Treatment of Sex Offenders
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58<br />
R.J.B. Lehmann et al.<br />
justified on the grounds that they provide incremental information (Babchishin<br />
et al., 2012b ; Welsh, Schmidt, McKinnon, Chattha, & Meyers, 2008 ). For some<br />
scales the developers propose starting with a commonly used risk scale and adjusting<br />
the overall rating based on the scores <strong>of</strong> an incrementally valid, additional risk<br />
instrument (e.g., Helmus, Hanson, Babchishin, & Thornton, 2014 ). Also, recent<br />
research indicates that averaging the risk ratios <strong>of</strong> different risk tools is a promising<br />
approach to obtaining a better overall evaluation <strong>of</strong> relative risk (Lehmann, Hanson<br />
et al. 2013 ), as opposed to other approaches, such as taking the highest or lowest<br />
risk estimate. Hence, a strength <strong>of</strong> actuarial risk assessment is the inclusion <strong>of</strong> a<br />
range <strong>of</strong> empirically validated risk factors or scales, which under certain circumstances<br />
(see Lehmann, Hanson et al. 2013 ) could be combined into an overall risk<br />
judgment <strong>of</strong> recidivism risk with better predictive accuracy than a single scale.<br />
Selected Examples <strong>of</strong> Actuarial Risk Scales for <strong>Sex</strong> <strong>Offenders</strong><br />
Below, specific examples <strong>of</strong> risk scales for sex <strong>of</strong>fenders will be discussed. Note<br />
that they are not meant as an exhaustive list <strong>of</strong> scales available—they are illustrative<br />
examples <strong>of</strong> scales we are most familiar with. This chapter was not intended to<br />
provide a detailed review <strong>of</strong> actuarial risk scales available.<br />
The Static-99/R<br />
The most commonly used static sex <strong>of</strong>fender risk assessment tools in Canada and<br />
the United States are the Static-99 and Static-99R (Hanson & Thornton, 2000 ;<br />
Helmus, Thornton, Hanson, & Babchishin, 2012 ; Interstate Commission for Adult<br />
Offender Supervision, 2007 ; Jackson & Hess, 2007 ; McGrath, Cumming, Burchard,<br />
Zeoli, & Ellerby, 2010 ; Neal & Grisso, 2014 ). The Static-99/R is 10-item actuarial<br />
scales designed to assess sexual recidivism risk <strong>of</strong> adult male sex <strong>of</strong>fenders. The<br />
items and scoring rules for Static-99 (Hanson & Thornton, 2000 ) and Static-99R<br />
(Helmus, Thornton et al., 2012 ) are identical with the exception <strong>of</strong> updated age<br />
weights for the Static-99R. The scale developers have recommended that Static-<br />
99R be used in place <strong>of</strong> the original scale (Helmus, Thornton et al., 2012 ). Static- -<br />
99/R contains items covering the broad constructs <strong>of</strong> age and relationship status<br />
(i.e., whether the <strong>of</strong>fender has ever lived with a lover for two or more years), sexual<br />
deviance (e.g., stranger victims, noncontact sexual <strong>of</strong>fences, prior sex <strong>of</strong>fenses), and<br />
general criminality (e.g., number <strong>of</strong> prior sentencing occasions, index nonsexual<br />
violence, prior nonsexual violence) identified in meta-analytic research (Hanson &<br />
Bussière, 1998 ; Hanson & Morton-Bourgon, 2005 ).<br />
Accordingly, the strength <strong>of</strong> the risk tool is that it only uses risk factors empirically<br />
associated with sexual recidivism. Also, explicit rules for combining the factors<br />
into a total risk score are provided (A. Harris, Phenix, Hanson, & Thornton, 2003 ).