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The Oregon Administrative Rules contain OARs filed through May 15, 2013
 
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DEPARTMENT OF HUMAN SERVICES, CHILD WELFARE PROGRAMS

 

DIVISION 60

COUNSELING AND TREATMENT SERVICES

Family Planning Services

413-060-0000

Purpose

These rules define eligibility criteria for family planning services, describe the services to be provided, and the responsibilities SOSCF has to provide these services.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 435.205 - 435.235
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0010

Eligibility

The following persons or families are eligible to receive family planning services:

(1) Families who request family planning information.

(2) Children who are in the legal custody and care of the State Office for Services to Children and Families.

(3) Minor children who are 15 years of age and older who request family planning information.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 435.205 - 435.235
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0020

Family Planning Services

Family planning services provided by the State Office for Services to Children and Families include:

(1) Referrals to appropriate family planning resource for consultation and treatment; or

(2) Counseling and information regarding avoiding unwanted pregnancy, termination of pregnancy, maintaining the desired family size and the spacing of children.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 435.205 - 435.235
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0030

Service Responsibility

The State Office for Services to Children and Families will be responsible to:

(1) Explore the need for and interest in family planning services of children who are in the legal custody of the State Office for Services to Children and Families and provide appropriate family planning information or referral.

(2) Provide family planning information or a referral to an appropriate family planning resource to minors 15 years of age and older who request family planning information.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 435.205 - 435.235
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

Family Treatment Services

413-060-0100

Purpose

These rules define the eligibility and priority requirements for family treatment services.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0110

Definitions

(1) "Family Treatment Service" means the services SOSCF provides to families under the titles "Intensive Family Services" and "High Impact Services." These services are to be limited to an average of three months and be based on family systems theory and practice. The goals of family treatment services are to correct family problems in order to prevent reoccurrence of child abuse or neglect, to ameliorate family relationship problems in order to prevent placements and to reunite families. It is one of the agency's services which meets the requirement of Public Law 96-272 to make reasonable efforts to prevent the placement of children in substitute care and reunite families.

(2) "High Impact Service" means family treatment services provided solely by SOSCF staff in caseloads which average eleven families. This service includes treatment counseling and case management functions.

(3) "Intensive Family Services" means family treatment services provided both through contracts with providers and by SOSCF staff. This service includes treatment of families in caseloads averaging 8.3 families. It does not include case management functions. This service is generally used in family situations when the problem requires more intensive work than can be done with High Impact Services.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0120

Eligibility for Services

To be eligible for either High Impact Service or Intensive Family Service:

(1) The family must be a recipient of services in one of the four SOSCF programs: Child Protective Service, Preventive/Restorative Service, Substitute Care or Adoption Service.

(2) The family's child(ren) must reside in the home or be in the process of being reunited with the family.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0130

Families Inappropriate for Service

Family treatment service can be helpful for most families. Because of the limits on the availability of these services, the following types of situations are considered inappropriate:

(1) Families whose problem is primarily related to the securing of: material services such as housing, food, or shelter; physical restoration or rehabilitation services; or vocational training;

(2) Families in which the parents' degree of mental retardation would prohibit their functioning in treatment;

(3) Families in which it is not possible for the parent(s) and child to be seen together;

(4) Families in which the primary need is for parenting education and skill building such as is provided through the Parent Training service.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0140

Priorities for Services

Family treatment services will be prioritized as follows:

(1) Families in imminent danger of placement of a child in a substitute care home or facility.

(2) Families whose child(ren) is returning from substitute care placement.

(3) Foster or adoptive families with a child who is in imminent danger of disrupting.

(4) Families with children in potential danger of placement.

(5) Other families with identified family relationship problems.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0150

Obtaining Services

The availability of these services is not adequate to serve all appropriate families. Discretion of the local SOSCF management staff is allowed in the selection of families to receive family treatment services. These discretionary judgments will be made on the basis of the service priorities (see OAR 413-060-0140) and the availability of the service.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

Parenting Program/Parent Training Services

413-060-0200

Purpose

The purpose of these rules is to describe the parenting program which is designed to improve and strengthen parenting knowledge or skills. Persons providing this service may be referred to as parent trainers, parenting consultants, parenting educators or parenting specialists. These rules refer to them as parenting consultants.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0210

Target Groups

The parenting program is designed to serve two general populations of families:

(1) Families with infants, young children, or adolescents living at home where there is evidence or high risk of child neglect/abuse or childhood behavior problems.

