COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

COSIG CONFERENCE BROCHURE.pdf - Drexel University College ... COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Sex Offenders (Flora, 2001) • Defining a sex offense –A criminal action involving inappropriate sexual behavior that occurs when one party does not give, or is incapable of giving, informed consent (O’Conell et al, 1990). • Who may commit a sex offense? – Sex offenders may be preadolescent, adolescent, or adults. cont’d • The majority of offenders are male, although more more female offenders are being reported. • A sexual offender is an individual who commits a sexual crime that violates cultural morals or laws, although these laws may vary by locality and community standards (Coleman et al, 1996). cont’d • Sex offenders (SXO’s) are found among all races, cultures, age groups, and religious faiths. • SXO’s exist within all income groups. • SXO’s exist within all levels of educational achievement. • SXO’s may be known to their victims or may be strangers. SXO’s and Social Policy • Several decades ago SXO’s were considered good candidates for treatment services that would provide a cure and protect the community. • Most states enacted sex offender commitment laws in some form, known as: – “Sexual psychopath laws; Sexually dangerous persons acts; or Mentally dangerous sex offenders acts”. • The desire to commit SXO’s has resurfaced. cont’d • Several states have adopted indeterminate commitment statutes • Some new laws are slanted toward commitment of a SXO only after incarceration in prison • Dangerous SXO’s now being involuntarily committed to a state psychiatric facility after their sentence has expired. cont’d • Parole boards are more reluctant to discharge a SXO if they have the option to continue incarceration • Offenders who refuse treatment may serve longer sentences or not be released at all. • Courts are now giving longer sentences • Professionals in general are now more alert to the signs of sexual abuse. 8

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006 Violent Crime Control and Law Enforcement Act, 1996 (Megan’s Law) • Amended to require the release of information to protect the public from violent SXO’s. • Mandates community notification of the release of SXO’s from prison. • Half of the states require registration with law enforcement agencies • Some states maintain a Web page on the Internet listing names, addresses, and a recent photograph of certain types of SXO’s Who should provide services? • Many offenders have been referred to the “Corrections” system for care in the past • Correctional facilities are concerned about their role in working with this population on a clinical basis. • Psychiatric facilities are concerned about placing SXO’s among persons with mental illness. Elements of an Effective Mental Health System – Evidence-Based Practices – Integration of Services – Co-occurring Disorders – Housing – Consumer and Family Member Involvement – Cultural Competency – Workforce – Accountability – Advocacy Measuring and Evaluating Outcomes • Identifying Outcome Measures • Collecting Data • Disseminating Findings The APIC Model • Assess: – Assess the inmate’s clinical and social needs, and public safety risks •Plan: – Plan for the treatment and services required to address the inmate’s needs • Identify: – Identify required community & correctional programs responsible for post-release services Cont’d • Coordinate – Coordinate the transition plan to ensure implementation and avoid gaps in care with community-based services. 9

<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

Violent Crime Control and Law<br />

Enforcement Act, 1996 (Megan’s Law)<br />

• Amended to require the release of information to<br />

protect the public from violent SXO’s.<br />

• Mandates community notification of the release<br />

of SXO’s from prison.<br />

• Half of the states require registration with law<br />

enforcement agencies<br />

• Some states maintain a Web page on the<br />

Internet listing names, addresses, and a recent<br />

photograph of certain types of SXO’s<br />

Who should provide services?<br />

• Many offenders have been referred to the<br />

“Corrections” system for care in the past<br />

• Correctional facilities are concerned about<br />

their role in working with this population on<br />

a clinical basis.<br />

• Psychiatric facilities are concerned about<br />

placing SXO’s among persons with mental<br />

illness.<br />

Elements of an Effective Mental<br />

Health System<br />

– Evidence-Based Practices<br />

– Integration of Services<br />

– Co-occurring Disorders<br />

– Housing<br />

– Consumer and Family Member Involvement<br />

– Cultural Competency<br />

– Workforce<br />

– Accountability<br />

– Advocacy<br />

Measuring and Evaluating<br />

Outcomes<br />

• Identifying Outcome Measures<br />

• Collecting Data<br />

• Disseminating Findings<br />

The APIC Model<br />

• Assess:<br />

– Assess the inmate’s clinical and social needs,<br />

and public safety risks<br />

•Plan:<br />

– Plan for the treatment and services required to<br />

address the inmate’s needs<br />

• Identify:<br />

– Identify required community & correctional<br />

programs responsible for post-release<br />

services<br />

Cont’d<br />

• Coordinate<br />

– Coordinate the transition plan to ensure<br />

implementation and avoid gaps in care with<br />

community-based services.<br />

9

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