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Sexually Harmful Behavior: Data-Based Interventions |
Saturday, May 23, 2015 |
4:00 PM–4:50 PM |
214B (CC) |
Area: DDA/CSE; Domain: Service Delivery |
Chair: Kimberly E. Church (Human Development Center) |
CE Instructor: Kimberly E. Church, Psy.D. |
Abstract: Ethical considerations require that all interventions include plans to fade out treatment once intermediate goals are achieved. This is particularly challenging when the target behaviors are related to sexual offending or illegal practices. These studies will provide an overview of treatment packages (supervision, monitoring, staff training, skill acquisition programs, reinforcement of replacement and alternative behaviors, building of natural supports) as well as the careful assessment procedures of consumers’ self-monitoring and avoidance skills via probes before fade out of supervision or services is scheduled. Thanks to this graduated approach, consumers that have successfully completed probe schedule programs (starting with media/indirect approaches and concluding with real-life situations) have been able to integrate in the community, build natural supports, and refrain from illegal or harmful behaviors. |
Keyword(s): CBT, HFASD, SHB |
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Current Developments in Assessing Appropriateness of Treatment Fade-Out for Adults with Intellectual Disabilities and Sex Offending Behavior |
VALERIA PAREJO (Human Development Center), Stephani Fauerbach (Human Development Center), Kimberly E. Church (Human Development Center) |
Abstract: Ethical considerations require that all interventions include plans to fade out treatment once intermediate goals are achieved. This is particularly challenging when the target behaviors are related to sexual offending or illegal practices. Our agency provides services to adult males diagnosed with intellectual disabilities and who have forensic involvement, including registered sexual offenders, predators, or consumers that have been referred to residential treatment as part of their parole agreement.
This study will provide an overview of our treatment package (supervision, monitoring, staff training, skill acquisition programs, reinforcement of replacement and alternative behaviors, building of natural supports) as well as the careful assessment procedures of consumers’ self-monitoring and avoidance skills via probes before fade out of supervision or services is scheduled.
Thanks to this graduated approach, consumers that have successfully completed our probe schedule program(starting with media/indirect approaches and concluding with real-life situations) have been able to integrate in the community, build natural supports, and refrain from illegal or harmful behaviors. |
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Multi-component Behavioral Intervention Reduces Sexually Harmful Behavior in Adolescents with Sexually Harmful Behavior |
DUNCAN PRITCHARD (Aran Hall School), Nicola Graham (Aran Hall School), Heather Penney (Aran Hall School), F. Charles Mace (Nova Southeastern University) |
Abstract: People diagnosed with ASD have social and communication deficits and restricted interests. When these restricted interests are likely to harm others (e.g., deviant sexual behaviour) they may bring the person into contact with the criminal justice system, or at the very least reduce the opportunities for the person to lead a normal life. It is therefore imperative that the person receives treatment to reduce the likelihood of the behaviour re-occurring. However, meta-analyses of both adult and adolescent sex offender research suggest that sexual behaviour aimed at children is susceptible to treatment relapse. Persistent serious problem behaviour can sometimes lead to young people with ASD being detained in secure accommodation to prevent harm to themselves or others, especially if they present sexual behaviour that is directed towards children. This study describes how a multi-component behavioural programme was associated with a reduction in serious, and persistent, problem behaviour, including sexual behaviour, presented by a 17-year-old male with high-functioning ASD. |
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Case Examples of Successful Transition of Sex Offenders from Intensive Residential Habilitation to Supported Living |
KIMBERLY E. CHURCH (Human Development Center), Stephani Fauerbach (Human Development Center), Valeria Parejo (Human Development Center) |
Abstract: Human Development Center (HDC), inc., is a non-profit organization that provides behavior analytic treatment to consumers with intellectual disabilities in a variety of community-based settings. HDC specializes in treating behaviors that interfere with the consumer’s ability to live successfully and safely in the community. The treatment approach includes the design and implementation of behavior plans with skill programs designed to increase pro-social behaviors and decrease challenging behaviors, with an emphasis on teaching societal rules, and increasing appropriate avoidance behaviors and coping skills. Behavior analysts work closely with each consumer to help each person achieve his identified goals by setting criteria for goal achievement. A summary of long term treatment interventions and results for several individuals with forensic involvement as a result of sexual offending behavior that occurred prior to admission will be presented. Challenges related to treatment provision in real world settings with this high risk population will be discussed. Instruction will be provided regarding using consequence avoidance strategies to help treat behaviors that occur or are observed less frequently, and probe data will be presented. Each person was able to successfully transition from intensive residential habilitation to supported living, and maintain success while living independently. |
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