Current through Register Vol. 49, No. 13, September 23, 2024
Subpart 1.
Program policy and procedures manual.
Each program must develop and follow a written policy and
procedures manual. The manual must be made available to clients and program
staff. The manual must include, but is not limited to:
A. the basic treatment protocol used to
provide services to clients, as defined by the philosophy, goals, and model of
treatment employed, including the:
(1) sex
offender population served;
(2)
theoretical principles and operating methods used to deliver services to
identified treatment needs of clients served; and
(3) scope of the services offered;
B. policies and procedures for the
management of the therapeutic milieu, as appropriate, including the manner in
which the various components of the therapeutic milieu are structured to
promote and maintain the desired behavioral and cognitive changes in the
client;
C. policies and procedures
for the prevention of predation among clients and the promotion and maintenance
of the security and safety of clients and staff, which must address the sexual
safety of clients and staff, as well as:
(1)
the relationship between security and treatment functions and how staff are
used in these functions;
(2)
communication between the various levels of staff in the program; and
(3) program rules for behavior that include a
range of consequences that may be imposed for violation of the rules and due
process procedures;
D.
admission and discharge criteria and procedures;
E. assessment content and procedures,
including the rationale for the particular format and procedures as required by
part
2965.0100, subpart
3;
F. treatment planning and review of client
progress in treatment;
G. policies
and procedures for client communications and visiting with others both within
and outside of the program;
H.
policies and procedures for the use of special assessment and treatment methods
according to part
2965.0160;
I. policies and procedures that address data
privacy and confidentiality standards, including reports by a client of
previously unreported or undetected criminal behavior and the use of results
from psychophysiological procedures as described in part
2965.0160, subparts
2 to 4;
J. policies and procedures for reporting and
investigating alleged unethical, illegal, or negligent acts against clients,
and of serious violations of written policies and procedures; and
K. the program's quality assurance and
program improvement plan and procedures as required in part
2965.0170.
Subp. 2.
Standards of practice for sex
offender-specific treatment programming.
This subpart contains the minimal standards of practice for
treatment programming provided in a residential adult sex offender treatment
program. Treatment programming must:
A. safeguard the well-being of victims and
their families, the community, and clients and their families;
B. encourage clients to be personally
accountable through participation, self-disclosure, and
self-monitoring;
C. address the
individual treatment needs of each client;
D. be consistent with and supportable by the
professional literature and clinical practice in the field;
E. use effective methods to assist the client
to achieve treatment goals and objectives;
F. include and integrate the client's family
or guardian into the treatment process when appropriate;
G. address, within the limits of available
resources, the client's personality traits and deficits that are related to
increased reoffense potential;
H.
address any concurrent psychiatric disorders by providing treatment or
referring the client for treatment; and
I. protect the legal and civil rights of
clients, including the client's right to refuse treatment.
Subp. 3.
Goals of sex offender
treatment.
The ultimate goal of residential adult sex offender treatment
is to protect the community from criminal sexual behavior by reducing the
client's risk of reoffense.
The goals of sex offender treatment include, but are not
limited to, the outcomes in items A to E. The basic treatment protocol of the
program shall determine the specific goals that shall be operationalized by the
program and the methods used to achieve them. The applicability of those goals
and methods to a client shall be determined by that client's intake assessment,
individual treatment plan, and progress in treatment. The program must be
designed to allow, assist, and encourage the client to develop the motivation
and ability to achieve the goals in items A to E, as appropriate.
A. The client must acknowledge the criminal
sexual behavior and admit or develop an increased sense of personal culpability
and responsibility for the behavior. The program must provide activities and
procedures that are designed to assist clients:
(1) reduce their denial or minimization of
their criminal sexual behavior and any blame placed on circumstantial
factors;
(2) disclose their history
of sexually abusive and criminal sexual behavior and pattern of sexual
response;
(3) learn and understand
the effects of sexual abuse upon victims and their families, the community, and
the client and the client's family; and
(4) develop and implement options for
restitution and reparation to their victims and the community, in a direct or
indirect manner, as appropriate.
