...this analysis compares functional family therapy (fft) to treatment as usual for youth released from juvenile rehabilitation facilities who have committed sexual offenses. fft is a structured family-based intervention that uses a multi-step approach to enhance protective factors and reduce risk factors in the family. the five major components of fft include 1) engagement, 2) motivation, 3) identifying patterns of interaction within the family, 4) behavior change, and 5) generalizing positive interactions to new situations. fft sessions are conducted primarily in the home of the participant’s family. fft was not modified or adapted to address the specific needs of youth who have committed sexual offenses. all participants were youth convicted of sex offenses being released from juvenile rehabilitation facilities after serving their sentence. fft participants received 12-16 therapy sessions over 11 months, on average. youth in the comparison group received treatment as usual for juvenile sex offenders (tau-jso), which consisted of weekly or bi-weekly individual and/or group therapy sessions over 22 months. in the included study, 28% of participants were youth of color and 3% were female. youth were classified as low or moderate risk per scores on a validated recidivism risk instrument. evaluations of fft for court-involved and post-release youth convicted of non-sexual offenses are excluded from this analysis and analyzed separately....

...this analysis includes evaluations of cognitive behavioral therapy (cbt) treatment programs using risk-needs-responsivity (rnr) principles delivered during incarceration to individuals convicted of sexual offenses. cbt targets cognitive deficits, distortions, and flawed thinking processes that can trigger criminal behavior through a structured, goal-oriented process with a trained or licensed specialist. program components often include cognitive restructuring, behavioral activation, emotion regulation, communication skills, and problem-solving. using rnr principles, corrections and treatment staff align the level of services with the individual’s risk for re-offense (risk principle), provide types of services based on the individual's unique needs (need principle), and determine a treatment method that is appropriate for the individual based on unique abilities and motivation levels (responsivity principle). studies included in this analysis required that treatment had at least one programmatic component of cbt and mentioned utilization of rnr principles or used risk/need assessments to prioritize individuals to treatment. we excluded evaluations of non-cbt programs and programs that do not use rnr principles. programs in this analysis varied in length and intensity, with many lasting approximately two years. individuals included in studies either volunteered or were mandated to participate during confinement to address the behaviors associated with their current offense. in some studies, participants are in a separate secured living unit, forensic psychiatric facility, or secured residential treatment center with other individuals convicted of sex offenses with the aim of fostering a therapeutic environment. evaluations of integrated prison-to community sex offense treatment programs, and evaluations of treatment in the community only, are reported in separate analyses....

...this analysis includes evaluations of cognitive behavioral therapy (cbt) treatment programs using risk-needs-responsivity (rnr) principles for individuals convicted of sexual offenses, with one component delivered during incarceration and a second component during community supervision. cbt targets cognitive deficits, distortions, and flawed thinking processes that can trigger criminal behavior through a structured, goal-oriented process with a trained or licensed specialist. components often in these programs include cognitive restructuring, behavioral activation, emotion regulation, communication skills, and problem-solving. using rnr principles, corrections and treatment staff align the level of services with the individual’s risk for re-offense (risk principle), provide types of services based on the individual's unique needs (need principle), and determine a treatment method that is appropriate for the individual based on unique abilities and motivation levels (responsivity principle). individuals volunteered to participate in an intensive, two-year long inpatient treatment and continued that treatment upon release into the community for one additional year to address the behaviors associated with their current offense. in the study, participants were placed in a secure forensic treatment facility with other individuals convicted of sex offenses with the aim of fostering a therapeutic environment. upon release, contract clinicians provided aftercare treatment in the individual’s community. studies included in the analysis required that treatment had at least one programmatic component of cbt and mentioned utilization of rnr principles or used risk/need assessments to prioritize individuals to treatments. we excluded evaluations of non-cbt programs and programs that do not use rnr principles. further, treatment had to begin during incarceration and continue upon release into the community. evaluations of sex offense treatment programs delivered during incarceration only, or treatment in the community only, are reported in separate analyses....

...this analysis includes an evaluation of cognitive behavioral therapy (cbt) treatment using risk-needs-responsivity (rnr) principles delivered in the community to individuals convicted of sexual offenses. the program in our analysis required participation in confrontive and cognitive-behavioral treatments emphasizing teaching skills to identify and change cognitive deficits, distortions, and flawed thinking processes that can trigger criminal behavior. using rnr principles, corrections and treatment staff align the level of services with the individual’s risk for re-offense (risk principle), provide types of services based on the individual's unique needs (need principle), and determine a treatment method that is appropriate for the individual based on unique abilities and motivation levels (responsivity principle). studies were included in this analysis if the treatment had at least one programmatic component of cbt and mentioned utilization of rnr principles or used risk/need assessments to prioritize individuals to treatments. we excluded evaluations of non-cbt programs and programs that do not use rnr principles. individuals in the included study were mandated to participate during the usual intensive supervision requirements to address the behaviors associated with their current offense. supervision and treatment for these individuals lasted 12 months. evaluations of integrated prison-to-community sex offense treatment programs, and evaluations of treatment during incarceration only, are reported in separate analyses....

...cognitive behavioral therapy (cbt) include various components, such as cognitive restructuring, behavioral activation, emotion regulation, communication skills, and problem-solving. treatment is goal-oriented and generally of limited duration. cbt emphasizes individual accountability and teaches participants that cognitive deficits, distortions, and flawed thinking processes cause criminal behavior. for this broad grouping of studies, a variety of “brand name” programs (e.g., enhanced thinking skills, moral reconation therapy, reasoning and rehabilitation, and thinking 4 a change) were delivered to adults in either an institutional or community setting for an average of 2.5 months. studies evaluating cbt delivered specifically as sex offender treatment were excluded from this analysis. using multivariate regression analysis of the effect sizes, we investigated additional policy questions about cbt, including whether the program was manualized; delivered in the community or during incarceration; incorporated the correctional principles of “risk need responsivity” (rnr) or performed quality of assurance. we did not detect any statistically significant differences in the results based on these factors. ...

...parent-child interaction therapy (pcit) in child welfare populations has been successfully tested with the addition of a group motivational component to increase engagement and success of the parent. as in standard pcit, over the course of 12 to 14 sessions, a therapist directly observes a parent and child through a one-way mirror, and provides direct coaching to the parent through a radio earphone. the focus is building the skills of the parent to more positively interact with the child and manage his or her behavior. ...

...modular treatment (match) consists of a collection of 33 modules from three standard treatment types for child anxiety (coping cat), depression (primary and secondary control enhancement training), and disruptive behavior (behavioral parent training/defiant child). modular treatment uses a “guiding algorithm” that allows the therapies to vary based on treatment response. for example, the match therapist could jump ahead in the treatment protocol, could omit modules, or could use procedures from multiple programs. match is typically delivered in an individual modality but may include one or more family members for some modules. this analysis includes match provided to children with depression, anxiety, conduct disorders, or trauma. on average, children in match received 19 therapeutic hours over seven months. children in the comparison group received standard therapy, which may consist of models such as coping cat, primary and secondary control enhancement training, or behavioral parent training/defiant child but did not include a guiding algorithm or flexible modules of these treatments. comparison group children received an average of 24 therapeutic hours over a period of eight months....