1. CREATING SAFETY Supervision Of Juvenile Sexual Abusers in the Community Risky Business Conference 2015 Brian Nissen--LBSW

5. Michael F. Caldwell 2007

6. PERCENT RECIDIVISIMPERCENT RECIDIVISIM YEARS Michael F. Caldwell 2007

8. 2009 US Department of Justice Study

10. PREVENTING RELAPSE VS. REDUCING RELAPSE There are no guarantees Everyone holds risk Knowledge Responsibility Vigilance

11. SERVICES Out-Patient Group Services Individual Counseling Family Counseling Psychiatric Services Probation/Tracking Assessment Mentoring

12. ASSESSMENT Learn Predictive Risk Identify Individualized Risk Factors Allows for Targeted Goal Setting Identifies Tangible Progress Helps Balance “Risk” and “Best Practice”

13. SUPERVISION Who Can and Who Can’t? Who Should and Who Shouldn’t? Is Over-Supervision Possible? What About School and Other Activities? Home vs. Prison

14. ENVIORNMENT Structured Consistent Open Trusting Understanding Caring Flexible Dedicated Non-Judgmental Thick Skinned Educated/Knowledgeable

15. HIGH RISK FACTORS These factors are unique to each person Can be situational, emotional, or environmental Factors are fluid and changing with time and situation Don’t mean an offense will occur, just a higher risk of offense

16. RISK FACTORS Obsessive Sexual Interests/Preoccupation with Sexual Thoughts Antisocial Interpersonal Orientation Lack of Intimate Peer Relationships/Social Isolation Interpersonal Aggression Problematic Parent-Offender Relationship/Parental Rejection

17. RED FLAGS Social Isolation Depression Sudden Change in Mood or Behavior Social Interest in Younger Peers Sexualized Talk and Interests Anti-Social Behaviors/Values/Thinking Personal Space Violations Unaccounted for Time Chronic use of Pornography and/or Masturbation Relationship Disruption such as Break-ups or Rejection

18. SAFETY PLAN A realistic safety plan should contain the following Identification of potential high risk factors Multiple strategies for addressing each risk factor Designated support persons they can contact when needed Identification of specific red flags and triggers Identification of goals Identification of motivations---Both internal and external Statement of commitment

19. RELATONSHIPS Who Should they “Hang Out” With? Same age Peers Pro-Social Mentally and Physically Equal What about Romantic Relationships? This is a Long Term Goal of Many Treatment Programs Very Case Specific Takes Time Must be Disclosure

20. SEX OFFENDER REGISTRY

21. PROS Keeps community informed Increases accountability of registrant Verifies information Enables law enforcement to locate registrant quickly Helps the public “feel” safe

22. SEX OFFENDER REGISTRY Cons Not shown to decrease recidivism Residency restrictions Education disruption Employment struggles Reduces available resources for services Counter-productive emotionally Counter-productive socially

23. COMMUNICATION Who Needs to Know? Who Doesn’t Need to Know? Breaking Barriers Build Bridges Avoiding Secrets Stay Informed Ask Questions

24. QUESTIONS

25. CONTACT INFORMATION Brian Nissen, LBSW Iowa State Training School 641-858-5402 Ext. 2527 bnissen@dhs.state.ia.us