The Utah Network on Juveniles Offending Sexually (NOJOS) Sex Specific Service Provider Credentialing Application FRED

The Utah Network on Juveniles Offending Sexually (NOJOS) Sex Specific Service Provider Credentialing Application FRED

APPLICANT CHECK LIST Copy of your Division of Occupational and Professional Licensing (DOPL) License? Documentation of 2000 Hours of Clinical Experience **300 of the 2000 Hours are Evaluation Specific if applying for the Evaluation Credential. ** Listed the required 40 Hours of Related Training. **20 Hours of the 40 Training Hours are Evaluation Specific if applying for the Evaluation Credential. ** Enclosed Treatment Philosophy and Program Description. Philosophy is your viewpoint regarding treatment, your style, important components of the therapeutic relationship, Initialed each item on the Clinical and Affiliate Service Provider agreement? Copy of approved Background Screening Application from the Office of Licensing if you are employed at an agency that is currently licensed by the Office of Licensing. http://www.hslic.utah.gov/screeningapplication.htm OR if you are employed at an agency that is not licensed by the Office of Licensing then you will need to submit a Copy of approved Criminal History Information from the Bureau of Criminal Identification at http://publicsafety.utah.gov/bci/yourcrimrecord.html For Affiliate Service Provider Applicant--have you had an approved service provider sign agreement to provide supervision? Signed the Ethics Statement? 2

The Utah Network on Juveniles Offending Sexually (NOJOS), has developed a list of credentialed (Affiliate, Clinical, Evaluation, Re-Credential/Renewal) Sex Specific Treatment Service Providers to assist the consumer in obtaining services. The following criteria are used to determine eligibility for sex specific treatment service providers. You must be a credentialed provider to conduct NOJOS sex specific treatment. PROFESSIONAL QUALIFICATIONS A. CLINICAL SERVICE PROVIDER 1. Clinical Service Provider Applicant must have a master's or doctoral degree in social work, psychology, marriage and family therapy, counseling, educational psychology, or mental health field from a fully accredited college or university, or a psychiatric nurse or a medical doctor if the individual is a board certified/eligible psychiatrist. 2. Clinical Service Provider Applicant must have a basic philosophy that comports with guidelines established by the National Adolescent Perpetration Network, the Association for the Treatment of Sex Abusers, and the Utah State Juvenile Sex Specific Protocols and Standards Manual.Clinical Service Provider Applicants will submit a description of their philosophy of working with this client population. Why did you choose this population, how do you form a therapeutic alliance, establishing boundaries with clients, notion of labeling, key components of treatment, measure progress, use of confrontation in therapy, and managing relapses through the change process.clinical Service Provider Applicant must adhere to the child abuse reporting laws as required by the Utah State Department of Human Services and the State of Utah. 3. Clinical Service Provider Applicant must have a current license from the Division of Professional and Occupational Licensing. Licensure should be in the mental health field (i.e. psychiatry, psychology, licensed professional counselor, social work, or marriage and family therapy). 4. Within the three-year period immediately preceding this application the applicant must have a minimum of at least 2000 hours of supervised clinical services in a sex specific treatment program. *Documentation must include a summary of the 2000 hours requirement summarizing how these hours were met.* Clinical services are defined as a licensed/supervised mental health professional providing sex specific therapeutic intervention to persons who have sexually offended, been offended on, and/or those whose lives have been impacted by sexual offending. It also includes activities, tasks, information gathering or related endeavors that will assist the provider. (For example, case supervision, case staffing, file maintenance, session notes, attending or providing training, case coordination, publishing, and research). 5. Within the three-year period immediately preceding this application the applicant must have completed a minimum of forty (40) hours of formal sex specific-specific training through documented conferences, symposia, seminars or course work directly related to the evaluation and treatment of sex specific clients. Training may include: behavioral and/or cognitive therapy methods, reconditioning and relapse prevention, plethysmograph examinations, polygraph examinations, group therapy, sexual dysfunction, victimology, family therapy, risk assessment, sexual addiction, sexuality, and ethics and professional standards. (The NOJOS Academies meet the majority of these requirements). You may be requested to provide supporting documentation of training as needed. 6. Clinical Service Provider Applicant s may supervise a maximum of three (3) Affiliate Service Provider providers. 7. All service providers who change from one program to another must update their application within sixty (60) days of the change in order to maintain the credential status. 3

