Characteristics, Assessment and Treatment of Deaf Sex Offenders

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Characteristics, Assessment and Treatment of Deaf
Sex Offenders

• Nick Horne Nurse Consultant
• Will Hough Nurse Specialist

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Aims

• What do we know about sex offenders.
• Facts and figures.
• Characteristics of sex offenders.
• Treatment approaches.
• What do we know about Deaf sex offenders.
• Research.
• Services Available.
• Assessment and Treatment Pathway.
• Current Projects.

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Facts and Figures

• People form a wide range of background and ages.
• Approximately 75 offenders are known to their
  victims.
• 1 in 6 young adults say they had been sexually
  abused by reaching the age of 16
• Overall reconviction rate for England and Wales
  is low

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Characteristics

• Majority are Male
• Majority have Child Victims
• Often Deny or Minimise Offence

• Often known to the victim
• Family member / Friend v Stranger
• Often present with Cognitive Distortions

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Treatment themes

• Cognitive Behavioural Approach (CBT)
• Enhance Motivation
• Overcome Resistance
• Establish Therapeutic Alliance
• Self Esteem
• Coping and Mood Management
• Relationship Issues
• Attachment, Intimacy, Loneliness, Jealousy

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Treatment Aims

• Engagement / Motivational Procedures
• Motivation / Participation
• Disclosure
• Primary Treatment Procedures
• Impact / Empathy
• Cognitive distortions
• Future Life Strategies
• Lifestyle changes
• Self Management

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Research Sex offenders

• Advances in treatment 80s 90s
• Recidivism rates
• Meta-analysis
• Internet offenders
• Female sex offenders

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Research Deaf sex Offenders

• American and UK Studies
• Specific Populations
• Statistical Information
• High Prevalence
• Violence and Sexual Violence.

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Cognitive Impairment

• High rate within this specific population
• Rubella / Brain damage / Illiteracy
• 15.5 average or above average IQ.
• (Iqbal et al 2004)
• 62 Functionally Illiterate
• (Miller, Vernon Capella
  2005)

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Sex Education

• Limited access to sex education
• 1 out of 137 received any formal Sex Education.
• (Iqbal
  et al 2004)

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Recidivism

• Higher recidivism rates, compared to other sex
  offenders.
• 63.5 (Iqbal et al 2004)
• 30 (Miller and Vernon 2003)
• No studies on treatment effect.

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Legislation

• Sex Offence Legislation
• Sex Offender Register
• MAPPA (Multi Agency Public Protection
  Arrangements)

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Service Availability

• Development of BSL Led Deaf SOTP.
• History of Development within Alpha.
• Mental Health and Deafness Services.
• Prison Service.

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Assessment and Treatment

• Accessible and Meaningful
• Cause of Deafness
• Background Factors

• Immediate Factors
• Multi Disciplinary Working
• Risk Assessment and Risk Management

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Communication Language

• Individual and Group Therapy.
• Identification of Therapist.
• Co Workers
• Deaf Staff
• BSL Interpreters

• Planning
• Additional Modular's
• Adaptation.
• Duration.
• Communication Protocol

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Adaptation

• Check Understanding.
• Recap and Reinforcement.
• Use of Vocabulary and Terminology.
• Understanding of Concepts.

• Emotional Development.
• Concrete ways of working.
• Props and Visual Materials.
• Role Play.

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Current Projects

• Stop it Now
• NSPCC
• HMP Manchester

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Conclusion

• Similarities and Differences
• Increase Awareness of Deaf Sex offenders
• Working with BSL Interpreters
• Succession Planning.
• Accreditation of Deaf SOTP

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Contact Details

• Nick Horne
• nick.horne_at_alphahospitals.co.uk
• 0161 762 7213
• Will Hough
• will.hough_at_alphahospitals.co.uk
• 0161 762 4633

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