Evaluating outpatient behavior therapy of sex offenders. A pretest-posttest study.
Outpatient behavior therapy dropped sex-offense recidivism to 6% and improved personality scores over 26 months.
01Research in Context
What this study did
Bromley et al. (1998) ran a before-and-after test of outpatient behavior therapy for adult sex offenders. They tracked personality scores, sexual inventories, and any new crimes for 26 months after treatment ended.
What they found
The program cut reoffending to 6%. Test scores also moved into the healthy range. Only one man committed a new sexual offense during the follow-up window.
How this fits with other research
Yuwiler et al. (1992) asked clinicians to rate treatments. Social-skills training scored highest, but acceptability dropped for rape or child offenses. Bromley et al. (1998) shows the same skills package can still work when it is actually delivered.
Hatton et al. (2005) used five group sessions of behavioral skills training to lower unprotected sex among HIV-positive adults. Their brief model matches the core pieces Bromley et al. (1998) used with offenders: role-play, feedback, and rehearsal.
Hodos et al. (1976) taught psychiatric inpatients to replace abusive outbursts with polite requests. The same teach-test-revise loop later helped Bromley et al. (1998) turn deviant sexual talk into appropriate social responses.
Why it matters
You can borrow the outpatient package today. Start with a social-skills module, add in-vivo rehearsal, and track both test scores and real-world behavior. The 6% reoffend rate gives you a benchmark to beat or match in your own audits.
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02At a glance
03Original abstract
This study compared the entrance and exit scores of 16 patients completing treatment at the Highland Institute for Behavioral Change (HIBC), an outpatient program specializing in the behavioral treatment of sex offenders. Outcome measures included the Minnesota Multiphasic Personality Inventory (MMPI), the Multiphasic Sexual Inventory, and recidivism (rearrest record) posttreatment. Statistically significant and clinical improvements were obtained on a number of these measures. One of the 16 graduates reoffended during the average follow-up period of 26 months (he is now incarcerated). These data are supportive of the contention that outpatient behavior therapy can be effective in reducing deviant sexual arousal and in enhancing appropriate consensual sexual behavior.
Behavior modification, 1998 · doi:10.1177/01454455980224003