Developmentally Disabled Persons With Sexual Behavior Problems

This text addresses : Sexuality among the developmentally disabled population; Recidivism rates in the general population; Factors in culpability; Comprehensive mental health and sexuality specific evaluations; Use of polygraph testing with DD offenders; Constructing an inter-agency team for community management and supervision; Integration of treatment and supervision in both residential and community-based treatment; and Treatment failures and success.

À partir de l'expérience et de la pratique des auteurs oeuvrant au York Central Hospital, ce document propose un programme multi-facettes permettant de modifier les comportements sexuels déviants que peuvent avoir certaines personnes ayant une déficience intellectuelle. Il est alors question de ressources communautaires pouvant intervenir auprès de ces personnes, des diverses thérapeutiques utilisées en ce qui a trait aux comportements sexuels déviants, de la planification de l'évaluation ainsi que du traitement de ces comportements.

Based on extensive clinical experience, this book provides authoritative guidance and practical tools in a challenging area for child mental health professionals. The authors explain the many possible causes of problem sexual behaviors and demonstrate assessment and treatment procedures that have been shown to work with 4- to 11-year-olds and their families. Four chapter-length case examples illustrate how to integrate elements of cognitive-behavioral therapy, play and expressive therapies, and family-based approaches. Helpful reproducible worksheets and forms can be downloaded and printed in a convenient 8 1/2" x 11" size.

This workbook was written to promote a standard in the field for clinicians to increase confidence, competence, and effectiveness in addressing child sexual abuse and trauma treatment with children, adolescents, and young adults with developmental disabilities. The workbook is divided into two parts: the first part is focused on research and education regarding trauma treatment, developmental disabilities, and a module for treatment within this population, while the second part of the workbook presents examples of interventions, worksheets, and therapeutic activities for use with clients. Disorders such as Cerebral Palsy, Down Syndrome, Autistic Spectrum Disorders, Attention Deficit/Hyperactivity Disorder (ADHD), Nonverbal Learning Disorder, and Fetal Alcohol Syndrome or Effects are reviewed in this manual. Additionally, motor, communication, sensory, and feeding problems are briefly discussed. This manual is not intended to provide detailed information on all developmental disabilities but rather provide a general overview of more common developmental disorders to increase understanding of assessment and treatment interventions discussed. It is intended for use with individuals with a moderate to high functioning level.The workbook can be used as a guide for masters and doctoral-level clinicians who are either licensed or are in training and under the supervision of a licensed mental health professional. It will also be a valuable resource for researchers, scholars, special educators, counselors, social workers, and professionals who work with sexual abuse survivors.

The authors offer valuable information regarding normal sexual development, knowledge, and behavior in children and adolescents crucial to the assessment and treatment of sexual problems. Topics include normal sexual development, sexuality and developmental disability, gender identity disorder, and much more.

This expert reference provides a broad, comprehensive review of the major domains of sexual offending. Beginning with an integrated etiological model of sexual offending, chapters follow addressing the primary predisposing conditions related to sexual offending (e.g. pedophilic, hebephilic, paraphilic rape and non-contact paraphilic disorders, hyper sexuality and personality factors). In addition, special subgroups of sexual offenders (females, youth and the intellectually disable) are considered. Both broad and specific perspectives on the assessment of sexual offenders are provided. Overviews are offered of clinical and forensic evaluations of such offenders and the utility of structured psychological assessment. A novel conceptual model of risk assessment is proposed. More specifically, each of the primary approaches or instruments related to risk assessment of sexual offending are addressed: the Static risk assessment measures, the Sex Offender Risk Appraisal Guide, structured professional judgment, and the varied measures of dynamic or criminogenic needs assessment. Finally, multiple aspects of management of sexual offenders are discussed including models of psychosocial treatment, the question of the effectiveness of such treatment, biological interventions, civil commitment, circles of support, and the containment approach to community management. Chapters are authored by both prominent experts and experienced professionals for a breadth of perspective. Among the topics covered: Pedophilic, Hebephilic, Rape Paraphilic Disorders and the variety of Non Contact sexual offending conditions Personality, related conditions, & their association with sexual offending: motivators and disinhibition in context. Disorders of hyper sexuality. Assessments of sexual offenders, including the role of psychological testing, clinical & interview approaches, as well as forensic evaluations Conceptual models of risk assessment & discussion of specific static, dynamic & structured clinical risk assessment approaches Models of & reviews of treatment outcome with sexual offenders, including psychotherapy, psychopharmacology and castration, the containment approach, civil commitment & circles of support Overview of public policy issues & an evidence-based perspective on sex offender registration and residential restrictions. This breadth of material in Sexual Offenders will help practitioners gain multiple levels of clinical insight as well as giving them up-to-date practical tools and techniques for working with this problematic class of individuals.