(2) Families with infants, young children, or adolescents living outside the home where there is evidence or high risk of child neglect/abuse or childhood behavior challenges and a return-home plan is intended.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0220

Eligibility and Priorities for Services

(1) Eligibility. A family receiving SOSCF preventive/restorative service, child protective services or substitute care services is also eligible for parenting program services if working with the parents would assist in returning a child home, or in permanent planning cases where returning the child home is the desired outcome. In addition, the family must meet all of the following criteria:

(a) There must be concrete and observable issues of concern regarding parenting and/or the parent has requested service;

(b) The issues to be addressed are due to a deficit in parenting knowledge or skills rather than unresolved family or individual issues. In some cases parent training may be postponed if other factors contributing to family difficulties are so severe as to preclude the usefulness of the parenting program. Such issues include:

(A) Unmet basic needs for food, shelter, clothing;

(B) Marital discord;

(C) Alcoholism or drug abuse.

(c) Decisions regarding serving families in 413-060-0220(b) will be made on a case-by-case basis.

(2) Ineligibility. Families in which the parenting program is unlikely to be helpful and therefore ineligible include:

(a) Parents who are psychotic, severely depressed or personality disordered to the extent that the skills being taught could not be utilized or would render the parents poor group participants;

(b) Parents who have committed sex offenses against children and who have not successfully completed a treatment program;

(c) In each of the above general descriptions, exceptions can be made by mutual agreement by contractor or SOSCF parent consultant and caseworker. Specialized groups or individualized sessions may be arranged.

(3) Priorities for Service. Priority consideration shall be given to families in which:

(a) A child(ren) is in immediate risk of being removed from the home and is actively being considered for substitute care placement as indicated in the service plan;

(b) A child residing in substitute care could be returned home sooner if parent functioning were improved;

(c) A child(ren) is in potential danger of substitute care (high-risk of placement exists but consideration of placement has not been actively pursued);

(d) Parent/child problems exist but there is no consideration of substitute care at this time.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0230

Service Format

(1) Individual Training (may be in home). Parenting consultants may provide individual training for those parents unable to participate in a group for reasons of scheduling, location or inappropriateness of a group setting.

(2) Group Training for Parents. There are two types of group training. Parents may be enrolled in one or both groups:

(a) Parent/child interaction groups (labs) focus on providing parents and children opportunities to learn and practice positive and therapeutic ways of interacting with one another. Child development, behavior management, anger management, and communication will be covered prior to or in tandem with the interaction groups;

(b) Parenting Program/Support Groups. These groups do not include group participation for the children. The group content may include didactic training in child development, behavior management, anger management, taking care of yourself (building self-esteem) and communication. Support groups which afford time for parents to personalize curriculum content and to discuss personal issues are included in this category.

(3) Child Care. Group day care for children whose parents attend parenting program sessions is provided to the extent possible within funding limits. Refer to SOSCF policy I-D.5.1, "Managing the Parenting Program," Procedures section (3)(c) for details on budget accessing procedures.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0240

Child Care and Transportation

In order that families may participate in the parenting program, the agency may provide limited aid to participants through assistance with child care and transportation. This aid will be made available according to the local need and with existing resources in the respective communities.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

Family Sex Abuse Treatment

413-060-0300

Purpose

OAR 413-060-0300 through 413-060-0370 set forth the nature of the SOSCF Family Sexual Abuse Treatment Program, the eligibility requirements for participation in the program, and the process for assessing and collecting treatment fees.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0310

Definitions

(1) "Court" means any Oregon district or circuit court dealing with adult offenders or any juvenile court, including county courts having juvenile jurisdiction.

(2) "Family Member" means any person who is related by blood or marriage or is co-habitating as a family member and is acting in the role of a parent or sibling.

(3) "Perpetrator" means any person who has been charged with, convicted of, admitted to, or is known by State Office for Services to Children and Families to have committed sexual abuse as described in ORS 163.355 to 163.465.

(4) "Sexual Abuse" means any sexual contact, including but not limited to rape, sodomy, incest, and sexual penetration with a foreign object as defined in ORS Chapter 163. It includes exhibitionism, touching and fondling for sexual stimulation or gratification, and sexual exploitation through pornography or prostitution.

(5) "SOSCF" means the State Office for Services to Children and Families of the Oregon Department of Human Services.

