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Prospects for the Future of SVP Treatment Programs

  • David Thornton
Chapter

Abstract

This chapter seeks to provide some guidance for those tasked with running SVP treatment programs that are based in the available research, informed by the author’s experience of how different SVP programs operate in practice and enlightened by emerging models of good clinical practice. SVP programs damage the liberty interests of those committed, create uncomfortable role conflicts for the mental health professionals involved as well as arguably distorting mental health law, and, perhaps most fundamentally, may simply be poor social policy. Nevertheless, it must always be borne in mind that particularly serious sexual recidivism that captures media attention either by those considered for commitment but not committed or by discharged former SVPs not only entails significant harm to those directly involved but also has the potential to create irresistible public and political pressures that mandate higher commitment rates and severely impede future releases. Consequently, even concerns for liberty interests, professional ethics, and public cost are not well served by lax disregard of real risk. The challenge then is to operate SVP programs in a way that is responsive to real risk while not being overly risk-adverse.

Six principles are proposed intended to mitigate these concerns. These address pre-commitment services, highly selective commitment, employing the least restrictive alternative, graduated reduction of restrictions both in secure conditions and in the community and post-commitment services. The research background to SVP programs is reviewed, and the ways in which it has changed since SVP programs were originally developed are described. Finally, some guidance on key issues is provided.

Keywords

SVP Liberty interests Least restrictive alternative Base rates Dynamic risk Evidence-based Risk management 