8. Criminal convictions or licensure actions prior to this application must be disclosed and may result in the application be denied. Failure to disclose any current or future criminal convictions or licensure actions may result in termination of any approved status. D. AFFILIATE SERVICE PROVIDER 1. Affiliate Service Provider Applicants are defined as licensed professionals in graduate training and/or those in a postgraduate residency program that do not meet the experience, education, and training requirements. Licensure should be in the mental health field (i.e. psychiatry, psychology, licensed professional counselor, social work, or marriage and family therapy). Licensed professionals not meeting the training or experience requirements are required to arrange for ongoing supervision with those individuals who have a current NOJOS Clinical Credentialed Professional. Students may provide supervised service if their work is part of a degree program, and/or leading to licensure, and their work is supervised by a licensed professional meeting the above requirements (supervision means one hour of supervision to every twenty (20) hours of direct clinical services). 2. Affiliate Service Provider Applicants must have a current license from the Division of Professional and Occupational Licensing. Licensure should be in the mental health field (i.e. psychiatry, psychology, licensed professional counselor, social work, or marriage and family therapy). 3. Within the one-year period immediately preceding this application the applicant must have completed a minimum of five (5) hours of formal sex specific-specific training through documented conferences, symposia, seminars or course work directly related to the evaluation and treatment of sex specific clients. Training may include: behavioral and/or cognitive therapy methods, reconditioning and relapse prevention, plethysmograph examinations, polygraph examinations, group therapy, sexual dysfunction, victimology, family therapy, risk assessment, sexual addiction, sexuality, and ethics and professional standards. (The NOJOS Academies meet the majority of these requirements). 4. Affiliate Service Provider Applicants must have a basic philosophy that coincides with guidelines established by the National Adolescent Perpetration Network, the Association for the Treatment of Sex Abusers, and the Utah Juvenile Sex Specific Protocols and Standards Manual. 5. Affiliate Service Provider Applicants must adhere to the child abuse reporting laws as required by the Utah State Department of Human Services and the State of Utah. 6. Providers who change from one program to another must update their application, within sixty days of the change, in order to continue providing services. 7. Criminal convictions or licensure actions must be fully disclosed and may result in the application being denied. Failure to disclose any criminal convictions or licensure actions may result in removal from the NOJOS Credential List. B. EVALUATION SERVICE PROVIDER 1. Applicant must have a master's or doctorate degree in one of the helping professions. Such as social work, psychology, marriage and family therapy, counseling, educational psychology, or a related mental health field from a fully accredited college or university, or a psychiatric nurse or a medical doctor if the individual is a board certified/eligible psychiatrist. 2. Applicants must have a current license from the Division of Professional and Occupational Licensing. Licensure should be in the mental health field (i.e. psychiatry, psychology, licensed professional counselor, social work, or marriage and family therapy). 4

