Transcript Document
The Counseling and Psychotherapy Center, Inc. The R.U.L.E. Program For youth who have sexually acted out Website: cpcamerica.com Presenter: Tanya L. Snyder, M.Ed., LMHC The Counseling & Psychotherapy Center, Inc. (CPC) is an agency comprised of clinicians, victim advocates and criminal justice professionals who operate specialized management and treatment programs in many locations throughout the United States for individuals who have displayed sexually inappropriate and abusive behaviors. We specialize in setting up these services in communities who express a need. We currently operate in 8 states- California, Maine, Massachusetts, Rhode Island, New York, North Dakota, North Carolina & Oregon. We work with juveniles and adults, males and females, in institutions, in the community, on probation/parole or self-referred, including those that admit to their issues and those that do not. We provide family, individual, marathon sessions and group therapy. We tailor treatment to meet the client’s individual needs which can include EMDR, PPG’s, Abels, Behavioral Treatment, Polygraphs, etc. We own and operate our own juvenile/young adult group home in CA. There are an estimated 45 million victims of sexual abuse in the U.S. — one in four females and one in six males. It’s a mind-boggling statistic that’s even more staggering when you consider that sexual abuse is massively underreported. Yet only 10 percent of abused children suffer at the hands of strangers. That means 90 percent of all victims are abused by people they know and trust: 60 percent by teachers, coaches, priests, summer camp and scout leaders, for example, and 30 percent by members of victims own families. Juveniles account for more than one-third (35.6 percent) of those known to police to have committed sex offenses against minors. A small number of juvenile offenders— 1 out of 8—are younger than age 12. The number of youth coming to the attention of police for sex offenses increases sharply at age 12 and plateaus after age 14. Early adolescence is the peak age for offenses against younger children. Offenses against teenagers surge during mid to late adolescence, while offenses against victims under age 12 decline. Females constitute 7 percent of juveniles who commit sex offenses. Females are found more frequently among younger youth than older youth who commit sex offenses. This group’s offenses involve more multiple-victim and multiple-perpetrator episodes, and they are more likely to have victims who are family members or males. Data were collected online in 2010 and 2011. Participants included 1058 youths aged 14 to 21 years. Recruitment was balanced on youths’ biological sex and age. Nearly 1 in 10 youths (9%) reported some type of sexual violence perpetration in their lifetime; the threshold was kissing someone when they know the person doesn’t want to be kissed. 4% (10 females and 39 males) reported attempted or completed rape. Sixteen years old was the mode age of first sexual perpetration (n = 18 [40%]). Almost all perpetrators (98%) who reported age at first perpetration to be 15 years or younger were male, with similar but weakened results among those who began at ages 16 or 17 years (90%). It is not until ages 18 or 19 years that males (52%) and females (48%) are relatively equally represented as perpetrators. Sixteen years old was the mode age of first sexual perpetration (n = 18 [40%]). Perpetrators reported greater exposure to violent X-rated content. Males were more likely to perpetrate against younger victims than females. Programs that encourage bystander intervention are important in identification and intervention. More than one-third of users under 18 reported receiving unwanted sexual attention online. Seventy percent of parents say they monitor their child's online activity while on Facebook and other social media sites, and 46% have password access to their children's accounts. In contrast, 30% of parents don't chaperone online interactions because they trust their kids, don't want to show a lack of trust, don't know how to use social media sites or don't have time to. Spectorsoft, which blocks, records and alerts parents by monitoring Internet use, may be helpful. Help you to understand the amount, degree and type of risk factors Determines the focus of treatment; Determines the intensity and frequency of treatment and supervision/prioritizes caseloads; Informs the client of underlying and unrecognized issues. 9 This study reviewed the records of 198 juveniles who were committed to secured custody after being adjudicated delinquent for a sexually violent offense that qualified them for possible commitment under a Sexually Violent Person's (SVP) civil commitment law. For an individual to be committed, the statute requires that the individual have a qualifying mental disorder and is "likely," to commit a future act of sexual violence. Each youth was screened by at least two expert examiners in a two-step process. Fifty-four of the youth were found to meet the commitment criteria in an initial examination and were subject to an SVP petition. The remaining 144 were screened out. Subsequent criminal charges were collected over a 4.97-year mean follow-up. Among petitioned youth, 11.76% were charged with a new sexual offense including 9.80% who were charged with a felony sexual