References

  1. Andrews, D. A., & Bonta, J. (2010). The psychology of criminal conduct (5th ed.). New York: Routledge.Google Scholar
  2. Anstiss, B., Polaschek, D. L. L., & Wilson, M. (2011). A brief motivational interviewing intervention with prisoners: When you lead a horse to water, can it drink for itself? Psychology, Crime & Law, 17, 689–710.  https://doi.org/10.1080/10683160903524325CrossRefGoogle Scholar
  3. van den Berg, J.W. Smid, W., Schepers, K., Wever, E., van Beek, D., Janssen, E., & Gijs, L. (2017). The predictive properties of dynamic sex offender risk assessment instruments; a meta-analysis. Psychological Assessment. Advance Online Publication.  https://doi.org/10.1037/pas0000454.CrossRefGoogle Scholar
  4. Dweck, C. S. (2000). Self theories: Their role in motivation, personality and development. New York: Taylor & Francis Group.Google Scholar
  5. Hanson, R. K., & Morton-Bourgon, K. E. (2009). The accuracy of recidivism risk assessments for sexual offenders: A meta-analysis of 118 prediction studies. Psychological Assessment, 21, 21(1).  https://doi.org/10.1037/a0014421CrossRefGoogle Scholar
  6. Hanson, R. K., & Thornton, D. (2000). Improving risk assessment for sexual offenders: A comparison of three actuarial scales. Law and Human Behaviour, 24, 119–136.CrossRefGoogle Scholar
  7. Hanson, R. K., & Thornton, D. (2012). Preselection effects can explain variability in sexual recidivism base rates in Static-99R and Static-2002R validation studies. Presentation at the 31st Annual Research and Treatment Conference of the Association for the Treatment of Sexual Abusers, Denver, CO.Google Scholar
  8. Hanson, R. K., Harris, A. J. R., Scott, T.-L., & Helmus, L. (2007). Assessing the risk of sexual offenders on community supervision: The Dynamic Supervision Project (User Report No. 2007–05). Ottawa, ON: Public Safety Canada. Available from http://www.publicsafety.gc.ca/res/cor/rep/_fl/crp2007-05-en.pdf.
  9. Hanson, R. K., Bourgon, G., Helmus, L., & Hodgson, S. (2009). The principles of effective correctional treatment also apply to sexual offenders: A meta-analysis. Criminal Justice and Behavior, 36, 865–891.  https://doi.org/10.1177/0093854809338545CrossRefGoogle Scholar
  10. Hanson, R. K., Thornton, D., Helmus, L., & Babchishin, K. M. (2016). What sexual recidivism rates are associated with Static-99R and Static-2002R scores? Sexual Abuse: A Journal of Research and Treatment, 28, 215–282.  https://doi.org/10.1177/1079063215574710CrossRefGoogle Scholar
  11. Kelley, S., & Thornton, D. (2015). Assessing risk of sex offenders with major mental illness: Integrating research into best practices. Journal of Aggression, Conflict and Peace Research, 7, 258–274.  https://doi.org/10.1108/JACPR-02-2015-0162CrossRefGoogle Scholar
  12. Knight, R.A. & Thornton, D. (2007). Evaluating and improving risk assessment schemes for sexual recidivism: a long term follow up of convicted sexual offenders. Final Report: US Department of Justice, Award Number 2003-WG-BX-1002. http://www.ncjrs.gov/pdffiles1/nij/grants/217618.pdf.
  13. Lofthouse, R. E., Lindsay, W. R., Totsika, V., Hastings, R. P., Boer, D. P., & Haaven, J. L. (2013). Prospective dynamic assessment of risk of sexual reoffending in individuals with an intellectual disability and history of sexual offending behavior. Journal of Applied Research in Intellectual Disabilities, 26, 394–403.CrossRefGoogle Scholar
  14. Marlatt, G. A., & Gordon, J. R. (Eds.). (1985). Relapse prevention. New York: Guilford.Google Scholar
  15. Marques, J. K., Wiederanders, M., Day, D. M., Nelson, C., & van Ommereren, A. (2005). Effects of a relapse prevention program on sexual recidivism: Final result from California’s sex offender treatment and evaluation project. Sexual Abuse, 17, 79–107.  https://doi.org/10.1007/s11194-005-1212-xCrossRefPubMedGoogle Scholar
  16. Maruna, S. (2001). Making good: How ex-convicts reform and rebuild their lives. Washington, D.C.: American Psychological Association.CrossRefGoogle Scholar
  17. Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York: The Guilford Press.Google Scholar
  18. Minnesota. (2007). Sex offender recidivism in Minnesota. Minneapolis, MN: Minnesota Department of Corrections.Google Scholar
  19. Olver, M. E., & Wong, S. C. P. (2009). Therapeutic responses of psychopathic sexual offenders. Journal of Consulting and Clinical Psychology, 77, 328–336.  https://doi.org/10.1037/a0015001CrossRefPubMedGoogle Scholar
  20. Olver, M. E., Wong, S. C. P., Nicholaichuk, T., & Gordon, A. (2007). The validity and reliability of the violence risk scale-sexual offender version: Assessing sex offender risk and evaluating therapeutic change. Psychological Assessment, 19, 318–329.  https://doi.org/10.1037/1040-3590.19.3.318CrossRefPubMedGoogle Scholar
  21. Thornton, D. (2002). Constructing and testing a framework for dynamic risk assessment. Sexual Abuse: A Journal of Research and Treatment, 14, 137–151.CrossRefGoogle Scholar
  22. Thornton, D. (2013). Implications of our developing understanding of risk and protective factors in the treatment of adult male sex offenders. International Journal of Behavioral Consultation and Therapy, 8, 62–65.CrossRefGoogle Scholar
  23. Thornton, D., Kelley, S. M., & Nelligan, K. E. (2017). Protective factors and mental illness in men with a history of sexual offending. Aggression and Violent Behavior, 32, 29–36.  https://doi.org/10.1016/j.avb.2016.12.003CrossRefGoogle Scholar
  24. de Vries Robbé, M., Mann, R. E., Maruna, S., & Thornton, D. (2015). An exploration of protective factors supporting desistance from sexual offending. Sexual Abuse: A Journal of Research and Treatment, 27, 16–33.  https://doi.org/10.1177/1079063214547582CrossRefGoogle Scholar
  25. Ward, T., Mann, E., & Gannon, T. A. (2007). The good lives model of offender rehabilitation: Clinical implications. Aggression and Violent Behavior, 12, 87–107.  https://doi.org/10.1016/j.avb.2006.03.004CrossRefGoogle Scholar
  26. Willis, G. M., & Grace, R. C. (2008). The quality of community reintegration planning for child molesters: Effects on sexual recidivism. Sexual Abuse: A Journal of Research and Treatment, 20, 218–240.CrossRefGoogle Scholar
  27. Willis, G. M., & Grace, R. C. (2009). Assessment of community reintegration planning for sex offenders. Criminal Justice and Behavior, 36, 494–512.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • David Thornton
    • 1
  1. 1.Forensic Assessment, Training, & Research (FAsTR), LLCMadisonUSA

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