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A sex offender treatment group for men with intellectual disabilities in a community setting
- Authors:
- ROSE John, et al
- Journal article citation:
- British Journal of Forensic Practice, 14(1), 2012, pp.21-28.
- Publisher:
- Emerald
This paper describes the development and initial evaluation of a sex offender treatment programme adapted for individuals with relatively severe intellectual disability in a community setting all of whom had no compulsion to attend. The aim was to motivate men with intellectual disability who had been involved in sexually inappropriate behaviour but may not have been charged to attend a fairly lengthy adapted community groupwork programme. The group was based on a cognitive behavioural model. So far the group has been run on two occasions and preliminary data on outcomes are discussed. Participants (n=12, average age 39.5 years) showed a reduction in attitudes consistent with offending, an increase in sexual knowledge, and a more external locus of control on completion of the group. One of the 12 men who attended was recorded as offending again within 18 months of group completion but three were able to move to less well supervised placements. The authors conclude that this style of treatment has some advantages over other models and may be more effective, but further research is required.
Factors associated with the efficacy of a group intervention for anger in people with intellectual disabilities
- Authors:
- ROSE John, et al
- Journal article citation:
- British Journal of Clinical Psychology, 44(3), September 2005, pp.305-317.
- Publisher:
- Wiley
There is a growing literature that suggests cognitive behavioural interventions aimed at reducing inappropriately expressed anger by people with intellectual disabilities are effective. However, interventions provide little information about which aspects of the individual or their treatment may be contributing to the overall efficacy of the approach. In this study a group intervention is compared with a waiting list control. A cross-sectional regressional method was used to explore the relationship between change in a provocation inventory score over the course of an intervention and a number of other variables. Data was collected from 50 participants who attended a series of groups with the aim of reducing aggressive behaviour. This was compared with a waiting list control of 36. A 2 × 2 split plot ANOVA identified a statistically significant treatment effect. However, analysis examining clinical significance was more equivocal with only 11 of the individuals in the intervention group showing reliable change. Regression analysis indicated that 17.5% of the variance in change of provocation inventory scores could be accounted for by the independent variables. Immediately on completion of the group, being accompanied by a member of staff and increased receptive language scores contributed significantly to the variance. A reduction in provocation inventory scores immediately after the group was more likely to occur if the participant was accompanied by a member of staff who knew them and if they had a higher score on the test of receptive vocabulary. This pattern changed with time. The implications of the results will be discussed and the relatively large amount of variance that is not accounted for will also be considered.