assault. By comparison, 17.36% of the youth that were screened out were charged with a sexual offense including 13.19% who were charged with a felony sexual assault. This is a non-significant difference. Adolescents initially selected for commitment as SVPs were no more likely to sexually recidivate than adolescents who had committed similar offenses (in fact, less so) but were not deemed appropriate for commitment, and Expert evaluation failed to distinguish between the two groups, based on re-offense rates. Commonly used risk factors failed to distinguish a distinctly high-risk group, and that no methods currently used to predict adolescent sexual re-offense demonstrate the degree of scientific reliability required for accurate expert judgments or precise predictions of risk. Caldwell thus warns that experts involved in assessing the eligibility of juvenile sexual offenders for juvenile civil commitment must proceed with extreme caution. Risk Assessment Tools are used best to determine presence of risk factors which require attention, treatment and management rather than predicting the certainty or likelihood of a re-offense. Most are empirically-informed guides for the systematic review and assessment of a uniform set of items that may reflect increased risk factors. A tool that should be used as part of a comprehensive risk assessment and never be used exclusively to make decisions about re-offense risk. Must be skilled and use a variety of tools and resources, as well as assess multiple aspects of functioning. Need to remember that it is about risk identification and management more than risk prediction. Remember that adolescents are in a developmental and situational flux. They are still developing social and emotional skills, attitudes and beliefs, abstract thinking and reasoning skills. They have shorter attention spans and greater impulsivity. Self-focus and narcissism are developmentally normal. More dependent on social environment. Traumatic effects may be immediate and ongoing. Time not engaging in behaviors in more recent past, must be considered When out of home placement is being considered, carefully consider the negatives of this arrangement, along with benefits to the child and protection of others. The younger the child, the more consideration is needed. Time limited- expires in 6 months to 1 year at most. An estimated 9.5% of adjudicated youth in state juvenile facilities reported experiencing one or more incidents of sexual victimization by another youth or staff in the past 12 month (or since admission if less than 12 months). About 2.5% of youth reported an incident involving another youth and 7.7% reported an incident involving facility staff. Youth who identified their sexual orientation as gay, lesbian, bisexual or other reported a substantially higher rate of youth-on-youth victimization (10.3%) than heterosexual youth (1.5%) Three states (Delaware, Massachusetts, and New York) and the District of Columbia had no reported incidents of sexual victimization. Age of child Cognitive strengths and vulnerabilities (including psychiatric diagnoses and personality style) Developmental insults that may have interfered with normal development, age at which these occurred, order in which they occurred Events that precede the sexual behaviors, both immediately and the broader context The sexual behavior itself (frequency, intensity and duration) Function of the behavior for the individual Consequences of the sexual behavior Family and social supports Other resiliency factors. Risk for sexual and non sexual issues. Risk management strategies “Risk, Need, Responsivity” Risk Principle: amount and intensity of interventions should be matched to amount and intensity of risk factors identified. Need Principle: interventions should specifically target areas related to the dynamic risk factors and criminogenic needs identified, to reduce overall problematic behaviors. Responsivity: interventions should match the characteristics of the client and family (learning styles, motivation, abilities, strengths, etc.) 16 Static Factors Historical variables Dynamic Factors Changeable and used in treatment 17 Examined 1,260 moderate- and high-risk American adolescents, aged 12 to 18, who appeared before court between January 1999 and January 2000. Of that number, 756 were known to have sexually abused. The study found that when risk factors for general delinquency occur in sexually abusive youth their impact on recidivism is much stronger than with those that break other laws. Of note, the risk of nonsexual re-offense was greatest among the group of adolescents convicted of either felony offenses or offenses with much younger children. Social isolation occurred more frequently among youth with sexual offenses than those with general delinquency offenses and was more common in the teens committing more serious sexual offenses. Sexual abuse is more frequently found among adolescents who commit serious sexual offenses, however the study found no effect of sexual abuse on recidivism. Interrupting the link between childhood sexual abuse and the onset of first time sexually abusive behaviors may be an important goal for prevention programs. This is particularly important because multiple studies now show that there is a stronger correlation between victimization in those committing