Notes
Slide Show
Outline
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A National Perspective on the Current State of Practice:  Learning Objectives
  • Describe trends in treatment program prevalence for adults as compared with youth
  • Identify several sex offender treatment approaches currently used in North America
  • Describe recent trends in sex offender treatment
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Current Sex Offender
Treatment Practice Patterns
in North America
  • Current Practices and Trends in Sexual Abuser Management, The Safer Society 2002 Nationwide Survey.


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Total Number of Programs for
Adults, 1986-2002
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Total Number of Programs for Adolescents, 1986-2002
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Community vs. Residential Treatment Programs for Adult Males
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State Correctional Treatment Programs
  • Colorado DOC Survey (2000)
  • 39 states had sex offender treatment programs in their institutions
  • 30 of these had wait lists for program entry
  • Number of treatment beds ranged from 70 to 1,200
  • Most programs last longer than one year
  • 12 states require treatment for some types of sex offenders
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Sex Offender Treatment
Approaches Utilized for Adult Males in the Community
  • Treatment Approach         Percentage of Programs
  • Cognitive-behavioral 92%
  • Relapse prevention 80%
  • Psycho-socio educational 47%
  • Family systems                    18%
  • Multi-systemic           16%
  • Psycho-dynamic 13%
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Adult Male Sex Offender
Community and Residential Treatment
  • Most frequent interventions:  cognitive- behavioral
  • Typical duration of treatment:  2-3 years
  • Typical session length:  individual = 50 minutes, group = 90 minutes
  • Typical cost of treatment:  individual = $45-$87, group = $23-$43; 67% offer sliding fee scale
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Number of Adult Community Treatment Programs for Males Compared to Programs for Females
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Number of Community and Residential Treatment Programs for Adults Compared to Programs for Adolescents and Children
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Number of Sex Offenders Treated in 2001
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Trends in Adult Male Sex
Offender Treatment and Community Supervision
  • Increase in number of treatment programs from 1986-1992; decrease since 1992; increase since 2000
  • Increase in victim-centered approach
  • Strong emphasis on collaboration
  • Increase in use of polygraph
  • Decrease in use of penile plethysmograph


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Summary
  • In 1992, there were more than 700 programs for adult males, in 2000 there were under 500, as of 2002 the number had rose to 951
  • Treatment approaches used include cognitive- behavioral, relapse prevention, psycho-socio educational, and family systems
  • Medication use has declined slightly since 2000
  • Increase in victim-centered approach and strong emphasis on collaboration
  • Increase in use of polygraph
  • Decrease in use of penile plethysmograph