3. Evaluation Service Provider Applicants will submit a description of their philosophy regarding the use of evaluations, the types of evaluations, when they should be used, how they should be used, how they mesh with treatment, what assessments they use in their practice, how they use them in treatment formation, and what training (either informal-reading manuals/internet or formal-developer/researcher conducted the training) they have had, and what you think are the pluses and pitfalls of assessments. Please include a list of evaluations/assessments that you have read and are familiar with. 4. Within the three-year period immediately preceding this application the applicant must have at least 2000 hours of clinical services in a sex specific treatment program. **For the Evaluation Credential there must be a minimum of 300 hours of evaluations completed. ** Applicant must demonstrate, at a minimum, familiarity with the following assessments, evaluations, and documents: 1. Sexual Behavioral and Risk Assessment. The SBRA assesses community and re-offense risk recommending the most appropriate level of care including placement, supervision, and treatment. The assessment shall include a review of existing client records, collateral contacts as appropriate and face-to-face interviews with the client. Risk statements should be written as a continuum and associated with a specific level of care. Qualifications: a. The individual(s) providing a SBRA is a licensed mental health therapist practicing within the scope of his or her licensure in accordance with Title 58, Utah Code Annotated 1953, as amended: To include a Licensed physician; Licensed psychologist; Licensed clinical social worker; Licensed advanced practice registered nurse specializing in psychiatric mental health nursing; Licensed marriage and family therapist; Licensed professional counselor; or an individual who is working within the scope of his or her certificate or license under the supervision of a mental health therapist listed above. b. ERASOR-Estimate of Risk of Adolescent Sexual Offense Recidivism (For information or copy of the guide, contact: Dr. James Worling, C.Psych. Consultant Psychologist/Coordinator of Research SAFE-T Program Thistletown Regional Centre 51 Panorama Court Toronto, Ontario, Canada M9V 4L8) c. J-SOAP-II-Juvenile Sex Offender Assessment Protocol II (http://www.csom.org/pubs/jsoap.pdf) d. JSORRAT-Juvenile Sexual Offense Recidivism Risk Tool (http://www.legis.state.ia.us/lsadocs/intcomhand/2006/ihjem003.pdf) (http://txcsotconference.com/wp-content/uploads/2009/epperson- Afternoon%20session%201%20slide%20handouts.pdf) (http://www.dmh.ca.gov/services_and_programs/forensic_services/sex_offender_commi tment_program/docs/jsorrat-ii_scoringmanual_05jun3.pdf) e. Sexual Adjustment Inventory (http://bds-tests.com/bds_sai-j_research.htm) 2. Psychosexual Evaluation. The psychosexual evaluation includes sex-specific materials including psychological testing to determine the existence, nature and extent of a mental illness or disorder using psychological tests appropriate to the client s needs, including psychometric, diagnostic, projective, or standardized IQ tests, with interpretation and report. 5

The psychosexual evaluation assesses community and re-offense risk recommending the most appropriate level of care including placement, supervision, and treatment. The assessment shall include a review of existing client records, collateral contacts as appropriate and face-to-face interviews with the client. Risk statements should be written as a continuum and associated with a specific level of care. Qualifications: a. The individual(s) providing psychological testing services shall be one of the following: (1) Licensed physician. (2) Licensed psychologist. (3) Certified psychology resident working under the supervision of a licensed psychologist. b. If working for an agency licensed by the Department of Human Services Office of Licensing (DHS/OL), meet the requirements set forth by DHS/OL Rules for criminal and abuse background screening prior to having any contact with the youth. If not working for an agency licensed by DHS/OL, the Contractor shall provide DHS/DJJS with all information required for DHS/DJJS to obtain a criminal history background screening through the Utah Bureau of Criminal Identification. The results of the screening shall be reviewed and approved by DHS/DJJS prior to Contractor staff having contact with youth. The screening shall be completed annually. 3. For every three-year period immediately preceding this application the applicant must have completed a minimum of forty (40) hours of formal sex specific training through documented conferences, symposia, seminars or course work directly related to the evaluation and treatment of the client population. ** For the Evaluation Credential there must be a minimum of 20 hours that are Evaluation Specific**. These may include: a. Psychosexual Evaluation b. Sexual Behavioral and Risk Assessment c. ERASOR-Estimate of Risk of Adolescent Sexual Offense Recidivism d. J-SOAP-II-Juvenile Sex Offender Assessment Protocol II e. JSORRAT-Juvenile Sexual Offense Recidivism Risk Tool f. SAI-Sexual Adjustment Inventory g. MSI-Multiphasic Sex Inventory 4. Training may include: behavioral and/or cognitive therapy methods, reconditioning and relapse prevention, plethysmograph examinations, polygraph examinations, group therapy, sexual dysfunction, victimology, trauma, family therapy, risk assessment, sexual addiction, sexuality, and ethics and professional standards. (NOJOS will provide a cursory overview on some of these topics in Second Hours and Academies). 5. Applicants must have as a basic philosophy that comports with guidelines established by the National Adolescent Perpetration Network, the Association for the Treatment of Sex Abusers, and the Utah State Juvenile Sex Specific Protocols and Standards Manual. 6. Applicants must adhere to the child abuse reporting laws as required by the Utah State Department of Human Services and the State of Utah. 7. All service providers who change from one program to another must update their application within sixty (60) days of the change in order to maintain the credential status. 8. Criminal convictions or licensure actions prior to this application must be disclosed and may result in the application be denied. Failure to disclose any current or future criminal convictions or licensure actions may result in termination of any approved status. 6

