Treatment readiness in violent offenders: The influence of cognitive factors on engagement in violence programs

Advances in offender rehabilitation theory have led to the development of a clear framework of the factors that need consideration for an offender to be ready for therapy and thus gain maximum benefits. Here, we examine in greater detail the role of cognition in readiness for rehabilitation in violent offenders. We assess how cognitive processes and distortions common in violent offenders may affect and hamper rehabilitation readiness. Methods for remediation of cognitive factors that diminish readiness, including motivational interviewing, are discussed. We conclude that cognitive factors are critical in the assessment of readiness in violent offenders and therapeutic efforts to enhance engagement.     

The validity and reliability of the Violence Risk Scale-Sexual Offender version: assessing sex offender risk and evaluating therapeutic change

The Violence Risk Scale-Sexual Offender version (VRS-SO) is a rating scale designed to assess risk and predict sexual recidivism, to measure and link treatment changes to sexual recidivism, and to inform the delivery of sexual offender treatment. The VRS-SO comprises 7 static and 17 dynamic items empirically or conceptually linked to sexual recidivism. Dynamic items with higher ratings identify treatment targets linked to sexual offending. A modified stages of change model assesses the offender's treatment readiness and change. File-based VRS-SO ratings were completed on 321 sex offenders followed up an average of 10 years post-release. VRS-SO scores predicted sexual and nonsexual violent recidivism post-release and demonstrated acceptable interrater reliability and concurrent validity. A factor analysis of the dynamic items generated 3 factors labeled Sexual Deviance, Criminality, and Treatment Responsivity, all of which predicted sexual recidivism and were differentially associated with different sex offender types. The dynamic items together made incremental contributions to sexual recidivism prediction after static risk was controlled for. Positive changes in the dynamic items, measured at pre- and posttreatment, were significantly related to reductions in sexual recidivism after risk and follow-up time were controlled for, suggesting that dynamic items are indeed dynamic or changeable in nature.     

Does sexual offender treatment work? A systematic review of outcome evaluations

The article reports a systematic review of controlled outcome evaluations of psychosocial and organic sexual offender treatment. A comprehensive search of the literature in five languages revealed 80 independent comparisons between treated and untreated groups of sexual offenders ( N = 22,181). The majority of studies confirmed a positive treatment effect. Overall, 11.1% of treated offenders and 17.5% of controls showed sexual recidivism (37% difference). Findings for violent and general recidivism were similar. Studies on surgical castration showed the strongest effect; however, this was confounded with methodological and offender characteristics. Hormonal medication, cognitive-behavioural, and behavioural approaches also revealed a positive effect. Non-behavioural treatments did not show a significant impact. Other moderators such as small sample size, authors' affiliation with the program, program completion versus dropout, or type of outcome measure had a significant impact. Methodological study characteristics explained the largest proportion of effect size variance. Overall, findings are promising but more differentiated evaluations of high quality are needed.     

Brief anger interventions with offenders may be ineffective: A replication and extension

Anger-management interventions are widely delivered in the criminal justice and forensic mental health systems. Whilst previous research has generally supported the thesis that anger management is an effective intervention for anger problems in general there remains a need to determine its effectiveness with offender populations. This paper reports the results of a controlled outcome study of a 20 h anger-management program offered to offenders. Those receiving treatment showed improvements in their knowledge about anger, but showed little change on measures of anger and anger expression when compared to waiting-list controls. Scores on measures of treatment readiness and level of need for treatment were however, correlated with post-treatment improvement. These findings are discussed in terms of their implications for the assessment and selection of appropriate participants for offender anger-management programs.     

