Factors Associated with Treatment Compliance in a Population of Juvenile Sexual Offenders

Structural equation modeling was utilized to assess predictors of outcomes in a sample of 204 juvenile male sexual offenders participating in community-based treatment programming. Lower levels of client denial at intake predicted successful program compliance. Higher levels of denial were found in nonadjudicated youths. Although program attrition was high (50% in the first year), relatively few youths were expelled for sexual (4.9%) or nonsexual delinquency (6.6%) over a 12- to 24-month period. Program failure during years 1 and 2 was attributable largely to expulsion for failure to comply with attendance requirements and/or therapeutic directives. Youths failing to comply were found to have higher overall levels of measured sexual maladjustment and may be at greater long-term risk for sexual recidivism. Implications of the findings for clinical risk assessment, and directions for future research, are discussed.     

Reducing Recidivism in Adolescent Sexual Offenders by Focusing on Community Reintegration

The effect residential treatment outcomes have on recidivism rates for children and adolescents lack attention in the research literature. More importantly, literature is scant as it pertains to community reintegration for adolescent sexual offenders who are discharged from residential treatment programs to community based treatment services. This reintegration process will further build self-esteem and a sense of belonging, thus reducing the likelihood of adolescent sexual offenders isolating from their peer group, becoming frustrated with finding their place in society, and consequently relying on criminal behaviors as a social outlet. Many of the young male adolescent sexual offenders report feeling isolated from their peer group; most internalized phobias and feelings associated with societal labels and stereotypes about individuals who commit sexual crimes. Other important information collected during the qualitative interview process included the adolescent feelings associated with family conflict. Much of the research in reference to adolescent sexual offenders suggests their victims are often family members, siblings, relatives, family friends, and neighbors. This article aims to add the significant issue of treatment interventions for adolescent sexual offenders to the literature base as well as offer helpful strategies to reduce recidivism rates in this population of youth offenders. New findings and outcomes suggest that transition of this unique population should begin at the time of admission into residential treatment as part of discharge planning. This innovative way of thinking and doing will allow the young offenders' time to make the difficult adjustment while receiving intensive residential base intervention services.     

Sexual Offense Adjudication and Sexual Recidivism among Juvenile Offenders

This study compares the recidivism patterns of a cohort of 249 juvenile sexual offenders and 1,780 non-sexual offending delinquents who were released from secured custody over a two and one half year period. The prevalence of sex offenders with new sexual offense charges during the 5 year follow-up period was 6.8%, compared to 5.7% for the non-sexual offenders, a non-significant difference. Juvenile sex offenders were nearly ten times more likely to have been charged with a nonsexual offense than a sexual offense. Eighty-five percent of the new sexual offenses in the follow-up period were accounted for by the non-sex offending delinquents. None of the 54 homicides (including three sexual homicides) was committed by a juvenile sex offender. The implications of the results for recent public policy trends that impose restrictions that are triggered by a sexual offense adjudication are discussed.     

An Exploration of Factors Related to Deviant Sexual Arousal Among Juvenile Sex Offenders

To date, there has been limited literature on the measurement of sexual arousal in adolescent sex offenders. The data that exist have been somewhat mixed in terms of factors related to deviant sexual arousal in this group. The present study, with 71 adolescent sex offenders, investigates the relationship between offender and offense characteristics, including gender of victim, history of sexual abuse, history of physical abuse, race, and interactions between these factors in the prediction of physiologically measured sexual arousal to deviant and nondeviant stimulus categories. A number of variables significantly predicted sexual arousal. The most consistent predictors were gender of victim, race, the interaction of race and gender of victim, and to some extent the interaction of offender abuse history and gender of victim. Caucasian subjects tended to respond more than African American subjects did, and this has not been reported previously in the literature. The data are discussed in terms of consistency with other literature, suggesting that those juvenile offenders who target male victims and have been abused themselves may be a high risk group. Limitations of this study are also addressed.     