C. RE-CREDENTIALING/RENEWAL *PLEASE USE THE CREDENTIAL APPLICATION AND SUBMIT REQUESTED MATERIAL.* IF YOUR INFORMATION HAS NOT CHANGED THEN WRITE SAME IN THE BLANK SPACE. 1. All Service Providers must re-apply to the Utah Network on Juveniles Offending Sexually every three (3) years to renew their status. The Renewal time frame includes the three-year period since your recent Affiliate/Clinical/Evaluation Service Provider Credential was approved. The following information must be included: a. Applicant Information Sheet b. Current copy of a stamped/processed Background Screen Application from the Utah Department of Human Services (DHS) Office of Licensing (OL) if employed with an agency licensed by DHS/OL, or complete a criminal history check with the Utah Department of Public Safety Bureau of Criminal Identification (BCI), and submit the results of these checks along with my application. c. Current Copy of License from the Division of Professional Licensing d. Copies of any NEW Advanced Education Degree e. Summary of Direct Clinical Hours (2000 Hours/3 Years) f. Listing of Training Hours on Agency Letterhead (40 Hours/3 Years) g. Criminal convictions, licensing actions, ethical concerns, or complaints against you h. Signature Indicating Compliance with Service Provider Agreement i. Signature Indicating Compliance with Code of Ethics 2. Within the three-year period immediately following your approved Affiliate or Clinical Service Provider the applicant must complete 2000 hours of clinical services in a sex specific treatment program. This is defined as a licensed/supervised mental health professional providing sex specific therapeutic intervention to persons who have sexually offended, been offended on, and/or those whose lives have been impacted by sexual offending. Also includes any activities, tasks, information gathering or related endeavors that will assist the provider. For example, case supervision, case staffing, file maintenance, session notes, attending or providing training, case coordination, publishing, and research). Included in the 2000 hours, there must be at least 1000 hours of clinical services, such as, individual, couples, group and/or family therapies. 3. For every three-year period immediately following your approved Affiliate, Clinical, or Evaluation Service Provider the applicant must complete a minimum of forty (40) hours of formal sex-specific training through documented conferences, symposia, seminars or course work directly related to the evaluation and treatment of sex specific. Training may include: behavioral and/or cognitive therapy methods, reconditioning and relapse prevention, plethysmograph examinations, polygraph examinations, group therapy, sexual dysfunction, victimology, trauma, family therapy, risk assessment, sexual addiction, sexuality, and ethics and professional standards. (The NOJOS Academies meet the majority of these requirements). Failure to re-apply will result in the immediate loss of the service provider s approved status. 7

SERVICE PROVIDER INFORMATION SHEET Applicant s Name Agency Address City: Zip Code Phone: Email: Fax: Agency Information: ( X the most appropriate response) Agency Settings: Residential Outpatient Hybrid If Hybrid, please explain. Agency Provides: Evaluations Only Treatment Only Hybrid If Hybrid, please explain. Agency Serves: Medicaid Clients Non-Medicaid Hybrid If Hybrid, please explain. Agency Serves: Children Only Adolescents Only Hybrid If Hybrid, please explain. Clients Include: Females Only Males Only Hybrid If Hybrid, please explain. NOJOS Level (s): Evaluations Comments: DHS Contract Service Codes: Application for (check applicable): Clinical Service Provider Evaluation Service Provider Re-Credentialing Affiliate Clinical Service Provider Affiliate Evaluation Service Provider 8

