Section 1905.130 Risk Reduction and Risk Management in the Community

Section 1905.130  Risk Reduction and Risk Management in

the Community

a)         Many

adult sexual abusers residing in the community are supervised under the

jurisdiction of the courts, correctional departments, probation or parole

divisions or mental health agencies.  Approaches to reducing and managing risk

in the community may involve imposing various supervision conditions,

expectations and requirements; monitoring and tracking; linking clients to

appropriate programs and services; facilitating successful reentry to and

stability in the community following release from correctional or other

facility custody; promoting continuity of care within and across facility-based

programs and services and community-based services; educating and engaging the

public and communities; using and encouraging other system partners to use

empirically informed assessment information to guide interventions and

strategies; and engaging positive community support networks, which may include

trained volunteers.  Some strategies are explicitly designed to reduce the

recidivism risk of sexual abusers by assisting them with developing and enhancing

prosocial attitudes, skills and behaviors; increasing healthy and appropriate

interests; effectively managing risk factors; developing positive and prosocial

community supports; and enhancing other protective factors.  Other strategies

are primarily designed to promote accountability, deterrence and risk

management.

b)         Research

indicates that focusing supervision activities primarily or exclusively on risk

management is not effective in reducing recidivism, whereas using risk-reducing

interventions, such as treatment and other skill-building interventions, to

complement risk management-based supervision strategies leads to better

outcomes. To support a balance of risk reduction and risk management efforts,

contemporary trends involving sexual abusers in the community often emphasize

multidisciplinary and multi-agency collaborations

g recidivism, whereas using risk-reducing

interventions, such as treatment and other skill-building interventions, to

complement risk management-based supervision strategies leads to better

outcomes. To support a balance of risk reduction and risk management efforts,

contemporary trends involving sexual abusers in the community often emphasize

multidisciplinary and multi-agency collaborations.  These collaborative efforts

are part of contemporary practices in the treatment and supervision of sexual

abusers, as supported by the extant literature.  It may include communication

and partnerships among professionals, such as sexual abuser-specific treatment

providers and other treatment providers (e.g., substance abuse, mental health,

marital and family therapists), probation or parole officers, case managers,

child welfare professionals, victim advocates, law enforcement officials,

polygraph examiners and others.

c)         In

many jurisdictions, collaboration occurs through multidisciplinary case

management teams, the composition of which may vary depending on the risk,

needs and circumstances of a given client.  Key elements of effective

collaboration include a clear delineation of roles and responsibilities,

complementary policies and procedures, ethically sound communication and

information-sharing mechanisms, and a shared community safety goal.  Through

effective partnerships, early intervention can be exercised to reduce the risk

posed by sexual abusers prior to behaviors that are not yet criminal in nature

and to facilitate the exchange of information to develop appropriate treatment

plans, inform risk management decisions, make recommendations regarding victim

contact, and increase the overall stability and success of clients in the

community

ctive partnerships, early intervention can be exercised to reduce the risk

posed by sexual abusers prior to behaviors that are not yet criminal in nature

and to facilitate the exchange of information to develop appropriate treatment

plans, inform risk management decisions, make recommendations regarding victim

contact, and increase the overall stability and success of clients in the

community.

d)         In

cases in which a client will be released from a correctional, inpatient or

other institutional setting, the transition to the community is likely to be

more successful when collaboration exists among professionals with case

management responsibilities in the facility and in the community.  Transition

and reentry planning should be initiated well in advance of the client's

release in order to identify any current and ongoing intervention needs, promote

continuity of care, explore and begin to address potential barriers to reentry

in the community (e.g., housing or employment challenges), clarify any post release

conditions and expectations, and facilitate access to community resources and

services, which may include community-based sexual abuser-specific treatment.

e)         Research

on correctional populations, including sexual abusers, demonstrates that

interventions are most effective when guided by evidence-based principles of

correctional intervention (i.e., risk, need and responsivity).  Therefore,

community-based risk reduction and risk management strategies involving sexual

abusers are ideally matched accordingly and may change over time, based on

current and empirically informed assessment information.  Although higher

risk/higher need clients may require supervision, monitoring and treatment of

greater intensity and dosage, less intensive supervision and other risk

management and risk reduction strategies may be more effective and sufficiently

adequate for sexual abusers with lower recidivism risk, fewer intervention

needs and greater protective factors

lly informed assessment information.  Although higher

risk/higher need clients may require supervision, monitoring and treatment of

greater intensity and dosage, less intensive supervision and other risk

management and risk reduction strategies may be more effective and sufficiently

adequate for sexual abusers with lower recidivism risk, fewer intervention

needs and greater protective factors.

f)         Overarching

Risk Reduction and Risk Management Considerations

1)         Treatment

providers recognize that the community management of sexual abusers generally

involves a variety of interventions, strategies and mechanisms.

