Treatment for convicted adult male sex offenders : HTA report

More details on the methodological approach used for the present study are provided in Appendices A and B. Appendix A describes the literature search strategy and the study selection process and also summarizes the methodological approach for data extraction and data synthesis and analysis used for the overview of the selected systematic reviews. [...] Recently, interconnections between sexual abuse through prostitution and trafficking and the Internet started to be reported worldwide.15-18,33-36 The Internet provides new tools to assist in the sale of children and adolescents, creates space to facilitate the commission of sex-related crimes, and provides access to vulnerable people to victimize. [...] Diagnostic issues Diagnostic issues are thought to be relevant to the conceptualization of the problems presented by sex offenders.2-4,6,7,14,15,17,23,37,40-43 Some clinicians and researchers apply a diagnosis of paraphilia to their sexual offending clients, which typically derives from the criteria outlined in the International Classification of Diseases (ICD-10) or the Diagnostic and Statistical [...] Although the purpose of and the manner in which treatment is implemented and delivered can vary from one setting and jurisdiction to another, the main goal of SOT is to protect the community by reducing the likelihood of reoffending. [...] Despite the lack of well-conducted clinical trials of the efficacy of SSRIs for the treatment of sexual offenders,3,5,32,49 such medications have been reported to be the most commonly used agents in North America.49,50 Programs in Canada and the United States use hormonal agents much less than SSRIs, and the use of the MPA agents appears to be declining in the United States.50 Treatment of Convict