Georgia F. Cumming’s research while affiliated with The Department of Corrections and other places

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Publications (25)


TABLE 2 Therapist and Client Mean SOTIPS Scores and Treatment Goal Endorsement (N D 80) 
TABLE 3 Comparisons of Therapist and Client SOTIPS Scores (N D 80) 
Collaborative Treatment Planning Using the Sex Offender Treatment Intervention and Progress Scale (SOTIPS): Concordance of Therapist Evaluation and Client Self-Evaluation
  • Article
  • Full-text available

April 2015

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404 Reads

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8 Citations

International Journal of Mental Health

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Doug Wilson

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Georgia F Cumming

Contemporary views on sex offender treatment planning suggest that therapist and client collaboration may enhance treatment outcomes, but little research has examined this topic. The use of dynamic risk assessment instruments may provide insight into what criminogenic needs should be focused on for clients in sex offender treatment. Here, we compared therapist and client (N D 80) mid-treatment assessment scores on the Sex Offender Treatment Intervention and Progress Scale (SOTIPS) in a prison-based treatment program for adult male sex offenders. The SOTIPS is 16-item dynamic assessment measure of treatment needs and progress that was designed to be scored at intake and thereafter as often as every six months on a four-point scale. Data were collected following the completion of SOTIPS as a group treatment exercise. Although there were significant overall differences in SOTIPS scores between therapists and clients (t(79) D 6.50, p < .001; d D 1.03), SOTIPS scores related to criminality, social stability and supports, and sexual deviance showed substantial (ICC D 0.75, p < .001), moderate (ICC D 0.59, p < .001), and fair (ICC D 0.23, p < .05) correlations, respectfully. Using partial correlations, controlling for static risk showed no impact on these relationships. Findings are discussed in light of the experiences of therapists. This study suggests that the SOTIPS provides a useful framework for therapists to engage clients in a collaborative process of identifying clients’ strengths, potential treatment needs, and treatment progress.

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TABLE 2 Therapist and Client Mean SOTIPS Scores and Treatment Goal Endorsement (N D 80)
TABLE 3 Comparisons of Therapist and Client SOTIPS Scores (N D 80)
Collaborative treatment planning using the Sex Offender Treatment Intervention and Progress Scale (SOTIPS): Concordance of therapist evaluation and client self-evaluation.

January 2015

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224 Reads

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5 Citations

International Journal of Forensic Mental Health

Contemporary views on sex offender treatment planning suggest that therapist and client collaboration may enhance treatment outcomes, but little research has examined this topic. The use of dynamic risk assessment instruments may provide insight into what criminogenic needs should be focused on for clients in sex offender treatment. Here, we compared therapist and client (N D 80) mid-treatment assessment scores on the Sex Offender Treatment Intervention and Progress Scale (SOTIPS) in a prison-based treatment program for adult male sex offenders. The SOTIPS is 16-item dynamic assessment measure of treatment needs and progress that was designed to be scored at intake and thereafter as often as every six months on a four-point scale. Data were collected following the completion of SOTIPS as a group treatment exercise. Although there were significant overall differences in SOTIPS scores between therapists and clients (t(79)D 6.50, p< .001; dD 1.03), SOTIPS scores related to criminality, social stability and supports, and sexual deviance showed substantial (ICCD 0.75,p< .001), moderate (ICCD 0.59,p< .001), and fair (ICCD 0.23, p < .05) correlations, respectfully. Using partial correlations, controlling for static risk showed no impact on these relationships. Findings are discussed in light of the experiences of therapists. This study suggests that the SOTIPS provides a useful framework for therapists to engage clients in a collaborative process of indentifying clients’ strengths, potential treatment needs, and treatment progress.


Figure 1. Stability of stranger victims stratified by Static-99R risk level (N = 82).
Sample Characteristics for 82 Sexual Recidivists.
Lasher, M. P., McGrath, R. J., & Cumming, G. F. (2015). Sex offender modus operandi stability and relationship with actuarial risk assessment.

