Dr Jeffrey Abracen is Chief Psychologist with Central District Parole, Correctional Service of Canada. He was previously clinical director of the community based Methadone Maintenance Treatment Program, and until late 2011 was co-director of the Relapse Prevention Maintenance Program offered to sexual offenders in the Central District of Correctional Service of Canada. He has provided training related to the community treatment and supervision of sexual offenders to a variety of audiences and has more than thirty publications in peer-reviewed journals, as well as many conference presentations.Dr Jan Looman is a psychologist working on the Forensic Unit of Providence Care Mental Health Services in Kingston, Canada, and was previously Clinical Manager at the Regional Treatment Center Ontario, a psychiatric hospital serving the Federal Prison system in Ontario. From 1997-2011 he was Program Director of the Regional Treatment Centre Sex Offender Treatment Program. For the past six years he has conducted Sexually Violent Predator assessments in Washington State. He has carried out training regarding the assessment and treatment of sex offenders at various conferences and workshops and has more than thirty peer-reviewed publications in this area.

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• Acknowledgements viiIntroduction viii1 Background and Definitions 12 The Regional Treatment Centre High Intensity Sex Offender Treatment Program (RTCSOTP): Description of Group Characteristics and the Treatment Program 83 Treatment Outcome for High‐Risk Violent and Sexual Offenders 194 Therapist and Setting Characteristics 485 The Integrated Risk–Need–Responsivity (RNR‐I) Model 696 Etiological Factors: Attachment Theory and Complex Post‐Traumatic Stress 727 Combining Attachment Theory and Complex Post‐Traumatic Stress Disorder and Theories of Sexual Offending: The Integrated Risk–Need–Responsivity (RNR‐I) Model 838 The Good Lives Model and Sexual Offending 979 Therapeutic Orientation and Relevance to Assessment 10610 Self‐Management Component 11711 Social Skills and Individual Therapy 12612 Alcohol Abuse, Drug Abuse, and Sexual Offending 15413 Deviant Sexual Arousal 16314 The Integrated Risk–Need–Responsivity Model (RNR‐I): Practical Applications for Assessment and Treatment of Sexual Offenders with Substance or Alcohol Abuse Disorders 17715 A Model for Community Management 18616 Summary and Conclusions 216References 223Appendix I: Decision Matrix 246Appendix II: List of Pre‐ and Post‐treatment Measures 247Appendix III: Goals for Professional Growth and Development 252Index 255

Dr Jeffrey Abracen is Chief Psychologist with Central District Parole, Correctional Service of Canada. He was previously clinical director of the community based Methadone Maintenance Treatment Program, and until late 2011 was co-director of the Relapse Prevention Maintenance Program offered to sexual offenders in the Central District of Correctional Service of Canada. He has provided training related to the community treatment and supervision of sexual offenders to a variety of audiences and has more than thirty publications in peer-reviewed journals, as well as many conference presentations.Dr Jan Looman is a psychologist working on the Forensic Unit of Providence Care Mental Health Services in Kingston, Canada, and was previously Clinical Manager at the Regional Treatment Center Ontario, a psychiatric hospital serving the Federal Prison system in Ontario. From 1997-2011 he was Program Director of the Regional Treatment Centre Sex Offender Treatment Program. For the past six years he has conducted Sexually Violent Predator assessments in Washington State. He has carried out training regarding the assessment and treatment of sex offenders at various conferences and workshops and has more than thirty peer-reviewed publications in this area.

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• Acknowledgements viiIntroduction viii1 Background and Definitions 12 The Regional Treatment Centre High Intensity Sex Offender Treatment Program (RTCSOTP): Description of Group Characteristics and the Treatment Program 83 Treatment Outcome for High‐Risk Violent and Sexual Offenders 194 Therapist and Setting Characteristics 485 The Integrated Risk–Need–Responsivity (RNR‐I) Model 696 Etiological Factors: Attachment Theory and Complex Post‐Traumatic Stress 727 Combining Attachment Theory and Complex Post‐Traumatic Stress Disorder and Theories of Sexual Offending: The Integrated Risk–Need–Responsivity (RNR‐I) Model 838 The Good Lives Model and Sexual Offending 979 Therapeutic Orientation and Relevance to Assessment 10610 Self‐Management Component 11711 Social Skills and Individual Therapy 12612 Alcohol Abuse, Drug Abuse, and Sexual Offending 15413 Deviant Sexual Arousal 16314 The Integrated Risk–Need–Responsivity Model (RNR‐I): Practical Applications for Assessment and Treatment of Sexual Offenders with Substance or Alcohol Abuse Disorders 17715 A Model for Community Management 18616 Summary and Conclusions 216References 223Appendix I: Decision Matrix 246Appendix II: List of Pre‐ and Post‐treatment Measures 247Appendix III: Goals for Professional Growth and Development 252Index 255

Dr Jeffrey Abracen is Chief Psychologist with Central District Parole, Correctional Service of Canada. He was previously clinical director of the community based Methadone Maintenance Treatment Program, and until late 2011 was co-director of the Relapse Prevention Maintenance Program offered to sexual offenders in the Central District of Correctional Service of Canada. He has provided training related to the community treatment and supervision of sexual offenders to a variety of audiences and has more than thirty publications in peer-reviewed journals, as well as many conference presentations.Dr Jan Looman is a psychologist working on the Forensic Unit of Providence Care Mental Health Services in Kingston, Canada, and was previously Clinical Manager at the Regional Treatment Center Ontario, a psychiatric hospital serving the Federal Prison system in Ontario. From 1997-2011 he was Program Director of the Regional Treatment Centre Sex Offender Treatment Program. For the past six years he has conducted Sexually Violent Predator assessments in Washington State. He has carried out training regarding the assessment and treatment of sex offenders at various conferences and workshops and has more than thirty peer-reviewed publications in this area.

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• Acknowledgements viiIntroduction viii1 Background and Definitions 12 The Regional Treatment Centre High Intensity Sex Offender Treatment Program (RTCSOTP): Description of Group Characteristics and the Treatment Program 83 Treatment Outcome for High‐Risk Violent and Sexual Offenders 194 Therapist and Setting Characteristics 485 The Integrated Risk–Need–Responsivity (RNR‐I) Model 696 Etiological Factors: Attachment Theory and Complex Post‐Traumatic Stress 727 Combining Attachment Theory and Complex Post‐Traumatic Stress Disorder and Theories of Sexual Offending: The Integrated Risk–Need–Responsivity (RNR‐I) Model 838 The Good Lives Model and Sexual Offending 979 Therapeutic Orientation and Relevance to Assessment 10610 Self‐Management Component 11711 Social Skills and Individual Therapy 12612 Alcohol Abuse, Drug Abuse, and Sexual Offending 15413 Deviant Sexual Arousal 16314 The Integrated Risk–Need–Responsivity Model (RNR‐I): Practical Applications for Assessment and Treatment of Sexual Offenders with Substance or Alcohol Abuse Disorders 17715 A Model for Community Management 18616 Summary and Conclusions 216References 223Appendix I: Decision Matrix 246Appendix II: List of Pre‐ and Post‐treatment Measures 247Appendix III: Goals for Professional Growth and Development 252Index 255