not how many staff) What specific contexts require different levels of supervision (library, YMCA, transportation, etc.) What are the off-limits places, people, contexts, etc. Other ‘supervision’ possibilities, etc.

Sex Offender Protocol What type of information do I need for planning? Treatment Recommendations What treatment is recommended? Given the individual’s diagnoses, what supports should be in place to maximize success in treatment? Restrictions re: porn, sharps, TV, internet, etc. are based on assessment. Goals for the Individual Outcomes Improvement of skills Supports to maximize independence (safety plan for community time, relapse prevention plan, etc.)

Sex Offender Protocol What other factors should I consider? Impact of mental health and/or developmental disability on the individual’s ability to make decisions in their own best interest Degree of assessed risk Implications of right’s restrictions on individuals’ rights.

Sex Offender Protocol What other factors should I consider? Individual’s level of cooperation with services/supports As well as the various services/supports cooperation with each other Individual’s capacity for independent living Individual’s legal status i.e. reporting status (Tier 1, 2, 3), probation/parole requirements, etc.

Sex Offender Protocol What other factors should I consider? Use community control via reporting requirements Probation/ parole, local police, courts understanding of developmental disability supports, etc. Mandate compliance with the notice/reporting requirements for individuals convicted of sex offense in the Ohio Revised Code.

Sex Offender Protocol What other factors should I consider? Disclose risk to neighbors, coworkers, etc. as warranted High risk environments lend to more detailed disclosure vs. low risk environments Risk environments are identified through a sex offender specific assessment Maximize treatment compliance

Sex Offender Protocol What other factors should I consider? Identify alternatives to supervision that mitigates areas of risk Maintain/review the safety/risk reduction/relapse prevention plans for higher risk contexts Focus on outcomes Regular review of provider training and compliance

Sex Offender Protocol EXAMPLES: Common sense planning Church-attending DJ Victim of greedy prostitute Retribution-related sex offense Sex offender treatment group bathroom break Sexualized anger

Sex Offender Protocol Have to learn to be comfortable with the uncomfortable Determining services/supports is targeted to the person not the offense Risk tolerance of your CBDD is tied to risk tolerance of your community Make team-based decisions based on solid assessment information and structured reasoning

Sex Offender Protocol Supplements to the protocol: Service Plan Development and Implementation Checklist for Sex Offenders http://dodd.ohio.gov/HealthandSafety/Documents/Ser vice%20Plan%20Development%20and%20Implementatio n%20Checklist%20for%20Offenders%20May,2014.pdf Environmental Assessment http://dodd.ohio.gov/HealthandSafety/Documents/En vironmental%20Assessment.pdf

Sex Offender Protocol Considerations for Developing Relapse Prevention Plans for Individuals with ID who have been Convicted of a Sex Offense http://dodd.ohio.gov/HealthandSafety/Documents/ Considerations%20for%20Developing%20ReRelapse %20Prevention%20Plans%20May,2014.pdf Sex Offender Protocol http://dodd.ohio.gov/HealthandSafety/Documents/ SEX%20OFFENDER%20PROTOCO%20May,2014.pdf

Sex Offender Protocol Questions?

Collaboration with Probation and Parole: Basics Court Supervised Release “CSR” Usually decided at an arraignment hearing Decision based on safety factors Judge orders a Personal Bond During pre-adjudication stages Assigned to a probation officer Standard probation orders apply Anything additional as ordered by the judge Person does not have to remain in jail awaiting trial.

Probation Supervision in the community Considered an alternative to prison Development of probation conditions Standard orders Client specific orders Journalized Can be modified at any time by the judge Goal: support the individual to be successful and keep them out of prison

Parole Means of supervision AFTER release from prison Judges can order supervision by Adult Parole Authority, but, ODRC assesses if parole is needed. All individuals convicted of Felony 1s, Felony 2s, and violent Felony 3s will have mandatory involvement with Parole. Non-violent Felony 3s, Felony 4s, and Felony 5s may or may not be supervise by Parole.

Collaboration Between Probation/Parole and BDD Teams Establish a relationship with the officers Invite them to the table Exchange information about various roles and goals of team members Educate the officer about the services available and service planning Educate the officer about what you CANNOT do

Collaboration Continued Develop cross-training for your team members Ask officers to train BDD team members about the CJS Provider training to the officers about individuals with DD/ID (identification and approach) and the county board system Flexibility and understanding Discuss specialization and whether or not it is necessary or feasible.

What to cover in the ISP… What is the judge ordering as part of probation? No contact orders? Mandated sex offender treatment? Substance abuse & Mental health treatment? Cooperation with BDD services and supports (compliance with ISP).

ISPs…… What are the reporting requirements? Weekly? Bi monthly? Monthly? Note in the ISP if a provider is involved in facilitating probation appointments Random drug testing? What location? Under what circumstances does the officer want to be notified? By whom?

Role and Engagement of the Community Identify your allies in the community Where are the open doors and listening ears? Educate Advocate Plan and do your due diligence Responsibility and Transparency

The End! Questions?