title: The Allocation of Sexually Transgressive Juveniles to Intensive Specialized Treatment: An Assessment of the Application of RNR Principles.
abstract: The aim of this study was to compare results of and develop guidelines for mandatory allocation of sexually transgressive juveniles to Multisystemic Therapy - Problem Sexual Behavior (MST-PSB), Secure Youth Care (SYC), or Forensic Youth Care (FYC), based on the risk-need-responsivity model. Results of current allocation showed a population with relatively less treatment needs to receive community-based MST-PSB, compared with populations receiving residential SYC and FYC. Furthermore, estimated recidivism risk levels did not always support the need for risk reduction by the imposition of limitation of freedom of movement and maximum supervision, provided by all three treatment modalities. Based on the assessed sexual recidivism risk, 38% of the juveniles in FYC, 7% in SYC, and 24% in MST-PSB received treatment that was too intensive, which is considered detrimental to motivation and development. Future allocation practices could benefit from assessing treatment needs and recidivism risk, by use of an actuarial tool.
authors.affiliation: 1 Horizon Youth Care and Education, Rotterdam, The Netherlands.
authors.forename: Ellis
authors.initials: E
authors.lastname: Ter Beek
authors.affiliation: 2 Viersprong Institute for Studies on Personality Disorders, Halsteren, The Netherlands.
authors.forename: Rachel E A
authors.initials: REA
authors.lastname: van der Rijken
authors.affiliation: 1 Horizon Youth Care and Education, Rotterdam, The Netherlands.
authors.forename: Chris H Z
authors.initials: CHZ
authors.lastname: Kuiper
authors.affiliation: 3 Forensic Psychotherapeutic Centre de Waag, Den Haag, The Netherlands.|4 University of Amsterdam, The Netherlands.
authors.forename: Jan
authors.initials: J
authors.lastname: Hendriks
authors.affiliation: 4 University of Amsterdam, The Netherlands.
authors.forename: Geert Jan J M
authors.initials: GJJM
authors.lastname: Stams
mesh_terms: D000293:Adolescent; D015928:Cognitive Behavioral Therapy; D005196:Family Therapy / Q000379:methods*; D006801:Humans; D008297:Male; D009426:Netherlands; D012112:Residential Facilities; D012742:Sex Offenses
keywords: allocation; juvenile; sex offender; treatment