Treatment May Change Risk Prediction for Sexual Offenders

The best predictor of sexual offense recidivism is believed to be past sexual offending. However, clinical observations of treated individuals often contradict this view. Consequently, this relationship was evaluated, using a minimum follow-up period of 18 months. The samples were adult men and consisted of 127 treatment noncompleters who terminated treatment because of inadequate motivation/unacceptable behavior, legal transfer, or by request and 150 treatment completers who underwent a minimum of 6 months of 32–35 hours per week of therapy. Sexual offense conviction recidivism and prior sexual offense convictions were significantly related in noncompleters ( r =.31, p < .05) but were not significantly related in completers (r = .03, p > .05). These two correlations differed significantly (two-tailed p < .05). There was no difference (p > .05) in the average number of prior sexual offense convictions between completers and noncompleters. The findings are supportive of treatment interventions, although they question the validity of prior sexual offenses in treated offenders for release decisions and/or risk prediction.     

Risk Factors for Criminal Recidivism in Older Sexual Offenders

Sexual offenders constitute a substantial proportion of the older male prison population. Recent research findings, with potential consequences for risk management, indicate that recidivism risk might be lower in older sexual offenders. We followed up all adult male sexual offenders released from prison in Sweden during 1993–1997 (N=1,303) for criminal reconviction for an average of 8.9 years. We studied rates of repeat offending (sexual and any violent) by four age bands (<25, 25–39, 40–54, and 55+years), and examined whether risk factors for recidivism remained stable across age groups. Results showed that recidivism rates decreased significantly in older age bands. In addition, the effect of certain risk factors varied by age band. These findings on recidivism rates in older sexual offenders concur with studies from the United Kingdom, United States, and Canada and may suggest some generalizability in Western settings. Further research is needed to address underlying mechanisms.     

Predictors of Recidivism in Australian Juvenile Sex Offenders: Implications for Treatment

Juvenile sex offenders charged with their first sexual offence were compared with recidivist juvenile sex offenders who had been charged with more than one sexual offence on a number of factors related to sexual offending. Participants were 70 male juvenile sex offenders, aged 13–21 years who were awaiting court disposition. Negative family history, negative family characteristics, school and learning problems, social skill deficits, deviant sexual experiences, deviant sexual fantasies, and cognitive distortions were assessed for their direct and mediating roles in recidivism. Path analysis indicated that poor social skills, learning problems, and deviant sexual experiences were causally related to recidivism of sexual offending. Poor social skills were directly related to recidivism, whereas cognitive distortions and deviant sexual fantasies mediated the role of learning problems and deviant sexual experiences. There was a significant association between deviant sexual experience and learning problems. The findings support the role of cognitive distortions and deviant sexual fantasies in recidivist sexual offending for this sample. The causal role identified for poor social skills and learning problems in recidivism for sexual offending has implications for treatment and therefore deserves further attention.     

Psychopathy, Sexual Deviance, and Recidivism Among Sex Offenders

The relationships between psychopathy, sex offender type, sexual deviance, and recidivism were examined in 156 federally incarcerated sex offenders in a 10-year follow-up study. The rapists and mixed offenders demonstrated higher psychopathy scores than did the child molesters and incest offenders (total scores and Factor 2 scores on the Psychopathy Checklist--Revised [PCL-R]; R. D. Hare, 2003). Factor 1 scores were approximately the same in all groups. The PCL-R was a weak predictor of sexual recidivism but consistently predicted nonsexual violent recidivism and general recidivism (mainly via Factor 2). Sexual deviance measured by a structured rating scheme predicted sexual recidivism. Sexual deviance, so rated, was a stronger predictor of sexual recidivism than psychopathy but the two interacted significantly suggesting that psychopathy could potentiate sexual recidivism. Although psychopathy was a strong positive predictor of general nonsexual recidivism, sexual deviance was inversely related, and no interaction was observed between psychopathy, sexual deviance, and nonsexual recidivism.     