Identification of adolescent sexual offenders: A rebt model

The adolescent sexual offender is perhaps one of the most misunderstood, misdiagnosed and maltreated clinical populations facing today's mental health practitioner. They are often the adolescents whom no one wishes to have in their family, school, neighborhood and, sometimes, office. Since this clinical population is relatively new and research has yet to establish consistent findings, attempts to categorize these adolescents are often subjective and inaccurate. This article outlines the problems in traditional diagnostic schemes for identifying adolescent sexual offenders, the myths surrounding the predisposing factors for becoming an adolescent sexual offender, the rationale and process based on Rational Emotive Behavior Therapy (Ellis, 1962) for identifying adolescent sexual offenders and how to discriminate this group from adolescents who engage in inappropriate sexual behavior. These two classifications are the two categories for identifying the adolescent sexual offenders for our program at Children's Service Center in Wilkes-Barre, Pennsylvania. The Children's Service Center adolescent sexual offender program currently has a zero recidivism rate for the past four years.     

A critique of models and measures of treatment readiness in offenders

Assessing offender readiness for treatment has major implications in terms of determining program referrals, dropout rates and, hence, program efficiency and efficacy. To be treatment ready means that the offender is motivated, finds programming relevant and meaningful, and has the capacity to successfully engage in and complete treatment. The objective of this paper is to systematically review the current methods of defining and measuring the construct of offender treatment readiness. A review of 11 measures assessing treatment readiness is described. Commonalities and differences between the measures are discussed, as well as their psychometric properties and different theoretical models. This paper concludes that there is a lack of consensus regarding the construct of treatment readiness and highlights the need for its standardized assessment. While there are various instruments developed to examine treatment readiness, there have been few efforts in validating the variables and elements encompassed by this construct. The need for a solid theoretical model is identified. Implications regarding best practices are described, as well as future directions on how to develop a psychometrically sound measure.     

Good lives and the rehabilitation of offenders: Promises and problems

In this paper, I argue that every rehabilitation program presupposes conceptions of possible good lives for offenders and, associated with this, an understanding of the necessary internal and external conditions for living such lives. I first clarify the notion of good lives and outline its necessary features. Second, I establish the conclusion that all offender programs presuppose a conception of good lives. In order to make the argument a little more concrete, I demonstrate how a state-of-the-art treatment program for sex offenders and research on the process of offender change presuppose such a conception and expose the problems evident in the way they engage with this dimension of rehabilitation. Third, I argue that it is necessary for individuals working to rehabilitate offenders to explicitly construct conceptions of good lives for different offenders and to use these conceptions to shape the behavior change process.     

A longitudinal examination of sex offender recidivism prior to and following the implementation of SORN

The goals of the present study were to examine the recidivism rates of two matched samples of sexual offenders, those released prior to and after sex offender registration and notification (SORN) in New Jersey. The pre-SORN group (1990-1994) included 247 offenders, while the post-SORN group (1996-2000) included 248 offenders. The longitudinal analysis demonstrated that for sex offenders released from prison both prior to and after implementation of SORN, there are clearly two distinguishable groups of sex offenders in relation to patterns of recidivism. More than three-quarters of sex offenders were identified as at low risk of recidivism, with low rates of repeat criminal offenses. By contrast, the high-risk group of offenders was not only more likely to commit future criminal offenses, including sex offenses, but they were also more likely to commit significantly more offenses and to do so fairly quickly following release. Analyses also include an examination of the influence of demographics, substance abuse and mental health issues, treatment history, sex offense incident characteristics, and criminal history on recidivism. Finally, SORN status was not a significant predictor of sex or general recidivism. The study limitations and policy implications are discussed.     

Veränderungen kriminogener Faktoren bei Sexual- und Gewaltstraftätern in Sozialtherapie und Regelvollzug

In the evaluation of offender treatment programmes, recidivism is still the most common measure of success. However, positive effects concerning future delinquent behaviour do not prove that treatment led to changes in the targeted criminogenic risk factors. Furthermore, little is known about whether such changes differ among the various offender types. This study investigated changes in self-reported criminogenic personality patterns and cognitions in a sample of treated and untreated sexual and violent offenders. Specific prosocial changes in treatment targets, such as self-control, excitability and neuroticism were found but similar improvements were also found in untreated offenders. In addition, changes in measured risk factors did not differ between offender types, although self-control, aggressiveness and neuroticism showed significant interactions between offence type and treatment delivery. Whereas treated violent offenders exhibited more positive changes than untreated violent offenders, an inverse pattern was observed in the case of sex offenders. Minor specific treatment effects as well as the limitations of the administered psychometric instruments are discussed as possible explanations for these results.     

