15 Aug 2022

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Current Rehabilitation Issues

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Rehabilitation is the reintegration into society of a convicted individual and the major aim of modern penal code, to counter habitual offending, further referred to as criminal recidivism. There are numerous methods of offender rehabilitation treatments that are meant to help prisoners refine their behavior and be helping people in society. The methods to be analyzed by the paper are psychological, educational/vocational, substance abuse, sex offender as well as religious. The paper will also incorporate the scope of treatment for all the five methods and their effectiveness. Finally, information regarding sex offender rehabilitative treatment impact on corrections and society’s views within the last ten years will be provided. 

Rehabilitation psychology 

Psychiatric rehabilitation , further referred to as   psychosocial rehabilitation , sometimes reduced to   psych rehab   by service providers, refers to the procedure of reinstatement of community functioning as well as the well-being of a person detected with mental health or emotional or mental disorder and who might be regarded to have a psychiatric inability. The aim of rehabilitation psychology is to assist people with disabilities and chronic health conditions enhance the quality of their existence (Andrews & Bonta, 2014). Rehabilitation psychologists are apprehensive with all of the factors in person’s lives that contribute to their safety and recovery, from the help they get from family and colleagues to the connections they have with their group of treatment providers. Many of the patients that come into government institutes in the third world nations hail from lower socio-economic strata and are daily wage earners meaning that are characteristic of financial problems. Even the patients from well-to-do families sometimes face financial problems and this creates problems as far as psychological rehabilitative treatment is concerned ( Reinold et al., 2018). Other problems that characterize this form of rehabilitation treatment include lack of medicine in government institutions, expressed emotions and relapse, hospitalization problems, and burn out of hospital staff, just to name but a few. 

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Vocational/Education rehabilitation Program 

Vocational rehabilitation, sometimes abbreviated as VR or voc rehab is a procedure that enables individuals with psychological, functional, emotions, and cognitive impairments or disabilities or health problems to overcome challenges to maintaining, accessing, or recurring to work or other helpful job. Vocational therapy might input from a range of health care experts and other non-medical fields such as disability work advisers as well as career counselors.  As a section of the application procedure, the person (or parent if the individual is below 18 years old) provides consent for the VR counselor to attain existing assessments and reports from medical, learning and employment sources (Andrews & Bonta, 2014). These details will be applied to gain eligibility. If this information is not present and/or does not reflect the person’s present condition, the VR counselor will inquire for a collection of diagnostic tests as well as evaluations to be done at zero cost to the applicant. VR consumers have numerous functional hindrances in three sections namely gross motor, cognitive as well as personal care functioning compared to individuals with disabilities who do not get any VR amenities. Treatment needs to incorporate assessment, program evaluation, appraisal, and research. Others are psychological intervention, career counseling, referral, and support for self- management of health conditions (Andrews & Bonta, 2014). The method is heavily effective. 

Substance abuse rehabilitation treatment 

Normal daily functioning, incorporating productive employment, bonds with family as well as loved ones, and evasion of legal entanglements can be attained with help from effectual substance abuse treatment. Substance abuse projects of all forms endeavor to   shatter the cycle of habitual drug seeking traits and the harms of persistent drug as well as alcohol abuse.    Conduct setting and form are heavily changeable and will rely heavily on each person’s exact settings and needs. For other people, substance abuse revival can be attained with comparatively petite outpatient projects. Other individuals might benefit more from a widespread duration suburban rehab ( Hanson et al., 2017). This is not to mean that all outpatient or inpatient models are similar. Many types of treatment approaches might be used in an outpatient or inpatient models and again, dependent on a person’s specific substance abuse background and their demonstrated reaction to treatment. Moreover, for many persons, the chronic nature of substance abuse issues requires observant outcome monitoring and, perhaps, multiple intervention trials. Nonetheless, with focus and attention, recuperation is possible. One key limitation is that an individual is in a structured environment that dictates when they get up in the morning when to eat when to have counseling sessions alongside when to have free-time ( Hanson et al., 2017). For many persons, though this seems like a limitation is essentially one of the best elements of residential/inpatient treatment. Another key limitation is also that numerous insurers will solely cover outpatient and not inpatient treatment. 

