CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 31 Elements of Sex Offender-Specific Treatment: Learning Objectives Identify some of the components of sex offender-specific treatment Identify the four domains of sex offender- specific treatment Identify several ethical issues in the treatment of sex offenders

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 32 Two Facets of Sex Offender Management: Addressing both External and Internal Controls Internal Controls External Controls External Controls: Probation/Parole Supervision Polygraph Testing Registration/ Notification Use of Community Networks Internal Controls: The Four Domains of Treatment: Sexual Interests Distorted Attitudes Interpersonal Functioning Behavior Management

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 33 Characteristics of Sex Offender- Specific Treatment Explicit, empirically-based model of change Expected to reduce recidivism Social learning theory-based Targets factors closely linked to sex offending (criminogenic needs) Cognitive-behavioral techniques

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 34 Treatment is Skills Oriented Skills to avoid sex offending Skills to engage in legitimate activities “Skills oriented treatment” includes: Defining the skill Identifying the usefulness of the skill Modeling the skill Practicing the skill Giving feedback Practicing the skill again

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 35 How Long Should Sex Offender Treatment Last? Until recently, answers to this question were based only opinion—there is now research that addresses this question Different offenders require different lengths of treatment Higher levels of denial, sexual deviancy, and risk require longer, more intense treatment

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 36 Monitoring and Quality Control of Treatment are a Must Monitoring of: Program activities Clients

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 37 Treatment of the Denying Sex Offender Denial is common among sex offenders But, admitting is vital to treatment Sex offenders who do not admit at some point can’t be treated Therefore, treatment of denial is usually necessary to make a client ready for sex offender treatment

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 38 The Four Domains of Treatment Sexual Interests Distorted Attitudes Interpersonal Functioning Behavior Management

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 39 Behavior Management—The Fourth Domain of Treatment Sex offending is, by definition, mismanagement of behavior by the offender. Thus, the purpose of intervening in this treatment domain is to assist offenders to manage their behavior in responsible and non-victimizing ways. We will discuss two methods: Covert Sensitization Relapse Prevention

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 310 Goals of Covert Sensitization To reduce the attractiveness of sexual assault by having the offender focus on the negative social consequences he faces To have offenders explore all of the consequences of their actions—in particular the negative consequences which offenders so often refuse to recognize

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 311 Relapse Prevention First used in the treatment of alcohol and other drug abuse If behavior could be managed to avoid certain situations, then relapse was less likely Applied now in the treatment of sex offenders

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 312 Rationale for Relapse Prevention Sex offenders who believe that treatment will eliminate their risk for reoffense are more likely to recidivate Offenders who understand that they are never “cured,” recognize offense precursors, and avoid high risk thoughts, feelings, and behaviors are more likely to remain offense-free

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 313 Adjunctive Therapies Marital and family therapy Family education seminars and couples groups Substance abuse treatment Educational/vocational supports Individual therapy (usually for other issues)

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 314 Ethical Practice Standards Balancing the safety of the community with the offender’s privacy Informed consent Association for the Treatment of Sexual Abusers (ATSA) is the major professional organization that speaks to ethical practice standards in this field ATSA has issued a “Code of Ethics” as well as practice standards and guidelines

CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical AudienceShort Version: Section 315 A Major Ethical Issue: Informed Consent At a minimum, sex offenders entering treatment should have spelled out to them—preferably in writing: The purpose and nature of treatment Its expected duration Its anticipated benefits, costs, and risks Limitations of confidentiality