1. Professional License(s) (Attach photocopy of current Utah license(s) 2. Education: Institution: Degree: Month/Year: Institution: Degree: Month/Year: Institution: Degree: Month/Year: 3. All non-licensed Affiliate Service Provider applicants please attach copies of transcripts or their degree to verify the above information. 4. Please attach separate sheet(s) with a complete description of your treatment philosophy and program, clearly identifying the standard components. 5. List any criminal convictions, licensing actions, ethical concerns, or complaints against you: 6. Affiliate Service Provider Applicants please complete sections in 8a and 8b below. Clinical Service Providers skip to #9, Signatures Section. Information on your Approved Clinical Provider: Name: Address: Phone: Email: Please have your Approved Clinical Service Provider read and sign the following statement: I certify that I am an Approved Clinical Treatment Provider, I have read and understand the requirement criteria adopted by the Utah Network on Juveniles Offending Sexually and that I will provide a minimum of one hour of direct clinical supervision for every twenty hours of the affiliate service providers direct clinical services. I shall provide verification of this supervision to the Utah Network on Juveniles Offending Sexually upon request (Signature) (Date) (Approved Clinical Service Provider Supervisor Signature for Affiliate Service Provider Applicants Only) 7. Signers: please sign and date the application below. (Signature) (Date) 9

SUMMARY OF TRAINING AND CLINICAL SERVICE HOURS TRAINING (Past 3 Years) CLINICAL HOURS (Past 3 Years) Title Hours Service Hours Individual Group Family Couple Psycho-ed Staffing Court Case Notes Reports Case Supervision Collateral Contacts File Maintenance Other Evaluation Specific 20 Evaluations/Assessments 300 If applying for the Evaluation or the Affiliate Evaluation Specific Service Provider Credential there must be a minimum of 20 Sex Specific Evaluation Training Hours and 300 Hours Conducting Sex Specific Evaluations as a part of your total training and clinical hours. TOTAL 40 TOTAL 2000 I certify that the information provided is current and accurate to the best of my knowledge. I also acknowledge that NOJOS may request supporting documentation as needed for this application process. Signature Date 10

SERVICES AGREEMENT Please read, initial each statement, sign and date the following Agreement. I,, agree to adhere to the following terms and conditions as an Approved Clinical Service Provider or an Approved Affiliate Service Provider as follows: a. b. c. d. e. f. g. h. i. j. I certify the information provided in this application packet is true and correct to the best of my knowledge and belief. In making this application, I understand no guarantees are being extended to me or my agency as to the number or type of client referrals. I understand this application does not constitute a contract with any state agency and/or the Utah Network on Juveniles Offending Sexually. I understand the list of all NOJOS Credentialed Service Providers may be provided to potential clients. I understand that I am required to strictly adhere to the Mandatory Child Abuse Reporting Laws of the State of Utah. I acknowledge that it is my responsibility to advise my clients of this and assume full responsibility for ensuring that my disclosures conform to standard ethical practices. I acknowledge the Network on Juveniles Offending Sexually has the right to deny or terminate my standing as an Approved Clinical Service Provider or Approved Affiliate Service Provider upon reasonable cause-such as substandard work performance, Violations of ATSA-Association for the Treatment of Sex Abusers Code of Ethics, Professional Practice Ethics and Standards, Division of Professional Licensing, and/or Utah NOJOS Service Providers Conditions. I also understand I may withdraw from this program upon written notice to the Network on Juveniles Offending Sexually. I acknowledge that upon being removed or removing myself as an Approved Clinical Service Provider or Approved Affiliate Service Provider, I shall notify all my current client(s), parent(s), and/or legal guardian(s) of my change in status. I make this application voluntarily, stating that no promises have been made to me by the Network on Juveniles Offending Sexually or any of its members in regards to referrals, future contracts for services or any other types of financial remuneration. I further consent to a Bureau of Criminal Investigations (BCI) and Child Abuse Database background check by the Utah State Department of Human Services of any prior arrests/convictions or licensing problems and submit the results of these checks along with my applications. The provisions of this agreement shall be governed by the laws of the State of Utah. 11

