9780789009364

Treating Youth Who Sexually Abuse: An Integrated Multi-Component Approach

by
  • ISBN13:

    9780789009364

  • ISBN10:

    0789009366

  • Edition: 1st
  • Format: Hardcover
  • Copyright: 2001-05-15
  • Publisher: Routledge

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Summary

A comprehensive program of treatment for adolescent sex offenders! Covering every phase from assessment to relapse prevention, this valuable book offers specific suggestions and backs them with the latest research as well as years of clinical experience. Treating Youth Who Sexually Abuse: An Integrated Multicomponent Approach is a training tool, reference book, and field manual for the use of therapists, administrators, and everyone involved with the assessment, treatment, and placement of sexually abusive youth. Beginning with a broad view of the continuum of programs available and the structure of the service-delivery system that provides treatment, Treating Youth Who Sexually Abuse continues with specifics of program policy and design in both outpatient and inpatient settings. From choice of client to aftercare, the book covers the specifics of pretreatment, various modalities of therapy, inpatient and outpatient programs, and relapse-prevention programs. The foundations of program structure and the specific components (such as family therapy, group therapy, milieu treatment) are integrated to make a powerful, flexible, and above all effective treatment tool. Treating Youth Who Sexually Abuse offers practical advice and help for therapists and administrators, including: ready-to-use treatment materials reproducible group curricula sample schedules for full-day treatment and afterschool programs discussions of staff training and administrative concerns information on liability issues ideas for coordinating care with other treatment providers Treating Youth Who Sexually Abuse: An Integrated Multicomponent Approach is an essential training tool for students, a field manual for professionals, and a reference book for everyone interested in sex offence-specific treatment for youth. With case studies, diagnostic criteria, helpful tables and diagrams, listings of organizations in the field and Web addresses, this volume deserves a permanent place on your professional bookshelf.

