|Community Based Treatment for Sexual Offenders With Intellectual Disabilities
|Saturday, May 29, 2010
|1:00 PM–2:20 PM
|Area: DDA/CSE; Domain: Service Delivery
|Chair: Kimberly E. Church (Human Development Center, Inc.)
|CE Instructor: Katherine Johnson, M.A.
|Abstract: Providing effective and safe treatment to individuals who have engaged in sexually abusive behavior requires a comprehensive treatment model that is able to adapt and respond to systemic and community challenges and changes. A review of the literature, summary of treatment approaches, and overview of challenges encountered in the service delivery system is reviewed. Specific areas of focus include balancing safety and individual rights, encountering the legal system, providing sex education, and working with the individual and his circle of supports to provide optimal care. Suggestions for future directions and research will be discussed.
|Probing the Use of Avoidance Skills by Sex Offenders Diagnosed with Mental Retardation
|VALERIA PAREJO (Human Development Center, Inc.), Stephani Fauerbach (Human Development Center, Inc.), Kimberly E. Church (Human Development Center, Inc.)
|Abstract: The purpose of this study is to evaluate in real-life situations the use of avoidance skills sex offenders learned through formal training. The participants are adult males diagnosed with mental retardation, psychiatric disorders, and challenging behaviors, including inappropriate sexual behavior. Although the functionally equivalent replacement behavior for inappropriate sexual behavior is most likely to be appropriate sexual behavior, it is also important for these individuals to learn to avoid high risk situations that could lead to the occurrence of inappropriate sexual behavior, law enforcement involvement, and victimization of others. Avoidance skills regarding inappropriate sexual behavior include avoiding the presence of minors and child related stimuli, such as toys, TV shows, printed media, etc. All participants currently receive either intensive residential habilitation services or residential habilitation with behavior focus. Probes will be conducted in several settings and will include a variety of stimuli, including probes in the community where monitoring will be done by confederates to reduce the possibility of reactivity. Data have been collected for two participants; additional data to be collected.
|A Solution Focused Approach to Providing Residential and Day Training Services to Sexual Offenders With Intellectual Disabilities
|HOLLY ARNOLD (Human Development Center, Inc.), Kimberly E. Church (Human Development Center, Inc.), Stephani Fauerbach (Human Development Center, Inc.)
|Abstract: Collaboration, communication, and creativity are all essential components for systems designed to safely and effectively treat individuals with intellectual and behavioral challenges. When the persons served also have a history of engaging in sexually abusive behaviors, the treatment system must also be flexible, solution oriented, and supported by a team of qualified staff who are able to think fast and plan ahead. Challenges encountered over the last decade will be presented, along with practical solutions to overcome obstacles. Case studies will be presented to highlight the process utilized to test hypotheses as a means of identifying and assessing effective interventions and environmental manipulations to promote optimal success for each individual.
|Balancing Safety and Rights: Current Policies and Methods of Assessing Competency to Consent to Sexual Behavior
|KIMBERLY E. CHURCH (Human Development Center, Inc.), James L. Bell (Human Development Center, Inc.), Valeria Parejo (Human Development Center, Inc.)
|Abstract: Adults with intellectual disabilities making decisions regarding sexual behavior is a controversial and complex topic. People with disabilities are people first, and have the same needs and desires for interpersonal and intimate relationships as anyone else. Policies regarding appropriate sexual behaviors for individuals with intellectual disabilities will be reviewed, along with factors that complicate reaching a uniform agreement on developing guidelines for safe and consensual sexual behavior. Methods for assessing ability to consent will be discussed, as well as specific challenges related to sexual rights for individuals who have a history of sexual offending behavior.
|A Community Based Treatment Model for Sexual Offenders With Intellectual Disabilities
|KIMBERLY E. CHURCH (Human Development Center, Inc.), James L. Bell (Human Development Center, Inc.), Holly Arnold (Human Development Center, Inc.)
|Abstract: The Human Development Center utilizes a multimodal approach to support individuals with intellectual disabilities who have engaged in sexual offending behavior. The program emphasizes community and individual safety by providing a containment model, ongoing assessment of risk, skill training, reinforcement of appropriate behavior, and avoidance behavior training. Both clients and staff receive extensive training and ongoing feedback across treatment settings. Data is collected on both target and replacement behaviors, and probes are conducted across settings to evaluate the generalization of skills. Anger management, relaxation, and other coping skill trainings are provided as necessary, and individual and group contingencies are utilized to provide wrap around supports. Participants will be provided with the general overview of the treatment system. Two case studies will be reviewed in order to provide a more detailed description of common treatment strategies used and the outcomes achieved.