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Treatment of High-Risk Sexual Offenders: An Integrated Approach

Treatment of High-Risk Sexual Offenders: An Integrated Approach

Jeffrey Abracen, Jan Looman

ISBN: 978-1-118-98013-2

Oct 2015, Wiley-Blackwell

280 pages


Treatment of High-Risk Sexual Offenders addresses concrete management strategies, from initial intake to community treatment programs, and describes a detailed program for high risk offenders which has been developed, tested and refined for over 15 years.
  • Provides a thorough review of contemporary theory and research relating to complex, challenging populations, and translates it into a comprehensive system of assessment and treatment for high risk sexual offenders
  • Offers detailed coverage of setting and staff requirements, the importance of the therapeutic alliance, and how to balance individual therapy with group components in order to develop social and self-management skills
  • Builds on the principle of integrative care, drawing on the established Risk-Need-Responsivity (RNR) model for offender assessment and rehabilitation but adding new components of CBT and motivational interviewing
  • Includes a complete assessment battery and strategies for managing serious mental illness and comorbidity
Acknowledgements vii

Introduction viii

1 Background and Definitions 1

2 The Regional Treatment Centre High Intensity Sex Offender Treatment Program (RTCSOTP): Description of Group Characteristics and the Treatment Program 8

3 Treatment Outcome for High]Risk Violent and Sexual Offenders 19

4 Therapist and Setting Characteristics 48

5 The Integrated Risk–Need–Responsivity (RNR]I) Model 69

6 Etiological Factors: Attachment Theory and Complex Post]Traumatic Stress 72

7 Combining Attachment Theory and Complex Post]Traumatic Stress Disorder and Theories of Sexual Offending: The Integrated Risk–Need–Responsivity (RNR]I) Model 83

8 The Good Lives Model and Sexual Offending 97

9 Therapeutic Orientation and Relevance to Assessment 106

10 Self]Management Component 117

11 Social Skills and Individual Therapy 126

12 Alcohol Abuse, Drug Abuse, and Sexual Offending 154

13 Deviant Sexual Arousal 163

14 The Integrated Risk–Need–Responsivity Model (RNR]I): Practical Applications for Assessment and Treatment of Sexual Offenders with Substance or Alcohol Abuse Disorders 177

15 A Model for Community Management 186

16 Summary and Conclusions 216

References 223

Appendix I: Decision Matrix 246

Appendix II: List of Pre] and Post]treatment Measures 247

Appendix III: Goals for Professional Growth and Development 252

Index 255