Goal Attainment Scaling with Sexual Offenders: A Measure of Clinical Impact at Posttreatment and at Community Follow-Up

The impact of cognitive-behavioral interventions was assessed for 28 low-moderate risk and 20 high-risk sexual offenders on conditional release to the Greater Toronto Area. Goal Attainment Scaling (GAS--T. Hogue, 1994) for sexual offenders was used to rate clinical and motivational elements of treatment taken from reports written at pretreatment, posttreatment, and after 3 months of community follow-up. Results indicated that both groups of offenders benefited from treatment, although low-moderate risk offenders showed consistently better results on all measures. Performance along nonrelapse prevention related dimensions increased from pretreatment to posttreatment and remained relatively steady in the community. Relapse prevention related treatment components showed a steady increase from pretreatment throughout follow-up in the community for low-moderate risk offenders, but not for high-risk offenders. Both groups improved substantially in level of motivation from pretreatment to posttreatment; however, only those in the low-moderate risk group maintained their motivation levels once released to the community. These results are discussed with respect to the effectiveness of cognitive-behavioral treatment of sexual offenders.