(6) "Victim" means any child upon whom an abuse described in ORS163.355 to 163.465 has been committed.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0320

Program Purpose and Goals

SOSCF's Family Sexual Abuse Treatment program provides coordination of legal services, case planning and treatment services for victims of family sexual abuse, affected family members and the perpetrator of abuse. The purpose of the program is to assure that the efforts of agencies and professionals involved in the investigation and prosecution of the crime, in planning services for the victim and non-offending family members and those providing treatment services are coordinated and conducted in a manner that is constructive for the victim of abuse. The goals of the program are to:

(1) Bring about the resolution of the victim's trauma;

(2) Protect the child from further victimization in the least traumatic manner;

(3) Reach an understanding and control of the perpetrator's sexual deviancy (i.e., abnormal sexual behavior);

(4) Resolve dysfunctional interpersonal relationships between family members including perpetrators when appropriate;

(5) Provide a support system for family members;

(6) Ensure community education regarding the identification and prevention of sexual abuse; and

(7) Provide statistics and information about the problem of family sexual abuse in Oregon.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0330

Treatment

(1) Within resources available, the program will, at SOSCF's discretion, provide group treatment sessions for victims and other family members. Treatment groups will be led by SOSCF staff or by authorized volunteers and professionals in the community.

(2) The purpose of the group treatment sessions is to resolve mental, emotional, and behavioral problems resulting from sexual abuse and to prevent further sexual abuse within the family.

(3) Treatment will be held on a regular basis. An attempt will be made to provide the treatment in a geographical area reasonably accessible to the participants.

(4) Family treatment sessions may also be conducted as appropriate.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.355 - 163.465 & 137.540
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0340

Eligibility for SOSCF Treatment

SOSCF will determine which victims and family members and perpetrators will be accepted for SOSCF provided treatment based on the availability of treatment staff and SOSCF's assessment of whether or not the individual is amenable to treatment.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0350

Reports to the Court

SOSCF will neither require nor enforce attendance at the treatment meetings. If the court has ordered a person to attend SOSCF group meetings, SOSCF will notify the court, in writing, if the person's attendance is a problem, if treatment has been terminated due to lack of progress or if the person has successfully completed the treatment.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0360

Termination of Treatment

(1) SOSCF will terminate its treatment of the victim or other family members:

(a) When, in the opinion of SOSCF, the participant fails to make progress in the treatment program; or

(b) When, in the opinion of SOSCF, the participant has satisfactorily completed the treatment program.

(2) The criteria SOSCF will use to evaluate the participant's progress in or completion of the treatment program include, but are not limited to the following:

(a) There has been regular attendance at treatment sessions;

(b) The perpetrator accepts complete responsibility for the sexual abuse, demonstrates an understanding and respect for the rights and needs of other family members, demonstrates an understanding and control of the sexually abusive behavior, and accepts financial responsibility for his family's treatment;

(c) Family members understand that the perpetrator is totally responsible for the sexual abuse, are able to recognize the casual factors resulting in sexual abuse, and are able to protect the victim from further sexual abuse;

(d) The victim understands that he or she is not responsible for the sexually abusive behavior of the perpetrator and reaches resolution of the trauma resulting from the sexual abuse.

Stat. Auth.: HB 2004
Stats. Implemented: ORS 419B.385, 163.540, 163.355, & 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0370

Treatment Fees and Payment

(1) As authorized by Oregon statutes, SOSCF will request through the presentence investigator and/or probation office that the perpetrator be ordered, as part of his/her sentence or as a condition of probation, to pay for the treatment provided by SOSCF to the victim, other family members or the perpetrator.

(2) SOSCF will provide the presentence investigator and/or probation officer with the anticipated cost of treatment. The amount charged by SOSCF for each individual in treatment is $112 per month. This cost is based on four treatment sessions being held per month. When therapy is provided jointly by both SOSCF and non-SOSCF therapists, SOSCF will claim only its proportionate share of the treatment costs.

(3) When the presentence investigator or probation officer indicates that the monthly cost of treatment results in a hardship for the perpetrator, the victim or other family members, SOSCF branch staff may support the presentence investigator's or probation officer's recommendation to the court that the payment schedule be extended over a longer period of time. SOSCF will not support a recommendation to waive or reduce the treatment cost for any reason without prior approval by the branch manager or his/her designee.

(4) SOSCF will inform the court regarding the payment procedure SOSCF prefers the perpetrator to use in paying for the cost of SOSCF provided treatment.

(5) SOSCF will notify the perpetrator's probation officer or the court in writing when the perpetrator fails to make a regular court ordered monthly payment to SOSCF for the cost of treatment provided by SOSCF.

