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The purpose of this paper is to examine the extent to which risk is addressed in the risk management planning process of those convicted of sexual offending.

Data were collected from a risk assessment and management system called the Offender Assessment System (OASys), used by the National Offender Management Service, in England and Wales. The records of 216 clients were accessed and each risk management plan analysed. The study aimed to understand if first, general and sexual risk factors identified by assessors were recorded and detailed in subsequent plans; second, if specialist sexual offending risk assessment tools were used to inform risk management strategies; and third, if both a balance of control and support mechanisms were in place to tackle identified risk and needs of clients.

Inconsistencies were found in relation to practitioners transposing risks identified, into the subsequent risk management plans. Strategies were therefore deemed, inadequate as there was a significant omission of the use of specialist sexual risk assessment tools to inform and ensure risk assessment to be robust. In addition risk management plans were often overbearing in nature, as assessors tended to utilise control strategies to assist the reintegration process, in contrast to a combination of both control and support.

This sample was taken from only one probation trust in England and Wales. The findings might therefore be unique to this organisation rather than be representative of national practice. This study should therefore, be replicated in a number of other probation areas. In addition, it is important to note that this study only reviewed one electronic tool used by practitioners. Therefore, while it might appear for example that the RM2000 tool was not routinely completed; this cannot be assumed as practitioners might have adopted local custom and practice, recording RM2000 scores elsewhere.

These findings highlight the need for some understanding as to why there is a lack of consistency throughout the risk management planning process. Practitioners should receive ongoing risk management training, development and supportive supervision. In particular, practitioners require supervision that supports and develops their skills when applying RM2000 classifications to their clients’ risk management plans. Likewise initiatives which develop practitioner’s awareness and application of strengths based approaches such as the Good Lives Model should be encouraged. These will help practitioners develop plans that address both the risks while supporting their development of the strengths a client presents.

To the authors’ knowledge, this is the first study of its kind, which examines the risk management plans of those convicted of sexual offending, completed by practitioners in England and Wales using the OASys tool.

The purpose of this paper is to examine the potential biases in research designs used to assess the efficacy of sex offender treatment.

In all, 50 treatment studies (n=13,886) were examined using a random effects meta-analysis model.

Results indicated a positive effect of treatment for both sexual (OR=0.58, 95%, CI 0.45-0.74, p < 0.0001), and general recidivism (OR=0.54, 95%, CI 0.42-0.69, p < 0.0001), indicating that the likelihood of being reconvicted after treatment was around half compared to no treatment. RCTs showed no significant effect for sexual or general, recidivism. Significant effects were found for non-RCT designs (i.e. incidental cohort, completers vs non-completers designs). Assignment based on need (i.e. giving treatment to those who were high-risk) indicated a negative effect of treatment.

The results highlight the importance of considering study design when considering treatment efficacy.

The current research reports studies identified up until 2009, and examined both published, and unpublished, research originating from a variety of samples employing a random effects model. Consequently, it can be argued that the results are both original and are reflective not only of identified studies, but are also representative of a random set of observations drawn from the common population distribution (Fleiss, 1993). The results of the study suggest that what is required in future research is methodological rigour, and consistency, in the way in which researchers measure the effectiveness of sexual offender treatment.

Effective treatments for juvenile sexual offenders are needed to reduce the societal impact of sexual crimes. The purpose of this paper is to review the empirical literature on treatments for this clinical population.

The authors searched PsycInfo and MEDLINE (via PubMed) for studies that evaluated outcomes of treatments with juvenile sexual offenders.

There are a small but growing number of treatment studies (n=10) with juvenile sexual offenders, and all of these studies evaluated cognitive-behavioral therapy or multisystemic therapy for problem sexual behaviors. The results of these studies are promising, although conclusions about treatment effectiveness have been frequently limited by methodological problems.

The authors provide recommendations for treatment providers and policymakers to consider in their decisions about interventions for juvenile sexual offenders. Furthermore, the authors offer suggestions for researchers who seek to develop effective interventions targeting this clinical population.

Sex Offenders with a Major Mental Illness (SOMMI) are doubly stigmatized, as these individuals are members of two highly marginalized social groups (Guidry and Saleh, 2004). Within each of these groups SOMMI only represent a small minority. For professionals seeking to base their practice in empirical research this has led to a significant problem since the literature related specifically to this group is both limited and hard to locate. Additionally, intensity of psychological risk factors varies as a function of psychiatric decompensation for some SOMMI making it hard to apply certain procedures that work with ordinary sexual offenders. The purpose of this paper is to provide a review of the relevant literature and recommendations for clinical practice that are responsive to the particular challenges posed by this unusual group of sexual offenders.

The current paper provides a review of literature on risk factors for sexual recidivism and validity of current risk tools as it pertains to SOMMI. Recommendations for risk assessment with SOMMI are provided.

The static actuarial tools appear to be useful with SOMMI. However, risk assessments measuring dynamic risk factors have poorer predictive validity. Additional factors that will need to be considered involve a possible higher recidivism rate for SOMMI and a variable relationship between major mental illness and sex offending with it sometimes predisposing, sometimes exacerbating existing risk factors, and sometimes mitigating risk.

There is a paucity of research and guidance in assessment and risk management of SOMMI. The current paper is the first to thoroughly explore the efficacy of current sex offender risk assessment tools with SOMMI and provide structured guidance for making decisions about risk and risk management needs for this challenging population.

