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Introduction

Introduction. Sexual abuse Sexually inappropriate behaviour Challenging behaviour Who is likely to present with these behaviours? Assessment? Treatment?. Who?. Age? Attachments? Family? Developmental issues? Sex? Peer relationships? Education?. What is Risk?.

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Introduction

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Presentation Transcript

  1. Introduction • Sexual abuse • Sexually inappropriate behaviour • Challenging behaviour • Who is likely to present with these behaviours? • Assessment? • Treatment?

  2. Who? Age? Attachments? Family? Developmental issues? Sex? Peer relationships? Education?

  3. What is Risk? “It's the likelihood of doing something to somebody in the future”

  4. Risk factors for sexual recidivism

  5. Static Risk Factors • Age of offender, • Age and gender of victim, • Familiarity with victim, • Prior sexual offences, • Diversity of sexual violence • Escalation of sexual violence • ...

  6. Dynamic:Stable Risk Factors • Longstanding, but amenable to change • e.g.: • Deviant Sexual Preference • Sex as Coping • Sexual Preoccupation • Attitudes that support or condone sexual violence • Mental Illness • Problems with Intimate Relationships • General Social Rejection • Poor Problem Solving Skills • Co-operation with Supervision • ...

  7. Dynamic:Acute Risk Factors • e.g. • drug/alcohol abuse, • changes in social support/relationships, • changes in ability to use coping strategies • environmental changes, • ...

  8. Actuarial Instruments • Empirically Validated • Give estimate of level of risk • e.g. • JSORRAT

  9. Problem Problem: use only indicated if person has been charged with, convicted of, or has admitted to the sexual abuse.

  10. Structured Professional Judgements • e.g. following the guidelines of the JSOAP-II/AIM-2 • No classification into risk categories • Better suited to management of the offender

  11. Psychometric Instruments • Purpose: Assessing personality factors, psychopathology, attitudes and beliefs related to risk factors • e.g. • MMPI-A • JSOAP • NEO-PI-3 • STAXI-2 C/A • TSCS:2 • PAI-A • Problems: User qualifications • Do they tell us anything?

  12. Treatment • Medication? • Specialist treatment programme? • High Support Unit? • Main stream residential? • Behavioural programme? • Positive Behavioural Support?

  13. Positive Behavioural Support Functional analysis of behaviour Reinforce positives Ignore negative behaviour No sanctions Natural consequences

  14. Positive Behavioural Support in Residential Care Implementation Belief in the programme Backing of all involved Removal of sanctions Control

  15. Positive Behavioural Support in Residential Care Behaviour Management Plan Consistency of Response Vital Reviewed Regularly Prepare for Mistakes Therapeutic Involvement

  16. Positive Behavioural Support in Residential care Outcomes Reduction in challenging behaviour Positive learning for young person Improve confidence of staff team dealing with behaviours

  17. Discussion What works? Difficulties? Can we do it? How? What do we need? What if it doesn't work?

  18. Thank You!

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