Offender Treatment

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Anthony R Beech - One of the best experts on this subject based on the ideXlab platform.

  • The influence of risk and psychopathy on the therapeutic climate in sex Offender Treatment.
    Sexual abuse : a journal of research and treatment, 2012
    Co-Authors: Leigh Harkins, Anthony R Beech, David Thornton
    Abstract:

    The current study examines the relationship between therapeutic climate of sexual Offender Treatment groups, risk level, psychopathy and phase (i.e., early/later) of Treatment. The participants were 137 sexual Offenders detained indefinitely under Wisconsin’s Sexually Violent Person’s Law who attended a Treatment group based on their level of psychopathy: higher levels of psychopathy (i.e., PCL-R scores of 25 or above) or lower levels of psychopathy (i.e., PCL-R scores of less than 25). Using MANOVA with aspects of the therapeutic climate as the dependent variables, the therapeutic climate did not differ as a function of the risk level of the participants. However, the overall therapeutic climate of the two Treatment tracks (Lower vs. Higher PCL-R) differed significantly. The mean therapeutic climate scores for both Treatment tracks were in the medium to high range (with exception of group cohesion, which was low in the Higher PCL-R track), indicating a fairly positive therapeutic climate in both treatmen...

  • evaluation of a community based sex Offender Treatment program using a good lives model approach
    Sexual Abuse: A Journal of Research and Treatment, 2012
    Co-Authors: Leigh Harkins, Vanja E Flak, Anthony R Beech, Jessica Woodhams
    Abstract:

    In this study the authors assessed a Good Lives model (GLM) approach to sex Offender Treatment and compare it to a standard Relapse Prevention program. The comparisons examined (a) attrition rates, (b) Treatment change in areas targeted in Treatment and achievement of a postTreatment treated profile, and (c) views of Offenders and facilitators. There were no differences in the attrition rates or the rates of Treatment change between the two programs, indicating that they were equally effective at retaining participants and achieving change on areas targeted within Treatment. Both facilitators and program participants reported the Good Lives approach module's impact in a positive, future-focused manner. In contrast, those who attended the Relapse Prevention module did not report their perceptions and motivations in a manner that was focused on the positives in their future as frequently as those who attended the module with the Good Lives model approach. Language: en

  • RESEARCH ARTICLE Examining the effectiveness of a UK community-based sexual Offender Treatment programme for child abusers
    2008
    Co-Authors: Rebecca Mandeville-norden, Anthony R Beech, Elizabeth Hayes
    Abstract:

    AttitudesThinking and Behaviour Team, Interventions and Substance Abuse Unit, NOMS Commissioning andPartnerships Directorate, Ministry of Justice, 1st Floor, Abell House, John Islip Street, London SW1P4LH, UK(Received 22 April 2007; final version received 14 November 2007)An analysis of psychometric data from a sample of 341 UK child abusers who hadcompleted a probation-based sex Offender Treatment programme was carried out inorder to assess the effectiveness of therapeutic Treatment. A cluster analysis was alsoundertaken to examine the pattern of pre-Treatment problems. Three clusters ofOffenders, with distinctly different psychometric profiles, were identified dependingupon the number and extent of their offence-specific and social adequacy problems.These were labelled Low need, Medium need and High need. Pre post analyses revealedclinically significant Treatment effects for the entire sample, with differing effects foundacross the clusters as follows: 50 81% of the Low need group scored within the cut-off(or normative range) at the post stage, while between 3% and 26% had shifted to aclinically significant degree; 34 75% of the Medium need group scored within the cut-offrange after Treatment, while between 9% and 100% had shifted to a clinically significantdegree; 16 52% of the High need sample scored within the cut-off at the post-Treatmentstage, and between 15% and 80% had shifted to a clinically significant degree.Keywords: child abusers; community sexual Offender Treatment; statistical effects;clinically significant change

  • Measurement of the effectiveness of sex Offender Treatment
    Aggression and Violent Behavior, 2007
    Co-Authors: Leigh Harkins, Anthony R Beech
    Abstract:

    The aim of this paper is to review various methods of examining Treatment effectiveness. A number of research methods used to examine the overall effectiveness of sex Offender Treatment, such as random assignment, risk band analysis, and matched control groups are discussed. Each of these designs offer advantages, but also have methodological shortcomings. While there are those who feel that only the most scientifically rigorous methodology must be employed if one hopes to draw meaningful conclusions, others feel that less stringent criteria in terms of comparison groups can yield meaningful inferential results. As a means of overcoming some of the shortcomings of recidivism outcome studies discussed, we suggest that the examination of more proximate outcomes, such as change within Treatment, provide a useful addition to studies of Treatment effectiveness.