The purpose of this paper is to outline the development, structure and implementation of the Choices, Actions, Relationships and Emotions (CARE) programme.

This paper will present some of the background to the programme, its aims, structure and delivery methods and the nature of the treatment population to date. It will also reflect on some of the lessons learnt through the development and implementation of the programme and the challenges faced in evaluating its impact. Plans for its future evaluation and development are discussed.

Female offenders represent a distinct group with particular treatment and responsivity needs. These have traditionally been accommodated in programmes developed for male offenders, adapted slightly to meet their needs. CARE represents a distinct approach, designed specifically for the needs of female offenders with a history of violence and complex presentations.

CARE is a relatively new programme and this is the first paper to outline its structure and content.

The purpose of this paper is to discuss five domains impacted by the transformation of correctional mental health care in the USA: public health, public safety, legal obligations, fiscal responsibility and ethical standards, as well as critical issues such as administrative segregation, suicide prevention and reentry planning.

In the last four decades, the USA has seen a sizable growth in its criminal justice system and corrections population. It has also seen reductions in civil and community-based mental health care. Persons with mental disabilities have come to represent a highly disproportional segment of the corrections population. The paper discusses the implications and underlying causes of these developments as well as recent responses to them.

This set of circumstances is starting to change the mission of correctional health services from crisis intervention and suicide prevention to include preparation for the inmate's almost inevitable return to the community.

Such changes have led to further developments in correctional mental health care, in particular, policy designed to treat mental illness, reduce its destructive outcomes such as suicide, and facilitate successful reentry into the community in attempts to reduce recidivism and improve clinical outcomes. Mental health care professionals working within corrections have likewise faced ethical challenges in effectuating treatment.

Forensic psychiatric treatment is aimed at reducing violence risk factors (Bonta and Andrews, 2017) and achieving positive, prosocial life goals (Willis et al., 2013). Drama education can be provided as part of this treatment, but the evidence base is scarce. Therefore, the present study aims to provide insight into experiences with drama education as part of forensic psychiatric treatment.

A qualitative study was conducted, based on participant observation and 16 interviews, to explore the experiences of patients and treatment providers with drama education during forensic psychiatric treatment. Analyses were conducted following the consensual qualitative research method (Hill et al., 1997).

The five central themes that emerged from the analysis were knowledge, happiness, excellence in play, community and staff-patient hierarchy. Participants reported that they enjoyed the drama lessons, appreciated the group atmosphere and were able to practice their social-emotional skills. Furthermore, patients and their treatment providers became better acquainted with each other because the power differences between patients and staff decreased during the drama lessons.

Drama education can be considered a useful part of clinical forensic psychiatric treatment, given the positive experience of participants and its perceived positive impact on treatment.

This was one of the first studies to examine the influence that drama education may have on forensic psychiatric treatment. Four of the five themes were in line with the good lives model (Willis et al., 2013), indicating that drama education fulfiled basic human needs or “primary goods” that are important to address in forensic psychiatric treatment, as it decreases the need to compensate these goods with criminal behaviour.

While there is a significant proportion of people with a mild intellectual disability (MID) or borderline intellectual functioning (BIF) who commit sexual offenses, little research has focused on the risk factors for sexual recidivism in people with MID-BIF. The purpose of this paper is to compare the scores on the STATIC-99R and STABLE-2007 between persons with sexual offense histories with and without MID-BIF.

Data using the STATIC-99R and STABLE-2007 were collected in 85 male patients divided into an MID-BIF group (IQ 50–85, n=50) and comparison group (IQ>95, n=35).

The MID-BIF group and comparison group did not differ significantly on the static risk factors and total score of the STATIC-99R. However, of the 13 dynamic risk factors of the STABLE-2007, the MID-BIF group scored significantly higher on the items Impulsive acts, Poor problem solving skills and Lack of concern for others, while the comparison group scored significantly higher on the item Deviant sexual preference.

The higher score on a number of dynamic risk factors for patients with MID-BIF could partly be explained by the characteristics associated with MID-BIF. Although dynamic criminogenic risk factors which are usually identified as targets for treatment appear the same for people with and without MID-BIF who commit sexual offenses, adaptations to the modality of treatment will still need to be made for people with MID-BIF.

The purpose of this paper was to investigate the extent to which drug dependence was associated with the probability of being charged with drug possession compared to drug sales or other offenses.

Data were drawn from the Arrestee Drug Abuse Monitoring (ADAM) II program which collected information from ten cities across the USA between April 1 and September 30, 2010. The sample was comprised of male arrestees between the ages of 18-65 who reported past drug use (n=2,193).

Multinomial logistic regression results indicated the odds of being arrested for drug possession compared to other types of offenses increased by 12 percent for each additional symptom of drug dependence reported by arrestees (RRR=1.12, 95 percent CI=1.06-1.19). In contrast, drug dependence did not predict an increased probability of being charged with drug sales over other types of offenses or drug possession charges.

This evidence suggests drug dependence was a preeminent factor in the likelihood arrestees were charged with drug possession. Criminal justice policies should prioritize dependence assessment and formulate individualized treatment plans to realize a significant reduction in the amount of possession cases processed through the system.

There have been many empirically underdeveloped arguments calling for the decriminalization of drug possession, but none have considered the importance of drug dependence as a preeminent reason why offenders receive possession charges. This research provides a clear and concise illustration of why drug dependence needs to be acknowledged in policy-oriented discussions focused on the criminalization of drug possession.