This meta-analytic review examined the effectiveness of psychological treatment for sex offenders by summarizing data from 43 studies (combined n = 9,454). Averaged across all studies, the sexual offence recidivism rate was lower for the treatment groups (12.3%) than the comparison groups (16.8%, 38 studies, unweighted average). A similar pattern was found for general recidivism, although the overall rates were predictably higher (treatment 27.9%, comparison 39.2%, 30 studies). Current treatments (cognitive-behavioral, k = 13; systemic, k = 2) were associated with reductions in both sexual recidivism (from 17.4 to 9.9%) and general recidivism (from 51 to 32%). Older forms of treatment (operating prior to 1980) appeared to have little effect. Future directions for improving the quality of sex offender treatment outcome evaluations are discussed.
Particularly over the past two decades, the terms sex offender and juvenile sex offender (JSO) have attained increasingly common usage in media and public policy discourse. Although often applied as factual descriptors, the labels may evoke strong subconscious associations with a population commonly presumed to be compulsive, at high risk of re-offense, and resistant to rehabilitation. Such associations, in turn, may exert considerable impact on expressions of support for certain policies as well as public beliefs and opinions about adults and youth who have perpetrated sexual offenses. The current study systematically evaluated the impact of the "sex offender" and "JSO" labels through series of items administered to a nationally stratified and matched sample from across the United States. The study employed an experimental design, in which one group of participants (n = 498) ranked their levels of agreement with a series of statements utilizing these labels, and a control group (n = 502) responded to a matched set of statements substituting the labels with more neutral descriptive language. Findings support the hypothesis that use of the "sex offender" label strengthens public support for policies directed at those who have perpetrated sexual crimes, including public Internet disclosure, residency restrictions, and social networking bans. The "JSO" label is demonstrated to produce particularly robust effects, enhancing support for policies that subject youth to public Internet notification and affecting beliefs about youths' propensity to re-offend as adults. Implications for public policy, media communication, and research are explored and discussed.
There has been considerable research on relative predictive accuracy (i.e., discrimination) in offender risk assessment (e.g., Are high-risk offenders more likely to reoffend than low-risk offenders?), but virtually no research on the accuracy or stability of absolute recidivism estimates (i.e., calibration). The current study aimed to fill this gap by examining absolute and relative risk estimates for certain Static sex offender assessment tools. Logistic regression coefficients for Static-99R and Static-2002R were combined through meta-analysis (8,106 sex offenders; 23 samples). The sexual recidivism rates for typical sex offenders are lower than the public generally believes. Static-99R and Static-2002R both demonstrated remarkably consistent relative predictive accuracy across studies. For both scales, however, the predicted recidivism rates within each Helmus et al. / ABSOLUTE RECIDIVISM RATES 1149 risk score demonstrated large and significant variability across studies. The authors discuss how the variability in recidivism rates complicates the estimation of recidivism probability in applied assessments.
Presently, there are no established scales that evaluate change in risk among sexual offenders. The Sex Offender Need Assessment Rating (SONAR) was developed to fill this gap. The SONAR includes five relatively stable factors (intimacy deficits, negative social influences, attitudes tolerant of sex offending, sexual self-regulation, general self-regulation) and four acute factors (substance abuse, negative mood, anger, victim access). The psychometric properties of the scale were examined using data previously collected by Hanson and Harris (1998, 2000). Overall, the scale showed adequate internal consistency and moderate ability to differentiate between recidivists and nonrecidivists (r = .43; ROC area of .74). SONAR continued to distinguish between the groups after controlling for well-established risk indicators, such as age, and scores on the Static-99 (Hanson & Thornton, 2000) and the Violence Risk Appraisal Guide (Quinsey, Harris, Rice, & Cormier, 1998).
Effective intervention with offenders requires accurate identification of their risk-relevant propensities. In this prospective study, 139 Canadian community supervision officers were trained to assess the risk factors and criminogenic needs of adult male sexual offenders using structured risk tools. Recidivism outcomes were recorded for 768 offenders (average age of 41 years, approximately half had child victims, 14% Aboriginal) during an average 7-year follow-up period. All forms of recidivism (sexual, violent, any) were predicted by sex crime specific risk tools based on static, historical factors (Static-99R; Static-2002R) and by tools designed to assess psychologically meaningful risk factors of sexual offenders (STABLE-2000; STABLE-2007). Professional overrides of the Static-99 scores did not improve predictive accuracy. STABLE-2007 scores added incrementally over STATIC scores for all recidivism outcomes, but only for complete cases, suggesting meaningful variation in the extent to which community supervision officers can assess psychologically meaningful risk factors for sexual offenders.
Effective intervention with sexual offenders requires the targeting of appropriate risk factors. In this study, information on dynamic (changeable) risk factors was collected through interviews with community supervision officers and file reviews of 208 sexual offense recidivists and 201 nonrecidivists. The recidivists were generally considered to have poor social supports, attitudes tolerant of sexual assault, antisocial lifestyles, poor self-management strategies, and difficulties cooperating with supervision. The overall mood of the recidivists and nonrecidivists was similar, but the recidivists showed increased anger and subjective distress just before reoffending. The dynamic risk factors reported by the officers continued to be strongly associated with recidivism, even after controlling for preexisting differences in static risk factors. The factors identified in the interview data were reflected (to a lesser extent) in the officers' contemporaneous case notes, which suggests that the interview findings cannot be completely attributed to retrospective recall bias.
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