Cognitive/Behavioral Treatment for Sexual Offenders: An Examination of Recidivism

Recent research in the treatment of sexual offenders suggests that comprehensive cognitive/behavioral approaches may yield lower recidivism. This study reviewed such a program, existing in Jackson County, Oregon, since 1982. Offenders were mandated into this community-based program upon conviction of a felony or misdemeanor sexual offense, and averaged 2–3 years of participation. A group of offenders who participated in the Jackson County program between 1985 and 1995 was identified through archival data from the Oregon Department of Corrections. The data revealed success or nonsuccess in treatment, and any new convictions for sexual or nonsexual offenses. A control group of nonsexual offenders in Jackson County, and a group of sexual offenders in Linn County who did not have access to any treatment program were also studied. As hypothesized, those Jackson County offenders who successfully completed treatment had lower recidivism rates than those who were unsuccessful in the program. The observed effect of the program was particularly strong for offenders who remained in treatment for 1 year or more. When review was restricted to those participants, the reoffense rate for Jackson County offenders was reduced by over 40% when compared with Linn County offenders.     

Psychiatric Disorders and Recidivism in Sexual Offenders

Research on psychiatric morbidity in sexual offenders (SOs) has mostly been based on small, selected samples. We studied psychiatric disorders and their relationship with criminal recidivism in a nationwide, representative cohort of SOs. Data on ICD-9 and -10 psychiatric and neurologic morbidity diagnosed during hospital admissions 1987-1997, but prior to sexual offending, were retrieved for all adult male SOs released from Swedish prisons 1993-1997 (N = 1215). Preoffending disorder prevalence and associations between morbidity and criminal reconvictions during a 5-year postdetainment follow-up were explored. Alcohol use disorder was the most frequent diagnosis, followed by drug use disorder, personality disorder, and psychosis. Morbidity requiring admission to hospital was more common in rapists as compared to child molesters. Alcohol use disorder, drug use disorder, personality disorder, and psychosis all increased the risk for sexual recidivism whereas alcohol use disorder and personality disorder predicted violent nonsexual recidivism. Controlling for sociodemographic confounds changed the risk estimates only marginally. Because disorders were identified among only those who had been admitted to psychiatric hospitals as inpatients, underestimation of true prevalence rates was inevitable. However, our findings support psychiatric consultation for improved assessment and management of mental health needs and recidivism risk in SOs.     

Personality-Based Typology of Adolescent Male Sexual Offenders: Differences in Recidivism Rates,Victim-Selection Characteristics,and Personal Victimization Histories

California Psychological Inventory scores from 112 adolescent male sexual offenders aged 12–19 (M = 15.59, SD = 1.46) were examined. A cluster analysis of factor-derived scores revealed four personality-based subgroups: Antisocial/Impulsive, Unusual/Isolated, Overcontrolled/Reserved, and Confident/Aggressive. Significant differences were observed between groups regarding history of physical abuse, parental marital status, residence of the offenders, and whether or not offenders received criminal charges for their index sexual assaults. Subgroup membership was unrelated to victim age, victim gender, and offenders' history of sexual victimization. Recidivism data (criminal charges) were collected for a period ranging from 2 to 10 years (M = 6.23, SD = 2.02). Offenders in the two more pathological groups (Antisocial/Impulsive and Unusual/Isolated) were most likely to be charged with a subsequent violent (sexual or nonsexual) or nonviolent offense. The four-group typology based solely on personality functioning is remarkably similar to that found by W. R. Smith, C. Monastersky, and R. M. Deisher in 1987 from their cluster analysis of MMPI scores. In addition to implications for risk prediction, the present typology is suggestive of differential etiological pathways and treatment needs.     

Developmental Antecedents of Sexual Coercion in Juvenile Sexual Offenders

Previous research has linked adult sex offending behavior to a multiplicity of variables, including juvenile delinquency and the experience of childhood abuse. The purpose of this study was to explore developmental pathways among childhood abuse, juvenile delinquency, and personality dimensions possibly conducive to adolescent sexual coercion. Using a retrospective self-report inventory, we measured the extent to which juvenile sexual offenders experienced childhood trauma, engaged in adolescent delinquency, and exhibited particular dispositions and cognitive biases. The effects of childhood and adolescent antecedents on sexual coerciveness were then analyzed through simultaneous multiple regression path analyses. Results suggest that sexual compulsivity and hypermasculinity, through misogynistic fantasy behavior, significantly discriminate verbally and physically coercive juvenile offenders from those offenders who do not report using force in their offenses. Results also suggest that alcohol abuse may play a more salient role in the expression of coercive juvenile sexual coercion than previously hypothesized.     