Table of Contents

Foreword xi
Robert E. Freeman-Longo
Preface xv
Acknowledgments xix
PART I: INTRODUCTION TO THE TREATMENT OF SEXUALLY ABUSIVE YOUTH
The Challenge of Treating the Sexually Abusive Adolescent
3(8)
An Unusual Line of Work
3(1)
Four Sources of the Challenge
4(7)
Treatment Within a Continuum of Care
11(18)
Tiers in a Continuum of Care
11(10)
A Proposed Scope for Treatment
21(8)
PART II: TREATMENT PROGRAMS
Elements of a Treatment Program for Youth Who Sexually Abuse
29(12)
Sex Offense-Specific Versus Uni-Modal Versus Multi-Modal Treatment
29(3)
The Multi-Component Model
32(9)
The Group Care Program
41(24)
Issues to Consider in a Sex Offense-Specific Program
41(3)
Standards for Sex Offense-Specific Residential Treatment
44(1)
Deciding Which Clients Are Appropriate for Residential Treatment
44(3)
Safety Issues in the Program
47(4)
Treating a Mixed Population or Sexually Abusive Youth Alone
51(5)
Visits, Passes, and Client Contact with the Community
56(4)
Notes on Program Liability
60(5)
The Outpatient Program
65(16)
Unique Challenges Faced by Outpatient Providers
65(2)
Proposed Outpatient Service Delivery System
67(3)
Additional Outpatient Services
70(3)
A Comprehensive Outpatient Treatment Program
73(1)
Program Development Issues
74(5)
A Cost-Saving Alternative?
79(1)
A Continuum Committee
79(2)
Developing the Foundation for Sex Offense-Specific Treatment
81(20)
Incorporating Offense-Specific Treatment into the Program
81(1)
Unifying Conceptual Model of Offending
82(1)
Treatment Stages
83(6)
Defining a Course of Treatment
89(5)
The Use of Client Mentors
94(2)
Notes on Tolerance, Responsibility, and Culture
96(5)
PART III: THE COMPONENTS OF TREATMENT
The Sex Offense-Specific Group
101(36)
What Makes a Group Sex Offense-Specific?
101(10)
The SO Group As a Three-Dimensional Process
111(1)
The Principal Goal Areas
111(5)
The Functions of the SO Group
116(11)
The Curriculum: The Guiding Plan
127(6)
Group Orientation and Prerelease Preparation
133(4)
Parent Education and Family Therapy
137(24)
Three Principal Aspects of the Component
138(2)
A Model for the Family Treatment of the Sexually Abusive Adolescent
140(6)
Multiple Family Therapy Groups
146(2)
Scheduled Individual Family Meetings
148(3)
Parent and Family Education Groups
151(5)
Getting Parents to Invest in Treatment and Attend Family Treatment Activities
156(1)
Three Final Notes
157(4)
Individual Therapy
161(12)
The Place of Individual Therapy in the Treatment of the Sexually Abusive Adolescent
161(2)
The Scope of Individual Therapy
163(1)
Coordinating with the Other Components
164(1)
The Therapist and the Youth in Therapy
165(8)
Adjunctive Treatments and Therapies
173(4)
The Range and Scope of Adjunctive Treatments
173(1)
Using Various Program Services As Adjuncts
174(2)
A Sometimes Neglected Adjunct
176(1)
Milieu Treatment
177(12)
The Milieu As a Venue for Treatment
177(5)
Extending and Enhancing the Impact of Formal Therapy
182(3)
The Milieu As In Vivo Experiential Application of Therapy
185(4)
Assessment and Treatment Planning
189(14)
A Proposed Assessment and Treatment Planning Protocol
190(4)
Connections Among and Within Programs
194(1)
Notes on the Assessment Process
195(8)
PART IV: PRETREATMENT AND AFTERCARE
Pretreatment
203(12)
The Defense Known As ``Denial''
203(3)
What Is Pretreatment?
206(2)
When and Where Is Pretreatment Indicated?
208(3)
A Model Intervention for Pretreatment
211(4)
Aftercare Component Development and Implementation
215(16)
Good Aftercare Planning Is Vital
215(4)
Developing an Aftercare Component
219(2)
An Aftercare Component Model
221(3)
A Case Example
224(7)
PART V: TRAINING AND EDUCATION
Staff Training
231(10)
The Importance of Specialized Training for All Staff Working in the Program
231(1)
Special Issues Addressed by Staff Training
232(2)
The Delivery of Training to the Staff
234(2)
Suggested Topics to Be Covered
236(3)
The Use, Presence, and Training of Interns
239(2)
General Resident Education
241(6)
General Resident Education As a Component
241(2)
A Model General Resident Education Component
243(4)
Afterword 247(40)
APPENDIXES
Appendix A: Sources of Additional Information
251(2)
Author Contact Information
251(1)
Residential Standards
251(1)
Resources and Contacts for Program Models
252(1)
Appendix B: Sample Day and After-School Program Schedules
253(4)
After-School Program
253(1)
Day Program
254(1)
Combined Day and After-School Program with Provisions Made for Servicing Other Outpatient Clients
255(2)
Appendix C: Sex Offense-Specific Group Materials
257(8)
Group Resources
257(1)
Reproducible SO Group Materials
258(7)
Appendix D: Family Treatment Component Materials
265(12)
Contents of This Appendix
265(1)
Explanation of the Family Treatment Component for Parents
266(2)
A Parents' Guide to the Sex Offense-Specific (SO) Group
268(2)
The Stages of Loss
270(1)
The Parents' Role in Treatment
271(1)
The Dynamics of Sexual Offending
272(2)
How Do I Feel About What My Son Has Done?
274(3)
Appendix E: Pretreatment Intervention Monthly Assessment Form
277(4)
Appendix F: Aftercare Component Materials
281(6)
Client Information Sheet
281(2)
Aftercare Plan
283(1)
Sample Release of Information Form
284(1)
Sample Letter Sent to Next Treatment Provider
285(2)
References 287(12)
Index 299

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