Sex offender rehabilitation treatment 

Thanks that the big population of imprisoned adult sex criminals will at one point in time go back to the community, recognizing methods to treat, administer, as well as supervise such offenders is essential. One method is to offer cure for sex offenders. The key aim of sex offender rehabilitation treatment is to decrease the danger of recidivism for this wrongdoer group. Collections of offenders are categorized in the sex offender class; some of them are rapists, incest criminals, pedophiles, child molesters, as well as cyber offenders ( Hanson et al., 2017). It is essential to note that wrongdoer treatment approaches are founded on a collection of models, some of them are cognitive; character approaches orthodox behavioral, imminent sloping, hormonal prescription, therapeutic castration, curative societies, religious cure, as well as intensive supervision. There have been many attempts over the last few years to use medical models to treat and decrease the danger of sex offenders as well as sex-offending traits. These include models such as surgical castration alongside hormonal therapy. Taking part in surgical castration is performed entirely on a willing basis. These methods almost always merge the medical intervention with extra psychological cure as well so that in case offenders halt taking their hormones, they will essentially have had some form of treatment (Montagnini, Javier & Ritchie, 2017). The key limitation, in this case, is, therefore, the case where patients stop taking their medications before the required time of treatment is accomplished. The method is not entirely effective but can be used, nonetheless. 

Religious rehabilitation treatment 

Christian/Religious drug rehab is a cure for addiction that incorporates faith-based healing as well as recovery. The approach employs Christ as the most essential tool for healing. The aim of any Christian drug rehab model is to assist clients to attain sobriety and offer them Christian based ideologies that will assist maintain soberness in the long term (Reinold et al., 2018). Religious rehab objectives are similar to the aims of other rehab facilities, nonetheless, each goal is Christ based and works towards strengthening spiritual foundation with the aim of maintaining sobriety. Religious rehab goals incorporate consciously commit a person’s life to Christ’s care alongside control, sincerely believe that God is omnipresent, and stop drug abuse ( Hanson et al., 2017). Other goals are a realization that one is not God, set aside time with God for self-assessment and willingly submit to any and all variations God wants to make in an individual’s life. While it may be hard to grasp at first, religious rehabs aim to apply a faith-based model to connect an individual with God. Such programs believe that the Almighty is the sole key to long-term sobriety and t hey aim to assist a person to develop and maintain a strong spiritual connection. Faith-based treatment provides therapies with an aim on spirituality, sympathy, purposeful living, as well as acceptance. These types of therapy permit the patient to harness pardon for self alongside others, effectively cultivating the self-awareness required for recovery. Mindfulness training, for instance, illustrates how patients can reflect on the suffering and how to manage complicated emotions ( Hanson et al., 2017). Yoga and reflection go hand in hand with faith-based treatments for non-denominational and material patients to attain growth together with the connection. The major limitation in religious treatment programs is lack of faith. An individual, at first might be short of faith that change will happen given the fact that people pray and wait for miracles not sure when and how that will happen (Reinold et al., 2018). This, therefore, means that the rehabilitative program is not essentially effective. 

Sex offender rehabilitation treatment and its effectiveness 

A research to apply a randomized restricted attempt formulation to assess the efficacy of cure for sex wrongdoers was done by Harris and Socia (2016). Broadly referred to as the California Sex Offender Treatment as well as Assessment Program, the research evaluated the impacts of a behavioral deterrence plan on the recidivism of offenders in prison for child defilement and rape. The study is broadly discussed in texts thanks to its use of arbitrary assignment. 

Harris and Socia (2016) evaluated the recidivism levels of 300 offenders cured in a rigorous care project with the recidivism levels of the people in two uncured regulation categories. One of the control groups incorporated 200 imprisoned sex offenders who readily accepted to attend cure but who were indiscriminately chosen not to attain it. The other category included 100 imprisoned participants who did not require cure. The result outcomes of research were sexual as well as platonic aggressive recidivism. No noteworthy dissimilarities were discovered among the categories in their levels of sexual and aggressive recidivism. Founded on a formulated follow-up duration of about ten years, the identified sexual recidivism levels amounted to 32.5% for the individuals who finalized twenty four months of cure, 19% for the wrongdoers who agreed to attend cure but who did not get it and 21.1% people who declined cure (Montagnini, Javier & Ritchie, 2017). This valid result; the outcome that care did not result into a momentous decrease in recidivism persevered for rapists as well as child defilers, as well as for high-risk and low-risk wrongdoers. Harris and Socia (2016) concluded that in the milieu of rising confidence regarding the gains of sex offender cure, the study's significance was 'Not so quick, the United States still far-reaching from understands how and when cure operates. 

