Section 1905.90 Treatment Guidelines

Section 1905.90  Treatment

Guidelines

a)         Licensed

treatment providers shall utilize sexual abuser-specific treatment that is

guided by ethical principles and current empirical research in order to

maximize treatment effectiveness, promote public safety, facilitate prosocial

goals for clients, and maintain the integrity of the profession.

1)         Treatment

providers utilize sexual abuser-specific treatment in accordance with any

additional ethical standards, codes, laws or other expectations for the

respective profession or discipline of practice.  This includes ethical

standards pertaining to, but not limited to, the following:

A)        Informed

consent;

B)        Specialized

training, knowledge, expertise and scope of practice;

C)        Documentation

and retention of records;

D)        Currency

of research;

E)        Confidentiality;

F)         Professional

relationships; and

G)        Conduct.

2)         Treatment

providers appreciate that treatment for individuals who have sexually abused or

are at risk for sexually abusing others is an evolving science.

3)         Treatment

providers remain apprised of contemporary research and engage in professional

development activities to ground their provision of research-supported and

evidence-based interventions for sexual abusers accordingly.

4)         Treatment

providers encourage, support and, whenever possible, participate in ongoing

empirical research efforts designed to identify and refine effective

interventions for sexual abusers and those at risk to sexually abuse others.

5)         Treatment

providers working with sexual abusers collaborate with other professionals who

are involved in the management of clients, including judges, probation/parole

officers, correctional and other facility staff, child welfare workers, and

victim therapists in order to facilitate information sharing and further the

goals of treatment

s and those at risk to sexually abuse others.

5)         Treatment

providers working with sexual abusers collaborate with other professionals who

are involved in the management of clients, including judges, probation/parole

officers, correctional and other facility staff, child welfare workers, and

victim therapists in order to facilitate information sharing and further the

goals of treatment.  This collaboration/cooperation is consistent with and

limited to activities and behavior appropriate to treatment providers'

professional roles.

6)         Treatment

providers recognize that correctional staff and community supervision

practitioners who are well-trained and skilled in using evidence-based

behavioral techniques and interventions (e.g., prosocial modeling, skill

practice, rehearsal of strategies, redirection, positive reinforcement) can

complement treatment activities in correctional and other facilities and

post-release.

b)         Assessment-Driven

Treatment

Treatment providers shall recognize the

importance of individualized, assessment-driven treatment services and deliver

treatment accordingly.

1)         Treatment

providers ensure that, prior to initiating treatment services for individuals

who have sexually abused or are at risk of sexually abusing others, a

psychosexual evaluation of a client's recidivism risk and intervention needs

has been conducted, is current and is comprehensive.

2)         Treatment

providers rely on research-supported assessment methods that are designed to

identify dynamic risk factors present for a given client.

3)         Treatment providers

develop and implement an individualized, written treatment plan for each

client, outlining clear and specific treatment goals and objectives that are

consistent with the results of a current psychosexual evaluation.

4)         Treatment

providers routinely review and update treatment plans based on multiple methods

of assessment

ctors present for a given client.

3)         Treatment providers

develop and implement an individualized, written treatment plan for each

client, outlining clear and specific treatment goals and objectives that are

consistent with the results of a current psychosexual evaluation.

4)         Treatment

providers routinely review and update treatment plans based on multiple methods

of assessment.

5)         Treatment

providers offer treatment that is appropriate for a client's assessed level of

risk and intervention needs.

6)         Treatment

providers offer treatment only when they have the resources necessary to

provide an adequate and appropriate level of intervention for a client's risk

and needs.

7)         Treatment

providers refer a potential client to other treatment providers or agencies

when they cannot provide an adequate and appropriate level of intervention.

This may involve a full transfer or sharing of clinical responsibility.

8)         Treatment

providers recognize the importance of primary and secondary prevention by

making treatment services available to, or making appropriate referrals for,

individuals who may be at risk for engaging in sexually abusive behaviors and

are seeking nonmandated assistance.

9)         Treatment

providers recognize that some individuals may present for sexual abuser

treatment in the absence of legal or other mandates and that appropriate

services should be made accessible to those individuals.