Recidivism base rates,predictions of sex offender recidivism,and the “sexual predator” commitment laws

Predictions of future sexual offending have been mandated by various “Sexual Predator” commitment laws, despite historical arguments that clinicians are frequently inaccurate and over-predict violence. The basis for those arguments has been the perspective that sexual recidivism is a relatively rare event. Research is reviewed, however, with the finding that sexual recidivism for certain offenders is a rather common occurrence when the definition of recidivism is in keeping with the sex offender commitment laws. This finding is used to demonstrate that under-, rather than over-prediction of the designated violence is necessarily today's practice. Practical and ethical implications are discussed. © 1998 John Wiley & Sons, Ltd.     

Punishing Repeat Offenders in the Netherlands: Balancing between Incapacitation and Treatment

In the Netherlands, punishing repeat offenders is not a foregone conclusion. After a decades-long search for an appropriate punishment, repeat offenders are currently punished by means of a custodial security measure. A custodial security measure is additional incarceration often beyond the original penalty. This new penal measure can be imposed for a maximum of 2 years, and is designed to ensure public safety and reduce recidivism by way of incapacitation. However, given the fact that nearly every repeat offender suffers from severe comorbid problems (e.g., a mental illness and substance abuse disorder), judges tend to consider these objectives from a long-term perspective by insisting on as much treatment during detention as possible. Consequently, the punishment for repeat offenders balances between incapacitation and treatment. While some have argued that the current Dutch sentencing scheme represents a new way of sentencing, this article demonstrates that the reliance on the sometimes dichotomous goals of punishment and rehabilitation is characteristic not only of the current type of repeat offender punishment, but of all previous types as well. Copyright © 2015 John Wiley & Sons, Ltd.     

Physical Attractiveness,Dangerousness, and the Canadian Criminal Code1

The Canadian Criminal Code contains provisions for labelling certain convicted criminal offenders as Dangerous Offenders. Sentences of indefinite duration are usually imposed on these offenders in place of the fixed sentences that would normally be imposed. The present study examined one potential source of bias in the use of the Dangerous Offender provisions, the physical attractiveness of an offender. Two hundred and eighty-four adults were given information about a hypothetical offender, including a facial photograph and a conviction record. They responded to questions about the dangerousness of the offender, including questions drawn from the Dangerous Offender criteria. Subjects perceived physically unattractive sexual offenders as significantly more likely to fulfill the Dangerous Offender criteria than average-looking and attractive sexual offenders. In particular, unattractive sexual offenders were seen as significantly less likely to restrain their behavior in the future. In light of the fact that there is currently no evidence that physical attractiveness is a valid predictor of sexual offender recidivism, this finding provides grounds to question whether the Dangerous Offender provisions of the Canadian Criminal Code, as they now stand, can be administered impartially.     

The sexually violent offender: Impulsive or ritualistic?

The article presents and develops a paradigm of serial, sexual offenders derived from our criminal investigative analysis experience and research. The paradigm delineates two major categories of sexually violent offenders. The Impulsive Offender is described as being criminally unsophisticated, and largely reactive in terms of his victim selection and crime-scene behavior. It is observed that this type of offender is often characterized by a diverse criminal history, rather generic sexual interests, and significant levels of physical violence. The Ritualistic Offender, in contrast, is characterized by diverse paraphilic interests, a pervasive and defining fantasy life, and a carefully developed and executed set of crime-scene behaviors. These two distinctions are examined as they inform the analysis of a sexually violent crime by criminal investigative analysts as well as the clinical evaluation of these offenders within a forensic context. The potential utility of this type of paradigmatic delineation for risk assessments and for assessing the potential for future recidivism is also highlighted.     