Predictors of Sexual Offence Recidivism in Offenders with Intellectual Disabilities

Background The extensive research on prediction of risk in offenders has developed a number of reliable static risk predictors. There is also a developing body of work on proximal, dynamic risk factors and their importance in predicting violent and sexual offending. Although this work has not been done specifically on offenders with intellectual disabilities, there is some preliminary evidence that it is equally relevant in this field. The current study extends this work. Method Fifty‐two sexual offenders and abusers were included as participants and 18 of them had re‐offended or were strongly suspected of having re‐offended. A checklist of static and dynamic factors were derived from the literature and clinical experience and a retrospective, correlational method was employed. Two respondents provided information on the presence or absence of each variable and this information was checked through extensive case records. These variables were correlated with re‐offending and suspicion of re‐offending. Results Several variables correlated significantly with the two dependent variables and a standard multiple regression investigated the predictive quality of each independent variable. Significant variables were allowances made by staff, antisocial attitude, poor relationship with mother, denial of crime, sexual abuse in childhood, erratic attendance and poor response to treatment. Certain variables, found significant in earlier studies, did not emerge in the current analysis. These predictors accounted for around 53% of the variance for evidence of re‐offending and around 74% of the variance for suspicion of re‐offending. Conclusions The variables which emerge are similar to those found in the mainstream offender literature. Some hypotheses are presented on why certain variables did not emerge. Like other similar studies, the results should be treated with caution because of retrospective bias.     

Testosterone,Sexual Offense Recidivism,and Treatment Effect Among Adult Male Sex Offenders

The relationship between serum testosterone and sexual violence was examined in a sample of 501 convicted adult male sex offenders attending an intensive in-hospital group psychotherapy treatment program. It was found that men with higher testosterone tended to have committed the most invasive sexual crimes (p < .001, two-tailed). Further, a positive partial correlation (controlling for age) between testosterone and sexual offense recidivism over a lengthy follow-up period (mean = 8.9 years) was found. When the sample was separated into one group that completed treatment and one group that did not, an important ameliorating treatment effect was observed. Although controlling for age, serum testosterone remained significantly predictive of sexual recidivism for the treatment noncompleter group (p < .05, two-tailed). For those who completed treatment testosterone was no longer predictive of sexual reoffense (p > .05, two-tailed). Among convicted sex offenders, higher serum testosterone appears to be associated with greater likelihood of further sexual violence. Effective therapy, however, appears able to intercede in the influence of testosterone on sexually deviant behavior. It is suggested that serum testosterone may be an informative static risk factor and completion of intensive treatment should be accorded significance in future actuarially based risk prediction instruments.     

A Prospective Longitudinal Study of Sexual Recidivism Among Adolescent Sex Offenders

This paper reports on a follow-up of a sample of 303 adolescent male sex offenders from New South Wales, Australia. Adult rearrest and reconviction data were obtained for 292 of these individuals. The mean observation period between their adjudication as adolescents and their follow-up as adults was 7.3 years. Seventy-five (25%) received further convictions for sexual offenses prior to their 18th birthday. As adults, 25 (9%) came to the attention of police for further alleged sexual offenses, including 14 (5%) who received convictions for these offenses. Of these, 11 (79%) also received new convictions for nonsexual offenses. Overall, 61.3% of subjects received convictions for nonsexual offenses as adults. Results suggest considerable diversity and persistence in delinquent and criminal behavior, and challenge assumptions about high transition rates from adolescent to adult sexual offending.     