2)         Treatment

providers appreciate that sex offender-specific public policies and practices

have varied goals (e.g., deterrence, retribution, risk management, risk

reduction, prevention) and may reflect different interests and priorities for

stakeholders.  Some may complement sexual abuser-specific treatment, other

risk-reducing interventions and prevention strategies; others may not.

3)         Treatment

providers recognize that some interventions and strategies used to promote risk

management and risk reduction with clients have more empirical support than

others.

4)         Treatment

providers remain apprised of the current research pertaining to the impact and

effectiveness of various risk management and risk reduction policies and

strategies utilized with clients in the community.

5)         Treatment

providers are encouraged to work with researchers to assess the impact and

effectiveness of community-based risk management and risk reduction strategies

utilized with clients.

6)         Treatment

providers play a role in educating stakeholders regarding the current empirical

support for various strategies and encourage the use of research-supported

principles and practices to promote effective risk reduction and risk

management with clients in the community

t and

effectiveness of community-based risk management and risk reduction strategies

utilized with clients.

6)         Treatment

providers play a role in educating stakeholders regarding the current empirical

support for various strategies and encourage the use of research-supported

principles and practices to promote effective risk reduction and risk

management with clients in the community.

7)         Treatment

providers appreciate that the application of empirically informed assessments

of risk and need can enhance the potential effectiveness of risk management and

risk reduction strategies for sexual abusers in the community and support the

use of those assessments system-wide.

8)         Treatment

providers strive to ensure that collaborative partners and other stakeholders

have access to current, empirically informed assessments to guide decision making

regarding risk management and risk reduction of sexual abusers in the

community.

g)         Multidisciplinary

Collaboration

1)         Treatment

providers recognize that effectively reducing and managing risk among sexual

abusers in the community often involves collaboration across multiple agencies,

entities and disciplines.

2)         Treatment

providers appreciate that their respective roles and responsibilities with

clients are part of a broader system of community management.

3)         Treatment

providers strive to engage stakeholders, such as the judiciary, treatment

providers, probation and parole officers, correctional staff, victim advocates,

law enforcement agents, employers, landlords and housing officials, civic

organizations, mentors, the faith community, and other community supports, in

contributing to risk reduction, risk management and prevention activities.

4)         Treatment

providers recognize that collaborative partnerships are more effective at

increasing community safety when the various stakeholders are appropriately

trained and knowledgeable about working with sexual abusers

ials, civic

organizations, mentors, the faith community, and other community supports, in

contributing to risk reduction, risk management and prevention activities.

4)         Treatment

providers recognize that collaborative partnerships are more effective at

increasing community safety when the various stakeholders are appropriately

trained and knowledgeable about working with sexual abusers.  Therefore, treatment

providers promote education and training of the involved professionals and nonprofessionals

(e.g., family members, community supports).

5)         Treatment

providers ensure that information-sharing and collaboration occur within the

parameters of confidentiality provisions, informed consent and other ethical

standards.

h)         Collaborating

with Probation/Parole or Other Community Supervision Professionals

1)         Treatment

providers working with sexual abusers shall collaborate with probation and

parole officers, correctional and other facility staff, case managers, and post

release aftercare professions to support successful public safety and client

outcomes.

2)         For

clients who are under court-mandated or other formal supervision in the

community (e.g., probation, parole, aftercare/step-down from an inpatient

treatment facility), treatment providers strive to obtain supervision- and

treatment-related information from the appropriate authorities.  This minimally

includes copies of:

A)        presentence

investigations, prerelease evaluations, previous sexual abuser-specific

evaluations, treatment summaries, and conditions of probation/parole or post release

placement in the community; and

B)        when

possible, documents regarding the investigation of the offenses.

