Offenders must be informed of the side effects of medroxyprogesterone acetate for sex offenders in Las Vegas. Offenders may choose surgical castration instead of chemical treatment. Incarcerated offenders must begin treatment six weeks before their release. Texas is the only state that currently allows certain repeat offenders to elect surgical castration without a treatment option.
Laws on Castration. In lieu of treatment, a defendant may ask for and a court may order physical castration if it finds the defendant ' s consent to be intelligent, knowing, and voluntary. If it would, the court may require treatment as a condition of probation.
When used by men, MPA has the effect of reducing their testosterone levels to pre-puberty levels. The court order must specify the duration of treatment, up to life. Laws on Castration. The crimes that could subject parolees to chemical castration are:.
In all of these states treatment is a condition of release from custody and generally starts before the offender is released. The department must: 1.
Primary outcome : recividism. Sex offenders traditionally are managed by the criminal justice system, but psychiatrists are frequently called on to assess and treat these individuals. As clinicians, we may need to assess and treat a wide range of sexual issues, from persons with paraphilias who are self-referred and have no legal involvement, to recurrent sexual offenders who are at a high risk of repeat offending.
Results suggested that the frequency of self reported medroxyprogesterone acetate for sex offenders in Las Vegas sexual fantasies may be reduced by testosterone-suppressing drugs, but not the deviancy itself. A few case studies 12 - 14 and 1 study of 21 adolescent sex offenders 15 have shown benefits in treating sexual offenders or paraphiliacs.
Five studies were placebo -controlled; in two, MPA was administered as an adjunctive treatment to a psychological therapy assertiveness training or imaginal desensitisation. The quality of the evidence overall was poor.
Louisiana Texas Gov. Table 1 shows castration laws by state. A sentencing court may require a person convicted of aggravated sexual assault of a child under age 16 to undergo a psychiatric evaluation to determine whether MPA chemical treatment or its equivalent would be effective in changing the offender ' s behavior.
Offenders must be informed of the side effects of treatment.