(6) SOSCF will recommend to the court through the presentence investigator or probation officer that the perpetrator not be released from probation until the full cost of the treatment provided by SOSCF has been paid.

(7) Juvenile courts, including county courts having juvenile jurisdiction, are authorized by ORS 419B.385 to order an adult perpetrator who is the parent or legal guardian of the victim, as well as a juvenile perpetrator to pay the cost of providing treatment to the victim. When juvenile courts order payment of treatment costs, SOSCF may recommend that the same payment system as described in this rule be used.

Stat. Auth.: ORS 418.005
Stats. Implemented: ORS 419B.385, ORS 137.540, ORS 163.355 – ORS 163.465
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95; SOSCF 14-2001, f. 6-29-01, cert. ef. 7-1-01

Juvenile Sexual Offender Assessment and Treatment

413-060-0400

Purpose

Child sexual offenders characteristically begin their offending behaviors in early adolescence or younger. The sooner intervention can occur in this cycle, the better the offender can be taught to control his/her deviant actions. Because the treatment methods may be of an intrusive nature, these guidelines are set forth to help determine the appropriate type of treatment. This policy applies only to those who have been adjudicated for sex offenses.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0410

Definitions

(1) "A.T.S.A." means Association for the Treatment of Sex Abusers.

(2) "Aversion Therapy" means behavioral therapy procedure which pairs a noxious smell with deviant sexual stimuli.

(3) "Behavioral Therapy" means therapy that attempts to decrease deviant sexual arousal and gives the offender tools for self-control.

(4) "Boredom Tapes" means homework assignments designed to reduce deviant arousal by satiation.

(5) "Cognitive Therapy" means therapy which attempts to alter the manner in which clients think about life and change their cognitive distortions.

(6) "Covert Positive Reinforcement" means therapy which attempts to pair the chain of events leading to a sexual assault with a self-initiated interruption scene followed by a reward scene.

(7) "Covert Sensitization" means therapy that attempts to reduce deviant arousal by instantly pairing pre-assault behaviors with highly aversive fantasies.

(8) "Deviant Sexual Fantasies" means fantasizing and becoming sexually aroused to children or violent themes.

(9) "Plethysmograph" means a device for measuring the sexual response pattern of a male or female client. It is called a penile plethysmograph for males and photoplethysmograph for females.

(10) "Polygraph" means an instrument that simultaneously records changes in such physiological processes as heartbeat, blood pressure, and respiration, and is often used as a lie detector.

(11) "Risk" means the potential for reoffending and for resisting or failing in treatment.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0420

Eligibility for Services

Children under the age of 18 years, in the care, custody, and control of the State Office for Services to Children and Families, who have been adjudicated for sex offenses.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0430

Assessment

(1) Preliminary Assessment. Assessment for treatment planning of juveniles with sexually aggressive behaviors should proceed only after adjudication has occurred:

(a) The goals of sexual offender specific treatment are:

(A) To stop sexually offending behavior;

(B) To protect members of society from further sexual victimization;

(C) To prevent other aggressive or abusive behaviors which the offender may manifest; and

(D) To promote healthy sexual development.

(b) When juveniles have sexually assaulted family members within their own home, it is strongly recommended that the offending juvenile be placed outside the home in the least restrictive environment that allows for community safety, or where the assessment indicates. Offenders should not be placed in homes where other children may be endangered. They should be in settings where their behavior can be adequately monitored and controlled;

(c) For the purposes of treatment of sexually aggressive juveniles, it is essential to first evaluate and thoroughly assess each individual and determine the extent of the offending behavior. An assessment must include the following areas:

(A) Victim statements;

(B) History (family, educational, medical, psychosocial and psychosexual);

(C) Progression of sexually aggressive behavior development over time;

(D) Dynamics/process of victim selection;

(E) Intensity of sexual arousal prior to, during, and after offense;

(F) Use of force, violence, weapons;

(G) Spectrum of injury to victim, i.e., violation of trust, fear, physical injury;

(H) Sadism;

(I) Disassociative process;

(J) Fantasies: deviant or appropriate;

(K) Ritualistic/obsessive behaviors;

(L) History of assaultive behaviors;

(M) Chronic/situational factors;

(N) Sociopathy;

(O) Personality disorders; affective disorders;

(P) Attention deficit;

(Q) Post traumatic stress behaviors;

(R) Behavioral warning signs; identifiable triggers;

(S) Thinking errors;

(T) Locus of control, i.e. internal or external;

(U) Ability to accept responsibility;

(V) Denial or minimization;

(W) Victim empathy, capacity for empathetic thought;

(X) Family's denial, minimization, response;

(Y) Substance abuse; juvenile sex offender and family;

(Z) History of sexual victimization, physical, or psychological abuse;

(AA) Family dysfunction; family strengths;

(BB) Parental separation/loss;

(CC) Masturbatory patterns;

(DD) Impulse control;

(EE) Paraphilias;

(FF) Mental status/retardation/developmental disability;

(GG) Organicity/neuropsychological factors;

(HH) Number of victims.