3)         Treatment

providers working with sexual abusers review with the probation officers/parole

agents and other case managers the specific conditions that are designed for

risk reduction and management purposes and discuss the rationale with the

clients

parole or post release

placement in the community; and

B)        when

possible, documents regarding the investigation of the offenses.

3)         Treatment

providers working with sexual abusers review with the probation officers/parole

agents and other case managers the specific conditions that are designed for

risk reduction and management purposes and discuss the rationale with the

clients.  These conditions often include, but are not limited to, the following:

A)        Abstaining

from alcohol and/or illegal drugs, when substance use is a risk factor;

B)        Adhering

to treatment expectations (e.g., participation, compliance with program rules

and individual treatment plans);

C)        Practicing

healthy sexual attitudes and behaviors;

D)        When

appropriate, disclosing offense history, risk factors and effective coping strategies

to professionals who are involved with the client and the client's significant

others;

E)        Making

plans for work, social and leisure activities to enhance quality of life and

reduce possible exposure to cues or situations associated with the client's

risk of reoffending;

F)         Complying

with other conditions of supervision, such as restricted internet access,

employment, volunteering, polygraph examinations and electronic/GPS monitoring;

and

G)        Complying

with restrictions on contact with children or other vulnerable parties (e.g.,

adults with developmental limitations), as deemed necessary for a given

individual.

4)         Treatment

providers working with sexual abusers establish and clarify the appropriate

parameters (e.g., timing, type of content) and mechanisms (e.g., written,

verbal, face-to-face) for reciprocal information-sharing with the

probation/parole officer or other relevant case management professionals in

order to promote well-informed decision making

necessary for a given

individual.

4)         Treatment

providers working with sexual abusers establish and clarify the appropriate

parameters (e.g., timing, type of content) and mechanisms (e.g., written,

verbal, face-to-face) for reciprocal information-sharing with the

probation/parole officer or other relevant case management professionals in

order to promote well-informed decision making.  This minimally includes the

following:

A)        Attendance

in treatment;

B)        Overall

participation in treatment;

C)        Specific

changes in dynamic and protective risk factors;

D)        Progress

toward specific goals in treatment;

E)        Engagement

and compliance with supervision;

F)         Referrals

to and/or participation in additional programs and services; and

G)        Adjustments

to level of supervision or supervision strategies.

5)         Treatment

providers report, to the appropriate professionals with the authority and

responsibility for supervision, in a timely manner, any violations of their

clients' conditions of supervision and significant adverse changes in dynamic

risk factors.

i)          Treatment

providers shall recognize the distinct but potentially complementary roles and

responsibilities of treatment providers and supervision officers, clarify these

roles and responsibilities to clients and other professionals, and actively

strive to maintain these professional boundaries.

1)         Treatment

providers are aware of the ethical concerns related to dual relationships and

adhere to any licensing, discipline-specific, ethical or other credentialing

standards and guidelines regarding dual relationships and conflict of interest

clarify these

roles and responsibilities to clients and other professionals, and actively

strive to maintain these professional boundaries.

1)         Treatment

providers are aware of the ethical concerns related to dual relationships and

adhere to any licensing, discipline-specific, ethical or other credentialing

standards and guidelines regarding dual relationships and conflict of interest.

2)         While

supporting complementary risk reduction and risk management efforts with

clients, treatment providers strive to ensure that:

A)        Sexual

abuser-specific treatment providers limit their role to that of a clinician and

do not attempt to assume the roles of supervision officers or law enforcement

agents, or represent themselves as such.

B)        Probation/parole

officers do not represent themselves as specialized sexual abuser-specific

treatment providers unless they possess the requisite education, training,

supervision, licensure and continuing education;

C)        Probation/parole

officers who deliver "general" cognitive and/or behavioral

interventions to promote skill-building and behavior change among clients are well-trained

and appropriately supervised to deliver those interventions with fidelity; and

D)        Probation/parole

officers do not assume specialized clinical responsibilities within treatment

programs for sexual abusers with clients for whom they have supervision

responsibility.

3)         In

order to promote a collaborative treatment approach, treatment providers are

encouraged, when clinically appropriate, to allow probation/parole officers to

observe clinical treatment sessions in programs for sexual abusers

s do not assume specialized clinical responsibilities within treatment

programs for sexual abusers with clients for whom they have supervision

responsibility.

