"You can never work with addictions in isolation": Addressing intimate partner violence perpetration by men in substance misuse treatment.
"You can never work with addictions in isolation": Addressing intimate partner violence perpetration by men in substance misuse treatment.
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“你永远不能孤立地处理成瘾问题”：解决男性在药物滥用治疗中实施的亲密伴侣暴力行为。
DOI：
10.1016/j.drugpo.2016.03.010
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Radcliffe P
中科院分区：
文献类型：
--
作者：
Radcliffe P
背景研究表明，在药物滥用治疗中，男性的IPV犯罪率远远高于一般人群。有IPV犯罪者programmes.MethodsAn分析的药物和酒精政策文件的有效性较差，1998-2015年进行了话语分析，研究如何英国药物和酒精政策已解决IPV物质滥用者之间。与20个利益相关者的采访成绩单进行了分析thematics.ResultsHow政策'框架' IPV犯下的药物和酒精滥用者之间的服务提供的影响。IPV越来越多地被框定在其对儿童保障的影响方面，并已被“折叠”到针对问题家庭的政策中。随着英国毒品和酒精政策中的“地方主义”的增加，对滥用IPV的罪犯的服务几乎没有规范。IPV犯罪者和受害者组织制作的政策和文献将IPV犯罪定为个人选择，醉酒作为暴力的临时借口，对有效的服务发展影响有限。与利益相关者的访谈表明，物质滥用者对IPV有一系列的理解/解释。利益相关者建议，并不是所有的工作人员都有信心或技能，询问他们的关系，并有几个转介路线的物质滥用的人寻求帮助，他们的IPV的personation.ConclusionThere是差距和矛盾的程度，英国的药物和酒精的政策，以解决IPV的犯罪之间的物质滥用者。最近的国家健康和护理卓越研究所指导提供了一个机会，包括对所有一线社会护理工作人员的家庭虐待培训，包括在药物滥用部门。有必要进一步研究为滥用药物者提供有效服务的问题，并为一线工作人员开展培训。
BackgroundStudies have shown rates of IPV-perpetration among men in substance misuse treatment at rates far higher than the general population. There is poor evidence for the effectiveness of IPV perpetrator programmes.MethodsAn analysis of drugs and alcohol policy documents 1998–2015 was conducted using discourse analysis to examine how English drug and alcohol policy has addressed IPV among substance misusers. Transcripts of interviews with 20 stake holders were analysed thematically.ResultsHow policy ‘frames’ IPV-perpetration among drug and alcohol misusers has implications for service provision. IPV has increasingly been framed in terms of its implications for child safeguarding, and has been ‘folded in’ to policies targeting Troubled Families. With increasing ‘localism’ in English drug and alcohol policy there has been little specification of services for substance misusing IPV-perpetrators. Policy and literature produced by IPV perpetrator and victim organisations has framed IPV-perpetration as an individual choice with intoxication as a post hoc excuse for violence with limited implications for effective service development. Interviews with stake holders indicate a range of understandings/explanations for IPV among substance misusing men. Stake holders suggest that not all staff have the confidence or skills to ask men about their relationships and that there are few referral routes for substance misusing men who seek help for their IPV perpetration.ConclusionThere are gaps and contradictions in the extent to which English drug and alcohol policy has sought to address IPV-perpetration among substance misusers. Recent National Institute for Health and Care Excellence guidance provide an opportunity to include domestic abuse training for all front line social care staff including in the substance misuse sector. There is a need for further research into effective services for substance misusing perpetrators and the development of training for front-line staff.
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