Download FormsTherapeutic assessment and treatment for individuals with sexual behavior problems requires specialized licensing on the part of treatment providers who commit to provide assessment and treatment based on timely empirical data and according to specific guidelines. In the State of Texas an individual convicted of a sexual offense and required to undergo treatment, must do so with a Licensed Sex Offender Treatment Provider (LSOTP).
The professionals at OpenDoor are skilled to work with individuals who struggle with a variety of intellectual and developmental issues. They understand that each person comes with his or her own special concerns and problems and are able to develop a plan that will best serve that individual.
What to Expect
Assessments might be required by your attorney prior to conviction or by your probation officer or treatment provider following conviction. All tests listed below are available through OpenDoor.
Treatment can begin before or after conviction, but all requirements will remain the same. The client will begin the process with individual sessions then moved to group when appropriate and will attend sessions no less than four (4) times per month. Length of treatment depends on client’s progress and any requirements of probation (if applicable). As client progresses, he/she might become eligible for aftercare and allowed to come on a less frequent basis. In order to remain in treatment, attendance and timely payment are mandatory. Polygraphs might be ordered if individual does not admit to offense, and is required upon completion of sexual history presentation, and on, at least, a yearly basis from the time client begins treatment.
The primary model of treatment used is Cognitive Behavioral Therapy.
Treatment of individuals with sexual behavioral problems will take into account Risk
- Antisocial personality pattern (impulsivity, adventure or pleasure-seeking, restless aggression, irritability)
- Pro-criminal attitudes, (rationalizations for crime and negative attitudes toward the law, social supports for crime (i.e. criminal friends and isolation from positive social influencers)
- Substance Abuse
- Negative family and marital relationships
- Poor school and/or work performance and a low level of satisfaction
- Lack of involvement in positive social recreational or leisure activities
should be assessed and become the focus of treatment.
combined with taking into account each individual’s life goals and helping that person find ways in which to meet those goals safely – Good Lives Model (GLM).
Individual sessions are held when an individual first enters treatment and on an as needed basis. The purpose of the initial individual sessions is to allow the client to become more comfortable with the therapeutic process and gain information. It is also an opportunity for the treatment provider to learn about the client and his or her special issues and develop a treatment plan. It also allows for that provider to determine if group treatment is appropriate for the individual and prepare him or her in that event. It is very important in this process that the client begin to take responsibility for the offensive sexual behavior and the therapist will help the individual in this endeavor. When a client enters group, individual sessions will occur when needed.
Groups are formed to help the individual make the most out of the treatment process. They are “open-ended” which means there will be members in attendance at different stages of treatment. This provides an opportunity for the client to receive the support of experienced members when beginning treatment then learning to be a responsible member as he/she progresses in the process. In order to remain in treatment, the individual must attend all sessions and remain current on all payments.
MCMI-III (Millon Clinical Multiaxial Inventory-III)
This report is based on objectively derived scale indexes and scale interpretations that were developed and standardized specifically on clinical populations. It was designed to help assess both Axis I and Axis II disorders and assists clinicians diagnosis, developing a treatment approach that takes into account the client’s personality style and coping behavior, and guiding treatment decisions based on the client’s personality pattern
MSI – Adult (Multiphasic Sexual Inventory)
The scales and indices in this assessment include Sex Deviance scales, Physiologic indices,
Clinical/Emotional scales, Behavioral scales, a Sex Knowledge scale, Gender Identity and Orientation indices, and treatment information measures. Accountability measures are in place to assess the client’s use of justification and excuses.
SASSI-3 (Substance Abuse Subtle Screening Inventory -3)
This report is based on objectively developed scale indexes and interpretations developed through testing of a variety of subjects to identify substance dependence disorder even if those individuals do not acknowledge substance misuse or symptoms associated with misuse.
AASI-3 (The Abel Assessment for sexual interestTM -3)
An empirically validated, comprehensive evaluation and treatment assessment system to use with adult men and women with sexual behavior problems. It is specifically designed to measure a client’s sexual interests and to obtain information regarding involvement in a number of abusive or problematic sexual behaviors.
The Abel-Blasingame Assessment System for individuals with intellectual disabilitiesTM (ABID) is like the AASI-3, but uniquely adapted for clinicians to use with clients who have special needs. The ABID contains an objective measure of sexual interest and questionnaire components, but is specifically designed for use with adults and adolescents with FSIQs of 60 and above. The ABID is a comprehensive assessment system that may be used with individuals who have learning and/or developmental disabilities.
The Static-99 Risk Assessment utilizes only static (unchangeable) factors that have been seen in the literature to correlate with sexual reconviction in adult males. The estimates of sexual and violent recidivism produced by the STATIC-99 can be thought of as a baseline of risk for violent and sexual reconviction. From this baseline of long-term risk assessment, treatment and supervision strategies can be put in place to reduce the risk of sexual recidivism.
*Although the above evaluative tools are relatively standard, other testing instruments might be recommended on a case-by-case basis.
When an adult commits a sexual offense, certain restrictions must be put in place immediately to prevent future inappropriate sexual behavior and protect that individual from any additional allegations. There will be certain activities in which the client cannot be involved without a chaperone in attendance. It is important that any adult responsible for supervising the client fully understand those restrictions and the extent and dynamics of the offense/sexual behavior. It is also important that a chaperone be willing to hold the client accountable for inappropriate behavior and communicate closely with other members of the team. All chaperones will be required to attend this one-time three (3) hour training and be approved by other members of the team to meet this requirement. An approved chaperone will be required to attend quarterly support groups.
(Note: Team includes treatment provider(s) and probation officer if applicable.)