HomeMy WebLinkAboutSex Offender Assessment Group Discharge Summary Print Form
IDAHO DEPARTMENT OF CORRECTION
SEX OFFENDER RISK ASSESSMENT
Offender Name Offender IDOC# Date of Birth Date of Report
Sources of Information
[—]Review of Medical Record [—]Collateral Source Interview ❑Additional (specify below)
[—]Review of Central File ❑STATIC-99R
❑Offender Interview []STABLE-2007
Consent
This evaluation is requested by the Idaho Parole Commission to assist in the parole planning process. The fact
that this interview was not confidential and that any and all information could be part of a report submitted to
the Parole Commission and used in consideration of granting parole was explained.
❑Offender indicated that he understood and agreed to participate in the interview
❑Offender declined/refused to participate in the interview
History
Date of most recent sex offense Offender age when crime was What was the age of the victim(s)?
committed
Number of prior charges or convictions for sexual
Offender age at first documented sex offense
offenses
What was the conviction(s)?
What was the nature of the Sexual Act(s)?
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Offender Name Offender IDOC# Date of Birth Date of Report
Nature of Sexual Act(s)continued:
Static Risk Factors
[—]young ❑Prior Sentencing Dates ❑Previous Failure of Treatment
❑Never Cohabitated with an ❑Convictions for Non-contact Sex ❑Previous VSP Designation
Intimate Partner for 2+years Offenses ❑Unsuccessful Community
❑Index Non-sexual Violence ❑Any Unrelated Victims Supervision
❑Prior Non-sexual Violence ❑Any Stranger Victims ❑Substance Abuse
❑Prior Sex Offenses ❑Any Male Victims
Static-9911 Results
--The offender scored -3 on the Static-99R placing him in the Low Risk category. Offenders from the
preselected for treatment need sample with the same score have sexually reoffended at a rate of
1.7% in five years and 3.2% in 10 years.
Relative Risk Ratio (Comparing with other sex offenders based on their STATIC-99R scores and current
research)
With a score of-3, the offender is .19 times more likely to reoffend sexually in comparison to the typical sexual offender.
STATIC-99R Alternative Risk Estimate NO Alternative Risk Estimate Used
used? ❑ Non-Routine ❑High-Risk Needs
Explanation if different Alternative Risk Estimate was used:
Dynamic Risk Factors/Treatment Targets
❑Social Influences ❑Lack of Concern for Others ❑Sex as Coping
❑Intimacy Deficits ❑Impulsive Acts ❑Deviant Sexual Interest
❑Emotional Identification ❑Poor Cognitive Problem Solving ❑Substance Abuse
w/Children ❑Negative Emotionality/Hostility ❑Cooperation with Supervision
❑Hostility Towards Women ❑Sexual Preoccupation/Sex Drive
❑General Social
Rejection/Loneliness
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Offender Name Offender IDOC# Date of Birth Date of Report
Assessment Comments:
Case Plan/Pathway
What Pathway is the Offender currently Compliant with Case Plan/Pathway? Refusal to Program Date
Assigned to based on current STATIC-99R score?
(This may have changed based on possible change to
STATIC-99R score)
#8-SO-Low Risk Cognitive YES
Describe Progress in Sex Offender Treatment Program:
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Offender Name Offender IDOL# Date of Birth Date of Report
Treatment and Supervision Recommendations(or Considerations)
If parole is granted, the following treatment and/or supervision should be considered:
❑Sex Offender Treatment ❑Medication ❑Other (Specify in Additional
❑Substance Use Disorder Compliance/Management Comments)
Treatment ❑Vocational Rehabilitation
❑Sex Offender Supervision ❑Completion of GED/HSE
❑Mental Health Treatment ❑Sober/Structured Housing
❑Anger/Stress Management
Additional Comments:
Report Completed By: Credential: Date: Signature:
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