Skip to main content
Log in

Predictors of Treatment Attrition as Indicators for Program Improvement not Offender Shortcomings: A Study of Sex Offender Treatment Attrition

  • Published:
Sexual Abuse: A Journal of Research and Treatment

Abstract

This study classified potential attrition predictors under the domains of risk, need and responsivity (D. Andrews & J. Bonta, 2003). Non-sexual criminogenic needs (e.g. aggression, rule violating behaviors) and responsivity factors (e.g. lack of motivation and denial) were the two main clusters of predictors that correctly classified 95.3% of program completers and non-completers using discriminant function analysis in a sample of high-risk male sexual offenders treated in an accredited inpatient sex offender treatment program. Rapists were more aggressive than other types of sex offenders and were more likely to drop out of treatment. Some studies of predictors of treatment attrition have used offender problem behaviors or psychopathologies to predict attrition and then use the information to exclude offenders from treatment. Others have argued, and we concur, that results of attrition research should not be used to develop an “attrition profile” to exclude offenders from treatment. Predictors of attrition should be seen as markers for program improvement, rather than shortcomings of the offender. Suggestions for program improvements to reduce the rate of attrition, based on results of research, are presented.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abel, G., Mittelman, M., Becker, J., Rathner, J., & Rouleau, J. (1988). Predicting child molesters' response to treatment. Annals of the New York Academy of Sciences, 528, 223–234.

    PubMed  Google Scholar 

  • Andrews, D., & Bonta, J. (2003). The psychology of criminal conduct (3rd ed.). Cincinnati, OH: Anderson.

    Google Scholar 

  • Andrews, D., & Zinger, I., Hoge, R., Bonta, J., Gendreau, P., & Cullen, F. (1990). Does correctional treatment work? A clinically relevant and psychologically informed meta-analysis. Criminology, 28, 369–404.

    Google Scholar 

  • Barbaree, H. (1991). Denial and minimization among sex offenders: Assessment and treatment outcome. Forum, 3, 76–83.

    Google Scholar 

  • Browne, K., Foreman, L., & Middleton, D. (1998). Predicting treatment dropout in sex offenders. Child Abuse Review, 7, 402–419.

    Google Scholar 

  • Craissati, J., & Beech, A. (2001). Attrition in a community treatment program for child sexual abusers. Journal of Interpersonal Violence, 16, 205–211.

    Google Scholar 

  • Frayn, D. (1992). Assessment factors associated with premature psychotherapy termination. American Journal of Psychotherapy, 46, 250–261.

    PubMed  Google Scholar 

  • Gully, K., Mitchell, C., Butter, C., & Harwood, R. (1990). Sex offenders: Identifying who can complete a residential treatment program. Behavioral Sciences and the Law, 8, 465–471.

    Google Scholar 

  • Hanson, K., & Bussiere, M. (1998). Predicting relapse: A meta-analysis of sexual offender recidivism studies. Journal of Consulting and Clinical Psychology, 66, 348–362.

    Article  PubMed  Google Scholar 

  • Hanson, R. K., & Thornton, D. (1999). Static 99: Improving actuarial risk assessments for sex offenders (User Rep. No. 1999-02). Ottawa: Department of the Solicitor General of Canada.

  • Horvath, A., & Greenburg, L. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223–233.

    Google Scholar 

  • Hunter, J., & Figueredo, A. (1999). Factors associated with treatment compliance in a population of juvenile sexual offenders. Sexual Abuse: A Journal of Research and Treatment, 11, 49–67.

    Google Scholar 

  • Kraemer, B., Salisbury, S., & Spielman, C. (1998). Pretreatment variables associated with treatment failure in a residential juvenile sex-offender program. American Association for Correctional Psychology, 25, 190–202.

    Google Scholar 

  • Kravitz, H., Fawcett, J., McGuire, M., Kravitz, G., & Whitney, M. (1999). Treatment attrition among alcohol-dependent men: Is it related to Novelty Seeking Personality traits? Journal of Clinical Psychopharmacology, 19, 51–56.

    Article  PubMed  Google Scholar 

  • Lund, C. A. (2000). Predictors of sexual recidivism: Did meta-analysis clarify the role and relevance of denial? Sexual Abuse: A Journal of Research and Treatment, 12, 275–288.

    Article  Google Scholar 

  • Marques, J., Day, D., Nelsen, C., & West, M. (1994). Effects of cognitive-behavioral treatment on sex offender recidivism. Criminal Justice and Behavior, 21, 28–54.

