The provider shall have had a minimum of three year’s appropriate experience treating sex offenders, collaborating with other agencies, and working with probation and parole departments and agencies. The provider shall be licensed in his or her respective discipline. In addition, the provider shall have had a minimum of 2000 post graduate degree supervised hours of face-to-face clinical contact with persons who sexually offend.
Any unlicensed person on the program's staff who provides treatment services to sexually violent predators shall be under the direct supervision of the qualified Pennsylvania licensed professional. Any unlicensed staff members shall have at minimum a bachelor’s degree.
Any individual offering treatment services as a sole practitioner shall be licensed in his or her respective discipline and have had a minimum of 2000 post-graduate degree supervised hours of face-to-face clinical contact with persons who sexually offend.
The treatment shall be configured to follow current best practice standards, including, but not limited to, the reduction of risk to re-offend sexually. Said treatment can be intrusive, investigative and challenging to the individual being treated. It is at the same time respectful of the individual. It is always conducted collaboratively with agencies relevant to the individual’s treatment. Treatment is always individualized, relevant to the individual being treated. It is the responsibility of the treatment provider to establish an individualized treatment plan to reduce the risk of sexual re-offense; secondary treatment goals are always part of individualized treatment.
The program shall employ a cognitive behavioral treatment approach that emphasizes group counseling and peer confrontation/ support. Treatment components may include, but need not be limited to, cognitive restructuring, values clarification, recognition of offense behaviors, behavior therapy, identification of risk factors, enhancement of coping skills, relapse/re-offense prevention, victim impact awareness, social competence, assertiveness training, anger and affect control, impulse control, sex education, improvement of appropriate sexual functioning, substance abuse treatment, and improvement of primary relationships.
If the sexually violent predator is not to be treated in a group setting or with cognitive behavioral therapy, the justification for such treatment shall be set forth in the clinical assessment. Female sex offenders, for example, should not be treated in male sex offender groups; insufficient numbers of female sex offenders may warrant individual treatment.
The program shall employ a written Individual Treatment Plan (ITP). ITP’s should be offender-specific, tailored to the offender’s criminal history, cognitive patterns, sexual arousal patterns, offense patterns, co-occurring conditions, risk assessment, relapse profile and current circumstances. It shall contain measurable treatment goals, objectives and treatment interventions, and indicate the persons responsible for treatment and supervision. It shall integrate the collaborative efforts of all criminal justice and treatment agencies responsible for treatment and supervision of the offender.
The program shall have the capacity to provide for the administration of objective measures such as the Abel Sexual Interest Inventory or Plethysmography to ascertain deviant sexual interest and arousal patterns. If objective measures are not to be used, the individual case plan shall state why they are not employed.
The program shall have the capacity to provide for the administration of sex offender specific clinical polygraph testing to measure program compliance and progress in treatment. The polygraph is a tool of treatment. The polygrapher is not required to be a member of the program staff and may be employed on a contractual basis.
The program shall ensure that victim protection and restitution are an integral part of sex offender treatment and management. Primary, secondary, and potential victim notification, contact, and/or participation in the treatment and decision making process shall be victim-driven and clinically appropriate. All victim protection shall be a paramount goal of offender management.
Family reunification goals shall be victim-driven, tailored to the victim’s best interests, and pursued when clinically appropriate. Any identified victims should have their own qualified therapist participating in any potential reunification plans. In addition, any non-offending parent shall participate in treatment.
The program shall have the capacity to provide or arrange for physician evaluation and prescription of anti-androgen and other pharmacological therapies as an adjunct to the cognitive behavioral approach for treatment of sexual deviance.
The program shall provide two co-therapists to conduct any therapy group that exceeds eight sex offenders, including any sexually violent predators. Didactic and education groups may involve larger participant numbers, and may be led by only one therapist.
The program shall provide or arrange for referral to specialized ancillary services for sex offenders who display other special needs or co-occurring disorders (e.g., substance abuse, mental retardation, mental illness or learning disorders).
The program shall keep accurate, uniform and timely records of treatment. It shall provide written reports on progress to the responsible criminal justice, correctional and probation or parole authorities at least once every six months, and provide same with immediate notice of serious violations of program rules.
The program shall conduct and document case conferences with team members from parole and probation, other treatment services, criminal justice agencies, and social service agencies not less than once per month, and facilitate the participation of these agencies in actual group treatment processes, as appropriate to actively monitor community risk, treatment compliance and progress.
Treatment staff interaction with sexually violent predators shall encompass compassion for the humanity of the offender, while recognizing the offender’s criminal sexual behavior as reprehensible. Treatment staff interaction with sexually violent predators, while intrusive and confrontive at times, is never disrespectful or abusive.