January 2015

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324 Reads

Journal of Interpersonal Violence

Three studies conducted in Vermont yielded data on 82 sexual recidivists’ index offenses (Time 1) and sexual reoffenses (Time 2) across 16 modus operandi (MO) characteristics. The current study examines the stability of these 16 characteristics between Time 1 and Time 2 offenses. Probabilities of Time 1–Time 2 characteristic combinations are reported, including when controlling for static risk as measured by the Static-99R and Vermont Assessment of Sex Offender Risk–2 (VASOR-2). Overall, considerable stability of offenders’ MO was evident between Time 1 and Time 2 offenses. Victim characteristics and offense behaviors were the most stable MO characteristics, and degree of force used and victim injury were less stable and trended toward less forceful and less injurious reoffenses. Controlling for static risk had little impact on the patterns of MO stability.


Stability of stranger victims stratified by Static-99R risk level (N = 82).
Sample Characteristics for 82 Sexual Recidivists.
Observed Sample Distribution.
Offense–Reoffense Characteristic Probabilities.
Offense–Reoffense Characteristic Probabilities Controlling for Static-99R Risk Level.
Sex Offender Modus Operandi Stability and Relationship With Actuarial Risk Assessment

June 2014

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330 Reads

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7 Citations

Three studies conducted in Vermont yielded data on 82 sexual recidivists’ index offenses (Time 1) and sexual reoffenses (Time 2) across 16 modus operandi (MO) characteristics. The current study examines the stability of these 16 characteristics between Time 1 and Time 2 offenses. Probabilities of Time 1–Time 2 characteristic combinations are reported, including when controlling for static risk as measured by the Static-99R and Vermont Assessment of Sex Offender Risk–2 (VASOR-2). Overall, considerable stability of offenders’ MO was evident between Time 1 and Time 2 offenses. Victim characteristics and offense behaviors were the most stable MO characteristics, and degree of force used and victim injury were less stable and trended toward less forceful and less injurious reoffenses. Controlling for static risk had little impact on the patterns of MO stability.


Table 9. Estimated Violent Recidivism Rates by Combined Static-99R and SOTIPS Risk/Need Categories 
SOTIPS: Sex Offender Treatment Intervention and Progress Scale Manual

November 2013

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4,622 Reads

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14 Citations

The Sex Offender Treatment Intervention and Progress Scale (SOTIPS) is a 16-item statistically-derived dynamic measure designed to aid clinicians, correctional caseworkers, and probation and parole officers in assessing risk, treatment and supervision needs, and progress among adult male sex offenders. This manual describes how the SOTIPS is constructed, scored, and interpreted. The manual also describes the instrument’s target population, psychometric properties, and changes from the last version.



Figure 1. Calibration plot with Lowess smoothed curve for VASOR-2 adjusted estimated sexual recidivism rates and observed sexual recidivism rates (N = 1,581).  
Table 1. Characteristics of Studies. 
Table 4. Meta-Analysis of Logistic Regression Coefficients for VASOR-2 for Sexual Recidivism (k = 4, N = 1,581). 
Table 5 . VASOR-2 Reoffense Risk Scale Categories and Observed and Estimated Sexual Recidivism Rates at 5-Year Follow-up for Nonselected Routine Vermont Sample (n = 887).
Development of Vermont Assessment of Sex Offender Risk-2 (VASOR-2) Reoffense Risk Scale

April 2013

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609 Reads

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17 Citations

Sexual Abuse A Journal of Research and Treatment

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Georgia F Cumming

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The present study aimed to revise the Vermont Assessment of Sex Offender Risk (VASOR) Reoffense Risk Scale, a commonly used sex offender risk assessment tool. The revised tool was named the VASOR-2. Among models tested to revise the scale, a logistic regression model showed the best balance between simplicity of use, goodness of fit, and internal validity (as tested with K-10 cross-validation), and maximized predictive accuracy. Predictive accuracy was tested using four meta-analytically combined data sets drawn from Canada and Vermont (N = 1,581). At 5-year fixed follow-up, the predictive accuracy for sexual recidivism for VASOR-2 (AUC = .74) was similar to the VASOR (AUC = .71). The findings show the VASOR-2 is well calibrated with observed recidivism rates for all but the highest risk sex offenders. The instrument showed good interrater reliability (ICC = .88). An advantage of the VASOR-2 is that it has fewer items and simpler scoring instructions than the VASOR. Norms are presented for a contemporary, nonselected, routine sample of Vermont sex offenders (n = 887).