Sex As a Coping Strategy and Its Relationship to Juvenile Sexual History and Intimacy in Sexual Offenders

The current research examined the hypothesis that sexual activity functions as a coping strategy for sexual offenders. A 16-item scale, the Coping Using Sex Inventory (CUSI), was developed to assess the presence of and the degree to which sex was used to deal with problematic situations. Sexual offenders consistently reported, using sexual activities, both consenting and nonconsenting, as a coping strategy to deal with stressful and problematic situations. In the first study, when compared to nonsexual violent offenders, sexual offenders showed evidence of sexual preoccupation during adolescence, and this preoccupation was related to the latter use of sex as a coping strategy. In the second study, intimacy deficits and loneliness were related to greater use of sexual activity as a coping mechanism. The third study examined the psychometric properties of the CUSI. A factor analysis revealed 3 factors in the CUSI corresponding to consenting sexual themes, rape themes, and child sexual abuse themes. Sexual offenders reported higher use of each type of sexual activity to cope with stressful and difficult situations as compared to nonsexual offenders. Theoretical and clinical implications are discussed here.     

Sexual offender treatment efficacy revisited

Several authors have recently addressed current views of sexual offender treatment efficacy. Some maintain that offenders can gain from treatment while others argue that the vast majority cannot. Some researchers say that the field of sexual offender treatment is too new to be able to determine whether or not treatment works. This latter group notes that most studies in this field have not yet reached the point at which meta-analytic techniques can be applied; for this reason no definitive statements can be made about the utility of treatment. The present analysis examines the issues from a slightly different perspective. Data from a large group of studies are combined to identify patterns which can be examined later in more detail. More specifically, 79 sexual offender treatment outcome studies are reviewed, encompassing 10,988 subjects. Recidivism rates for treated versus untreated offenders are investigated according to age of offender, age of victim, offense type, type of treatment, location of treatment, decade of treatment, and length of follow-up. Each study is used as the unit of analysis, and studies are combined according to the number of treated versus untreated subjects who reoffended in each category. Clinical implications are drawn from these results.     

Outcome of an Institutional Sexual Offender Treatment Program: A Comparison Between Treated and Matched Untreated Offenders

Data from a sexual offender treatment program operated by the Correctional Service of Canada at the Regional Psychiatric Center (Saskatoon) supported the conclusion that cognitive behavioral treatment can reduce sexual offense recidivism. The study compared 296 treated and 283 untreated offenders followed for a mean of 6 years after their release. An untreated comparison subject was located for each treated offender on three dimensions: (a) age at index offense, (b) date of index offense, and (c) prior criminal history. Data were analyzed using tests of proportion, survival analysis, and analysis of offender Criminal Career Profiles.Over a mean follow-up period of almost 6 years, convictions for new sexual offenses among treated offenders were 14.5% versus 33.2% for untreated offenders. During the follow-up period, 48% of treated offenders remained out of prison compared to 28.3% of untreated offenders. Time series comparisons of treated and comparison samples also showed that treated men reoffended at significantly lower rates after 10 years.A Criminal Career Profile (CCP) was constructed by taking the Age at First Conviction and plotting the offender's successive lengths of time free against time incarcerated. Pre- and posttreatment slopes of the CCP were lower for both groups posttreatment; however, the degree of change was significantly greater for the treated group, indicating a greater reduction in criminal activity among these offenders. Taken together, the results of all three analytic techniques supported the efficacy of appropriate correctional treatment for effective reduction of recidivism.     

The Effectiveness of Sexual Offender Treatment for Juveniles as Measured by Recidivism: A Meta-analysis

Published and unpublished data from nine studies on juvenile sexual offender treatment effectiveness were summarized by meta-analysis (N=2986, 2604 known male). Recidivism rates for sexual, non-sexual violent, non-sexual non-violent crimes, and unspecified non-sexual were as follows: 12.53%, 24.73%, 28.51%, and 20.40%, respectively, based on an average 59-month follow-up period. Four included studies contained a control group (n=2288) and five studies included a comparison treatment group (n=698). An average weighted effect size of 0.43 (CI=0.33-0.55) was obtained, indicating a statistically significant effect of treatment on sexual recidivism. However, individual study characteristics (e.g., handling of dropouts and non-equivalent follow-up periods between treatment groups) suggest that results should be interpreted with caution. A comparison of odds ratios by quality of study design indicated that higher quality designs yielded better effect sizes, though the difference between groups was not significant.