  • A review of the factors that can influence the effectiveness of sexual Offender Treatment: Risk, need, responsivity, and process issues
    Aggression and Violent Behavior, 2007
    Co-Authors: Leigh Harkins, Anthony R Beech
    Abstract:

    The aim of this paper is to review various factors that may affect the effectiveness of sex Offender Treatment. First, attention to risk level is discussed as an important factor in terms of ensuring that Treatment is administered according to the level of an Offender's problems and that Treatment addresses criminogenic needs. Second, a number of responsivity/intra-individual characteristics (e.g., psychopathy, motivation, and locus of control), which may influence Treatment outcome, are examined. Third, the importance of considering process issues, such as the therapeutic climate of the group, the composition of the group, and therapist characteristics is discussed. Finally, suggestions for future research and for optimizing the effectiveness of sex Offender Treatment are provided.

Leigh Harkins - One of the best experts on this subject based on the ideXlab platform.

  • The influence of risk and psychopathy on the therapeutic climate in sex Offender Treatment.
    Sexual abuse : a journal of research and treatment, 2012
    Co-Authors: Leigh Harkins, Anthony R Beech, David Thornton
    Abstract:

    The current study examines the relationship between therapeutic climate of sexual Offender Treatment groups, risk level, psychopathy and phase (i.e., early/later) of Treatment. The participants were 137 sexual Offenders detained indefinitely under Wisconsin’s Sexually Violent Person’s Law who attended a Treatment group based on their level of psychopathy: higher levels of psychopathy (i.e., PCL-R scores of 25 or above) or lower levels of psychopathy (i.e., PCL-R scores of less than 25). Using MANOVA with aspects of the therapeutic climate as the dependent variables, the therapeutic climate did not differ as a function of the risk level of the participants. However, the overall therapeutic climate of the two Treatment tracks (Lower vs. Higher PCL-R) differed significantly. The mean therapeutic climate scores for both Treatment tracks were in the medium to high range (with exception of group cohesion, which was low in the Higher PCL-R track), indicating a fairly positive therapeutic climate in both treatmen...

  • evaluation of a community based sex Offender Treatment program using a good lives model approach
    Sexual Abuse: A Journal of Research and Treatment, 2012
    Co-Authors: Leigh Harkins, Vanja E Flak, Anthony R Beech, Jessica Woodhams
    Abstract:

    In this study the authors assessed a Good Lives model (GLM) approach to sex Offender Treatment and compare it to a standard Relapse Prevention program. The comparisons examined (a) attrition rates, (b) Treatment change in areas targeted in Treatment and achievement of a postTreatment treated profile, and (c) views of Offenders and facilitators. There were no differences in the attrition rates or the rates of Treatment change between the two programs, indicating that they were equally effective at retaining participants and achieving change on areas targeted within Treatment. Both facilitators and program participants reported the Good Lives approach module's impact in a positive, future-focused manner. In contrast, those who attended the Relapse Prevention module did not report their perceptions and motivations in a manner that was focused on the positives in their future as frequently as those who attended the module with the Good Lives model approach. Language: en

  • Measurement of the effectiveness of sex Offender Treatment
    Aggression and Violent Behavior, 2007
    Co-Authors: Leigh Harkins, Anthony R Beech
    Abstract:

    The aim of this paper is to review various methods of examining Treatment effectiveness. A number of research methods used to examine the overall effectiveness of sex Offender Treatment, such as random assignment, risk band analysis, and matched control groups are discussed. Each of these designs offer advantages, but also have methodological shortcomings. While there are those who feel that only the most scientifically rigorous methodology must be employed if one hopes to draw meaningful conclusions, others feel that less stringent criteria in terms of comparison groups can yield meaningful inferential results. As a means of overcoming some of the shortcomings of recidivism outcome studies discussed, we suggest that the examination of more proximate outcomes, such as change within Treatment, provide a useful addition to studies of Treatment effectiveness.

  • A review of the factors that can influence the effectiveness of sexual Offender Treatment: Risk, need, responsivity, and process issues
    Aggression and Violent Behavior, 2007
    Co-Authors: Leigh Harkins, Anthony R Beech
    Abstract:

    The aim of this paper is to review various factors that may affect the effectiveness of sex Offender Treatment. First, attention to risk level is discussed as an important factor in terms of ensuring that Treatment is administered according to the level of an Offender's problems and that Treatment addresses criminogenic needs. Second, a number of responsivity/intra-individual characteristics (e.g., psychopathy, motivation, and locus of control), which may influence Treatment outcome, are examined. Third, the importance of considering process issues, such as the therapeutic climate of the group, the composition of the group, and therapist characteristics is discussed. Finally, suggestions for future research and for optimizing the effectiveness of sex Offender Treatment are provided.

