Treatment Providers

We know sex offenders can't be managed with a "one size fits all plan." Each offender is individualized with varied risks and each has unique needs. All offenders who have committed to creating no more victims need accountability, supervision, and encouragement to succeed in that commitment.

Research studies tell us that sex offenders attend church. Many offenders attend church anonymously. Offenders who are isolated and secretive in their church attendance are increasing their risk to re-offend. When offenders work with church leaders prior to attending church they increase the chances of safe involvement and spiritual growth. If you have clients who you know to be attending a church, let us help you communicate more effectively with that church. Let us help that church be better prepared to help the offender to be accountable.

How can Keeping Kids Safe Ministries serve treatment providers?

Clear rules at church: We work closely with churches and the offender to help them establish and monitor clear rules. We encourage the offender to share these guidelines to the treatment provider who will then have an opportunity to follow up on issues related to compliance.

Spiritual Encouragement: Spirituality provides purpose and meaning. Many offenders become discouraged if they are isloated with no emotional support, feel like a failure, or have no hope. A discouraged offender increases his risk to re-offend. We are helping churches know how to meet the spiritual needs of offenders.

How can treatment providers help Keeping Kids Safe Ministries?

Discourage your offender clients from trying to remain hidden within their churches. We strongly recommend that all offenders meet with church leadership prior to attending church. Most churches will need education on sex offenders attending church so please mention this web site.

Churches will be sending treatment providers verification forms to complete. Verification forms are used to verify if an offender is meeting treatment expectations. Please return these forms back to churches in a timely manner.

Below are the forms to be sent to the treatment providers. Please copy and paste forms into a document. You may need to resize the document. If you have any problems with copying the documents off the website, please contact us.

Verification System

Instructions for church leaders:

1. Have the applicant complete form and complete release of information.

2. Ask the applicant for business cards of his probation officer and treatment provider. Make copies and place in file.

3. Make 3 Copies of the verification form and mail one to probation/parole officer, treatment provider, and one to Keeping Kids Safe Ministries. Enclose release of information for probation/treatment provider. Please be sure to enclose a church self addressed envelope. Probation and treatment provider will mail your verification forms back to you.

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Name of Applicant: ________________________________________________________

Address/phone: ___________________________________________________________

What were you charged with? (include initial charges and changes in charges during the process)

________________________________________________________________________

What were you convicted of? ________________________________________________

Date of conviction: ________________________________________________________

Did you do time in a prison/jail? Yes No

What was your sentence? ___________________________________________________

Location of confinement: ____________________________________________________

Dates in confinement: _____________________ Dates released: ____________________

Were you supervised by probation or parole? Yes No

Dates of supervision: _______________________________________________________

Name and phone of probation/parole officer: _____________________________________

Address of probation/parole officer: ____________________________________________

Did you have sex offender treatment? Yes No

Dates attended treatment: ___________________________________________________

Name and phone of treatment provider: _________________________________________

Address of treatment provider: _______________________________________________

Victim information: How many victims per age category

age 0-5 _______ age 6-11 _______ age 12-17 _______ age 18+ _______

Dear probation officer or treatment provider,

Sex offenders are turning to God and attending churches. Churches are responsible for the safety of children. We also understand that offenders have a need to grow spiritually. Churches must address both the safety of children and the spiritual needs of offenders at the same time.

We need your help in providing accurate information that will assist our church in keeping kids safe. Enclosed are a verification form and consent of release form from a sex offender that is in your treatment program or under your supervision on probation/parole.

Please complete the information and use the self addressed envelope to mail back the verification form. We appreciate your help in keeping kids safe at our church.

Probation/Parole officer

1. The applicant has completed the verification form accurately to the best of your knowledge. Please circle:

YES NO

If no, please comment: ______________________________________________________

________________________________________________________________________

2. Please select one of the following:

_____ Allow applicant supervised attendance at the church building where children are present

_____ Minister to this applicant away from the church building and any children.

3. The applicant is meeting their probation expectations. Please circle:

YES NO If no, please comment: _______________________________________

________________________________________________________________________

Treatment Provider

1. The applicant has completed the verification form accurately to the best of your knowledge. Please circle:

YES NO

If no, please comment: ______________________________________________________

________________________________________________________________________

2. Please select one of the following:

_____ Allow applicant supervised attendance at the church building where children are present

_____ Minister to this applicant away from the church building and any children.

3. The applicant is meeting treatment expectations. Please circle:

YES NO If no, please comment: _______________________________________

________________________________________________________________________

_____________________________________________ _______________________

Printed Name of Probation officer/ Treatment provider Signature

Authorization to Release Information

I voluntarily authorize and request disclosure (including paper, oral , and electronic interchange) This includes specific permission to release:

1. I hereby authorize my current or past sex offender treatment provider

______________________________________________________________to send

information to __________________________________________________church to

verify the accuracy of offenses stated on the attached verification form, and provide

treatment progress updates if treatment providers have a concern for children's safety.

2. I herby authorize my current or past probation officer

________________________________________________________________to send

information to_________________________________________________church to

verify the accuracy of offenses stated on the attached verification form and any updates

if probation officers have a concern for children's safety at church.

The forgoing authorization shall continue to be force until revoked by me in writing.

A photocopy of this authorization shall have the same force and effect as the original.

Signature

___________________________ Date:_______

(Signature of client)

___________________________

Printed Name

___________________________ Date________

Witness