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Full Description
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
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
