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A National Perspective on the Current State of Practice : Learning Objectives

Explore treatment program prevalence, approaches, and recent trends in sex offender rehabilitation in North America. Discover the evolution of adult and youth programs, community versus residential treatments, and evolving supervisory practices in this comprehensive report.

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A National Perspective on the Current State of Practice : Learning Objectives

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  1. 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 Long Version: Section 4

  2. Current Sex Offender Treatment Practice Patterns in North America Current Practices and Trends in Sexual Abuser Management, The Safer Society 2002 Nationwide Survey. Long Version: Section 4

  3. Total Number of Programs for Adults, 1986-2002 Long Version: Section 4

  4. Total Number of Programs for Adolescents, 1986-2002 Long Version: Section 4

  5. Community vs. Residential Treatment Programs for Adult Males N=623 programs Long Version: Section 4

  6. 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 Long Version: Section 4

  7. Sex Offender Treatment Approaches Utilized for Adult Males in the Community Treatment ApproachPercentage of Programs Cognitive-behavioral 92% Relapse prevention 80% Psycho-socio educational 47% Family systems 18% Multi-systemic 16% Psycho-dynamic 13% Long Version: Section 4

  8. 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 Long Version: Section 4

  9. Number of Adult Community Treatment Programs for Males Compared to Programs for Females Long Version: Section 4

  10. Number of Community and Residential Treatment Programs for Adults Compared to Programs for Adolescents and Children Long Version: Section 4

  11. Number of Sex Offenders Treated in 2001 N=75,650 Long Version: Section 4

  12. 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 Long Version: Section 4

  13. 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 Long Version: Section 4

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