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A National Perspective on the Current State of Practice: Learning Objectives: 

A National Perspective on the Current State of Practice: Learning Objectives Describe trends in treatment program prevalence for adults as compared with youth Identify several sex offender treatment approaches currently used in North America Describe recent trends in sex offender treatment

Current Sex Offender Treatment Practice Patterns in North America: 

Current Sex Offender Treatment Practice Patterns in North America Current Practices and Trends in Sexual Abuser Management, The Safer Society 2002 Nationwide Survey.

Total Number of Programs for Adults, 1986-2002: 

Total Number of Programs for Adults, 1986-2002

Total Number of Programs for Adolescents, 1986-2002: 

Total Number of Programs for Adolescents, 1986-2002

Community vs. Residential Treatment Programs for Adult Males: 

N=623 programs Community vs. Residential Treatment Programs for Adult Males

State Correctional Treatment Programs: 

State Correctional Treatment Programs Colorado DOC Survey (2000) 39 states had sex offender treatment programs in their institutions 30 of these had wait lists for program entry Number of treatment beds ranged from 70 to 1,200 Most programs last longer than one year 12 states require treatment for some types of sex offenders

Sex Offender Treatment Approaches Utilized for Adult Males in the Community: 

Sex Offender Treatment Approaches Utilized for Adult Males in the Community Treatment Approach Percentage of Programs Cognitive-behavioral 92% Relapse prevention 80% Psycho-socio educational 47% Family systems 18% Multi-systemic 16% Psycho-dynamic 13%

Adult Male Sex Offender Community and Residential Treatment: 

Adult Male Sex Offender Community and Residential Treatment Most frequent interventions: cognitive- behavioral Typical duration of treatment: 2-3 years Typical session length: individual = 50 minutes, group = 90 minutes Typical cost of treatment: individual = $45-$87, group = $23-$43; 67% offer sliding fee scale

Number of Adult Community Treatment Programs for Males Compared to Programs for Females: 

Number of Adult Community Treatment Programs for Males Compared to Programs for Females

Number of Community and Residential Treatment Programs for Adults Compared to Programs for Adolescents and Children: 

Number of Community and Residential Treatment Programs for Adults Compared to Programs for Adolescents and Children

Number of Sex Offenders Treated in 2001: 

Number of Sex Offenders Treated in 2001 N=75,650

Trends in Adult Male Sex Offender Treatment and Community Supervision: 

Trends in Adult Male Sex Offender Treatment and Community Supervision Increase in number of treatment programs from 1986-1992; decrease since 1992; increase since 2000 Increase in victim-centered approach Strong emphasis on collaboration Increase in use of polygraph Decrease in use of penile plethysmograph

Summary: 

Summary In 1992, there were more than 700 programs for adult males, in 2000 there were under 500, as of 2002 the number had rose to 951 Treatment approaches used include cognitive- behavioral, relapse prevention, psycho-socio educational, and family systems Medication use has declined slightly since 2000 Increase in victim-centered approach and strong emphasis on collaboration Increase in use of polygraph Decrease in use of penile plethysmograph