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