3)         In

order to promote a collaborative treatment approach, treatment providers are

encouraged, when clinically appropriate, to allow probation/parole officers to

observe clinical treatment sessions in programs for sexual abusers.  However,

the following guidelines should be taken into consideration:

A)        Treatment

providers recognize that these observations can:

i)          help

educate officers about individuals who sexually abuse and the nature and

approach to treatment for sexual abusers; and

ii)          help

officers obtain information that may enhance their supervision of a given

client.

B)        Treatment

providers recognize that these observations can impact client confidentiality,

inhibiting client participation and disclosure; disrupt continuity of the

treatment process; and blur clients' perceptions of officers' roles.

C)        If

allowing these observations, treatment providers:

i)          Ensure

that officers identify themselves by position and work responsibilities and clarify

to session participants their roles and responsibilities as supervision

officers;

ii)          Review

and clarify the purpose and possible impact of having officers present;

iii)         Obtain

appropriate informed and voluntary consent from clients; and

iv)         Ensure

that officers are aware of and adhere to professional ethics, including, but

not limited to, confidentiality limits and boundaries.

j)          Engaging

Community Supports

1)         Treatment

providers shall recognize that an appropriate support person can assist professionals

and clients with risk reduction, risk management and other successful outcomes

for clients, victims and communities

that officers are aware of and adhere to professional ethics, including, but

not limited to, confidentiality limits and boundaries.

j)          Engaging

Community Supports

1)         Treatment

providers shall recognize that an appropriate support person can assist professionals

and clients with risk reduction, risk management and other successful outcomes

for clients, victims and communities.

2)         Treatment

providers collaborate with clients and other professionals to identify and

engage community support persons in the supervision and treatment processes,

when appropriate and feasible.

3)         Treatment

providers acknowledge that appropriate support persons are able and willing to:

A)        Appreciate

that clients are responsible for having engaged in sexually abusive behavior;

B)        Recognize

that recidivism risk can increase and decrease over time;

C)        Maintain

routine contact with the individual who has engaged in sexually abusive

behavior;

D)        Understand,

recognize,  intervene and report when risk factors are present;

E)        Maintain,

model and assist clients with practicing prosocial attitudes and behaviors;

F)         Support

adherence to supervision, treatment and other expectations pertaining to risk

reduction and risk management;

G)        Participate

in the development and implementation of safety plans for victims and other

vulnerable persons as applicable; and

H)        Communicate

routinely and effectively with the professionals responsible for assessing,

supervising and providing treatment to sexual abusers.

4)         Treatment

providers establish and clarify appropriate parameters (e.g., timing, nature,

limits, methods) of reciprocal information-sharing with support persons

afety plans for victims and other

vulnerable persons as applicable; and

H)        Communicate

routinely and effectively with the professionals responsible for assessing,

supervising and providing treatment to sexual abusers.

4)         Treatment

providers establish and clarify appropriate parameters (e.g., timing, nature,

limits, methods) of reciprocal information-sharing with support persons.

5)         Treatment

providers take appropriate steps to ensure that support persons are equipped

with knowledge and skills regarding risk factors for reoffending, strategies

for effectively reducing and managing clients' risk for recidivism, and the

strengths and limitations of strategies in place.

6)         Treatment

providers:

A)        educate

clients and identified support persons regarding the roles, responsibilities,

expectations and risks and benefits associated with serving as part of a

collaborative support network; and

B)        elicit

informed consent accordingly.

k)         Collaborating

with Child Protective/Child Welfare Professionals

This Section pertains to clients

whose sexually abusive behaviors, interests, preferences, or arousal involve

children and the potential for these clients to have planned or unplanned

contact with children (e.g., children in their own families, the children of

new romantic partners, friends, coworkers, or neighbors).  It is important to

note that contact is not limited to the client's close physical proximity with

a child or adolescent, but also includes one-to-one interactions such as

telephone calls, emails, written notes and communications through third

parties.

1)         Treatment

providers shall prioritize the rights, well-being and safety of children when

making decisions about client contact with minors

important to

note that contact is not limited to the client's close physical proximity with

a child or adolescent, but also includes one-to-one interactions such as

telephone calls, emails, written notes and communications through third

parties.