serious offenses or offenses against children than in those committing less serious sexual crimes. Current Leaders – Juvenile Assessments There are three instruments that have come to be considered the leading assessments designed for use with juveniles. JSORRAT-II: Juvenile Sexual Offense Recidivism Risk Assessment Tool-II (CA-SORATSO) ERASOR: Estimate of Risk Adolescent Sexual Offense Recidivism. Can be used on 12-18 year old males and females. J-SOAP-II: Juvenile Sex Offender Assessment Protocol-II. Can be used on 12-18 year old males only. 20 Taken from J-SOAP II Prior sex offense charges Number of sexual abuse victims Male child victims Duration of sexual offense history Planning in sexual offenses Sexualized Aggression Evidence of sexual preoccupation Sexual victimization history, physical abuse history and/or exposure to family violence. Caregiver consistency/stability History of expressed anger School behavior problems History of conduct disorder before age 10 Juvenile antisocial behavior (10-17) Ever charged/arrested before age 16 Multiple types offenses Taken from the ERASOR Prior adult sanctions for sexual assault(s) Ever assaulted 2 or more victims Male victim Ever assaulted same victim 2 or more times Threats of, or use of excessive violence/weapons Child victims Stranger victims Indiscriminate choice of victims Diverse sexual assault behaviors 21 Static Risk Factors Only 1. Number of adjudications for sexual offenses, including current. 2. Number of different victims in charged sexual offenses. 3. Length of sexual offending history based on time between the charge dates for first sexual offense and the last sexual offense. 4. Was the juvenile under any form of court ordered supervision at time of any charged sexual offense? 5. Was any charged “hands on” sexual offense committed in a public place? 6. Did the offender engage in deception or grooming of victim prior to any charged offense? 7. What is the JSO’s prior sexual offender specific treatment status? 8. Number of documented “hands-on” sexual abuse incidents- as a victim. 9. Number of documented incidents of physical abuse-as a victim. 10. Does the JSO have a history of special education placement? 11. Number of educational time periods with discipline problems. 12. Number of adjudications for non-sexual offenses prior to index offense. Based on J-SOAP-II Accepting responsibility for sex offenses Internal motivation for change Understanding risk factors and management Evidence of empathy Evidence of remorse and guilt Presence of cognitive distortions Quality of peer relationships. Management of sexual urges and desire Evidence of poorly managed anger in community Stability of current living situation Stability in school Evidence of support system in community Based on ERASOR • • • • • • • • • • • • • • • • Deviant sexual interest Obsessive sexual interests Attitudes supportive of offending Unwillingness to alter deviant sexual interest/attitudes Antisocial peer orientation Lack of intimate peer relationships/social isolation Negative peer associations and influences Interpersonal aggression Recent escalation in anger or negative affect Poor self-regulation of affect and behavior (Impulsivity) High-stress family environment Problematic parent-offender relationships/parental rejection Parent(s) not supporting of sexual offense specific assessment/treatment Environment supporting opportunities to reoffend sexually No development or practice of realistic prevention plans/strategies Incomplete sexual offense specific treatment An important part of evaluation is identifying the presence or absence of protective factors, such as: A Supportive family, Education Stability in daily life Adequate knowledge about human sexuality Having a confidante Ability to regulate emotions Opportunities to explore one’s interests Hope Plans for the future Finding the strengths within a youth and their family entails defining the internal and external structures that maintain personal and community safety Resilience in our youths is the ultimate safety net and our most effective treatment ally 24 Assessment and treatment works! The largest study to date, by Lorraine Reitzel and Joyce Carbonell (2006) found that adolescents who sexually abused and went on to complete treatment re-offended at a rate of 7.37%. Their untreated counterparts (including those who refused or dropped out of treatment) re-offended at a rate of 19.93%. Up to 50% may re-offend in other criminal ways Goal is as David Prescott puts it, “Healthy Lives & Safe Communities” Risk Assessment and the Risk Principle Research indicates that providing high intensity treatment to low risk offenders may increase their risk level by extensively exposing them to higher risk offenders who may “contaminate” them with anti-social attitudes, thinking and behavior. Separate high-risk, low risk and developmentally delayed youths by providing individual therapy and/or separated groups. ◦ Assess Risk and Needs; ◦ Target these risk and needs through an individualized treatment plan, incorporating client’s voice into their goals and focusing on approach goals not just avoidance goals. Use strengths as a basis of treatment. ◦ Base implementation on widely used and accepted theoretical models (Cognitive Behavioral Treatment, Multi-Systemic, etc.) ◦ Disrupt the delinquency network; ◦ Match personality, learning style & stage of development with program settings and approaches; ◦ Integrate with other community based services- be multi-systemic in nature ◦ Create a feedback loop- how are we doing? We should see positive indicators in 7-8 sessions. How and why are our client’s struggling, what can we do to change this? ASK. Strength-Based Approach to treatment: Accept “person” not the behavior Provide help to develop a sense of self-efficacy through strength and skill building Support growth of a positive identity Promote a feeling of inclusiveness Progress based approach develops a sense of achievement and sense of when treatment ends Focus on whole person 28 Children’s brains are made up of many different highly interrelated parts/modules which are modified by developmental phases and by experiences. There is enhanced connectivity between parts of the brain (increased white matter), increase in synaptic pruning (cutting back unused neurons) and development of the Prefrontal Cortex (actually until our midtwenties). This process is responsible for: Regulation of the body Regulation of emotion Emotionally attuned interpersonal communication Response flexibility Self-awareness Autobiographical memory Self-soothing abilities Intuition Morality All complex systems, including children’s brains require additional energy to change them. Resistance is not necessarily rebellious in nature, so much as the tendency for the system to remain in inertia and conserve energy (Grigsby & Stevens, 2000). Therapeutic process is a dialogue between the child’s existing ways of interpreting feelings and events and the therapists capacity to understand and interpret these. Also provides the opportunity to experience a complete range of both positive and negative feelings for the therapist and others, without them acting out back, allowing for repairing when ruptures occur. Repairing ruptures in the therapeutic and family relationships teaches emotion-regulation skills and changes the brains of all involved. Nobody cares how much you know until they know how much you care. -Anonymous Martin Drapeau (2005) is one of the few researchers to have conducted a series of pilot studies on the processes involved in treating 15-24 adult child molester, undergoing a prison-based cognitive-behavioral and relapse prevention treatment program. By examining the therapeutic alliance he found that: 1) therapists are seen as very important to a client's success (by client). 2) Confrontations from the client (especially early in treatment) are to be expected and are not a sign of resistance to change or treatment. It may be their way of ensuring they have a voice in the treatment that affects them. (Be sure to incorporate this-lends a sense of autonomy, helps the client to consider new ways to deal with conflict and their own resistance.) 3) Clients appreciate therapists who display leadership and strength without being domineering (remaining constructive is vital). 4) The structure of treatment programs is crucial, offering offenders a chance to develop more effective ways of dealing with conflict and anxiety and 5) The most effective therapists support the autonomy of their clients while also maintaining respect for all rules and procedures. The adept therapist sets in place a skillful choreography between the program structure and the individualized treatment plan. Programs that are well structured, with clear expectations and limits, provide the "container" within which positive therapist client interactions can take place. It also provides a clear picture of what the end of treatment looks like. (All these aspects are the incorporation of inductive parenting- creates a sense of attachment which is critical to brain development and the network of neurons as well. Repairing ruptures in therapy can help them do it outside of therapy as well.) Multi-systemic in nature when working with families and children/adolescents. MSTPSB is proven to be more effective than Individual and CBT related to recidivism. Group Therapy- Treatment work and support. Is a cognitive behavioral psycho- Individual Therapy- Individual needs met- related to trauma and mental health, etc. Family Therapy- To address family issues, to educate family on client’s needs and to Psychopharmacological- If necessary to address mental health issues. Other- Each client and families’ needs will guide the treatment process. educational model that utilizes drama therapy, DBT skills, art therapy, mindfulness and relaxation strategies. May utilize EMDR in this setting to work through unresolved traumas. create and implement safety planning. The American Psychological Association (2006) defines this practice as “the integration of best available research with clinical expertise in the context of patient characteristics, culture and preferences”. There are three key components: 1.) Clinical expertise with the individual (ATSA, local orgs) 2.) Application of research-based treatment methods (CBT, MST, etc.) 3.) Tailoring treatment to meet individual characteristics, adapted to cultural factors, and in line with client preferences wherever possible. (Responsivity Principle) R.U.L.E Responsibility: The impact the youths’ behavior has had on his victims, himself, and others Understanding: The experiences and decisions that have led him to