A Therapy Approach for Subst. Abuse & Domestic Violence

描述（由申请人提供）： 药物使用和亲密伴侣暴力（IPV）通常同时发生在寻求药物滥用治疗的男性犯罪者中。药物滥用和IPV一起构成了整个刑事司法和药物滥用治疗设施遇到的一个主要公共卫生问题。药物滥用和IPV的并发率很高，在所有研究中为40-60%。研究表明，药物使用和IPV之间存在明确的联系。寻求治疗的男性药物依赖患者在接受药物滥用治疗前一年的暴力发生率高达50-60%。正在接受药物滥用治疗的IPV男性罪犯是暴力、药物滥用和IPV复发的高危人群。在药物滥用治疗界，与IPV有关的问题是一个普遍存在的问题，需要作出协调一致的努力，以解决这一日益严重的公共卫生问题。初步研究已经开始表明，仅针对物质使用就可以减少物质使用和IPV相关问题。然而，有必要制定利用药物使用和IPV技能培训的治疗模式，以进一步减少药物滥用和亲密伴侣暴力。因此，在这个第一阶段项目中，作为对NIDA PA-03-126的重新提交，我们建议：1）为IPV罪犯开发和试行药物滥用-家庭暴力（SADV）个人治疗干预（第1a阶段）;和2）进行一项初步随机试验，评估为IPV罪犯增加SADV干预与标准个体药物咨询方法（IDC）的IPV（阶段1 B）的罪犯。该项目的主要目标是在一个药物滥用治疗机构招募80名因亲密伴侣暴力行为而对药物有依赖的男性罪犯，样本来自不同种族。将客户随机分配至12周SADV条件或12周IDC条件。我们将通过提供3个月、6个月和9个月的随访，评价这些手动治疗方式的疗效，并评价研究停止后这些治疗效果的持久性和/或延迟出现。

DESCRIPTION (provided by applicant): Substance use and intimate partner violence (IPV) commonly co-occur among male perpetrators seeking substance abuse treatment. Both substance abuse and IPV together constitute a major public health issue that is being encountered throughout criminal justice and substance abuse treatment facilities. Rates of co-occurring substance abuse and IPV are high, ranging from 40-60% across studies. Studies have shown a well- established link between substance use and IPV. Male substance dependent patients seeking treatment have prevalence rates of violence as high as 50-60% in the year prior to substance abuse treatment. Male offenders of IPV who are entering substance abuse treatment are a high- risk group for violence, substance abuse and IPV relapse. IPV-related problems within the substance abuse treatment community is a pervasive problem and coordinated efforts need to be undertaken to address this large and growing public health concern. Preliminary research has already begun to show that targeting substance use alone can decrease both substance use and IPV- related problems. However, there is a need to develop treatment models that utilize skills training for both substance use and IPV as an attempt to further reduce substance abuse and intimate partner violence. Thus, in this Stage 1 project, a resubmission in response to NIDA PA-03-126, we propose to: 1) Develop and pilot a Substance Abuse-Domestic Violence (SADV) Individual Therapy Intervention for offenders of IPV (Stage 1a); and 2) Conduct an initial randomized trial evaluating the feasibility and efficacy of adding a SADV Intervention for offenders of IPV vs. a standard Individual Drug Counseling Approach (IDC) for offenders of IPV (Stage 1 b). The major goal of this project is to recruit an ethnically diverse sample of 80 substance dependent male offenders of intimate partner violence (IPV) at a substance abuse treatment facility. Clients will be randomly assigned to either the 12 week SADV condition or the 12 week IDC condition. We will evaluate the efficacy of these manualized treatment modalities and we will evaluate the durability and/or delayed emergence of these treatment effects after the cessation of study by providing 3-, 6- and 9-month follow-ups.