In this training, Jeffrey Abracen, PhD and Jan Looman, PhD C Psych explain how clinicians can apply the principles of the Integrated Assessment and Treatment System (IRATS) model in both institutional and community settings. The IRATS has received empirical support through various long-term outcome studies comparing treated and untreated cohorts of individuals convicted of sexual offenses.

The presenters demonstrate how clinicians can integrate treatment for serious mental illness with the IRATS model. This approach offers a holistic perspective and emphasizes that client mental health needs are integral to the treatment concerns with which clients present. This is particularly important given that there is now a large body of research indicating that mental health needs are both directly and indirectly related to recidivism among individuals convicted of sexual offenses.

This training also offers practical guidance for developing and maintaining the therapeutic alliance with high-risk/high-need clients. The presenters outline how such approaches differ from working with low-risk/low-need clients. For example, it is the presenters’ experience that approaches that succeed in developing and maintaining the therapeutic alliance with individuals who have high levels of psychopathic traits are likely counter-productive when working with low-risk clients.

Finally, the presenters address case management strategies, emphasizing the collaboration between parole/probation staff and psychology/psychiatric professionals. This integrated approach ensures a cohesive and effective treatment plan for clients.

By elucidating these key aspects of the IRATS model, the training equips clinicians with advanced tools and strategies to enhance their therapeutic efficacy in working with individuals convicted of sexual offenses across various treatment settings.