Introduction to Sex Offender Treatment J. Michael Adler, PhD by kmo20868

VIEWS: 31 PAGES: 21

									Introduction to Sex Offender
         Treatment

    J. Michael Adler, PhD
  Sex Offender Treatment Board Conference
            August 9 – 11, 2009
    Introduction to Sex Offender Treatment

    Sex Offender treatment refers to the process of
        changing dynamic risk factors in order to
        minimize risk for future sexual offensive
                        behavior.




2                                     J. Michael Adler, PhD
    Sex Offender Treatment

       Sexual offending can not be cured.

       There is no known treatment that is 100%
        effective in stopping sex offending.

       Offenders do recidivate. Completion of
        treatment does not cure sexual offenders.

3                                      J. Michael Adler, PhD
    Sex Offender Treatment

       The focus of sex offender treatment is on the
        problem of sexually offensive behavior.

       This includes understanding the dynamic and
        static risk factors, the early, immediate,
        ongoing, and high risk factors.



4                                       J. Michael Adler, PhD
    Sex Offender Treatment

       Treatment must identify and address
        precursors, cycles, and deviant sexual
        interests and arousal.

       Treatment involves developing lifestyle
        changes that interfere with their sexual
        offense cycle.


5                                        J. Michael Adler, PhD
    Sex Offender Treatment

       Treatment is much more complex than the
        offender taking responsibility and/or saying “I
        did it!”

       Just because a sex offender admits to what
        they have done, does not reduce their risk to
        re-offend


6                                         J. Michael Adler, PhD
    Sex Offender Treatment

       Likewise, just because and offender doesn’t
        admit that he/she offended, doesn’t mean
        that they are a higher risk to re-offend.

       Denial and honesty are mitigating factors for
        treatment; not risk.



7                                        J. Michael Adler, PhD
    Sex Offender Treatment

       Regardless of how good you are at catching
        manipulation, sex offenders are much better
        at manipulation and seduction than you are
        at catching it.

       Don’t work alone! Let me say that again

       Don’t Work Alone!!!
8                                      J. Michael Adler, PhD
    Sex Offender Treatment

       Sex Offender Treatment does not equate to
        sex offender advocates.

       We treat sex offenders because we want to
        prevent further victims. We are victim
        prevention treatment programs.



9                                     J. Michael Adler, PhD
     Sex Offender Treatment

        Just because we are not “offender
         advocates” doesn’t mean we can mistreat
         sex offenders.

        Sex Offenders are human beings who
         regardless of their behavior should be
         treated with respect and concern.


10                                       J. Michael Adler, PhD
     Sex Offender Treatment

        Regardless how good a clinician you are, if you can
         not communicate to the sex offender that you want to
         help him/her with their offending, you will not
         successfully treat them.

        Sex offender treatment can not utilize secrecy, poor
         boundaries, abuse, exploitation, or any other
         dynamic they used to sexually act offend.


11                                             J. Michael Adler, PhD
     Sex Offender Treatment

        Sex Offenders will attempt to re-create the
         environment in which they offended in your
         treatment program. That is what they know
         and what they have done for years.

        Did I Tell you not to work alone?



12                                           J. Michael Adler, PhD
     Sex Offender Treatment

        Deviant sexual acting out is patterned,
         repetitive, and predatory.

        Deviant sexual acting out involves
         manipulation, coercion, force, power and/or
         control, and secrecy. These issues must
         always be challenged and confronted


13                                        J. Michael Adler, PhD
     Sex Offender Treatment

        Sex Offending is a behavior and a choice.

        It is not a direct consequence of the
         offender’s abuse, marital problems, or
         childhood.

        However, the offender’s interpretation of their
         experiences is a contributing factor.
14                                        J. Michael Adler, PhD
     Sex Offender Treatment

        Sex Offender treatment utilizes a cognitive-
         behavioral approach.

        It also incorporates objective testing such as
         polygraph and plethysmograph or sexual
         interest screening.



15                                        J. Michael Adler, PhD
     Sex Offender Treatment

        Some types of treatment are worse than no
         treatment!

        Partial treatment appears to be just as bad!

        Treatment gains largely happens in stages
         and over extended periods of time.

16                                        J. Michael Adler, PhD
     Sex Offender Treatment

        Many Sex Offenders who offend within the
         family also offend outside the family and vice
         versa.

        Sex Offenders have multiple paraphilias.
         They often sexually act out in many different
         ways.


17                                        J. Michael Adler, PhD
     Sex Offender Treatment

        There are many types of sex offenders. Sex
         offenders may be defined in many different
         ways, however they have more similarities
         than differences.

        Sex Offender treatment requires good
         personal boundaries and firm clearly defined
         therapeutic boundaries.
18                                       J. Michael Adler, PhD
     Sex Offender Treatment

        A team approach to addressing sex
         offenders is best.

        The Containment model for sex offender
         treatment is considered the most effective
         model for treating and supervising sex
         offenders in the community.


19                                       J. Michael Adler, PhD
     Sex Offender Treatment

        Sex Offender treatment utilizes confrontation.
         You must be able to confront and direct sex
         offenders into adaptive ways of coping with
         life issues and their deviancy.

        Confrontation refers to making one aware;
         not fighting, intimidating, threatening, etc.


20                                         J. Michael Adler, PhD
     Sex Offender Treatment

        There are definitive differences between
         treating sex offenders and other clinical
         populations




21                                        J. Michael Adler, PhD

								
To top