(2) Assigning Risk Level. After an assessment has been completed, a determination should be made as to the risk level presented by the juvenile.

(a) Risk is defined as the potential for reoffending and for resisting or failing in treatment. Use Attachment 2, "Risk Assessment Profile," when determining the juvenile's risk level.

(b) The determination of risk for each adolescent offender should be a multidisciplinary decision involving the offender therapist, caseworker, SOSCF supervisor, juvenile department counselor and victim therapist.

(c) If the juvenile presents low risk according to the "Risk Assessment Profile," treatment should proceed focusing on cognitive restructuring.

(d) For juveniles who exhibit moderate to high risk according to the "Risk Assessment Profile," assessment of deviant arousal patterns may be conducted using the penile plethysmograph for males and the photoplethysmograph for females. In addition, the juvenile should receive a disclosure polygraph examination. These tools should be used in addition to assessment criteria listed in this rule to determine the treatment plan of choice. Under no circumstances should the results of these measurements be used in the courtroom setting or for any other reason except evaluation and monitoring of treatment. The plethysmograph should not be administered to prepubescent children.

(A) Use of the polygraph and plethysmograph should be made only with signed, informed consent of the offender and his/her parents/guardians using CF form 993, "Consent for Physiological Assessment of Sexual Interests." This informed consent is to be used regardless of whether a court order requiring its usage exists or not.

(B) The polygraph and plethysmograph exam should be administered only by persons licensed or certified by their respective disciplines. The plethysmograph should be administered in a laboratory setting and in accordance with the "Association for the Treatment of Sexual Abusers' Guidelines for Use of the Penile Plethysmograph."

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

413-060-0440

Treatment

(1) Treatment in specialized offense-specific peer groups is the treatment of choice, and must address aggressive and exploitive behaviors. The family should be a key part of the treatment planning. The treatment is to be geared toward the chronological and developmental needs of the offender. Treatment issues to be addressed for all risk categories include the following:

(a) Substance abuse intervention;

(b) Sex education;

(c) Educational assessment for remedial or special education referrals;

(d) Social skills training;

(e) Assertiveness training;

(f) Anger management;

(g) Victimization issues - (sexual, physical, and emotional) their own and their victims;

(h) Family therapy;

(i) Cognitive restructuring;

(j) Values clarification;

(k) Stress management;

(l) Cycle recognition/self-intervention;

(m) Relaxation/biofeedback.

(2) In addition to the above, if the offender in the medium to high risk category demonstrates assaultive, compulsive, or repetitive acts of sexual offending, then behavioral therapy can be introduced. Also, behavioral therapy can be introduced after cognitive methods have failed.

(3) The decision to utilize aversion therapy should be discussed with the juvenile offender and his/her parent or guardian after other therapies have failed, and if, according to polygraph and plethysmograph examinations, the arousal patterns have not altered. The rationale for this choice should be documented in the case record. The SOSCF director or designee must then provide written consent to proceed. Should the parent/guardian or client refuse to sign, a review hearing should be requested to determine the course of action.

(4) Ongoing polygraph and plethysmograph testing should accompany behavioral therapy on a periodic basis to assess treatment progress. In order to graduate from treatment, the client must successfully "pass" a polygraph test which determines that they are not now offending, have disclosed all of their victims and offenses, and are exercising steps to successfully intervene in their offending cycle. Furthermore, they must also demonstrate reduction in deviant arousal patterns.

(5) Relapse prevention is an essential component to the juvenile's treatment plan. Whether he/she is placed in or out of the home, the primary parental figures, parole officer, or other significant figure in the juvenile's life should know and understand his/her assault cycle so as to support the offender in learning to intervene in his/her own cycle.

Stat. Auth.: HB 2004
Stats. Implemented: HB 2004
Hist.: SCF 6-1995, f. 12-22-95, cert. ef. 12-29-95

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