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Sexual Abuse: A Journal of Research and Treatment
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How to Know What Works with Sexual Offenders

R. Karl Hanson

Department of the Solicitor General of Canada, 340 Laurier Avenue, West, Ottawa, Ontario, Canada K1A 0P8

The purpose of this paper is to review methods for evaluating the efficacy of treatment programs for sexual offenders. Even though recidivism reduction is the ultimate goal of treatment, the low base rate of detected recidivism makes this an impractical outcome criterion in many settings. In this paper, I discuss three general approaches that can be used to advance our knowledge: (1) large, well-controlled single-site research studies; (2) pooling of small studies through meta-analysis; and (3) detailed examination of within-treatment change on dynamic (changeable) risk factors. Each approach has its own strengths and weaknesses. It is only through the accumulation of consistent results from diverse studies that we are able to learn what works with sexual offenders.

Key Words: meta-analyses • offender treatment • outcome research • sexual offending • study design.

Sexual Abuse: A Journal of Research and Treatment, Vol. 9, No. 2, 129-145 (1997)
DOI: 10.1177/107906329700900205
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