The Royal's Sexual Behaviours Clinic "Are Any Sex Crimes Necessary? ” Crime Prevention Ottawa

1. The Royal's Sexual Behaviours Clinic "Are Any Sex Crimes Necessary?” Crime Prevention Ottawa J. Paul Fedoroff, M.D. Director SBC Director Forensic Research IMHR Chair, Division of Forensic Psychiatry University of Ottawa 27/02/12

2. I get it – the old caffeinated-cop, decaffeinated –cop routine

3. COSTS OF CHILD ABUSE IN CANADA/Year (Juristat)

4. Acknowledgements • The University of Ottawa (U of O) • The Institute of Mental Health Research (IMHR) • The Royal Ottawa Health Care Group (ROHCG) • The Integrated Forensic Program (IFP) • The Sexual Behaviours Clinic (SBC) • The SBC’s Patients, Their Families, and Children

5. At the turn of the (last) century… • A disease with no known cause • Associated with vampires • Widespread but mainly in cities • Possible cause: masturbation

6. Robert Koch, 1905

7. The Royal Ottawa 1909

8. Treatment

9. Some things have changed

10. Some things stay the same

11. Sex crime rates are dropping For Children

12. And treatment seems to work (Cortoni & Nunes, 2008)

13. Hanson & Harris, 2004 • Reviewed 95 studies involving 31,216 sex offenders • Average community time: 5-6 years • Any recidivism: 36.9% • Sexual recidivism: 13.7 %

14. Program OutcomeMarshall, Marshall, Malcolm, Serran & Fernandez, 2005

15. COST-BENEFIT ANALYSIS OF TREATING SEXUAL OFFENDERS IN THE PROGRAM

16. Overall Program (Financial) Impact Savings per year Savings (8 x $200,000) $1,600,000 Less costs$ 205,000 TOTAL SAVINGS $1,395,000

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18. Here is what the SBC does now • We see anyone, from anywhere, without delay. • We do complete assessments. • We start treatment immediately. • We insist harm to children stops immediately (we do not “taper”). • We lead by example.

19. We lead by example. • We are lawful. • We are honest. • We are respectful. • We do not work alone. • We deliver what we promise. • We are optimistic and insist on success. • We do not do anything without consent. • We admit we can be wrong and fix mistakes.

20. Good cop- Bad Cop

21. So that’s it? ! A single victim is at least two too many. A single offense affects: The victim The victim’s family The offender’s family The community

22. With the right treatment things changed…

23. Do you like kids too much?

24. Police line-up

25. J. Paul Fedoroff, M.D. Director, Sexual Behaviours Clinic Paul.Fedoroff@rohcg.on.ca 613-722-6521 Thank You/Merci HelpNow@me.com Mental health and well-being for all • La santé mentale et le mieux-être pour chacun

26. Questions/Comments