The maintenance or distribution of any list of clinicians who chose to indicate that they provide services to individuals with sexually abusive behavior problems does not constitute an endorsement or verification of the credentials of those individuals by MATSA or any of its members. Inclusion on a resource directory of providers on the MATSA website does not constitute a license to practice, a measure of competency of the professional whose name appears, or any form of endorsement. Similarly, non-inclusion does not signify a failure to meet such criteria, as well. Neither MATSA nor its membership bear any responsibility for the quality of services provided by individuals and/or agencies appearing on this list; this remains the responsibility of the individual provider.

Nott, Stephen H.

Almadan Inc.
PO Box 518 Amherst, MA 01004
(508) 423-2038

  • Clinical Licenses held:
    • No Response
  • Ages of population served: 22 years and older
  • Genders Served:
    • Male
    • Self-Identified gay, lesbian, bisexual or transgendered
  • Types of Services offered:
    • Individual work specialized for sexually problematic/offense behavior
    • Dialectical Behavioral Therapy (DBT)
    • Residential care (longer term)
  • Experience with Specialized Populations:
    • Mild Mental Retardation or developmental disability in the PDD/Autism Spectrum
  • Language Proficiencies in Group/Individual sessions:
    • English
  • Residential Treatment Program:  Yes
  • Residential treatment program language proficiencies among line/shift staff:
    • English
    • Spanish
  • Psychopharmacology Assessments Provided:   No
  • Onsite Access to provide Psychiatric Medication as part of services: Yes
  • Insurance Accepted: No
  • Description of work provided and philosophy of working with this population:
    • The East Road Sex Abuser Treatment Program, run by Almadan, Inc. is a comprehensive treatment program which has been in place since 1992. It is currently a four bed home, set in a rural setting in Orange Massachusetts, and the program is expected to expand in the near future. The house is staffed with either a 2:4 or 3:4 staffing ratio 24 hours per day, and is equipped with state- of-the-art door and window alarms. We provide individuals with constant monitoring, both at the program and in the community, and strive to help them maximize their potential while keeping them, and others, safe. The following services are currently provided to all of the men at the East Road Program: An individualized behavior management program is designed and implemented, and modified as clinically indicated. All staff are thoroughly trained in its implementation. The goal of the behavior program is to teach social skills and other appropriate behaviors to maximize independence. The program includes specific positive target behaviors to model, encourage, and reinforce, as well as targeted behaviors to decrease, with appropriate limit setting and consequences. The behavior program combines aspects of Dialectical Behavior Therapy (DBT) with Relapse Preventions techniques. Individual sex-abuser therapy is provided weekly either at the program by an Almadan clinician, or on an outpatient basis at the Carson Center in Westfield. When appropriate, sex-abuser therapy group is provided in an outpatient setting. Sex abuser therapy is based upon the relapse prevention model. Additionally, the East Road Program has integrated a modified DBT framework into the milieu. Individuals participate in a weekly individual DBT social skills coaching/ therapy sessions as well as a DBT social skills training group every two weeks. DBT skills are also taught by house staff in 30 minute 1:1 carryover DBT sexual/social skill development sessions three times per day. The curriculum focuses on the integration of relapse prevention strategies with the DBT skills of emotional regulation, interpersonal effectiveness, distress tolerance and mindfulness. If necessary, individuals are referred to outpatient psychiatry services for management of psychotropic medications. All four of the individuals residing at the East Road Program receive services from the Department of Mental Health. Two of the four are Transitional Assigned Consumers (TAC) assigned through the Bureau of Transitional Planning. One is cognitively disabled, though was not made eligible by the Department of Developmental Services. The program accepts adult males with sexually abusive behaviors. The current clinical team has treated a wide spectrum of these behaviors, and we are able to modify treatment modalities for individuals with cognitive impairments. As we do not implement physical restraints in the house, we are unable to support individuals whose aggression requires restraint, physical escort, or other restrictive physical interventions. The East Road Program is a unique combination of relapse prevention and DBT in a small group home setting. The program is committed to working with the residents to increase their skills and expand their possibilities, while ensuring the safety of the community.