    Google Scholar 

  • Marques, J. (1999). How to answer the question “Does sex offender treament work?” Journal of Interpersonal Violence, 14, 437–451.

    Google Scholar 

  • Marshall, W. L. (1994). Treatment effects on denial and minimization in incarcerated sex offenders. Behaviour Research & Therapy, 32, 559–564.

    Google Scholar 

  • Marshall, W. L. (1999). Cognitive behavioural treatment of sex offenders. London: Wiley.

    Google Scholar 

  • Mason, R. (2000). The healing of Aboriginal offenders: A comparison between cognitive-behavioral treatment and the traditional Aboriginal Sweat Lodge Ceremony. Unpublished master's thesis, University of Saskatchewan, Saskatoon.

  • McCallum, M., Piper, W., & Joyce, A. (1992). Dropping out from short-term group therapy. Psychotherapy, 29, 206–215.

    Google Scholar 

  • McCorkel, J., Harrison, L., & Inciardi, J. (1998). How treatment is constructed among graduates and dropouts in a prison therapeutic community for women. Journal of Offender Rehabilitation, 27, 37–59.

    Google Scholar 

  • Miller, W., & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York: The Guilford Press.

    Google Scholar 

  • Miner, M., & Dwyer, S. (1995). Analysis of dropouts from outpatient sex offender treatment. Journal of Psychiatry & Human Sexuality, 7, 77–93.

    Google Scholar 

  • Moore, D., Bergman, B., & Knox, P. (1999). Predictors of sex offender treatment completion. Journal of Child Sexual Abuse, 7, 73–88.

    Google Scholar 

  • Mossman, D. (1994). Assessing predictions of violence: Being accurate about accuracy. Journal of Consulting and Clinical Psychology, 62, 783–792.

    Article  PubMed  Google Scholar 

  • Nicholaichuk, T., Gordon, A., Gu, D., & Wong, S. (2000). Outcome of an institutional sex offender treatment program: A comparison between treated and matched untreated offenders. Sexual Abuse: A Journal of Research and Treatment, 12, 139–153.

    Article  Google Scholar 

  • Pelissier, B., Camp, S., & Motivans, M. (2003). Staying in treatment: How much difference is there from prison to prison? Psychology of Addictive Behaviors, 17, 134–141.

    Article  PubMed  Google Scholar 

  • Raven, J. C. (1976). Standard Progressive Matrices. Oxford: Oxford Psychologist Press.

    Google Scholar 

  • Renfrey, G. (1992). Cognitive-behavior therapy and the Native American client. Behavior Therapy, 23, 321–340.

    Google Scholar 

  • Samstag, L., Batchelder, S., Muran, J., Safran, J., & Winston, A. (1998). Early identification of treatment failures in short-term psychotherapy: An assessment of therapeutic alliance and interpersonal behavior. Journal of Psychotherapy Practice and Research, 7, 126–143.

    PubMed  Google Scholar 

  • Shaw, T., Herkov, M., & Greer, R. (1995). Examination of treatment completion and predicted outcome among incarcerated sex offenders. Bulletin of the Academy of Psychiatry and Law, 23, 35–41.

    Google Scholar 

  • Tabachnick, B. G., & Fidell, L. D. (2001). Using Multivariate Statistics (4th ed.). Boston: Allyn & Bacon.

    Google Scholar 

  • Tedlow, J., Fava, M., Uebelacker, L., Alpert, J., Nierenberg, A., & Rosenbaum, J. (1996). Are study dropouts different from completers? Biological Psychiatry, 40, 668–670.

    Article  PubMed  Google Scholar 

  • Thomason, T. (1991). Counseling Native Americans: An introduction for non-native American counselors. Journal of Counseling and Development, 69, 321–327.

    Google Scholar 

  • Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology Research and Practice, 24, 190–195.

    Article  Google Scholar 

  • Wong, S., Olver, M., Nicholaichuk, T., & Gordon, A. (2000). The Violence Risk Scale—Sex Offender Version. Unpublished manuscript.

  • Wormith, S., & Olver, M. (2002). Offender treatment attrition and its relationship with risk, responsivity and recidivism. Criminal Justice and Behavior, 29, 447–471.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michelle J. Beyko.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Beyko, M.J., Wong, S.C.P. Predictors of Treatment Attrition as Indicators for Program Improvement not Offender Shortcomings: A Study of Sex Offender Treatment Attrition. Sex Abuse 17, 375–389 (2005). https://doi.org/10.1007/s11194-005-8050-8

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11194-005-8050-8

Keywords

Navigation