this point Learning: New patterns of appropriate behavior & coping skills Experience: The benefit of using new skills in relating to others and in managing strong negative emotional states: Stop Abusive Touch- Group, Experiential, Individual, Family Increase Responsibility taking for behaviors- Group, Experiential Modifying Interpersonal Relations - Group, Experiential, Individual, Family Healthy Relationship Development & Sex Education- Group, Family, Individual Exploration of Roots of Problem- Group, Individual & Family Educating and Supporting the Family- Psycho Educational Group, Family Developing Understanding of Cycle of Dysregulation- Group, Individual Enhance Coping Skills & Decrease Impulsivity Group, Experiential, Individual Perspective Taking and Empathy Building - Group, Experiential, Family Identifying Cognitive Distortions – Group, Individual Assessing & Modifying Inappropriate Sexual Interests – Individual, Bx. Mod. Developing Healthy Living Plan & Developing Goals- Group, Individual, Family Transitioning to Community- Group, Individual, Family Maintaining Behaviors - Aftercare Groups, Family Child and Family’s Victimization History & Impact (physical, sexual and/or emotional)- Individual, Family Drug/alcohol education, addressing use/abuse (if relevant)- Individual, Referral Gang/street affiliation or other negative peer influences -Group, Individual Self-esteem development- Group, Individual, Family Communication/assertiveness skills & Anger Management- Group, Development of appropriate activities/structure of time -Group, Individual, Experiential Family Address self-harm, suicide- Group, Individual, Family Referral for medication and medication monitoring, if appropriate- Referral Life Story – An account of the client’s life that is completed using the questions in the guide. Cycle of Dysregulation – Clients must complete diagrams of their cycle of dysregulation both in past and present. Healthy Living Plan (HeLP) – A realistic and usable comprehensive Healthy Living Plan (HeLP) is completed prior to completing the program or moving to a lower level of supervision. Responsibility Letters and Role-plays – Letters and role-plays must be completed (but not sent) to self, victim(s) and others. CYCLE OF DYSREGULATION Healthy Living Healthy Attachments Shame and Guilt Negative Self Triggering Situations ABUSIVE BEHAVIORS Abusive Behavior EMOTIONAL STABILITY aps TURNING POINT Risky Emotions EMOTIONAL DYSREGULATION WRONG PATH Risky Behaviors Poor/bad choices, Going down the wrong path, rule breaking Dangerous Situations Wrong Choices Setting up the Situation Giving up on self: Low self-esteem The Counseling and Psychotherapy Center Interventions and coping to address each part of the Cycle of Dysregulation. Support network Identification. Coping Activities. Coping Statements. Goal Identification. You will be yourself. Someone from the group will be the person you hurt sexually. Others may play other roles as necessary. These people will be able to ask questions ahead of time and must be familiar with the acting out behavior. The group members are observers until the end of the role-play, and then they can comment and offer feedback. Act as if you are meeting to take responsibility for what you did to the person you hurt sexually and the impact this behavior had on them. You should react as if this is a real meeting taking place. The person playing the person you victimized and the people playing their family can respond to your statements, ask questions, etc. They should react as realistically as possible. ◦ ◦ ◦ ◦ Process the role-play first with the people engaged and then with the observers. Some questions to discuss are: What was it like for all? What went well? Why? What didn’t go well? Why? Was this a realistic portrayal, why or why not? Art Therapy - Tension Ask them to draw a picture of tension. Ask them to write down any words that come to mind to describe the picture. Ask them to share this with the group. Relaxation Exercise Have the clients lie down or sit in a comfortable position. Tell them to tense up their feet as much as possible and then release. Tell them to do the same with their, legs, torso, shoulders, neck, arms, hands, head and face, allowing a silence between exercises. Tell them to just enjoy being fully relaxed. Art Therapy - Relaxation Ask them to draw a picture of relaxation. Ask them to write down any words that come to mind to describe the picture. Ask them to share this with the group. Remind them of the importance of identifying tension in their bodies and using relaxation exercises as an effective, healthy living tool. If you are able to recognize your psychological state then you can challenge it, allow it to pass and act differently (i.e. not impulsively) to it. 1. Choose a song that represents your family. Write down why you chose this song. Bring either the lyrics or the song into therapy to share. After sharing your comments and be open to feedback from others as well as group discussion related to connections. 2. Choose a song that represents you in the past. Write down why you chose this song. Bring either the lyrics or the song to therapy to share. Afterwards share your comments and be open to feedback from others as well as group discussion related to connections. 