A 20017 study of prisoners’ treatment project in Colorado further found optimistic outcomes (Hanson et al., 2017).). The curriculum used a behavioral model in a curative population setting. Outcomes indicated that taking part in treatment was considerably associated with achievement on parole. It was noted that wrongdoers who finished therapy and took part in aftercare had revival rates thrice under uncured sex offenders.   The duration that a criminal took part in care was connected to optimistic results after discharge. Every extra month in the restorative society enhanced the probability of victory upon discharge by 2% (12% annually). Sixty-eight percent of prisoners who took part in healing community care and who were freed on parole were arrest-free four years later, contrasted to 62% of previous sex offender prisoners left on parole who failed to take part in care (Montagnini, Javier & Ritchie, 2017). 

A previous meta-analysis of 53 pieces of research of the psychological cure for sex criminals done by Hanson and colleagues (2017) offered rather diverse outcomes.   The research was founded on a collection of 4,068 cured inmates and 3,374 uncured offenders. Regular follow-up durations varied from two to 15 years, with a mean of 44 months. Further, Hanson et al. (2017) reported that cure yielded a little but figuratively noteworthy decrease in both sexual as well as general recidivism. The scholars moreover provided that fresh cure plans were recognized to have a constructive treatment impact; whereas customary treatment approaches were connected with a diminutive but not statistically noteworthy rise in sexual recidivism. In evaluating their results, Hanson et al. (2017) believed that the connection of obtainable proof indicates that present care decrease recidivism, but that strong results await more and enhanced research. 

Research has indicated that plans involving the risk responsivity approach are far more effectual at decreasing recidivism compared to others that do not. Thanks to the robust scientific proof in support of the effectiveness of cure for offenders in general, and the responsibility that risk responsivity has in successful cure, there is a rising notice in using the program to cure for such inmates. Founded on results from a recent Safer Society review, inmates’ treatment approaches working in the United States in 2016 most often recognized behavioral remedy as among the four hypothetical approaches that effectively elaborated their healing models. Relapse deterrence cure was the second regularly recognized approach, but the level of approach cultivating reversion deterrence has reduced since 2008. Harris and Socia (2016) noted that the decline in the application of the relapse deterrence approach likely depicts the extensive censure leveled by scholars and researchers in opposition to reversion deterrence in recent times, especially the disapproval that reversion cure elaborates only a single trail to wrongdoing and that it exaggerates risk evasion as divergent to personal objectives as well as aims. 

Conclusion 

The paper analyzed psychological, educational/vocational, substance abuse, sex offender and religious. This assessment further incorporated the treatment approaches for all the five rehabilitative programs and their efficacy. Finally, the research discussed sex offender rehabilitative treatment effect on corrections and society’s perceptions within the last ten years. 

Thanks to the effect sex felonies have on individuals and the world, and the heightening level of sex criminals under correctional command, the requirement for information regarding criminal justice approaches that are successful at diminishing the recidivism of inmates might be bigger in current times than previous times. While there is robust logical proof that healing interventions operate for criminal offenders, the success of cure has been the topic of extensive discussion. Contradictory research outcomes and dimension limitations have added to the doubt regarding healing efficacy, but the model of results and excellence of the proof have shifted in recent times. 

References 

Andrews, D. A., & Bonta, J. (2014).    The psychology of criminal conduct . Routledge. 

Hanson, R. K., Babchishin, K. M., Helmus, L. M., Thornton, D., & Phoenix, A. (2017). Communicating the results of criterion-referenced prediction measures: Risk categories for the Static-99R and Static-2002R sexual offender risk assessment tools. Psychological assessment ,    29 (5), 582. 

Harris, A. J., & Socia, K. M. (2016). What’s in a name? Evaluating the effects of the “sex offender” label on public opinions and beliefs.    Sexual Abuse ,    28 (7), 660-678. 

Montagnini, M., Javier, N., & Ritchie, C. (2017). Physical therapy and other rehabilitation issues in the palliative care setting.    UpToDate May ,    16

Reinold, M. M., Escamilla, R., Wilk, K. E., Davies, G. J., Dickoff-Hoffman, S., Arrigo, C. A., ... & Walton, J. (2018). Current Concepts in the Rehabilitation of the Athletic Shoulder. Journal of Orthopaedic & Sports Physical Therapy ,    18 (1). 

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StudyBounty. (2023, September 16). Current Rehabilitation Issues.
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