k. l. m. n. The Approved Clinical Service Provider or Approved Affiliate Service Provider shall be an independent agent, and as such, shall have no authorization, expressed or implied, to bind the State to any agreements, settlements, liability, or understanding whatsoever, and agrees not to perform any acts as agent for the State, except as herein expressly set forth. The Approved Clinical Service Provider or Approved Affiliate Service Provider agrees to indemnify, save harmless, and release the State, NOJOS, its officers, agents, volunteers, and employees from and against any and all loss, damage, injury, liability, suits, and proceedings arising out of the performance of the services described herein caused by the negligence of the Approved Clinical Service Provider or Approved Affiliate Service Provider The Approved Clinical Service Provider or Approved Affiliate Service Provider agrees to abide by the provisions of Title VI and VII of the Civil Rights Act of 1964 (42SUC 2000e) which prohibits discrimination against any employee or applicant for employment or any applicant or recipient of services on the basis of race, religion, color, or national origin; and further agrees to abide by Executive Order No. 11246, as amended, which prohibits discrimination on the basis of sex; 45 CFR 90 which prohibits discrimination on the basis of age; and Section 504 of the Rehabilitation Act of 1973, or the Americans with Disabilities Act of 1990 which prohibits discrimination on the basis of disabilities. In addition, the Approved Clinical Service Provider or Approved Affiliate Service Provider agrees to abide by Utah's Executive Order, dated June 30, 1989, which prohibits sexual harassment in the work place. A declaration by any court, or any other binding legal source, that any provision of this agreement is illegal and void shall not affect the legality and enforceability of any other provision of this agreement, unless the provisions are mutually dependent. (Print Name) (Date or Birth) (Social Security Number) (Signature) (Date) (Print Name of Approved Clinical Supervisor) (Signature for Affiliate Service Provider Candidates Only) (Signature) (Date) (Approved Clinical Supervisor Service Provider Signature for Affiliate Service Provider Candidates Only) Credentialing application 10/28/16 12

ETHICS STATEMENT (The following is a compilation from the Association for the Treatment of Sexual Abusers (ATSA) Standards; Network on Juveniles Offending Sexually, NOJOS; National Adolescent Perpetration Network, NAPN; Colorado Sex Specific Management Board; and the Center for Sex Specific Management). Sex specific treatment providers shall: 1. Be committed to community protection and safety. 2. Not discriminate against clients with regard to race, religion, gender preferences or disability. 3. Treat clients with dignity and respect, regardless of the nature of their crimes or conduct. 4. Be knowledgeable of legal statutes and scientific data relevant to this area of specialized practice. 5. Perform professional duties with the highest level of integrity, maintaining confidentiality within the scope of statutory responsibilities. 6. Either complete an SBRA Evaluation for a client or provide sex-specific therapy for a client but not both. 7. Insure that the client fully understands the scope and limits of confidentiality in the context of his/her particular situation. 8. Refrain from using professional relationships to further their personal, religious, political, or economic interests other than accepting customary professional fees. 9. Not engage in relationships with clients. 10. Fully inform clients in advance of the fees for services. 11. Refrain from knowingly providing treatment services to a client who is in treatment with another professional without initial consultation with the current provider. 12. Make appropriate referrals when the therapist is not qualified or is otherwise unable to offer services to a client. 13. Insure that colleagues are qualified by training and experience before making a referral to them. 14. When withdrawing services minimize possible adverse effects on the client and community by continuing treatment until the client has been admitted elsewhere. 15. Take into account the legal/civil rights of the clients, including the right to refuse treatment. 16. Make no claims regarding the efficacy of treatment that exceed what can be reasonably expected and supported by empirical literature. 17. Avoid drawing conclusions or rendering opinions that exceed the present level of knowledge in the field or the expertise of the evaluator. 18. Attempt to resolve with the clinician and/or report to the appropriate licensing or regulatory authority unethical, incompetent, and dishonorable treatment or evaluation practices. Sex-specific service providers assert that: 1. Community safety takes precedence over any conflicting consideration, and ultimately is in the best interest of the specific client and society. 2. Inappropriate or unethical treatment damages the credibility of all treatment and presents an unnecessary risk to the community. 3. Sex specific service providers shall have no history of criminal or deviant acts. 4. Criminal investigation, prosecution, and court orders for treatment may be components of effective intervention. 13