Mark E. Olver - One of the best experts on this subject based on the ideXlab platform.

  • Sexual Offender Treatment outcomes among psychopathy subtypes
    Journal of Criminological Research Policy and Practice, 2018
    Co-Authors: Lindsay A. Sewall, Mark E. Olver
    Abstract:

    Purpose The purpose of this paper is to examine sexual Offender Treatment responses as a function of psychopathy subtype. Design/methodology/approach Measures of sexual violence risk, Treatment change and outcome variables were coded retrospectively on a sample of 86 high Psychopathy Checklist-Revised (PCL-R) scoring sexual Offenders. Psychopathy subtypes were identified through cluster analysis of PCL-R facet scores. Findings Two subtypes were identified labeled classic and aggressive. They were comparable in their level of risk and need and did not differ in rates of Treatment completion or change. The aggressive subtype had higher rates of violent and general recidivism and higher frequencies of major mental disorder and cognitive disability. Results of Cox regression survival analysis demonstrated that Treatment-related changes in risk were associated with reductions in violent recidivism for the aggressive, but not classic, psychopathy variant. Practical implications Psychopathy is a heterogeneous syndrome. Moreover, psychopathic Offenders can demonstrate risk relevant Treatment changes. PCL-R facet profiles have important responsivity implications. However, not all psychopathic Offenders fare poorly in Treatment. Originality/value This is one of very few studies to examine Treatment response and links to outcome among psychopathic Offenders, particularly as this relates to subtype.

  • Sexual Offender Treatment Readiness, Responsivity, and Change: Linkages to Treatment Completion and Recidivism.
    Journal of forensic nursing, 2017
    Co-Authors: Justina N. Sowden, Mark E. Olver
    Abstract:

    This study examined the interrelationship of Treatment readiness, responsivity variables, and Treatment change to sexual Offender Treatment outcome, featuring the Treatment Readiness, Responsivity, and Gain Scale: Short Version (TRRG:SV). The sample was composed of 185 Canadian federal Offenders who attended a high-intensity sexual Offender Treatment program and were followed up an average of 9.3 years postrelease. Men with higher levels of education, employment history, and cognitive ability and who were married or equivalent, did not have a serious mental illness or intellectual disability, and were not actuarially high risk tended to show higher levels of Treatment engagement across the TRRG:SV subscales. Significant pre-post changes, denoting improvement, were observed on the TRRG:SV. In turn, positive Treatment engagement assessed by the TRRG:SV was associated with increased risk-relevant Treatment change, decreased program attrition, and reductions in sexual and violent recidivism, even after controlling for baseline risk. The role of attention to responsivity variables and Treatment readiness to promote client engagement and maximize therapeutic benefit is underscored.

  • sex Offender Treatment outcome actuarial risk and the aging sex Offender in canadian corrections a long term follow up
    Sexual Abuse: A Journal of Research and Treatment, 2013
    Co-Authors: Mark E. Olver, Stephen C. P. Wong, Terry P. Nicholaichuk
    Abstract:

    The present study is an examination of sex Offender Treatment outcome in a large national cohort of Canadian Federally incarcerated sex Offenders followed up an average of 11.7 years postrelease. A brief actuarial risk scale (BARS), which predicted sexual and violent recidivism, was created for the purposes of the present study to control for risk-related differences between treated and untreated Offenders. In total, 732 Offenders were identified as having completed (n = 625) or not attended (n = 107) a sex Offender Treatment program and for whom sufficient information was available to complete the scale. Controlling for risk and individual differences in follow-up time using Cox regression survival analyses and an 8-year fixed follow-up period, treated sex Offenders demonstrated significantly lower rates of violent, but not sexual, recidivism. When the treated and untreated groups were stratified by risk level, significant differences were observed only among moderate or high risk Offenders. Some significant group differences also emerged on indicators of recidivism severity, with treated Offenders demonstrating slower times to sexual reoffense and lower scores on a quantified metric of sexual and violent recidivism severity after controlling for risk. Differences in recidivism base rates between treated and untreated Offenders were also larger in magnitude for younger Offenders (i.e., under age 50 at release), than for older Offenders; however, interactions between age and Treatment were not found. The findings are consistent with the risk principle and have possible implications regarding the dynamic nature of sexual violence risk. Language: en

  • A description and research review of the Clearwater Sex Offender Treatment Programme
    Psychology Crime & Law, 2013
    Co-Authors: Mark E. Olver, Stephen C. P. Wong
    Abstract:

    Abstract This article provides a description and research review of an in-patient sex Offender Treatment programme, the Clearwater Sex Offender Treatment Programme, over its history of more than two decades of operation at the Regional Psychiatric Centre (RPC) in Saskatoon, Saskatchewan, Canada. We begin by reviewing the Clearwater Programme referral criteria and mandate, its methods of assessment and evaluation and the programme content, structure, Treatment philosophy and model of change. A review of applied research undertakings of the Clearwater Programme follows, including past Treatment outcome evaluations, examinations of therapeutic change and attention to responsivity considerations (e.g. Treatment attrition). We finish with some conclusions, comment on programmatic developments taken by the Clearwater Programme and anticipated future research directions.

  • A meta-analysis of predictors of Offender Treatment attrition and its relationship to recidivism
    Journal of consulting and clinical psychology, 2011
    Co-Authors: Mark E. Olver, Keira C. Stockdale, J. Stephen Wormith
    Abstract:

    Objective: The failure of Offenders to complete psychological Treatment can pose significant concerns, including increased risk for recidivism. Although a large literature identifying predictors of Offender Treatment attrition has accumulated, there has yet to be a comprehensive quantitative review. Method: A meta-analysis of the Offender Treatment literature was conducted to identify predictors of Offender Treatment attrition and examine its relationship to recidivism. The review covered 114 studies representing 41,438 Offenders. Sex Offender and domestic violence programs were also examined separately given their large independent literatures. Results: The overall attrition rate was 27.1% across all programs (k = 96), 27.6% from sex Offender programs (k = 34), and 37.8% from domestic violence programs (k = 35). Rates increased when preprogram attrition was considered. Significant predictors included demographic characteristics (e.g., age, rw = -.10), criminal history and personality variables (e.g., prior offenses, rw = .14; antisocial personality, rw = .14), psychological concerns (e.g., intelligence, rw = -.14), risk assessment measures (e.g., Statistical Information on Recidivism scale, rw =.18), and Treatment-related attitudes and behaviors (e.g., motivation, rw = -.13). Results indicated that Treatment noncompleters were higher risk Offenders and attrition from all programs significantly predicted several recidivism outcomes ranging from rw = .08 to .23. Conclusions: The clients who stand to benefit the most from Treatment (i.e., high-risk, high-needs) are the least likely to complete it. Offender Treatment attrition can be managed and clients can be retained through an awareness of, and attention to, key predictors of attrition and adherence to responsivity considerations. (PsycINFO Database Record (c) 2010 APA, all rights reserved). Language: en

William L. Marshall - One of the best experts on this subject based on the ideXlab platform.

  • The importance of group processes in Offender Treatment
    Aggression and Violent Behavior, 2010
    Co-Authors: William L. Marshall, David L. Burton
    Abstract:

    This paper reviews the literature addressing four process issues associated with the effectiveness of Treatment for Offenders: (1) Therapist characteristics; (2) Clients' perceptions of the therapist; (3) The therapeutic alliance; and (4) The group climate of Treatment. The general clinical literature is briefly summarized and then these issues are examined in adult Offenders and in juvenile Offenders. Although there is a limited set of research articles on process issues in Offender Treatment it is possible to make some reasonably sound conclusions. Each of the four process features we appraised facilitates the attainment of Treatment goals and they account for a greater proportion of the variance in the sought-after changes with Treatment of Offenders than do the procedures used to achieve these changes. This proportion of variance accounted for is significantly greater than is true in the Treatment of nonoffending clients. Suggestions are offered for future research.

  • The Utility of the Random Controlled Trial for Evaluating Sexual Offender Treatment: The Gold Standard or an Inappropriate Strategy?:
    Sexual abuse : a journal of research and treatment, 2007
    Co-Authors: William L. Marshall, Liam E. Marshall
    Abstract:

    This paper examines the scientific, practical, and ethical issues surrounding the employment of the Random Controlled Trial (RCT) in the evaluation of sexual Offender Treatment. Consideration of these issues leads us to conclude that the RCT design is not suitable for determining the effectiveness of sexual Offender Treatment. We also examine the RCT study by Marques et al. (Sexual Abuse: A Journal of Research and Treatment and Evaluation 17:79-107, 2005) that is often held up as the model for the evaluation of sexual Offender Treatment. We found several problems with this study that, in our opinion, reduce its relevance for deciding whether Treatment is effective with these clients. Finally, we examine two alternative strategies for evaluating Treatment that may allow Treatment providers to more readily examine, and report, the results of their programs.