Table 1 . Descriptive Statistics (N = 759) M SD 
Figure 2. Interval-censored survival curves based on GEE analyses Note: Survival rate shown as survival proportion of n during repeated 36-month follow-up; Days to Sexual Reoffense (n = 749), Days to Violent Reoffense (n = 746), Days to Any Reoffense (n = 740), and Days to Return to Prison (n = 729). 
Table 2 . SOTIPS Mean Scores and Sexual Recidivism Rates by Score Times 
Table 3 . Factor Loadings for Exploratory Factor Analysis With Varimax Rotation of SOTIPS Items 
Table 7 . GEE Model Effects and Parameter Estimates for Sexual Recidivism One-year follow-up 
The Sex Offender Treatment Intervention and Progress Scale (SOTIPS): Psychometric Properties and Incremental Predictive Validity With Static-99R

February 2012

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2,473 Reads

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97 Citations

Sexual Abuse A Journal of Research and Treatment

The Sex Offender Treatment Intervention and Progress Scale (SOTIPS) is a 16-item rating scale designed to assess dynamic risk among adult male sex offenders and degree of change at 6-month intervals during treatment. The purpose of the present study was to examine the psychometric properties of the SOTIPS in a construction sample of 759 adult male sex offenders who were under correctional supervision and enrolled in cognitive-behavioral community treatment in Vermont between 2001 and 2007. The scale showed acceptable interrater reliability. SOTIPS scores at 1, 7, and 13 months after participants began treatment predicted sexual, violent, and any recidivism, and return to prison at fixed 1- and 3-year follow-up periods (AUCs = .60 to .85). Combined SOTIPS and Static-99R scores predicted all recidivism types (AUCs = .67 to .89) and outperformed either instrument alone when both instruments had similar predictive power. Participants who demonstrated treatment progress, as reflected by reductions in SOTIPS scores, showed lower rates of recidivism than those who did not.


The Sex Offender Treatment Intervention and Progress Scale (SOTIPS): Psychometric properties and incremental validity with the Static-99R. Sexual Abuse

January 2012

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1,521 Reads

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16 Citations

Sexual Abuse A Journal of Research and Treatment

The Sex Offender Treatment Intervention and Progress Scale (SOTIPS) is a 16-item rating scale designed to assess dynamic risk among adult male sex offenders and degree of change at 6-month intervals during treatment. The purpose of the present study was to examine the psychometric properties of the SOTIPS in a construction sample of 759 adult male sex offenders who were under correctional supervision and enrolled in cognitive-behavioral community treatment in Vermont between 2001 and 2007. The scale showed acceptable interrater reliability. SOTIPS scores at 1, 7, and 13 months after participants began treatment predicted sexual, violent, and any recidivism, and return to prison at fixed 1- and 3-year follow-up periods (AUCs = .60 to .85). Combined SOTIPS and Static-99R scores predicted all recidivism types (AUCs = .67 to .89) and outperformed either instrument alone when both instruments had similar predictive power. Participants who demonstrated treatment progress, as reflected by reductions in SOTIPS scores, showed lower rates of recidivism than those who did not.


Citations (20)


... Fewer studies have addressed the relationship between polygraph testing and recidivism. McGrath, Cumming, Hoke and Bonn-Miller (2007) and Cook (2011) are the only studies we located that address this relationship. , et al. (2007), using a comparative matched-pairs design, studied recidivism incidence among treated offenders who were subject to maintenance polygraph testing regarding compliance with the supervision and treatment program. ...

Reference:

VOLUME 44 2015 NUMBER 2 Polygraph
Outcomes in a Community Sex Offender Treatment Program: A Comparison Between Polygraphed and Matched Non-polygraphed Offenders
  • Citing Article
  • December 2007

Sexual Abuse A Journal of Research and Treatment

... Amand et al., 2008). Cognitive behavioral therapies targeting individual-level thought-based behavior change (Dopp et al., 2015;Dopp et al., 2015;McGrath et al., 2010) may not always be supplemented with caregiver and family-inclusive approaches. Findings from a 2008 meta-analysis -with study samples of adolescents up to age 16 revealed that parenting/behavior management components yielded the largest effects on PSB outcomes and null effects when adult model elements were used (i.e., relapse prevention, assault cycle, or arousal reconditioning) (St. ...

