This paper reviews the use of psychotherapeutic approaches to treat individuals who have committed sex crimes and/or have problematic sexual interests (PSI); including types of psychotherapy used, descriptions of preventive and reintegration programmes, and highlighting specific theoretical controversies. In the second part, experts from Canada, the Czech Republic, Russia, the United Kingdom, and the United States, who participated in an International Consensus Meeting held in Prague (2017), summarize treatment programmes in their countries. The comparison revealed some general findings: each country has variability between its own programmes; most countries have different programmes for people who are in custody and who are in the community; the state-directed treatment programmes are primarily focused on criminal individuals, while non-criminal individuals are treated in preventive programmes and/or in special clinics or are untreated; the presence of PSI in patients is acknowledged in most programmes, although specific programmes exclusively for individuals with PSI rarely exist. Studies on effectiveness are difficult to compare due to methodologic, political, and cultural differences. Further communication between more countries to share knowledge about successful treatments and preventive approaches is needed, especially enhanced international collaboration between researchers and clinicians to verify the effectiveness of current clinical and experimental program, rs.

Bishop Grosseteste University Lincoln UK

c Laboratory of Forensic Sexology Department for Forensic Psychiatric Assessment in Criminal Proceedings 5 Serbsky National Medical Research Centre for Psychiatry and Narcology Moscow Russia

e San Francisco Forensic Institute San Francisco CA USA

g Sexual Behaviours Clinic The Royal and University of Ottawa Ottawa Canada

Laboratory of Evolutionary Sexology and Psychopathology National Institute of Mental Health Klecany Czech Republic b Faculty of Humanities Charles University Prague Czech Republic

Laboratory of Evolutionary Sexology and Psychopathology National Institute of Mental Health Klecany Czech Republic f Institute of Sexology 1st Faculty of Medicine Charles University Prague Czech Republic

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