  • Sexual Offender Treatment: Controversial Issues
    2005
    Co-Authors: William L. Marshall, Yolanda M. Fernandez, Liam E. Marshall, Geris A. Serran
    Abstract:

    About the Editors. List of Contributors. Series Editors' Preface. Preface. Acknowledgements. PART I GENERAL ISSUES 1. Recidivism risk assessments: making sense of controversies (Dennis M. Doren). 2. Stability and change: dynamic risk factors for sexual Offenders (R. Karl Hanson). 3. Diagnostic problems with sexual Offenders (William L. Marshall). 4. The civil commitment of sexual Offenders: lessons learned (Anita Schlank). Sadistic sexual aggressors (Jean Proulx, Etienne Blais and Eric Beauregard). 5. Sadistic sexual aggressors (Jean Proulx, Etienne Blais and E ric Beauregard). 6. Online sexuality and online sexual problems: skating on thin ice (Al Cooper, Gale Golden and William L. Marshall). 7. An attachment-theoretical revision of Marshall and Barbaree's Integrated Theory of the Etiology of Sexual Offending (Stephen W. Smallbone). 8. Coping and mood in sexual offending (Geris A. Serran and Liam Marshall). Shame and guilt in child molesters (Michael Proeve and Kevin Howells). 9. Shame and Guilt in child molesters (Michael Proeve and Kevin Howells). PART II Treatment 10. New ideas in the Treatment of sexual Offenders (Tony Ward and Dawn Fisher). 11. Sexual Offender Treatment for psychopaths: is it harmful? (Howard Barbaree, Calvin Langton and Edward Peacock). 12. Schema-driven cognition in sexual Offenders: theory, assessment and Treatment (Ruth E Mann and Jo Shingler). 13. Focusing on the positive and avoiding negativity in sexual Offender Treatment(Y.M. Fernandez). 14. Preparatory programs for sexual Offenders (Liam E Marshall and Heather M. Moulden). 15. Putting "Behavior" back into the cognitive behavioral Treatment of sexual Offenders (Yolanda M. Fernandez, Jo Shingler and William L. Marshall). 16. Collaboration in clinical work with sexual Offenders: Treatment and risk assessment (Jo Shingler and Ruth Mann). 17. When one size doesn't fit all: the reformulation of relapse prevention (D.R. Laws and Tony Ward). 18. Appraising Treatment outcome with sexual Offenders (William L. Marshall). 19. Conclusions and future directions. Index.

J. Endrass - One of the best experts on this subject based on the ideXlab platform.

  • AS37-02 - Cost efficiency of sex Offender Treatment programmes in Switzerland
    European Psychiatry, 2012
    Co-Authors: J. Endrass
    Abstract:

    There is robust empirical evidence for the efficacy of offense-oriented Treatment programs. These programs help reducing the rate of recidivism. In the case of sex-Offender Treatment, a lower rate of recidivism results in lower rate of victims. For the victims, experiencing sexual assaults is a relevant risk factor for the development of a series of mental health disorders. It is thus not surprising that sex-offenses lead to substantial financial costs and preventing sexual re-offending help reducing Treatment costs. In Switzerland, a longitudinal study, that started in 2000, allowed to compare the outcome of more than 300 treated violent and sex-Offenderswith a control group of untreated Offenders. Though the risk for re-offending was estimated to be higher in the Treatment group, the rate of recidivism was considerably lower. Using this difference of re-offending among the groups, it could be demonstrated that the Treatment program was cost-efficient since the costs of the Treatment programs were substantially lower than the expected Treatment costs for the victims.

  • P-655 - Cost efficiency of sex-Offender Treatment programs in switzerland
    European Psychiatry, 2012
    Co-Authors: J. Endrass, Astrid Rossegger
    Abstract:

    There is robust empirical evidence for the efficacy of offense-oriented Treatment programs. These programs help reducing the rate of recidivism. In the case of sex-Offender Treatment, a lower rate of recidivism results in lower rate of victims. For the victims, experiencing sexual assaults is a relevant risk factor for the development of a series of mental health disorders. It is thus not surprising that sex-offenses lead to substantial financial costs and preventing sexual re-offending help reducing Treatment costs. In Switzerland, a longitudinal study, that started in 2000, allowed to compare the outcome of more than 300 treated violent and sex-Offenderswith a control group of untreated Offenders. Though the risk for re-offending was estimated to be higher in the Treatment group, the rate of recidivism was considerably lower. Using this difference of re-offending among the groups, it could be demonstrated that the Treatment program was cost-efficient since the costs of the Treatment programs were substantially lower than the expected Treatment costs for the victims.