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MALE ADOLESCENT SEXUAL OFFENDER GROUP



CONSENT FORM

I understand that I am being asked to participate in a group therapy programme to evaluate and treat my sexually abusive behaviour.

I understand that I will participate with my peers having problems similar to mine. The group will be open-ended. This means that group members enter and leave according to their progress and treatment needs.

I understand that during the course of my evaluation and treatment, I will be asked to complete the following:

  1. To make a list of my treatment goals that I would like to work on, the steps I would take to reach them and the ways in which I would know when I have reached them.

  2. To discuss sex and human sexuality.

  3. To take part in all group activities.

  4. To complete questionnaires about myself and my relationship with others.

  5. To keep a written or audio-taped record of thoughts and behaviours, both positive and negative that are related to my behaviour.

  6. To write a self inventory of things I like and dislike about myself.

  7. To write a detailed description of all my sexual offenses.

  8. To write a re-offense risk list that shows I might be close to or already in a risky situation where I could re-offend. This list will include behaviours, general attitudes, and inner thoughts and feelings.

  9. To listen to audio-tapes, watch video-tapes or films, and read victim impact letters and books assigned to me.

  10. To have an effective relapse prevention plan.

I understand that I have responsibilities as a group member. These are outlined in the Male Adolescent Sexual Offender Treatment Contract which I have read, understood, agreed to and signed.

I understand that I have waived my privileges of confidentiality relating to my sexual offenses. At their discretion, the Group Leaders may discuss my offenses and my progress in therapy with relevant professionals and other interested parties. For example, they may decide to speak with my referring Case Manager, my individual therapist, my school, my Probation Officer, my parents and/or my victim(s) or victim's parents.

I understand that my participation in this treatment group is voluntary and that I may withdraw from it at any time. I understand that if I choose to withdraw, the Group Leaders will be obliged to inform any referring agent, the Family and Children's Services (where there is a child protection concern), and/or my Probation Officer.

I have read this consent form. I have understood its contents and agree to them.



Client:____________________Date:____________________

Group Leader: ____________________Date:____________________

Group Leader: ____________________Date:____________________

Guardian: ____________________Date:____________________

Probation Officer:____________________Date:____________________

Therapist: ____________________Date:____________________




MALE ADOLESCENT SEXUAL OFFENDER GROUP



TREATMENT CONTRACT

I, ___________________________, hereby enter into a voluntary agreement with name of your agency and/or your treatment group to allow their staff to provide me with a specialized treatment group for my sexually abusive behaviour. I understand and agree to the following conditions regarding my treatment:
  1. What I say and hear in this group remains confidential. This will ensure that by coming together, each and every one of us will consider this place a safe place for sharing feelings and thoughts that otherwise remain a secret. If anyone of us here break that trust, then group therapy will not work for me or for any of the other group members.

  2. I must be punctual for this group meeting and stay for the entire session. By showing up on time and staying until the end of the session, I will show everyone that I am serious about my treatment, and as well, the treatment of my peers in the group. Moreover, my regular attendance will ensure that this group will survive to accomplish the treatment goals that we have all set out to achieve.

  3. This is my group, I must try to get involved, and do not expect that the Group Leaders will do all the work. Initially, the Group Leaders will show some leadership to help facilitate and/or teach the group how to help each other, however, after the first few meetings, each one of you is expected to get involved as much as possible. You will be surprised to know that indeed your personal experiences and feelings are extremely valuable and may even help someone else in the group. As well, you will have many questions that may be helpful for us to hear.

  4. In this group, everybody is equal, and even the quietest group member will get time to share.

  5. I will sit in a circle so as to be able to see everyone's faces in this group.

  6. I must always try to look at the person or persons that I am talking to. I will speak up so that everyone can hear me clearly.

  7. I agree to try to support others and to give positive encouragement. I understand that support is the cornerstone in this type of therapy. A simple rule to follow is to call each group member by their first name, and to practise saying positive things about other people.

  8. I must try not to answer for another group member. You may think that you are helping the other person by answering for him, but in reality, you may be helping him avoid dealing with difficult questions. It is important that we show respect for each other by allowing each one of us to do our own work.

  9. I must take self-responsibility by paying attention. I must not start other conversations to interrupt or side-track the group work. In group work, everyone tries to concentrate on the person who is talking, and we work together to help resolve the problems that have been presented. By side-tracking the group conversation, we will no longer be working together as a group. This will result in people not feeling supported and will create future problems for yourself when you are the one looking for support in the group.

