Sutton BAS 11-27-2012
Sutton BAS 11-27-2012
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.
Sutton BAS 11-27-2012
 State of the field
 Ways to help including First Responders, training of
criminal justice personnel, educators
 Attempts to respond – difficult climate….
 Emerging best practice methods to address concerns
 Identifying Individuals With Autism in a State Facility
for Adolescents Adjudicated as Sexual Offenders: A
Pilot Study
Sutton BAS 11-27-2012
 Bill and his Mom (how the police responded)
 Child pornography and the FBI
 Jason and victory on the ball field
 George making friends
 Fixation on specialized interests Bobby and the
‘Thought Police”
 But in some cases, Rick and not knowing what to do
next…
Sutton BAS 11-27-2012
 Who Bill is – 6’,5” 356 pounds
 Problem at transition program
 302 three days later
 Outcome
Sutton BAS 11-27-2012
 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 -
Sutton BAS 11-27-2012
 Many are taught by family
Sutton BAS 11-27-2012
 The case of Bobby and the bully’s
 Lined up trains
 Collected match box cars
 Collected skate boards
 Read about serial murders
 Being bullied
 Guidance Counselor’s offer of help (was it?)
 Psychiatric evaluation
 Sex offender treatment (despite no charge)
 Clinical depression and intervention
Sutton BAS 11-27-2012
 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 work
 Are there individuals with Intellectual disabilities in the
system
 How is trauma assessed, or is it?
 These are some of the specifics outlined in my YDC work.
Sutton BAS 11-27-2012
 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?
Sutton BAS 11-27-2012
Sutton BAS 11-27-2012
 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
Sutton BAS 11-27-2012
 3 Large Centers containing 9 independent programs
 2 Forestry Camps
 2 Specialty programs
 One female program
 Act 21 (ages 21 and over)
Sutton BAS 11-27-2012
 Adjudicated Youth from ages 11 years to 20 years
 Treatment offered for:
 Mental health
 Drug and alcohol abuse/dependence
 Sexual offending
Sutton BAS 11-27-2012
 All centered contained schools on site
 Two psychiatrists in the State
 No licensed doctoral level psychologist
 Some Certified Addictions Counselors
Sutton BAS 11-27-2012
 Double razor wire in the entrances
 Located 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 beds
 Introduction to ‘best friends’
Sutton BAS 11-27-2012
(Is everyone who sexually offends another, a sex
offender??)
 * Self-harm
 * Depression and Bipolar Disorders
 * Autism Spectrum
 * Trauma
 * Addictions
 * Other Developmental Disorders
Sutton BAS 11-27-2012
 Noted Developmental delays in:
 Developmental History by age 3 or so (most important)
 Language
 Social
 Behavior and Sensory
Sutton BAS 11-27-2012
 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?))
Sutton BAS 11-27-2012
 January –May 2007
 One staff and three doctoral students – Duquesne
University School Psychology
 Assessment to define limits and scope of the presence
and prevalence autism and other disorders
 Treatment was provided in a limited sense
Sutton BAS 11-27-2012
 Testing for:
 Autism, Mental Status Examination and ASDS
 Trauma – Childhood Trauma Questionnaire
 IQ using WAIS, WISC, UNIT and WRAT
 Auditory Processing using WJ
 Mood/Personality – BDI, BHI, BASC, CBCL,
 Sex Offender J-SOAP
Sutton BAS 11-27-2012
 Diversion Project – BAS, BJJS, OMHSAS 2007-2008
 The need for a different treatment approach – lessons
learned from NCYDC
 Admission assessments to pair with MAYSI to look for
Autism and IDD (CARS II and BRIEF)
 Behavioral approaches to shape in replacement
behaviors
 Groupings/housing with others who have IDD
 Limited group therapies
 Loaded individual therapy and peer-peer therapy
Sutton BAS 11-27-2012
 Training
 First Responders
 Court officials including DA and Public Defenders
 Alternatives including Diversion
 Re-visiting BAS RFI’s
 Systems working in harmony
 First responders
 BAS ASERT Center project with EMS (Dr. John
McGonigle WPIC)
 Indiana County ARC
 Washington County Project
Sutton BAS 11-27-2012
Sutton BAS 11-27-2012
 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.
Sutton BAS 11-27-2012
Sutton BAS 11-27-2012