Current Practices and Emerging Trends in Sexual Abuser Management
  • Citing Article
  • January 2010

... Sex offender registration laws lack empirical support and their implementation is associated with high costs. Moreover, sex offender registration and especially community notification can have adverse collateral consequences for offenders such as impaired reintegration, job loss, denial of promotion, loss of residence or denial of place to live, being treated rudely in public, physical assault and threats, being stigmatized and increased negative affect (Lasher & McGrath, 2012; Vess et al., 2011). Unfavorable collateral consequences affect families as well as offenders, and cause financial hardships, impoverished family life, and social withdrawal (Levenson & Tewksbury, 2009). ...

Impact of Community Notification on Sex Offender Reintegration in Vermont Before and After Passage of a Megan's Law

... In the same vein, the case manager should be aware of and adhere to any conditions of probation, parole, or Act 248 that may limit or deny visitation. The Risk of Sexual Abuse of Children (ROSAC) risk assessment manual may provide assistance in determining if and under what conditions the person with DD/PSB might be safely allow contact with children in the family (McGrath, Allin, & Cumming, 2015). ...

Risk of Sexual Abuse of Children (ROSAC): Structured professional guidelines for assessing the risk a sexual abuser poses to a child and making contact decisions

... In this Letter, we examine the construct validity of the SSPI-2 by investigating the possibility that its items could be indicators of a behavioral propensity to sexually offend against children, beyond pedohebephilia. It is important to establish the construct validity of the SSPI-2 because it is often used in clinical practice and in research as a measure of pedohebephilic interest (e.g., McGrath et al., 2013;Schmidt et al., 2017). ...

Sex Offender Treatment Intervention and Progress Scale (SOTIPS) Manual

... The second component of the RPM relates to the supervision of convicted offenders in the community (e.g., Cumming & McGrath, 2000;Pithers et al., 1989). This component is based on the notion that sex offender treatment in prison must continue in the community following an offender's release. ...

External Supervision: How can it Increase the Effectiveness of Relapse Prevention?
  • Citing Chapter
  • January 2000

... Prior research suggests treatment providers welcome open communication about client needs but are resistant to probation officers becoming too engaged in direct treatment provision. For example, a national survey of community-based providers' overseeing treatment for sex offenders found that providers were comfortable having probation officers attend group meetings but did not want them involved in co-leading any treatment discussions (McGrath et al. 2002). ...

Collaboration Among Sex Offender Treatment Providers and Probation and Parole Officers: The Beliefs and Behaviors of Treatment Providers

Sexual Abuse A Journal of Research and Treatment

... The idea of shared decision making, although present in some recent approaches with sexual abusers such as the Good Lives Model (Ward, 2002), SOTIPS (an assessment scale) (Lasher, McGrath, Wilson, & Cumming, 2015), and motivational interviewing (Shingler & Mann, 2006), is a concept that has not been fully explored or realized in the field. One possible reason for this is that our clients are often mandated to participate in treatment. ...

Collaborative treatment planning using the Sex Offender Treatment Intervention and Progress Scale (SOTIPS): Concordance of therapist evaluation and client self-evaluation.

International Journal of Forensic Mental Health

... Sexual deviance is thus a relevant factor to address in certain treatment settings, that is, when it is experienced as a burden or when it acts a risk factor for sexual offending. Treatment of sexual offending behavior is more effective when deviant sexual arousal is explicitly addressed (Gannon et al., 2019;McGrath et al., 2010;McPhail & Olver, 2020;Smid, 2021). However, techniques to directly address sexual deviance, such as (re)conditioning techniques, are not standard in Europe (Smid, 2021), are not applied in a substantial part of the treatments in Northern America and Canada (McGrath et al., 2010), and seem "to have lost favor" in some "Western jurisdictions" (Gannon et al., 2019, p. 13). ...

Current practices and emerging trends in sexual abuser management: The Safer Society 2009 North American Survey

... The tools are developed to assess the recidivism risk of individuals and are not applicable for all people working in sport. Knowing that the vast majority of people who sexually offend are seen for the first time by the justice system (McGrath et al., 2011), these tools do not provide insights to use in a wider population. ...

A model of static and dynamic sex offender risk assessment