Section 1905.110 Treatment Progress and Completion

Section 1905.110   Treatment Progress and Completion

Treatment providers shall recognize and communicate that

successful completion of a sexual abuser treatment program/regimen indicates

that a client has demonstrated sufficient progress in meeting the specified

series of goals and objectives of an individualized treatment plan designed to

significantly reduce and reasonably manage the individual's risk to reoffend.

Completion of treatment should be understood as meaning the successful completion

of treatment, and not as the cessation of court-ordered, offense-specific

treatment or the completion of the sentence imposed by the court or the

Prisoner Review Board.  Successful completion of treatment may not end the sex

offender's need for ongoing rehabilitation or elimination of risk to the

community.

a)         Treatment

providers develop written treatment contracts/agreements (e.g., treatment

consent forms) to ensure clarity and agreement between the provider and

clients.  The contracts address, at minimum, the following:

1)         The nature, goals and

objectives of treatment;

2)         The expected frequency

and duration of treatment;

3)         Rules and expectations

of treatment program participants;

4)         Rewards and incentives

for participation and progress;

5)         Consequences of noncompliance

with program rules and expectations; and

6)         Criteria used for

assessing progress and determining program completion.

b)         Treatment

providers routinely utilize multiple methods in an effort to objectively and

reliably gauge treatment progress, particularly with respect to dynamic risk

factors.  These methods include:

1)         Structured,

research-supported tools and inventories;

2)         Specialized

behavioral/psychophysiological tools;

3)         Client self-report; and

4)         Collateral reports

Treatment

providers routinely utilize multiple methods in an effort to objectively and

reliably gauge treatment progress, particularly with respect to dynamic risk

factors.  These methods include:

1)         Structured,

research-supported tools and inventories;

2)         Specialized

behavioral/psychophysiological tools;

3)         Client self-report; and

4)         Collateral reports.

c)         Treatment

providers routinely review the client's individual treatment plan and clearly

document in treatment records the specific and observable changes in factors

associated with the client's risk to recidivate, or the lack of changes.

d)         Treatment

providers recognize that a client who has successfully completed treatment has

generally:

1)         Acknowledged

the problems for which the client was referred in sufficient enough detail for

treatment staff to have developed a treatment plan that, if implemented

properly, could be reasonably expected to reduce the risk to reoffend;

2)         Demonstrated

an understanding of the thoughts, attitudes, emotions, behaviors and sexual

interests linked to sexually abusive behavior and can identify these when they

occur in the client's present functioning; and

3)         Demonstrated

changes in managing these thoughts, attitudes, emotions, behaviors and sexual

interests that are sufficiently sustained to create a reasonable assumption

that the client reduced the risk to reoffend.

AGENCY NOTE:  Offenders under

conditional release, parole or probation may have additional specific

indicators to enable the treatment provider to assess treatment completion to

include completion of levels of supervision (this may include various

components such as compliance with conditions of supervision, lack of

sanctions, employment, progress in treatment, etc.), polygraph examinations

and/or plethysmographs, etc.  The decision to successfully terminate a

supervised offender from treatment should be made by the  multidisciplinary

team

ss treatment completion to

include completion of levels of supervision (this may include various

components such as compliance with conditions of supervision, lack of

sanctions, employment, progress in treatment, etc.), polygraph examinations

and/or plethysmographs, etc.  The decision to successfully terminate a

supervised offender from treatment should be made by the  multidisciplinary

team.

e)         Treatment

providers evaluate a client's treatment progress within the context of a

thorough understanding of the client's individual capacities, abilities,

vulnerabilities and limitations.   Associated recommendations should reference

these factors and aim to stay within the bounds of what is likely or possible

for the individual client.

f)         Treatment providers

providing community-based treatment recommend:

1)         more

intensive treatment and/or supervision if a client experiences significant

difficulties managing the risk for sexual abuse in a way that jeopardizes

community safety; and

2)         gradual

adjustments to the intensity of services as the client consistently

demonstrates stability and positive gains.

g)         Treatment

providers prepare their clients for treatment completion, which may include a

gradual reduction in frequency of contacts over time as treatment gains are

made, booster sessions to reinforce and assess maintenance of treatment gains,

and consultation to any future service providers.

h)         Treatment

providers are clear when communicating with clients, other professionals, and

the public that some clients may require ongoing management of their risk and

treatment needs.

i)          Treatment

providers utilize the client, support persons and appropriate professionals

involved in ongoing case management with written information that includes

follow-up recommendations for maintaining treatment gains

s are clear when communicating with clients, other professionals, and

the public that some clients may require ongoing management of their risk and

treatment needs.

i)          Treatment

providers utilize the client, support persons and appropriate professionals

involved in ongoing case management with written information that includes

follow-up recommendations for maintaining treatment gains.

j)          Treatment

providers immediately notify appropriate authorities if a legally mandated

client discontinues treatment or violates a mandated condition of parole,

probation or treatment.

k)         Treatment

providers hold nonmandated clients to the same treatment expectations as

mandated clients.