learning objectives
DESCRIPTION
Learning Objectives. Participants will be able to: Summarize research Outline treatment components Identify reasonable expectations of treatment provider Identify treatment provider qualifications Outline collaboration strategies. Effectiveness of Treatment. Difficult to study - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/1.jpg)
CSOM Long Version: Section 4 1
Learning Objectives
Participants will be able to: Summarize researchOutline treatment componentsIdentify reasonable expectations of
treatment providerIdentify treatment provider qualificationsOutline collaboration strategies
![Page 2: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/2.jpg)
CSOM Long Version: Section 4 2
Effectiveness of TreatmentDifficult to studyPoor dataPrograms and definitions varyDesign criteria difficult to meet
BUT“Good grounds for optimism” (Marshall and Pithers, 1994)
![Page 3: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/3.jpg)
CSOM Long Version: Section 4 3
Review of the ResearchIndividuals who had received treatment
had consistently lower recidivism rates than untreated individuals.
Better outcomes after 1980--perhaps better programs or better research.
Treatment over long periods of time is more effective.
Completing treatment is important.(M.A. Alexander, 1994)
![Page 4: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/4.jpg)
CSOM Long Version: Section 4 4
Review of the Research (cont.)
Recidivism rates of untreated offenders are approximately 60%.
Recidivism rates of offenders completing specialized treatment are between 15% and 20%.
(U.S. Department of Justice, 1991)
![Page 5: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/5.jpg)
CSOM Long Version: Section 4 5
Review of the Research (cont.)
Grossman et al (1999): reduction in recidivism of 30% over seven years
Gallagher et al (1999): cognitive-behavioral approaches appear particularly promising
Polizzi et al (1999): prison and non-prison based programs show effective or promising results
![Page 6: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/6.jpg)
CSOM Long Version: Section 4 6
Review of theResearch (cont.)
1995 meta-analysis found (Hall, 1995) small but significant treatment effect 12 studies--all with control groups 8 percent reduction in recidivism in the
treatment group
![Page 7: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/7.jpg)
CSOM Long Version: Section 4 7
Summary of Research on Treatment EffectivenessMany studies, many poorly designed.Well-designed studies associate treatment
with lower recidivism--some very significantly
Outcomes differ by type of offenderGreater reductions found in more recent
studiesTreatment and/or evaluation methods are
improving
![Page 8: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/8.jpg)
CSOM Long Version: Section 4 8
Summary of Research on Treatment Effectiveness (cont.)
Analytic or insight oriented therapies are not effective (Quinsey, 1990, 1994; Salter, 1988; Lanyon, 1986)
A combination of educational, cognitive-behavioral, and family system interventions is effective (Knopp and Stevenson, 1988, 1992)
When reviewing all studies; conclude that treatment reduces recidivism by 10%
![Page 9: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/9.jpg)
CSOM Long Version: Section 4 9
Effectiveness of Treatment Plus SupervisionOnly a few studies done--they support
effectiveness of combined treatment and supervision (some with the polygraph). (Romero and Williams, 1985 , 1991)
Current study of Maricopa County program is revealing low rates of recidivism.(Maricopa County Adult Probation Department, 1999)
![Page 10: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/10.jpg)
CSOM Long Version: Section 4 10
Traditional vs. Sex Offender Treatment
Offender-focused Targets reduction
in anxiety/inadequacy
Individual counseling Usually voluntary
Victim/community safety focused
Targets accountability and thinking errors
Primarily group settingOften mandated
Traditional Sex Offender Specific
![Page 11: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/11.jpg)
CSOM Long Version: Section 4 11
Traditional vs. Sex Offender Treatment (cont.)