1)         Treatment

providers shall prioritize the rights, well-being and safety of children when

making decisions about client contact with minors.

2)         Treatment

providers take reasonable steps to support a client's adherence to any no

contact orders or other restrictions that have been imposed by the courts or

other entities statutorily authorized to impose restrictions for that client.

3)         When

contact with children is at issue under the terms of any legal disposition

(e.g., court order, probation/parole order), treatment providers may provide

written assessment-driven recommendations regarding an individual client's

acceptable level of contact with children that range from no contact to

supervised or unsupervised contact.

4)         Treatment

providers' recommendations regarding contact with minors should be minimally

informed by the following:

A)        Empirically

informed assessments of recidivism risk and protective factors;

B)        The

client's history of deviant sexual interests, fantasies and behaviors involving

children;

C)        The

nature, extent and duration of the offending behaviors of the client;

D)        The

client's engagement and progress in sexual abuser treatment, particularly with respect

to general and sexual self-regulation, sexual preoccupations and extent of

sexual deviance variables; the abuser-victim relationship; and offense-related

motivations, grooming patterns, attitudes and offense-specific variables;

E)        The

presence of positive prosocial supports for the client who can serve as

chaperones;

F)         The

client's engagement and compliance with supervision expectations and

conditions;

G)        The

ability, skills and willingness of nonoffending parents or guardians to provide

an en

ship; and offense-related

motivations, grooming patterns, attitudes and offense-specific variables;

E)        The

presence of positive prosocial supports for the client who can serve as

chaperones;

F)         The

client's engagement and compliance with supervision expectations and

conditions;

G)        The

ability, skills and willingness of nonoffending parents or guardians to provide

an environment that is appropriately conducive to maintaining the child's

emotional and physical safety;

H)        The

availability and professional opinions of a qualified child advocate, mental

health or child welfare professional to whom the child and family are therapeutically

engaged, and the confidence that the child will be able to articulate interests

and concerns regarding the potential for contact with the client;

I)         The

child's reported interests for contact or no contact, or if contact would not

be in the best interests of the child; and

J)         The

extent to which community strategies are currently in place to provide adequate

mechanisms and resources to ensure adequate child safety plans for victims and

other minors.

5)         Treatment

providers collaborate with the proper authorities or professionals to support

restrictions that prohibit clients from having contact with a child if the

child does not want contact or if contact would not be in the best interests of

the child or other vulnerable persons.

6)         Treatment

providers consider the impact that the client's contact with siblings may have

on the victim and approve contact that minimizes distress to the victim.

7)         Treatment

providers work collaboratively with child welfare/child protection agencies,

victim advocates and others (e.g., treatment providers, probation/parole

officers) to develop safety plans for victims and other vulnerable children

oviders consider the impact that the client's contact with siblings may have

on the victim and approve contact that minimizes distress to the victim.

7)         Treatment

providers work collaboratively with child welfare/child protection agencies,

victim advocates and others (e.g., treatment providers, probation/parole

officers) to develop safety plans for victims and other vulnerable children.

8)         Treatment

providers obtain informed consent from a child's nonoffending parent or legal

guardian before approving a client's contact with that child, while adhering to

the parameters of any legal or other restrictions.

9)         Treatment

providers may support structured and/or supervised contact with children when

the following occur:

A)        the

client is making acceptable progress in treatment and/or supervision;

B)        he/she

is effectively managing dynamic risk;

C)        appropriate

safety precautions are in place; and

D)        contact

is assessed to be in the best interest of the child by the appropriate/designated

professionals working with those responsible for child welfare decisions,

taking into account the expressed interests of the child.

10)        Within

the bounds of confidentiality, treatment providers regularly exchange

information in a timely manner with child welfare workers involved in a client's

case and with child welfare workers involved in monitoring the safety of

children with whom the client is having or considering having contact, unless

otherwise specified by law.  Information may include, but is not limited to,

the following:

A)        Client's

treatment progress;

B)        Significant

changes in dynamic risk factors; and

C)        Significant

barriers and social services agreements in place with goals and objectives that

have to be met by all in order to promote contact or reunification.

