Sutton BAS 11-27-2012. Some of the individuals that I will be speaking about, and their companions are individuals who have learned about sex by being

Sutton BAS 11-27-2012



Some of the individuals that I will be speaking about, and their companions are individuals who have learned about sex by being subjected to sexual relations (sexual assault) as children themselves, often times by loved ones or by people whom they would associate as being important authority figures in their lives when they were younger and despite the fact that the sex may have hurt them at the time, in a concrete and matter-of-fact way this is something that someone does to someone else in a matter of fact fashion to meet their sexual needs.


State of the fieldWays to help including First Responders,

training of criminal justice personnel, educators

Attempts to respond – difficult climate….Emerging best practice methods to address

concernsIdentifying Individuals With Autism in a State

Facility for Adolescents Adjudicated as Sexual Offenders: A Pilot Study


Bill and his Mom (how the police responded)Child pornography and the FBIJason and victory on the ball fieldGeorge making friendsFixation on specialized interests Bobby and

the ‘Thought Police”But in some cases, Rick and not knowing

what to do next…


Who Bill is – 6’,5” 356 poundsProblem at transition program302 three days later Outcome


One photo and FBI involvement, but…Can you have an IQ of 135 and be considered

‘incompetent’?2+2=4 but does 3+1 also =4??Understanding what you’ve done and seeing

the bigger picture, is it possible?Slamming the door and thinking all is now ok

-


Many are taught by family


The case of Bobby and the bully’sLined up trainsCollected match box carsCollected skate boardsRead about serial murders

Being bulliedGuidance Counselor’s offer of help (was it?)Psychiatric evaluationSex offender treatment (despite no charge)Clinical depression and intervention


Are the disabled in these juvenile jails?In 2004 I was told ‘no’ as I met a young man

with Asperger’s…this is what led to my workAre there individuals with Intellectual disabilities

in the systemHow is trauma assessed, or is it?These are some of the specifics outlined in my

YDC work.


Are ‘best practices’ best for all adolescents? NCYDC ASOP was (and maybe still is) the best for

adolescent sexual offending treatment in the eastern US, but are there limitations for those with IDD?

Trauma – some good literature for some disorder, no literature for how to treat – in or outside of criminal justice – for IDD

MAYSI – supplement for Intellectual and other developmental disorders needed.

What might Diversion look like?



Assessment for Mental Health and Drug and alcohol use/abuse

But no clear assessment for Developmental disabilities – autism and/or intellectual disabilities

No clear assessment for prior sexualized trauma of residents


3 Large Centers containing 9 independent programs

2 Forestry Camps2 Specialty programsOne female programAct 21 (ages 21 and over)


Adjudicated Youth from ages 11 years to 20 years

Treatment offered for:Mental healthDrug and alcohol abuse/dependenceSexual offending


All centered contained schools on siteTwo psychiatrists in the StateNo licensed doctoral level psychologistSome Certified Addictions Counselors


Double razor wire in the entrancesLocated in remote areas of the State without

direct bus routes (making it difficult for regular visiting of family or concerned others)

Heavy metal doors, stools and bedsIntroduction to ‘best friends’


(Is everyone who sexually offends another, a sex offender??)

* Self-harm* Depression and Bipolar Disorders* Autism Spectrum * Trauma* Addictions* Other Developmental Disorders


Noted Developmental delays in:Developmental History by age 3 or so (most

important)Language SocialBehavior and Sensory


46-54 Bed Units (5 cottages)“0” diagnosed “Autistic” in 2004‘Best Practice’ - Rehabilitation Program

for adolescent sexual offenders in existence for over 15 years

Rehab program uses traditional lecture format and includes traditional group methods for instruction (review of offenses, fantasy journals…) ((is this a problem?))


January –May 2007One staff and three doctoral students –

Duquesne University School PsychologyAssessment to define limits and scope of the

presence and prevalence autism and other disorders

Treatment was provided in a limited sense


Testing for:Autism, Mental Status Examination and ASDSTrauma – Childhood Trauma QuestionnaireIQ using WAIS, WISC, UNIT and WRATAuditory Processing using WJMood/Personality – BDI, BHI, BASC, CBCL, Sex Offender J-SOAP


Diversion Project – BAS, BJJS, OMHSAS 2007-2008

The need for a different treatment approach – lessons learned from NCYDCAdmission assessments to pair with MAYSI to

look for Autism and IDD (CARS II and BRIEF)Behavioral approaches to shape in replacement

behaviorsGroupings/housing with others who have IDDLimited group therapiesLoaded individual therapy and peer-peer

therapySutton BAS 11-27-2012

TrainingFirst RespondersCourt officials including DA and Public

DefendersAlternatives including Diversion

Re-visiting BAS RFI’sSystems working in harmonyFirst responders

BAS ASERT Center project with EMS (Dr. John McGonigle WPIC)

Indiana County ARCWashington County Project



More Research defining “emerging best practices” for:Identification – Duquesne’s current initiatives The treatment those Developmentally Disabled

People who offend To Divert them from Criminal Justice settings

into settings where they can learn alternatives to their offending behaviors.



Documents

Sutton BAS 11-27-2012. Some of the individuals that I will be speaking about, and their companions are individuals who have learned about sex by being