1. February, 20011 Appendix 16 Offenders: Pleas and Sentencing

2. February, 20012 If we convict them, what do we do with them?

3. February, 20013 Sex Offender Treatment Why do we “treat” rapists and not bank robbers? –Historical legacy –Severe damage to victims –Very high recidivism rates Why do we “treat” rapists and not bank robbers? –Historical legacy –Severe damage to victims –Very high recidivism rates

4. February, 20014 Recidivism & Sex Offenders 39% sex re-offense rate among rapists –74% for sex & non-sex re-offense 52% sex re-offense rate among child abusers –75% for sex & non-sex re-offense 39% sex re-offense rate among rapists –74% for sex & non-sex re-offense 52% sex re-offense rate among child abusers –75% for sex & non-sex re-offense Data derived from 25-year follow-up study of 251 offenders from Bridgewater: Prentky et al. (1997). Law & Human Behavior.

5. February, 20015 Sex Offender Treatment is NOT... Traditional psychotherapy Community service Traditional psychotherapy Community service What is Sex Offender Treatment?

6. February, 20016 Sex Offender Treatment IS Specialized Comprehensive Multi-method Very tough Specialized Comprehensive Multi-method Very tough What is Sex Offender Treatment?

7. February, 20017 Who Belongs in Sex Offender Treatment? Admits guilt & shows remorse Non-deviant sexual arousal patterns Not a career criminal Low on PCL-R psychopathy Admits guilt & shows remorse Non-deviant sexual arousal patterns Not a career criminal Low on PCL-R psychopathy

8. February, 20018 Components of Sex Offender Treatment Assessment & Treatment Plan Behavioral Conditioning Empathy Training Group Therapy Recognizing Offense Precursors Plethysmograph/Polygraph Testing Relapse Prevention Assessment & Treatment Plan Behavioral Conditioning Empathy Training Group Therapy Recognizing Offense Precursors Plethysmograph/Polygraph Testing Relapse Prevention

9. February, 20019 Competent, certified treatment providers Collateral sources of monitoring Phallometric & polygraph monitoring Threat of Prison Competent, certified treatment providers Collateral sources of monitoring Phallometric & polygraph monitoring Threat of Prison Relapse Prevention Requires Effective Community-Based Programs

10. February, 200110 The Effectiveness of Sex Offender Treatment Summary of Outcome Studies All reported recidivism rates are underestimates Historically, treatment has shown modest to no impact on recidivism Recent, state-of-the-art programs show more consistent, still modest impact on recidivism All reported recidivism rates are underestimates Historically, treatment has shown modest to no impact on recidivism Recent, state-of-the-art programs show more consistent, still modest impact on recidivism