Illinois Administrative Code › Title 20 - CORRECTIONS, CRIMINAL JUSTICE, AND LAW ENFORCEMENT › Part 1910 - JUVENILE SEX OFFENDER EVALUATION AND TREATMENT › Subpart C - STANDARDS OF PRACTICE › Section 1910.200 - Treatment Methods

Current through Register Vol. 48, No. 28, July 12, 2024
a) Sex
				offense specific treatment shall focus on eliminating abusive behavior by
				decreasing deviant thinking, impulses, and dysfunction; restructuring distorted
				thinking patterns that are supportive of continued offending; and improving
				overall health with the goal of decreased risk.
b) Sex offense specific treatment and
				intervention strategies shall be used and include a combination of individual,
				group, and family therapy unless contraindicated.
c) When clinically indicated, the provider
				may use physiological instruments such as the polygraph, plethysmograph, or
				Abel Assessment of Sexual Interests so long as the instrument is suited for use
				with juveniles whose functioning is consistent with that of the juvenile
				receiving treatment.
d)
				Empirically-supported treatment modalities currently indicated by research to
				be best practice based on treatment outcomes are preferred. The following are
				the preferred practices:
1) Individual therapy
				shall be used to address sex offense specific issues and attendant mental
				health issues, if present, and/or to support the juvenile in addressing issues
				in group, family, or milieu therapy. Provider to client ratio shall be
				1:1.
2) Group therapy, proven to be
				one of the most effective treatment modalities for juveniles, is recommended
				and may be used to provide psycho-education, promote development of pro-social
				skills, and provide positive peer support. It may also be used for group
				process. Provider to client ratios shall be no less than 1:8 or 2:12.
3) Family therapy addresses family systems
				issues and dynamics. This model shall address, at a minimum, informed
				supervision, therapeutic care, safety plans, relapse prevention, reunification,
				and aftercare plans. Provider to client ratios shall be no less than 1:8 or
				2:12. Because victims of juveniles who have committed sex offenses are often
				family members (e.g., younger siblings or foster siblings), the following
				conditions must be met prior to the initiation of family therapy:
A) The parent or guardian must give
				consent;
B) The victim must be
				receiving victim advocacy services, including therapy, and agree to participate
				in family therapy;
C) A child
				advocate for the victim must approve the victim's participation in family
				therapy in writing; and
D) The
				approved service provider, along with the MDT, has considered the risk of
				re-traumatization of the victim by having contact with the juvenile who
				committed the sex offense, and concluded that family therapy would be
				beneficial. Offender accountability and the assignment of responsibility are
				major determinants of whether family contact occurs.
4) Multi-family groups provide education,
				group process, and/or support for the parent and/or siblings of the juvenile.
				Inclusion of the juvenile is optional.
A) The
				treatment provider is responsible for establishing and maintaining
				confidentiality.
B) Staff to client
				ratios shall be designed to provide safety for all participants.
C) Provider to client ratios shall be no less
				than 1:8; 2:15; 3:18; or 4:24.
5) Psycho-education is required to teach
				definitions, concepts, and pro-social skills and must be offered in a group
				setting. Provider to client ratios shall be no less than 1:12 or
				2:20.
6) Milieu therapy is used in
				residential treatment settings to supervise, observe, and intervene in the
				daily functioning of the juvenile. Provider to client ratios shall not be less
				than the following: 1:8 for juveniles 10-12 years of age; 1:10 for juveniles 13
				years old and older.
7) Dyadic
				therapy is used when the treatment provider deems it beneficial and clinically
				appropriate.
8) Self-help or time
				limited treatments are used as adjuncts to enhance goal oriented treatment.
				Adjunct treatments must be complementary to sex offense specific
				treatment.