Harmful sexual behaviour in men with intellectual and/or developmental disabilities Mental and Behavioural Disorders Unspecified intellectual disabilities
Conditions
Interventions
This is a cluster randomized trial of a form of group cognitive behavioural treatment know as SOTSEC-ID (see https://www.kent.ac.uk/tizard/sotsec). After assessing site eligibility, sites will be rand
Sponsors
University of Kent
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: 1. Borderline or mild intellectual disability (ie an IQ below 79) and deficits in adaptive behaviours 2. Documented history of one or more incidents of harmful sexual behavior (HSB) 3. Relatively good verbal comprehension (to be judged by clinicians) 4. Capacity to make a decision as to whether they wish to take part in trial 5. Autism, additional mental health needs (as long as this would not prevent participation in the CBT group as judged by clinicians), and criminal convictions for HSB will not be reasons for exclusion
Exclusion criteria
Exclusion criteria: 1. Insufficient or receptive language to take part in group CBT 2. Mental health difficulties that would prevent him from taking part in group CBT (as judged by clinicians) 3. Resident in prison or in high secure services, or on probation 4. Does not have the capacity to make a decision as to whether to take part in the trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cognitive distortions measured using the Questionnaire on Attitudes Consistent with Sexual Offending (QACSO) score at baseline, 6, 12, and 24 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Harmful sexual behaviour measured using all reports from case files, carers, police, etc at baseline, 6, 12, and 24 months 2. Sexual knowledge measured using the General Sexual Knowledge Questionnaire at baseline, 6, 12, and 24 months 3. Victim empathy measured using the Victim Empathy Scale (VES-A), adapted from Beckett and Fisher’s Victim Empathy Scale at baseline, 6, 12, and 24 months 4. Locus of control measured using the Nowicki-Strickland Locus of Control Scale at baseline, 6, 12, and 24 months 5. Self-esteem measured using the Rosenberg self esteem scale at baseline, 6, 12, and 24 months 6. Service use measured using the Client Services Receipt Inventory at baseline, 6, 12, and 24 months 7. Quality of life measured using the EuroQol 5-dimension 5-level (EQ-5D-5L) questionnaire at baseline, 6, 12, and 24 months | — |
Countries
England, United Kingdom
Outcome results
None listed