11)        Treatment

providers familiarize themselves with restrictions related to client-victim

contact and abide by those restrictions in a therapeutic manner

ress;

B)        Significant

changes in dynamic risk factors; and

C)        Significant

barriers and social services agreements in place with goals and objectives that

have to be met by all in order to promote contact or reunification.

11)        Treatment

providers familiarize themselves with restrictions related to client-victim

contact and abide by those restrictions in a therapeutic manner.

12)        Treatment

providers ensure that, as warranted for a given client, contact with children

is addressed as part of a comprehensive community risk management plan and

should be linked to the client's re-offense risk, progress in treatment, and/or

compliance with supervision, as applicable.

13)        Treatment

providers document all decisions about a client's contact with children,

including whether contact is recommended, the type of contact that is

recommended, the preparations made with children and chaperones, and

information obtained during the ongoing monitoring process.

l)          Addressing

Family Reunification and Visitation

1)         Treatment

providers shall collaborate with child welfare workers to address family

reunification efforts when clients have abused children in their own families

and wish to have contact with them, or they seek to begin relationships with

individuals who have children.

2)         Treatment

providers recognize that family reunification, in many cases, is not an

advisable goal because of the risk and potential for harm that may be

unmanageable (e.g., high risk, lack of appropriate caregiver supervision,

nature of the victimization, impact on family and victim).  However, family

reunification may be one of the many ways that victims and families attempt to

resolve issues generated by the offender's abuse and may be beneficial for

other reasons in some circumstances

because of the risk and potential for harm that may be

unmanageable (e.g., high risk, lack of appropriate caregiver supervision,

nature of the victimization, impact on family and victim).  However, family

reunification may be one of the many ways that victims and families attempt to

resolve issues generated by the offender's abuse and may be beneficial for

other reasons in some circumstances.

3)         Treatment

providers are aware that reunification is a gradual and well-supervised

procedure in which a sexual abuser is allowed to reintegrate into the familial

network where the victims or potential victims are present.

4)         Before

providing recommendations regarding family reunification, treatment providers

collaborate with professionals from a range of disciplines who have different

agency missions and mandates, which may include child welfare professionals,

family therapists, victim services providers or advocates, treatment providers,

supervision officers, and other community supports.

5)         Treatment

providers ensure that any child contact decisions within the context of family

reunification efforts should be informed by a thorough assessment of the client's

risk, the child's safety plan, and consultation with other members of the

community risk management team, such as collaborative partners and

stakeholders.

6)         Treatment

providers ensure that, as appropriate and indicated, contact with the client's

children, his/her current partner's children, or children of family members are

also discussed as part of the reunification process.

7)         Treatment

providers do not recommend the involvement of the victims or potential victims

in family reunification efforts unless that involvement is likely to benefit

the victims or potential victims and unlikely to cause them inordinate levels

of distress

dren, his/her current partner's children, or children of family members are

also discussed as part of the reunification process.

7)         Treatment

providers do not recommend the involvement of the victims or potential victims

in family reunification efforts unless that involvement is likely to benefit

the victims or potential victims and unlikely to cause them inordinate levels

of distress.

8)         Treatment

providers, if necessary, recommend that the client be removed from the

residence of the victims or potential victims rather than removing the victims

or potential victims.

9)         Treatment

providers consider the wishes of the victims or potential victims with regard

to family reunification, taking into account their ability to understand the

ramifications of their decisions.

10)         Treatment

providers ensure that a child has access to a responsible adult chaperone trusted

by that child before recommending the client be allowed to have contact with

that child.

11)         Treatment

providers may make recommendations for a client to have contact with

interfamilial victims and other family members under 18 (or otherwise vulnerable

persons) only when the following are present:

A)        A nonoffending

parent or another responsible adult who is adequately prepared to supervise the

contact;

B)        The

victim or minor is judged to be ready for the contact by a professional who can

monitor the victim's or minor's safety; and

C)        The

client has made acceptable progress in treatment.

12)         Treatment

providers ensure that appropriate safety plans are developed and monitored

during the family reunification process.  Safety plans should include explicit

and nonnegotiable rules and boundaries, as well as the method to address

infractions

by a professional who can

monitor the victim's or minor's safety; and

C)        The

client has made acceptable progress in treatment.