5. Where practical, therapists should actively involve community supervision officers, child protective service workers, and victim therapists in case management. 6. A voluntary client accepted for treatment should be held to the same standards of compliance, as are mandated clients. 7. It is imprudent to release an untreated sex specific without providing offense-specific evaluation and treatment or specialized supervision. 8. Youth with sexuality violations require comprehensive, long-term, offense-specific treatment. 9. The therapist shall have a written individualized treatment plan that identifies the issues, intervention strategies, and goals of treatment for each specific. Treatment plans should be reassessed periodically. 10. The treatment plan may include behavioral contracts that outline specific expectations of the specific, his/her family, and the specific's support systems. These contracts should include provisions to avert high-risk situations. These contracts should be reassessed periodically. 11. Progress, or lack thereof, should be clearly documented in treatment records. Specific achievements, failed assignments, and rule violations should be recorded. This information should be provided to the appropriate supervising officer in the justice system. 12. Progress in treatment must be based on specific, measurable objectives, observable changes, and demonstrated ability to apply changes in relevant situations. For most sex specific clients, progress requires changes in the specific's behavior, attitudes, social functioning, cognitive processes, and arousal patterns. These changes should demonstrate increased understanding by the youth of his/her own deviant behavior, sensitization to the effects on a victim, and ability to seek and apply help. 13. When the youth has made the changes required in treatment, there should be a gradual and commensurate decline of intervention, support, and supervision following an offense-specific treatment program. Ongoing support to maintain changes made in treatment is necessary and aftercare and monitoring are desirable. 14. There will be instances when the clinician should refuse to treat a youth because essential auxiliary resources do not exist to provide the necessary levels of intervention or safeguards. 15. The provider has an ethical obligation to refer the client to a more comprehensive treatment program and/or to the judicial system, when the treatment provider determines that a youth is not making the changes necessary to reduce his/her risk to the community. 16. Failure on the part of clients to abide by their treatment plans and/or contracts should result in referral back to the supervising officer in the judicial system. 17. A therapist may decide to decline further involvement with a client who refuses to address any critical aspect of treatment. 18. Sex specific service providers need to immediately notify the appropriate authority when a client drops out of court-ordered treatment. 19. Sex specific service providers are expected to continually update their education and professional training in order to remain familiar with current literature, including the focus and direction of both research and evaluation/treatment techniques. 20. The sex specific service providers should have completed graduate studies, training courses and/or gained significant experience in a majority of the following topics: behavior modification cognitive restructuring therapy counseling and psychotherapy culturally specific treatment needs ethics and professional standards etiology of sexual deviance 14

federal, state, or local sexual abuse statutes human sexuality individual, dyad, group, couple, and family therapy personality theory and disorders pharmacological therapy physiological measurements psychometric assessment relapse prevention risk assessment sexual arousal assessment and reconditioning social competency training treatment of special needs clients 21. Failure to evaluate the on-going performance and qualifications of service providers jeopardizes the credibility of all sexual abuse providers and programs. My signature below indicates that I have read the Ethics Statement and that I support and will comply with the best of my ability. I further understand that any substantial violation will result in my name being removed from the Credential Providers listing. Name: Date: pfb/credapp 20161028 FINAL 15