3. Choose a song that represents you right now. Write down why you chose this song. Bring in either the lyrics or the song to therapy to share. Afterwards share your comments and be open to feedback from others as well as group discussion related to connections. 4. Choose a song that represents you in the future. Write down why you chose this song. Bring in either the lyrics or the song to therapy to share. Afterwards share your comments and be open to feedback from others as well as group discussion related to connections. "Apologize“ by Timbaland I'm holding on your rope Got me ten feet off the ground And I'm hearing what you say But I just can't make a sound You tell me that you need me Then you go and cut me down But wait... You tell me that you're sorry Didn't think I'd turn around and say.. It's too late to apologize, it's too late I said it's too late to apologize, it's too late Woahooo woah It's too late to apologize, it's too late I said it's too late to apologize, it's too late I said it's too late to apologize, yeah I said it's too late to apologize, yeah That it's too late to apologize, it's too late I said it's too late to apologize, it's too late I'd take another chance, take a fall, take a shot for you And I need you like a heart needs a beat (But that's nothing new) Yeah I loved you with a fire red, now it's turning blue And you say Sorry like the Angel Heaven let me think was you, But I'm afraid I'm holding on your rope Got me ten feet off the ground... Have one participant choose in his mind all the most important members of his family. He then chooses group members to represent each one of those family members. With the help of the facilitator he should then do the following: ◦ Choose the most dominant member of the family and put him/her in the center of the picture. ◦ What family member is least effected by the dominant one? Where could you put him/her? For instance, is he/she nearly leaving the room? Is he/she turned away? ◦ Each family member should be placed to indicate his/her relation to the dominant one and to each other. ◦ Some members might be very passive. The dominant one might be pushing them down. ◦ Use pushing, pulling, contact and no contact to represent the nature of the relationships. Trauma survivors are often challenged in using language in treatment, due to dissociation and trauma effects on the brain. Reliance on verbal language in therapy can actually have a reverse effect in that it often generates frustration and distress. Using art, music, role plays, skits and cooperative games can provide a way to support skill building, selfexpression and relational engagement. 16 Week cognitive behavioral program developed to address the educational, support, and trauma needs of family and members of the community support system; The focus is on providing useful information, emotional support, and skill building/practice To present curriculum in such a way as to not blame the nonabusing parent, or support member; To validate the realities of their lives during the abuse, including the impact of possible adult and childhood trauma histories; Supporting simultaneously, efforts to change, to heal, to develop mastery and increased self-esteem; To recognize their “window of tolerance” and to increase their capacities to regulate emotions and tolerate distress; To improve relationships with their families; To recognize issues and the appropriate action to take when these situations occur; Understanding their role in the containment approach process, Healthy clients and safer communities! What is a Safety Plan? An organized set of rules and guidelines used to supervise and structure time and space, due to behavioral issues. Designed for the safety and well-being of person acting out, as well as those around him/her, in addition to pets and property. Why have one? To address publicly sexually inappropriate behavior (I.e. masturbating, etc.) To address sexually inappropriate or violent behavior with pets. To address sexualized play. To address acting out with siblings or other children in the family, neighborhood or school, this may include – sexualized talk or inappropriate touch. To address verbally and physically abusive behavior towards others. To address harm to property when angry, which may result in harming the child or others. To address night time wandering. To address fire safety issues. Etc. Those who offended need to understand their cycle of dysregulation, complete a healthy living plan (HeLP) and a safety plan, as well as Responsibility work. Family will have participated in Chaperone Program and Family therapy (ideally). Safety in the home and community will be assessed for appropriateness. Those who were victimized will be in therapy and the therapist will agree that they are ready and willing to reunify. At which point Responsibility work will be done. The whole process is driven by the victims and their therapists. Reunification will be a process which will be slow and reviewed for appropriateness throughout. Safety plans will be utilized. All parties need to agree with plans prior to implementation. They are a very manageable population. Treatment programs built on the cognitive/behavioral model supported by supervision & inclusion of the family/peer context can greatly reduce the chance of a re-offense (victimization). MST-PSB is the current leader. More likely to be re-incarcerated