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Post-Conviction Traumatic Stress (PCTS) describes the cognitive, psychological, and physiological symptoms of trauma that result from a range of experiences with the criminal justice system. This pilot study aimed to empirically validate the construct of PCTS utilizing the Post-Traumatic Checklist (PCL-5), an existing measure of Post-Traumatic Stress Disorder (PTSD) according to DSM-5 diagnostic criteria. Using mixed methods, the survey asked about the traumagenic impact of arrests, court proceedings, incarceration, probation/parole supervision, and sex offender registration requirements in a sample of people required to register as sexual offenders (RSOs; n = 290) and their family members (n = 126). The PCL-5 was used to estimate the prevalence of PTSD and to explore the unique presentation of symptoms. Findings indicated that 69% of registrants and 62% of family members reported clinically significant indicators of PTSD. Examples of specific symptom presentations are illustrated through qualitative responses. Implications for clinical treatment, policy, and future research related to PCTS are discussed. [ABSTRACT FROM AUTHOR]

The purpose of this qualitative study was to explore clients' perceptions of sex-offending treatment. The sample included 291 people required to register as sex offenders in the U.S. who answered an open-ended question in an online survey asking them to describe their positive and negative experiences in mandated treatment. Using qualitative analysis, three overarching themes (with several subthemes) were identified: (1) positive and (2) negative treatment experiences and (3) the affiliation between the criminal justice system and clinical services. Experiences in sex offending treatment were viewed as positive when clients had opportunities to learn about themselves, experience group cohesion, build a positive alliance with a caring therapist, learn tools and skills for emotional health, explore the roots of offense behavior, and create healthy life plans to reduce risk for re-offending. Negative themes emerged when treatments were viewed as coercive, confrontational, or demeaning; when therapists seemed inexperienced or unqualified; and when seemingly outdated or unscientific methods were emphasized without explanation or dialogue. The entanglement between court-mandated treatment providers and the criminal justice system led to concerns about confidentiality, conflicts of interest, and role ambiguity. Drawing upon literature related to therapeutic alliance, trauma-informed care, and Risk-Need-Responsivity models, we offer suggestions for integrating client feedback to improve treatment responsivity and prevent re-offending. [ABSTRACT FROM AUTHOR]

Many municipalities have recently extended residence restrictions for sex offenders beyond the provisions of state law, although the efficacy of these measures in reducing recidivism has not been empirically established. This study used arrest histories in Jacksonville, Florida, to assess the effects of a recently expanded municipal 2,500-foot residence restriction ordinance on sex crimes and sex offense recidivism. Using a quasiexperimental design, pre- and posttest measures of recidivism were compared, and no significant differences in citywide sex crimes or recidivist sex crimes were found. In addition, time-series analysis revealed no significant differences in sex crime trends over time when compared with nonsex crimes from the same offender sample. After controlling for several demographic factors, individual-level multivariate results indicate that the timing of the residence restriction policy was not associated with a meaningful change in sex crime arrests or sex offender recidivism after the policy implementation date, suggesting that the residence restriction did not achieve its intended goal of reducing recidivism. (Contains 5 notes, 5 tables, and 1 figure.)

Much attention has been given to the problem of sexual predators and the struggles of the legal-justice system to contain them. In response to public outcry over high-profile sex crimes, federal and state legislators have responded in the past decade with innovative but controversial public policy initiatives, called "sexually violent predator statutes." In 1996 President Clinton signed "Megan's Law," mandating all 50 states to develop requirements for convicted sex offenders to register with local law enforcement agencies and to notify communities when a sex offender lives in close proximity. Less publicized have been the civil commitment statutes introduced by 16 states which allow convicted sex offenders to be evaluated for involuntary and indefinite confinement in a psychiatric hospital following their release from prison. This article will review the literature regarding community notification and civil commitment as interventions designed to combat sexual violence. The history and context of each policy will be discussed, as will a review of available research evaluating the impact of each policy. Implications for future research and social policy will be examined.

