Includes bibliographical references and index.

Acknowledgements vii Introduction viii 1 Background and Definitions 1 2 The Regional Treatment Centre High Intensity Sex Offender Treatment Program (RTCSOTP): Description of Group Characteristics and the Treatment Program 8 3 Treatment Outcome for High ]Risk Violent and Sexual Offenders 19 4 Therapist and Setting Characteristics 48 5 The Integrated Risk Need Responsivity (RNR ]I) Model 69 6 Etiological Factors: Attachment Theory and Complex Post ]Traumatic Stress 72 7 Combining Attachment Theory and Complex Post ]Traumatic Stress Disorder and Theories of Sexual Offending: The Integrated Risk Need Responsivity (RNR ]I) Model 83 8 The Good Lives Model and Sexual Offending 97 9 Therapeutic Orientation and Relevance to Assessment 106 10 Self ]Management Component 117 11 Social Skills and Individual Therapy 126 12 Alcohol Abuse, Drug Abuse, and Sexual Offending 154 13 Deviant Sexual Arousal 163 14 The Integrated Risk Need Responsivity Model (RNR ]I): Practical Applications for Assessment and Treatment of Sexual Offenders with Substance or Alcohol Abuse Disorders 177 15 A Model for Community Management 186 16 Summary and Conclusions 216 References 223 Appendix I: Decision Matrix 246 Appendix II: List of Pre ] and Post ]treatment Measures 247 Appendix III: Goals for Professional Growth and Development 252 Index 255

"Treatment of High-Risk Sexual Offenders addresses concrete management strategies, from initial intake to community treatment programs, and describes a detailed program for high risk offenders which has been developed, tested and refined for over 15 years. Provides a thorough review of contemporary theory and research relating to complex, challenging populations, and translates it into a comprehensive system of assessment and treatment for high risk sexual offenders Offers detailed coverage of setting and staff requirements, the importance of the therapeutic alliance, and how to balance individual therapy with group components in order to develop social and self-management skills Builds on the principle of integrative care, drawing on the established Risk-Need-Responsivity (RNR) model for offender assessment and rehabilitation but adding new components of CBT and motivational interviewing Includes a complete assessment battery and strategies for managing serious mental illness and comorbidity "--

"This book is a reflection on where we have arrived as both researchers and clinicians working with high risk, high-need sexual offenders for many years"--