Preventing Sexual Misconduct by People with Intellectual Disabilities

描述(申请人提供)：性虐待是一个重要但往往隐藏的公共卫生问题。性犯罪者给社会带来的经济负担估计为2,055,528,000美元。其中大部分费用与监禁罪犯有关，而防止性虐待和有效治疗性犯罪者，特别是智力残疾(即智力障碍)的性犯罪者，仍然是较低的优先事项。在美国，大约有750万人患有智障，其中90%是轻度损伤(即轻度智力障碍)。据估计，智障人士的性侵犯发生率在15%至40%之间，其中性侵犯占这一人群定罪的12%至46%。大多数智力残疾的性犯罪者永远不会被审判，而是被转移到以社区为基础的监督项目中，如集体之家。这一第一阶段项目将开发一个交互式多媒体(IMM)光盘培训方案，旨在防止智障男性和女性的性行为不端和机会性侵犯。该计划将教智障成年人认识到人与人之间的生理界限，识别和评估可能导致机会性侵犯的风险变量，并制定一套降低风险的策略，当使用这些策略时，将防止性行为不端或机会性侵犯的发生。该计划将用于教育、职业、社会、康复和居住环境。计算机新手用户将能够使用交互式鼠标驱动的第一阶段CD-ROM程序，而不需要以前的计算机经验。使用随机对照试验前测后测小组设计，每组20名受试者，原型光盘计划将由智力中等到边缘(智商从50到80)的成年人进行评估。作为第一阶段评估的一部分，我们还将开始评估原型计划对学习迁移和泛化的影响。第二阶段将根据年龄、性别和知识创建一套4个交互式CD-ROM程序。在第二阶段，还将开发两个用于小组讨论或治疗环境的DVD配套程序。第二阶段将评估CD-ROM和DVD技术在减少成年男性和成年女性以及有智力障碍的青少年男性和青少年女性的不端性行为和机会性侵犯的可能性方面的效果。

DESCRIPTION (provided by applicant): Sexual abuse is a significant yet often hidden public health issue. The economic burden place on society by sex offenders has been estimated to be $2,055,528,000. Most of these costs are related to incarceration of offenders, while prevention of sexual abuse and efficacious treatment of sex offenders, particularly those with intellectual disablities (i.e., mental retardation), remain low priorities. There are approximately 7.5 million people with ID in the United States, 90% of whom are mildly impaired (i.e., mild mental retardation). The incidence of sex offending by people with intellectual disabilities has been estimated to range from 15 to 40%, with sex offenses accounting for 12 to 46% of convictions of in this population. Most sex offenders with intellectual disabilities are never adjudicated, but are diverted into supervised community-based programs such as group homes. This Phase I project will develop an interactive multi-media (IMM) CD-ROM training program designed to prevent sexual misconduct and opportunistic sexual offending by males and females with intellectual disabilities. The program will teach adults with intellectual disabilities to recognize interpersonal physical boundaries, to identify and assess risk variables that could lead to opportunistic sex offending, and develop a set of risk-reduction strategies that when employed, will prevent the occurrence of sexual misconduct or opportunistic sexual offending. The program will be designed for use in educational, vocational, social, rehabilitative, and residential environments. Novice computer users will be able to use the interactive mouse-driven Phase I CD-ROM program with no prior computer experience. Using a randomized control trial pre-test post-test group design with 20 subjects per group, the prototype CD-ROM program will be evaluated by adults with moderate to borderline intelligence (IQ range 50 through 80). As part of the Phase I evaluation, we will also begin to assess the impact of the prototype program on learning transfer and generalization. Phase II will create a set of 4 interactive CD-ROM programs tailored by age, sex, and knowledge. During Phase II, 2 DVD companion programs designed for use in group discussion or treatment environments will also be developed. Phase II will evaluate the efficacy of both CD-ROM and DVD technology for reducing the likelihood of sexual misconduct and opportunistic sex offending by adult males and adult females; and teen males and teen females with intellectual disabilities.