Adverse childhood experiences (ACE) are common in the histories of individuals who have sexually offended. Many risk factors for sexual recidivism resemble symptoms of early trauma, and early trauma may present a responsivity barrier to engagement in offense-focused treatment. Using the ACE scale, the current study aimed to (i) examine relationships between ACE scores and static and dynamic risk assessment scores, (ii) examine whether ACE scores differ between treatment completers versus noncompleters, and finally (iii) examine whether ACE scores predict treatment noncompletion. ACE scores were retrospectively coded from files of adult men receiving community-based assessment and/or treatment in New Zealand for sexual offenses against children (N = 491; n = 185–411 for individual analyses). Although effect sizes were generally small, static risk and general self-regulation dynamic risk factors correlated positively with ACE scores, ACE scores were higher for treatment noncompleters versus completers, and higher dynamic risk assessment scores and ACE scores increased the odds of treatment noncompletion. Implications for future research and enhancing treatment responsivity are discussed. [ABSTRACT FROM AUTHOR]

A growing body of literature indicates that individuals who commit sexual offences have significant histories of childhood trauma. Clinicians who provide sex-offending treatment (SOTX) are increasingly asked to integrate trauma-informed principles into their work with these clients. However, no research has been conducted exploring how SOTX clinicians are integrating either trauma-informed care (TIC) and/or trauma-focused treatments (TFTs) into their work with clients. This mixed-method study used two parallel surveys (one for SOTX clinicians (n = 66) and another for clients (n = 146)) to capture their perceptions regarding how trauma work is incorporated into SOTX. Independent samples t-tests indicated that on every item designed to measure TIC, clinicians rated themselves significantly higher than the clients rated clinicians. The results also indicated that clients perceive SOTX therapists to neglect the therapeutic value of understanding trauma histories. Some clients reported that they were discouraged from discussing childhood adversity in treatment. Implications for TIC SOTX practice are discussed. [ABSTRACT FROM AUTHOR]

Adverse childhood experiences (ACEs) are increasingly recognized as a public health crisis. Cumulative effects of these experiences lead to a wide range of deleterious physical and psychological outcomes. Prior research has identified higher prevalence rates of ACEs and increased criminal behavior in samples of individuals who have committed sexual offenses. In a sample of civilly committed individuals who have committed sexual offenses (N = 317), we examined the prevalence of ACEs (cumulative scores and the two components of child harm and family dysfunction) and their association with risk for sexual recidivism and adult psychopathology. ACEs were much more prevalent in this sample compared with the general population and to lower risk samples of individuals who had committed sexual offenses. Although ACE scores were unrelated to risk for sexual recidivism, higher ACE scores were associated with increased risk of psychopathology, including anxiety disorders, depressive disorders, substance use disorders, and Antisocial Personality Disorder. ACEs related to family dysfunction were uniquely associated with Alcohol Use Disorder and the presence of a dual diagnosis of a paraphilia and personality disorder. Results suggest that higher risk individuals who commit sexual offenses may have greater need for trauma-informed models of care that recognize the effect of these experiences on their mental health and offense-related behavior. [ABSTRACT FROM AUTHOR]

Much attention has been paid to the examination of community sentiment regarding convicted sex offenders and the policy that governs these offenders' behavior. This literature, however, has largely been absent of international comparisons of sex offender community sentiment. The current study seeks to fill this gap by drawing from the results of surveys (n = 333) conducted in both the United States (US) and the United Kingdom (UK). Results indicate that sex offender policy is generally supported in both the US and the UK. Contrary to our expectations, we found that participants from the UK were less tolerant of sex offenders residing in their neighborhoods than participants from the US. Additionally, there is support for the notion that sex offender policy holds a symbolic value for both study locations. Theoretical and practical implications of these findings are discussed. [ABSTRACT FROM AUTHOR]