In many parts of the United States, individuals can be civilly committed as Sexually Violent Persons (SVP) to a secure treatment center based on their history of sexual offenses, current mental disorder, and current risk for sexual recidivism. While the specific criteria vary between jurisdictions, SVP civil commitment is indefinite, and periodic examinations occur to determine if ongoing commitment is necessary. Release recommendations may be made in part based on patients’ treatment progress. Therefore, incorporating treatment change into periodic risk assessments is an important role of the SVP evaluator. The current paper sought to explore the benefits of using an actuarial tool within SVP populations to measure decreased sexual recidivism risk as a result of treatment change. Specific discussion of the use of the Violence Risk Scale – Sexual Offense version (Olver et al., 2007, https://doi.org/10.1037/1040-35126.96.36.1998) is provided.