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Introduction. Sexual abuse Sexually inappropriate behaviour Challenging behaviour Who is likely to present with these behaviours? Assessment? Treatment?. Who?. Age? Attachments? Family? Developmental issues? Sex? Peer relationships? Education?. What is Risk?.

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introduction
Introduction
  • Sexual abuse
  • Sexually inappropriate behaviour
  • Challenging behaviour
  • Who is likely to present with these behaviours?
  • Assessment?
  • Treatment?
slide3
Who?

Age?

Attachments?

Family?

Developmental issues?

Sex?

Peer relationships?

Education?

what is risk
What is Risk?

“It's the likelihood of doing something to somebody in the future”

slide6

Static Risk Factors

  • Age of offender,
  • Age and gender of victim,
  • Familiarity with victim,
  • Prior sexual offences,
  • Diversity of sexual violence
  • Escalation of sexual violence
  • ...
slide7

Dynamic:Stable Risk Factors

  • Longstanding, but amenable to change
  • e.g.:
  • Deviant Sexual Preference
  • Sex as Coping
  • Sexual Preoccupation
  • Attitudes that support or condone sexual violence
  • Mental Illness
  • Problems with Intimate Relationships
  • General Social Rejection
  • Poor Problem Solving Skills
  • Co-operation with Supervision
  • ...
slide8

Dynamic:Acute Risk Factors

  • e.g.
  • drug/alcohol abuse,
  • changes in social support/relationships,
  • changes in ability to use coping strategies
  • environmental changes,
  • ...
slide9

Actuarial Instruments

  • Empirically Validated
  • Give estimate of level of risk
  • e.g.
  • JSORRAT
slide10

Problem

Problem: use only indicated if person has been charged with, convicted of, or has admitted to the sexual abuse.

slide11

Structured Professional Judgements

  • e.g. following the guidelines of the JSOAP-II/AIM-2
  • No classification into risk categories
  • Better suited to management of the offender
slide12

Psychometric Instruments

  • Purpose: Assessing personality factors, psychopathology, attitudes and beliefs related to risk factors
  • e.g.
  • MMPI-A
  • JSOAP
  • NEO-PI-3
  • STAXI-2 C/A
  • TSCS:2
  • PAI-A
  • Problems: User qualifications
  • Do they tell us anything?
treatment
Treatment
  • Medication?
  • Specialist treatment programme?
  • High Support Unit?
  • Main stream residential?
  • Behavioural programme?
  • Positive Behavioural Support?
positive behavioural support
Positive Behavioural Support

Functional analysis of behaviour

Reinforce positives

Ignore negative behaviour

No sanctions

Natural consequences

positive behavioural support in residential care
Positive Behavioural Support in Residential Care

Implementation

Belief in the programme

Backing of all involved

Removal of sanctions

Control

positive behavioural support in residential care1
Positive Behavioural Support in Residential Care

Behaviour Management Plan

Consistency of Response Vital

Reviewed Regularly

Prepare for Mistakes

Therapeutic Involvement

positive behavioural support in residential care2
Positive Behavioural Support in Residential care

Outcomes

Reduction in challenging behaviour

Positive learning for young person

Improve confidence of staff team dealing with behaviours

discussion
Discussion

What works?

Difficulties?

Can we do it?

How?

What do we need?

What if it doesn't work?