for a non-sex offense then a sex offenses. Low rates of sex offense recidivism reported. Juveniles adjudicated of certain offenses are required to register as sex offenders upon release from the California Department of Corrections and Rehabilitation, Division of Juvenile Facilities (Pen. Code § 290.008.). Some of the offenses noted are: rape, sexual battery, lewd acts with a minor, contributing to the delinquency of a minor, child pornography, pimping and pandering with a minor, aggravated and/or continuous sexual assault of a child, incest, forced acts involving oral copulation, sodomy, penetration with a foreign object and indecent exposure. This list is not exhaustive of the offenses which may require registration as a sex offender under Penal Code 290, but it is simply a list of some of the most common. However, registrants whose offenses were adjudicated in juvenile court cannot be publicly disclosed on the Internet web site. Local law enforcement agencies about may, in their discretion, notify the public about juvenile registrants who are posing a risk (Pen. Code § 290.45.). Sex offender laws that trigger registration requirements for children began proliferating in the United States during the late 1980s and early 1990s. Upon release from juvenile detention or prison, youth sex offenders are subject to registration laws that require them to disclose continually updated information including a current photograph, height, weight, age, current address, school attendance, and place of employment. Registrants must periodically update this information so that it remains current in each jurisdiction in which they reside, work, or attend school. Often, the requirement to register lasts for decades and even a lifetime. Although the details about some youth offenders prosecuted in juvenile courts are disclosed only to law enforcement, most states provide these details to the public, often over the Internet, because of community notification laws. Residency restriction laws impose another layer of control, subjecting people convicted of sexual offenses as children to a range of rules about where they may live. Failure to adhere to registration, community notification, or residency restriction laws can lead to a felony conviction for failure to register, with lasting consequences for a young person’s life. And contrary to common public perceptions, the empirical evidence suggests that putting youth offenders on registries does not advance community safety—because it overburdens law enforcement with large numbers of people to monitor, undifferentiated by their dangerousness. Youth sex offenders on the registry are stigmatized, isolated, often depressed. Many consider suicide, and some succeed. They and their families have experienced harassment and physical violence. They are sometimes shot at, beaten, even murdered; many are repeatedly threatened with violence. Some young people have to post signs stating “sex offender lives here” in the windows of their homes; others have to carry drivers’ licenses with “sex offender” printed on them in bright orange capital letters. Youth sex offenders on the registry are sometimes denied access to education because residency restriction laws prevent them from being in or near a school. Youth sex offender registrants despair of ever finding employment, even while they are burdened with mandatory fees that can reach into the hundreds of dollars on an annual basis. Youth sex offender registrants often cannot find housing that meets residency restriction rules, meaning that they and their families struggle to house themselves and often experience periods of homelessness. Families of youth offenders also confront enormous obstacles in living together as a family—often because registrants are prohibited from living with other children. Finally, the impacts of being a youth offender subject to registration are multi-generational—affecting the parents, and also the children of former offenders. The children of youth sex offenders often cannot be dropped off at school by their parent. They may be banned by law from hosting a birthday party involving other children at their home; and they are often harassed and ridiculed by their peers for their parents’ long-past transgressions. There was a marked increases in plea bargains for juvenile sex offense cases following the initial enactment of South Carolina’s registration and notification policy in 1995 and following the 1999 revision for online notification. This was due to the lack of distinction between juveniles and adults and convictions triggering an automatic requirement for lifetime registration and notification, including sometimes lifetime online notification and the inability to use recidivism risk or case specific circumstances or the ability to reduce the duration from life. While this is positive, in that most at low risk to reoffend sexually, it might result in them not receiving appropriate clinical services or supervision. Perhaps rather than relying on a plea to protect our youth- it might make more sense to alter the policies instead and make youth exempt from registration and notification until we can ensure that policies are created that result in increased community safety. Thank you! If you would like more information about our agency, please visit our website www.cpcamerica.com