12)         Treatment

providers ensure that appropriate safety plans are developed and monitored

during the family reunification process.  Safety plans should include explicit

and nonnegotiable rules and boundaries, as well as the method to address

infractions.

m)        Engaging

Chaperones and Community Supports

1)         Treatment

providers shall exercise prudence and caution when involved with the selection

and education of responsible adult chaperones for contacts between clients and

children and other vulnerable parties who may be unable to give consent.

2)         Treatment

providers recommend as potential chaperones only adults who:

A)        Accept

and understand the client's history of sexually abusive behavior;

B)        Appreciate

that the client is solely responsible for decisions to act in a sexually

abusive manner (i.e., chaperones do not place responsibility on victims or

external circumstances);

C)        Recognize

the potential for risk and intervention needs to change over time, either

increasing or diminishing;

D)        Appreciate

the need for the client to have prosocial supports; and

E)        Accept

the role and responsibilities of being an effective chaperone.

3)         Treatment

providers ensure that clients educate potential chaperones candidly about the

clients' sexually abusive behaviors, antecedent and ongoing risk factors, and

treatment and/or supervision conditions.

4)         Treatment

providers ensure that chaperones fully understand the safety plan for the children

and appropriate reporting procedures for violations of the safety plan.

5)         Treatment

providers monitor authorized contacts between the client and children through

interviews with the client, the chaperone and/or the child's therapist/support

person, and through other supervision options

Treatment

providers ensure that chaperones fully understand the safety plan for the children

and appropriate reporting procedures for violations of the safety plan.

5)         Treatment

providers monitor authorized contacts between the client and children through

interviews with the client, the chaperone and/or the child's therapist/support

person, and through other supervision options.

n)         Continuity

of Care

1)         Treatment

providers shall recognize that continuity of care is necessary to support

effective risk management and risk reduction of sexual abusers in the

community.

2)         Treatment

providers facilitate, in a timely manner, the seamless access to and provision

of follow-up services for clients who transition from one program to another.

This may include transition from:

A)        Institutional

to community-based treatment;

B)        Community-based

treatment to treatment in a correctional, inpatient or other institutional setting;

C)        Programming

within a facility/institution or within the community, at a lateral level of

transfer; or

D)        The

current jurisdiction/place of residence to a new jurisdiction of residence, due

to relocation or transfer of supervision.

3)         Treatment

providers seek information, through appropriate release of information when

necessary, regarding treatment progress and take this into consideration when

initiating treatment services for a client who has been receiving services

elsewhere or in another setting in order to prevent duplication of efforts and

promote timely, assessment-driven, well-informed treatment planning.

4)         Treatment

providers, to the greatest degree possible, include the client, institutional

caseworker, institutional treatment staff, community supervision staff,

community treatment staff, family members, and support persons in release

planning meetings.  When this is not possible, electronic alternatives, such as

teleconferencing or videoconferencing, may be used

treatment planning.

4)         Treatment

providers, to the greatest degree possible, include the client, institutional

caseworker, institutional treatment staff, community supervision staff,

community treatment staff, family members, and support persons in release

planning meetings.  When this is not possible, electronic alternatives, such as

teleconferencing or videoconferencing, may be used.

5)         Treatment

providers providing services to clients prepare written treatment/discharge

summaries for clients who change programs, transition from an institution to

the community, or transition from the community to an institution (i.e., lesser

level of care or increased level of care/security).  These summaries usually include

the following elements:

A)        Assessment

of risk to sexually harm others, including individualized risk factors and

indicators of imminent risk;

B)        Assessment

of dynamic risk factors and protective factors/client strengths (e.g.,

prosocial support systems);

C)        Description

of offending pattern;

D)        Description

of sexual and nonsexual criminal history;

E)        Identification

of relevant problems and continuing interventions needs (including medication);

F)         Level

of participation in programming; and

G)        Recommendations

for community supervision, treatment and support services to guide post-release

case management decisions.

6)         When

appropriate and within ethical parameters, bounds of confidentiality, and other

information-sharing statutes or professional regulations, treatment providers

working in correctional facilities or inpatient/other institutional settings

provide community-based providers, supervision officers/case managers,

aftercare workers, and other appropriate support persons with information that

can be used to inform appropriate post release or transitional treatment,

supervision and management in the community.