Transcript A National Perspective on the Current State of Practice: Learning Objectives • Describe trends in treatment program prevalence for adults as compared with youth •

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
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
1
Current Sex Offender
Treatment Practice Patterns
in North America
Current Practices and Trends in Sexual Abuser
Management, The Safer Society 2002
Nationwide Survey.
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
2
Total Number of Programs for
Adults, 1986-2002
1000
951
900
800
745
710
700
600
541
500
527
449
429
400
297
300
200
100
0
1986
1988
1990
1992
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
1994
1996
2000
Long Version: Section 4
2002
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Total Number of Programs for
Adolescents, 1986-2002
1000
937
900
800
755
684
700
626
573
600
539
500
400
346
276
300
200
100
0
1986
1988
1990
1992
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
1994
1996
2000
Long Version: Section 4
2002
4
Community vs. Residential
Treatment Programs for Adult
Males
15%
Community-based
Residential (mostly prisons)
N=623 programs
85%
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
5
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
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
6
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%
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
7
Adult Male Sex Offender
Community and Residential
Treatment
• Most frequent interventions: cognitivebehavioral
• 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
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
8
Number of Adult Community
Treatment Programs for Males
Compared to Programs for
Females
Males
293
Females
529
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
9
Number of Community and
Residential Treatment Programs
for Adults Compared to Programs
for Adolescents and Children
410
951
Adult
Adolescents
Children
937
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
10
Number of Sex Offenders
Treated in 2001
4%
11%
25%
60%
Adult Males
Adolescent Males
Female All Ages
Male Children
N=75,650
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
11
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
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
12
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 cognitivebehavioral, 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
CSOM Training Curriculum: An Overview of Sex Offender Treatment for a Non-Clinical Audience
Long Version: Section 4
13