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.

 

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).

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.

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.

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.

5.

I will pay my assigned fee at the time of each session unless I have made other arrangements with the staff.

6.

I will not disclose any information regarding another client to anyone outside this program.

7.

I will comply with all conditions of probation and parole.

8.

I will not attend any session under the influence of alcohol or drugs.

9.

I will not have any pornographic material in my possession at any time.

10.

I will not become verbally threatening or assaultive toward any staff member or client either inside or outside the office.

11.

I will share with the staff the nature of any contact I have with another client outside the treatment sessions.

12.

I will advise the staff of any change of my residence or employment status.

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.

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.

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.

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.

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:

 

 

 

 

 

 

 

 

 

 

 

 

 

Client

 

Date

Co-therapist

 

Date

Co-therapist

 

Date

Probation/Parole

 

Date