APPENDIX A
SAMPLE SEXUAL ABUSE TREATMENT
PROGRAM CONTRACT
I,_____________________________,
hereby enter into this Treatment Contract with _____________________________ to
allow their staff to provide me with treatment services for my sexually
aggressive behavior. I understand that the four primary goals of treatment are:
(1) to help me increase my non-deviant sexual arousal and behavior patterns and
reduce my deviant sexual arousal and behavior patterns; (2) to protect the
community from my sexually aggressive behavior; (3) to help repair damage
perpetrated on my victims by my sexually aggressive and other abusive behavior;
(4) to help incest families to reunify when it is in the best interest of the
victim.
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1. |
I agree
to be honest and assume full responsibility for my offense(s) and my
behavior. I understand that successful treatment depends upon full
acknowledgement of my offense(s), regardless of my plea in court (i.e., nolo
or Alford). |
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2. |
I agree,
if and when it is deemed appropriate by treatment staff, to make a
clarification to my victim(s) of my complete responsibility for the sexual
abuse. |
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3. |
I agree
to sign an acknowledgement of limited confidentiality and waiver and to sign
any releases of information required to obtain information about my behavior. |
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4. |
I will
attend all treatment sessions and attend on time. I understand that the only
acceptable excuse for absence or lateness is a verifiable medical or other
personal emergency. I will notify the appropriate staff member as soon as
possible about any situation that effects my attendance or promptness. |
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5. |
I will
pay my assigned fee at the time of each session unless I have made other
arrangements with the staff. |
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6. |
I will
not disclose any information regarding another client to anyone outside this
program. |
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7. |
I will
comply with all conditions of probation and parole. |
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8. |
I will
not attend any session under the influence of alcohol or drugs. |
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9. |
I will
not have any pornographic material in my possession at any time. |
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10. |
I will
not become verbally threatening or assaultive toward any staff member or
client either inside or outside the office. |
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11. |
I will
share with the staff the nature of any contact I have with another client
outside the treatment sessions. |
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12. |
I will
advise the staff of any change of my residence or employment status. |
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13. |
I agree
to avoid high-risk situations such as dating individuals with victim-age
children and working in jobs or living in residences with easy access to
potential victims. |
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14. |
I will
actively participate in treatment. I understand that treatment may include
periods of individual, couples, and family therapy besides weekly group
therapy. Weekly group treatment can generally be expected to last a minimum
of 24 months followed by a minimum of 6 months of monthly aftercare group. |
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15. |
Treatment
will include (1) Writing a detailed autobiography; (2) Completing readings,
written assignments and counseling in such areas as stress management,
assertiveness, sell-esteem, social skills, sexual deviancy, sexuality,
communication, and victim empathy; (3) Identifying and changing deviant
behavior patterns; and (4) Developing and carrying out a plan to avoid
high-risk situations. I understand that I may be asked to discuss these
assignments in group treatment, with my probation/parole officer, and other
significant adults in my life. |
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16. |
I
understand that treatment will include aversive conditioning, which is a
procedure that pairs deviant sexual material with aversive elements. Aversive
elements may include noxious scenes, boredom, and noxious odors. I understand
that I may be asked to engage in masturbation in the privacy of my own home
for the treatment purposes. |
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17. |
I
understand that my offense behavior has had an impact on my living partners.
To help my living partners and myself in the recovery process, I will
actively encourage my current partners, or any future significant living
partners, to participate in treatment on an as-needed basis as determined by
treatment staff. |
Additional
Conditions:
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Client |
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Date |
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Co-therapist |
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Date |
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Co-therapist |
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Date |
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Probation/Parole |
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Date |