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Treatment of High-Risk Sexual Offenders


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Table of Contents

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

About the Author

Dr Jeffrey Abracen is Chief Psychologist with Central District Parole, Correctional Service of Canada. He was previously clinical director of the community based Methadone Maintenance Treatment Program, and until late 2011 was co-director of the Relapse Prevention Maintenance Program offered to sexual offenders in the Central District of Correctional Service of Canada. He has provided training related to the community treatment and supervision of sexual offenders to a variety of audiences and has more than thirty publications in peer-reviewed journals, as well as many conference presentations. Dr Jan Looman is a psychologist working on the Forensic Unit of Providence Care Mental Health Services in Kingston, Canada, and was previously Clinical Manager at the Regional Treatment Center Ontario, a psychiatric hospital serving the Federal Prison system in Ontario. From 1997-2011 he was Program Director of the Regional Treatment Centre Sex Offender Treatment Program. For the past six years he has conducted Sexually Violent Predator assessments in Washington State. He has carried out training regarding the assessment and treatment of sex offenders at various conferences and workshops and has more than thirty peer-reviewed publications in this area.

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