1 / 29

The Effective Management of Juvenile Sex Offenders in the Community

The Effective Management of Juvenile Sex Offenders in the Community . Section 4: Treatment. Key Topics for the Treatment Section. Part I: Program Availability and Settings Part II: Rehabilitative Trends Part III: Goals, Frameworks, and Modalities Part IV: Common Treatment Targets

leatrix
Download Presentation

The Effective Management of Juvenile Sex Offenders in the Community

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. The Effective Management of Juvenile Sex Offenders in the Community Section 4: Treatment

  2. Key Topics for the Treatment Section Part I: Program Availability and Settings Part II: Rehabilitative Trends Part III: Goals, Frameworks, and Modalities Part IV: Common Treatment Targets Part V: Challenges and Controversies Part VI: Treatment Outcomes Section 4

  3. Availability of Juvenile Sex Offender Treatment Programs Nationwide (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  4. Program Settings for Juveniles: Community vs. Residential (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  5. Continuum of Treatment Settings Range of treatment needs Psychosexual disturbance Environmental instability Risk for recidivism Community-Based Treatment Residential or Institutional Treatment Section 4

  6. Benefits of Community-Based Treatment • Intervene in natural environment • Support productive involvement • Family • Peers • School/employment • Generally cost-effective Section 4

  7. Benefits of Residential Treatment • Increased structure and security • Victim and community safety • Immersion in treatment Section 4

  8. “Getting Tough” on Juvenile Crime • Lowered minimum age for waiver • Eliminated many confidentiality restrictions • Harsher punishments and mandatory sentences • Reduced judicial discretion (see, e.g., Fagan, Kupchick, & Liberman, 2003; Fagan & Zimring, 2000; Torbet & Szymanski, 1998) Section 4

  9. Impact of Adult Dispositions on Youthful Offenders • Recidivism increases • More serious types of recidivism • Reduced access to rehabilitative services • Increased victimization and suicide rates within institutions • Lowered self-expectancies about remaining crime free (see, e.g., Fagan & Zimring, 2000; Mendel, 2000; Redding, 2003) Section 4

  10. Examples of Evidence-Based Interventions • Wraparound Services • Functional Family Therapy • Multisystemic Therapy Section 4

  11. Common Treatment Goals • Accept responsibility for behaviors • Identify contributing factors • Explore, utilize effective coping strategies • Develop prosocial skills and competencies • Establish positive peer relationships • Promote healthy family functioning Section 4

  12. These Youth Aren’t “Specialists” • 55% had a prior non-sex offense • 61% were convicted of non-sex offenses as adults • Only 5% convicted of sex offenses as adults • Of sexual recidivists, 72% were also convicted for non-sex offenses as adults. (Nisbet, Wilson, & Smallbone, 2004) Section 4

  13. Most Common Theoretical Frameworks Reported Nationwide (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  14. Multiple Modes are Important • Group time constraints • Sensitive issues and dynamics • Responsivity factors • Deviancy training concerns Section 4

  15. Use of Various Modalities Nationwide (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  16. Common Treatment Targets Responsibility-taking Cognitive distortions or thinking errors Victim empathy Intrapersonal and interpersonal skills Sex education Relationship skills Healthy masculinity Arousal control Trauma resolution Family functioning Section 4

  17. Treatment Targets in Programs Nationwide (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  18. Process-Related and Contextual Variables • Therapist characteristics • Treatment climate • “Approach” goals (Fernandez, 2006; Marshall, 2005; Mann et al., 2004; Thakker et al., 2006) Section 4

  19. Juvenile Sex Offender Programs for Females (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  20. Treatment Targets for Females vs. Males in Programs Nationwide (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  21. Future Directions for Juvenile Female Sex Offender Treatment • Identify unique risk and protective factors • Clinical characteristics, modus operandi • Gender-responsive programs • Treatment outcome research Section 4

  22. Treatment Programs for Children with Sexual Behavior Problems (Adapted from McGrath, Cumming, & Burchard, 2003) Section 4

  23. Psychiatric Disorders and Juvenile Sex Offenders • Common presence necessitates screening • Can interfere with treatment engagement and response • Pharmacological interventions may be warranted Section 4

  24. Potential Pharmacological Interventions and Cautions • SSRIs may be beneficial for co-occurring disorders • Side effects may include reduced preoccupations and sex drive • FDA Warning • Antiandrogens not recommended as first-line intervention for youth Section 4

  25. Juvenile Programs Using the Polygraph Nationwide (McGrath, Cumming, & Burchard, 2003) Section 4

  26. Recidivism Trends for Treated Youth Released from Facilities (Waite et al., 2005) Section 4

  27. Treated vs. Non-Treated Youth in a Community-Based Program (Worling & Curwen, 2000) Section 4

  28. MST vs. Alternative Treatment (see Borduin & Schaeffer, 2002) Section 4

  29. Summary of Key Points • New and evolving field • Consider “what works” • Holistic, integrated, and comprehensive • Challenges and controversies exist • Treatment has promise Section 4

More Related