B. The client must choose to stop and act to
prevent the circumstances that lead to sexually abusive and criminal sexual
behavior and other abusive or aggressive behaviors from occurring. The program
must provide activities and procedures that are designed to assist clients:
(1) identify and assess the function and role
of thinking errors, cognitive distortions, and maladaptive attitudes and
beliefs in the commission of sexual offenses and other abusive or aggressive
behavior;
(2) learn and use
appropriate strategies and techniques for changing thinking patterns and
modifying attitudes and beliefs regarding sexually abusive and criminal sexual
behavior and other abusive or aggressive behavior;
(3) identify the function and role of
paraphilic and aggressive sexual responses and urges, recurrent sexual
fantasies, and patterns of reinforcement in the commission of sexual
offenses;
(4) learn and use
appropriate strategies and techniques to:
(a)
manage paraphilic and aggressive sexual responses, urges, fantasies, and
interests; and
(b) maintain or
enhance sexual response to appropriate partners and situations and develop and
reinforce positive, prosocial sexual interests;
(5) identify the function and role of any
chemical abuse or other antisocial behavior in the commission of sexual
offenses and remediate those factors;
(6) demonstrate an awareness and empathetic
understanding of the effects of their sexually abusive and criminal sexual
behaviors on their victims;
(7)
when appropriate, understand and address their own sense of victimization and
its impact on their behavior;
(8)
identify and address particular family issues or dysfunctions that precipitate
or support the sexually offensive behavior;
(9) develop a positive sense of self-esteem
and acceptance and demonstrate positive behaviors to meet psychological and
social needs;
(10) develop a
detailed reoffense prevention plan that:
(a)
identifies the pattern or cycle of sexually abusive behavior that includes the
background stressors and precipitating conditions and situations that indicate
a risk to reoffend;
(b) outlines
specific alternative, positive social behaviors that will remove or decrease
that risk and how to interrupt the cycle before a sexual offense occurs by
using self-control methods; and
(c)
identifies a network of persons who support the client in achieving the desired
cognitive and behavioral change which includes the client's family or legal
guardian, as appropriate;
(11) practice the positive social behaviors
developed in the reoffense prevention plan; and
(12) build the network of persons identified
in subitem (10), unit (c), who will support the implementation of the reoffense
prevention plan and share the plan with those persons.
C. The client must develop a positive,
prosocial approach to the client's sexuality, sexual development, and sexual
functioning, including realistic sexual expectations and establishment of
appropriate sexual relationships. The program must provide activities and
procedures that are designed to assist clients:
(1) learn and demonstrate an understanding of
human sexuality that includes anatomy, sexual development, the motivations for
sexual behavior, the nature of sexual dysfunctions, and how the healthy
expression of sexual desire and behavior contrasts with the abusive expression
of sexual desire and behavior;
(2)
learn and demonstrate an understanding of intimate and love relationships and
how to develop and maintain them; and
(3) explore and develop a positive sexual
identity.
D. The client
must develop positive communication and relationship skills. The program must
provide activities and procedures that are designed to assist clients:
(1) develop emotional awareness and
demonstrate the appropriate expression of feelings;
(2) develop and demonstrate appropriate
levels of trust in relating to peers and other adults; and
(3) develop and demonstrate appropriate
communication, anger management, and stress management skills.
E. The client must reenter and
reintegrate into the community. The program must provide activities and
procedures that are designed to assist clients:
(1) prepare a plan for aftercare that
includes arrangements for continuing treatment or counseling, support groups,
and socialization, cultural, religious, and recreational activities, as
appropriate to the client's needs and consistent with available resources;
and
(2) prepare a plan designed to
enable the client to successfully prepare for and make the transition into the
community.