PROBLEM SEXUAL BEHAVIOUR

Environmental perspective on Intervention for Problem Sexual Behaviour in People with intellectual disabilities

Environmental perspective on Intervention for Problem Sexual Behaviour in People with intellectual disabilities

Abstract

Given that sexually offensive behaviour on the part of people with intellectual disabilities has been identified as a significant problem, we developed a risk assessment questionnaire, that takes not only various static and dynamic factors into account but also environmental risk variables. Psychologists and staff members completed this Risk Inventarization Scale on Sexually Offensive Behaviour of Clients with Intellectual Disabilities for 56 intellectually disabled clients with sexually offensive behaviour problems. Reliability analyses showed sufficient to good reliability for both the total scale (r = 0.82) and the identified subscales (quality of guidance r = 0.94; offending behaviour r = 0.75, and emotional and social stability r = 0.58). Correlation analyses of the quality of guidance subscale showed high positive correlations with such static variables as values and norms, living conditions, and criminal offences in early youth. Because both dynamic and environmental variables can be altered, the implications for treatment of the sexually offensive behaviour of clients with intellectual disabilities are discussed further.

Table of contents

Abstract2

Chapter I4

Introduction4

Ethical Paradigm for Sex Offender with intellectual disabilities treatment4

Scope and purpose6

Chapter II7

Narrative review7

Offenders may be forced to accept therapy from non-clinicians or unqualified staf.16

An Ethical Paradigm For Sex Offender Treatment Does Indeed Exist19

Assessment and Treatment of Juvenile Sex Offenders19

Chapter III19

Method19

Sample19

Design19

Data Collection19

Data Analysis19

Statistical analysis19

Results19

Component analysis19

Internal consistency19

Analyses of subscales19

Values and norms19

Criminal offences in early youth19

Chapter IV19

Is there a clear statement of findings?19

Absolutely… there is a clear statement of findings.19

Environmental perspective on Intervention19

Risk Factors19

Have ethical issues been taken into consideration?19

Was the data analysis sufficiently rigorous?19

Genetic Syndromes19

Socioenvironmental Factors19

Institutionalized sexual behaviour:19

Conclusion19

References19

Appendix19

Question 3Did the reviewers try to identify all relevant studies?19

Consider19

Comments19

Question 7How precise are the results?19

Comments19

Chapter I

Introduction

Ethical Paradigm for Sex Offender with intellectual disabilities treatment

Bill Glaser argued that sex offender treatment is antithetical to the traditional values and ethics of the mental health professions (Lambrick, F. 2003, 45-76). Specifically, he stated that "staff in such programs have been encouraged to breach traditional ethical codes of mental health practice" and that such programs "require therapeutic staff to explicitly and uncompromisingly adopt particular values and practices…which cannot be reconciled with traditional mental health ethics in any way" (Lambrick, F. 2003, 45-76). Glaser further asserted that "sex offender with intellectual disabilities treatment programs remain a form of punishment," and he ultimately attempted to design an ethical code that applies the principles of therapeutic jurisprudence to sex offender treatment. (Lambrick, F. 2003, 45-76)

Contemporary jurisprudence recognizes the need for an interdisciplinary response to crime, and courts have increasingly come to rely upon the collaboration of judges, court personnel, probation officers, and treatment providers (Lambrick, F. 2003, 45-76)3). In response to the problem of sexual violence, states across the U.K have instituted policies that allow for a combination of punishment, management, and rehabilitation for sexual offenders. Examples of such policies include civil commitment, community notification, registration, and mandatory community based treatment, which are designed to promote rehabilitation and community ...