Sociology & Social Policy, University of Leeds, Leeds, UK.
J Appl Res Intellect Disabil. 2020 Jul;33(4):729-738. doi: 10.1111/jar.12618. Epub 2019 May 13.
The resources used in treatment for sex offenders with intellectual disabilities have had much research attention, but less has been written about how participants are expected to respond (programme mechanisms).
A realist evaluation of seven programmes from the UK, Canada, USA, Switzerland and Germany was conducted. In semi-structured interviews, programme designers elucidated how they are intended to work. The data analysis was driven by the realist concern to expose programme mechanisms and intended outcomes.
Two main outcomes are increasing risk management capacities and cultivating prosocial identities. These are achieved through developing insights into a person's risks, work on (sexual) self-regulation skills, sexual boundaries and personal values and by developing meaningful social roles and positive relationships.
Over time, there have been changes to some of the treatment resources used. However, there were little differences in terms of the intended programme mechanisms and outcomes, which remained surprisingly consistent.
用于治疗智障性性犯罪者的资源已经受到了大量研究关注，但对于参与者的预期反应（计划机制）却鲜有提及。
对来自英国、加拿大、美国、瑞士和德国的七个项目进行了现实主义评估。在半结构化访谈中，项目设计者阐明了他们的预期工作方式。数据分析受到现实主义的驱动，旨在揭示项目机制和预期结果。
两个主要结果是提高风险管理能力和培养亲社会身份。这是通过深入了解个人的风险、（性）自我调节技能、性边界和个人价值观的工作，以及通过发展有意义的社会角色和积极的关系来实现的。
随着时间的推移，一些治疗资源已经发生了变化。然而，在预期的计划机制和结果方面，几乎没有差异，这些机制和结果仍然出人意料地保持一致。