Child versus peer/adult offenders: A critical review of the juvenile sex offender literature

Sexual offenses are serious crimes and it is believed that adolescents perpetrate 20% of all sexual assaults and 50% of all child sexual abuse (Barbaree & Marshall, 2006). To better understand the etiology of juvenile sexual offending, researchers have explored differences between those who offend children versus those who offend peers/adults. This paper critically reviewed 21 studies that compared juvenile sex offenders who abused children with those who abused peers/adults on a variety of variables including victim, offense, and offender characteristics; psychosocial variables; and predictors and rates of recidivism. Strengths and weaknesses of these studies as well as future directions for the literature are discussed. Common methodological limitations of victim-age based comparisons of juvenile sex offenders included inconsistent definitions, low-powered studies, lack of standardized measures, and recidivism data based solely on conviction rates. Overall, many inconsistent findings limit our ability to give overarching conclusions; however, the research does suggests that not only is it important to examine child and peer/adult offenders, but mixed offenders (i.e., offender with both child and peer victims) as a distinct group need to be included in comparisons as well.     

Die Rehabilitation von Straftätern

The rehabilitation of offenders in English-speaking countries is primarily guided by a risk management framework (the risk-need-responsivity principles: RNR model), which aims at reducing the possibility of harm to the community rather than improving offenders’ quality of life. In the last decade Tony Ward and his colleagues have developed the good lives model of offender rehabilitation (GLM) as an alternative to the RNR model. The GLM incorporates the RNR principles of risk, need and responsivity into its theoretical structure while aiming to provide a more constructive and comprehensive approach to correctional practice. More specifically, it aims to both reduce risk while enhancing the quality of offenders’ lives. The present article aims at outlining the general, etiological assumptions and practice implications of the GLM. In addition, its strengths and limitations and evidence base are reported. These illustrations highlight the usefulness of the GLM for the treatment of offenders and sex offenders in particular.     

A narrative review of research on clinical responses to the problem of sexual offenses in the last decade

Research on the treatment and programs for people who have committed sexual offenses has greatly increased in the past decade. The aim of this review is to discuss research that has been published over that period (2010–2019) that is relevant for treatment providers. The articles included in this review were found through PsycINFO and PubMed (Medline) using the keywords “treatment or therapy” and “sex offen*”. The inclusion criteria were publications that discuss treatment of persons who have committed sexual offenses (written in the English language only). Any articles that examined only special populations were excluded, such as those that examined persons who committed sexual offenses who were female, had intellectual disabilities, deafness, juveniles, etc., because these groups will likely have needs and responsivity factors that differ from the “average” natal-born male sex offender. Results showed that several meta-analyses indicate that treatment is effective in reducing sexual recidivism. The most frequently used treatment for sex offenders is cognitive behavioral therapy, which is often provided in conjunction with pharmacological treatment to reduce sexual impulsivity and/or sex drive. This review is limited to the specific key search terms. The findings of this review support the use of treatment and a community reintegration approach when treating persons who have committed sexual crimes to prevent sexual recidivism.     

What works for serious juvenile offenders? A systematic review

This study examines the outcomes of best available empirical research regarding the effectiveness of treatment programs implemented in secure corrections to prevent the recidivism of serious (violent and chronic) juvenile offenders (from 12 to 21 years old). In this review 30 experimental and quasi-experimental studies are analyzed, comparing 2831 juveniles in the treatment groups and 3002 youths for the control groups. The global effect size of these 30 studies in terms of standardized mean difference was d = 0.14 in favour of the treatment groups. This size effect, in terms of "r" coefficient reached the value of 0.07, of low magnitude. The cognitive-behavioral methods of treatment were the most effective in decreasing recidivism. These results report that the rehabilitation programs for serious offenders achieve to reduce the general recidivism in comparison with the control juveniles in approximately seven percent.