  10. I must try my very best never to ask a question that will provide for a yes or no type of answer. By doing so, you may be making it easy for the person to deny or avoid the difficult question by plainly saying either a yes or a no. As we all know, denial is the first and most powerful weapon with adolescent sexual offenders to avoid self-responsibility. Each and everyone of you by coming into this group has already carried out at least one sexual assault, but some of you may have had more victims. When provided with the opportunity, we would like you to share this in the group. In order to support each one of you to tell the truth, it will be better to ask the question "how many other times have you done it?" rather than "do you have any more sexual offenses?".

  11. I must always confront thinking and feeling errors. By confronting these errors, we are ensuring that the person holding them does not avoid taking self-responsibility for his sexual offenses. An example of a thinking error could be "she was asking to be raped, otherwise, why would she have worn such a short skirt?" An example of a feeling error is "I was feeling horny, and she knew it!".

  12. I must tell it like it is. It is expected that each and every one of you is serious about your own treatment and that this means you are ready to behave most honestly amongst us.

  13. I must try to keep things simple so that everybody can understand me. An important rule of thumb for clear communication in group process is to try to address your opinions such that the youngest or least able group member is able to understand your message.

  14. I must try to keep an open mind and not take offense at what people say. Keep in mind that this group is here to help you, and that sometimes in the process, some of the things said may be somewhat hurtful; no pain, no gain.

  15. No matter how hurt I am by what others say, I must at all times refrain from physical aggression. Instead, I will learn ways of dealing with facial and verbal cues to escape or avoid a potentially aggressive situation.

  16. Homework. I owe it to myself and the group to carry out the homework as agreed upon in the group.

  17. I agree that I will not put myself in a position that will undermine the goals of my treatment. For example:
    a) I will not have in my possession or view pornographic material that is sexually aggressive; and
    b) I will not keep, accept or apply for any full or part-time job that gives me unrestricted access to children if this has been a problem for me in the past.

  18. I also agree to the following special conditions at the suggestion of myself or staff:
    a) ___________________________________________________________________ _____________________________________________________________________
    b) ___________________________________________________________________ _____________________________________________________________________

In exchange for my agreeing to the above conditions, the Group Leaders will agree to provide structured group activities on a regular basis; to provide written materials and other learning tools relevant to my therapy; to provide meeting facilities; to be available to discuss issues and concerns with myself and my family; to provide information pertaining to my treatment progress to other agencies, legal counsel, and courts; to attend Court proceedings as necessary; to provide feedback on the results of evaluations and my progress in therapy; and to challenge and support me in my quest for personal growth and change.

I have read this contract and have understood its contents and agree to them.


Client:____________________Date:____________________

Group Leader: ____________________Date:____________________

Group Leader: ____________________Date:____________________

Guardian: ____________________Date:____________________

Probation Officer:____________________Date:____________________

Therapist: ____________________Date:____________________




MALE ADOLESCENT SEXUAL OFFENDER GROUP



URGE CONTROL CONTRACT

  1. If and when I get a strong fantasy, thought or urge to commit a sexual offense, I will sit down and take a break, and take out my copy of the Offense Prevention Plan. Then I will think over the following:

    A slip or lapse is not unusual, it does not mean I have failed, or lost control of myself. And, especially, it does not mean I have to offend.

    I may be feeling guilty or scared or blaming myself about my sexual fantasy, thought or urge. That is normal. I can get past those feelings. I do not have to give in to them. I do not have to label myself an out-of-control sexual offender. I DO NOT have to commit a sexual offense.

    I will think of this slip as a learning experience. I will examine closely my life. What has been happening that led up to this slip? How can I cope with the stress? What can I use what I have learned in therapy to help me cope? Who will I call and talk to?

    If I am still having trouble handling this urge, thought, or fantasy, I will call my therapist, probation officer, or a friend.
    Telephone Number (therapist)___________________________ Telephone Number (P.O.)_______________________ Telephone Number (friend)_____________________________

  2. REMEMBER: AN URGE DOES NOT MAKE ME AN OUT-OF-CONTROL SEX OFFENDER! I AM IN CONTROL!

  3. I understand that violation of this urge control contract will be reported to my probation officer and may result in termination from the treatment program and/or may result in a breach of my probation conditions.
I have read this urge control contract. I have understood its contents and agree to abide by them.

Client:____________________Date:____________________

Group Leader: ____________________Date:____________________

Group Leader: ____________________Date:____________________

Guardian: ____________________Date:____________________

Probation Officer:____________________Date:____________________

Therapist: ____________________Date:____________________




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