Professional Sexual Misconduct

THE KRUEGER AND KAPLAN PROGRAM FOR THE EVALUATION AND TREATMENT OF PROFESSIONAL SEXUAL MISCONDUCT

Our program specializes in the comprehensive evaluation and treatment of professionals who have engaged in professional sexual misconduct. We offer evaluation, treatment, and a relapse prevention program.

Assessment:

The initial evaluation consists of a one-day work-up which includes:

• Intensive clinical interviews with Drs. Krueger, Kaplan, and/or Martinez. Depending on the evaluation one or all of these professionals may interview professionals and offer a second, or third, opinion.

• Interviews with relatives or spouses or practice associates, where appropriate.

• A battery of psychological tests.

• Psychophysiologic testing, including polygraphy, plethysmography, and viewing time, as might be indicated.

• A review of legal, licensing board documentation, therapy records and other records.

• A thorough evaluation of contributors to loss of control, such as alcohol and substance abuse, stress, underlying personality disorders or paraphilias, or other conditions.

• The development of specific monitoring and treatment plans needed for the safe continuation of professional practice or the formulation of the opinion that further practice is contraindicated.

• An in-depth report to be sent to the patient’s medical or licensing board or supervising church authority or other authority, or to the patient’s attorney.

• The assessment would direct the patient into a highly specific treatment plan directed towards the individual gaining control of his or her impulses and being able to return to practice safely.

Treatment Components:

• Treatment is eclectic and individualized.

• A major treatment component is an ongoing group focusing on sexual misconduct.

• Restructuring an individual’s practice or work to assure monitoring and surveillance.

• Cognitive-behavioral treatments to disrupt beliefs and attitudes leading to sexual misconduct.

• Empathy training to help clients appreciate the consequences of being victimized.

• Where indicated, psychotherapy to deal with personality and other problems relating to professional sexual misconduct.

• Substance abuse counseling.

• Behavior therapy to reduce and control misconduct urges.

• Sex education and sex dysfunction treatment.

• Relapse prevention to focus on the particular emotions and stressors which may have precipitated relapses in the past.

• Development of surveillance groups and reports to include individuals in the professional’s workplace, if the patient returns to his practice.

Staff:

Meg Kaplan, Ph.D., is a psychologist who is the Director of the Sexual Behavior Clinic at the New York State Psychiatric Institute, an outpatient clinic for the evaluation and treatment of sexual abusers. She has worked with sex offenders since 1980 and is nationally recognized as a researcher in the assessment and treatment of sex offenders. She is an Associate Professor of Clinical Psychology in Psychiatry at the College of Physicians and Surgeons, Columbia University . She also worked for 10 years as a parole officer before becoming a psychologist. She is on the board of the New York State ATSA.

Richard B. Krueger, M.D., has been assessing and treating sex offenders since 1985. He is an Associate Clinical Professor of Psychiatry at Columbia, College of Physicians and Surgeons, where he teaches medical students and residents and supervises forensic psychiatric fellows. He is the Medical Director of the Sexual Behavior Clinic at New York State Psychiatric Institute. He is board certified in internal medicine, psychiatry, and in addiction and forensic psychiatry. Dr. Krueger is also a boardmember and Vice President of the New York State ATSA.

Douglas Martinez, Ph.D., has experience in the assessment and treatment of sexual offenders. He is a member of ATSA and been treating sex offenders and victims of sexual abuse since 1984.

TO REFER A PATIENT: Please contact Drs. Krueger or Kaplan at the information listed on the contact page.

For more information, please e-mail Dr. Krueger at rbk1@cumc.columbia.edu or Dr. Kaplan at msk2@cumc.columbia.edu