Client/patient confidentiality
Provider works as an individual practitioner
Generalist” training for a variety of client types
Waivers of confidentiality
Provider is part of management team
Specialized training/ experience essential
Traditional Sex Offender Specific
![Page 12: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/12.jpg)
CSOM Long Version: Section 4 12
Means of Reducing Recidivism through TreatmentAccepting responsibility and
modifying cognitive distortionsDeveloping victim empathyControlling sexual arousalImproving social competenceDeveloping relapse prevention skillsEstablishing supervision conditions
and networksClarification
![Page 13: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/13.jpg)
CSOM Long Version: Section 4 13
Methods of TreatmentPsycho-educational groupsCognitive-behavioral groupsMedicationIndividual therapyPsychological and physiological testingReferrals to other necessary treatments
![Page 14: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/14.jpg)
CSOM Long Version: Section 4 14
Components of Treatment To cause acceptance of
responsibility: Education about denial Support for incremental steps Making responsibility a prerequisite for
entry/completion Confronting/challenging discrepancies,
cognitive distortions
![Page 15: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/15.jpg)
CSOM Long Version: Section 4 15
Components of TreatmentTo develop victim empathy:
Psychoeducation on effects of abuse Exercises to imagine victim experience Teaching empathy skills Meeting with victim(s)
![Page 16: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/16.jpg)
CSOM Long Version: Section 4 16
Components of TreatmentTo control sexual arousal:
Education about fantasy and behavior Cognitive-behavioral techniques for
interrupting/reducing deviant urges, developing/increasing non-deviant urges
Methods for practice outside of therapy setting
Medication
![Page 17: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/17.jpg)
CSOM Long Version: Section 4 17
Components of TreatmentTo improve social competence:
Using group setting for practice Referral to specialized treatment Involving significant others
![Page 18: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/18.jpg)
CSOM Long Version: Section 4 18
Components of TreatmentTo develop relapse prevention skills:
Education about relapse prevention Identifying individual’s cycle Teaching strategies to avoid lapses Teaching/practicing strategies to
minimize lapses
![Page 19: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/19.jpg)
CSOM Long Version: Section 4 19
Components of TreatmentTo establish supervision conditions
and networks: Provider collaborates with officer Advises on cycle and appropriate
conditions Assists with modifications Educates network
![Page 20: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/20.jpg)
CSOM Long Version: Section 4 20
Components of TreatmentTo Clarify:
Verbalize full responsibility Acknowledge grooming, set up State details of offense Support decision to report to police Acknowledge ongoing problem
![Page 21: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/21.jpg)
CSOM Long Version: Section 4 21
What to Expect from a Sex Offender Treatment Provider
Team workCommunity safetyLimited confidentialityIncorporates evaluationAlso: Experience and/or recent
specialized training
![Page 22: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/22.jpg)
CSOM Long Version: Section 4 22
Monitoring Treatment and ProvidersWritten reportsCase conferences
New cases Specific offender issues System problems
![Page 23: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/23.jpg)
CSOM Long Version: Section 4 23
Monitoring Treatment and Providers (cont.)Observation
Content Process
Emergency case reviewsCommunity feedbackGraduation Criteria
![Page 24: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/24.jpg)
CSOM Long Version: Section 4 24
Treatment Providers Must Deal With:DominationManipulationAngerAggressive
outburstsDepressionSelf-defeating
behaviors
Variety of skill deficits
Family educationVictim issuesOngoing risk
assessment
![Page 25: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/25.jpg)
CSOM Long Version: Section 4 25
Collaboration Between Treatment and SupervisionProbation/parole may offer classesComplementary treatment and
supervision plansProbation/parole participate/observe in
treatment sessionsWritten treatment plan exchanged with
probation Joint understanding of offense cycles
![Page 26: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/26.jpg)
CSOM Long Version: Section 4 26
Primary Goal of Treatment -- Reduce Future VictimizationThe following are means to that end:Reducing cognitive distortionsAccepting responsibilityDeveloping victim empathyControlling sexual arousalImproving social competenceDeveloping relapse prevention skillsEstablishing supervision conditions and
networks
![Page 27: Learning Objectives](https://reader035.vdocuments.site/reader035/viewer/2022062814/5681679d550346895ddce2b9/html5/thumbnails/27.jpg)
CSOM Long Version: Section 4 27
Treatment Providers Must be Willing to...
Work as part of a teamShare informationProtect the community as a primary
responsibilityEvaluate their work by these standards