A Therapy Approach for Subst. Abuse & Domestic Violence

物质的治疗方法。

• 批准号: 7224807
• 负责人: Caroline J. Easton
• 金额: $ 28.26万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-07-01 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7224807
• 关键词: Address; Alcohol dependence; Alcohol or Other Drugs use; Back; Breath Tests; Client; Clinical; Cocaine; Cognitive Therapy; Communities; Condition; Counseling; Couples; Criminal Justice; DSM-IV; Data; Domestic Violence; Frequencies; Goals; Guidelines; Individual; Intention; Interpersonal Violence; Intervention; Link; Manuals; Marijuana; Measures; Methods; Modality; Modeling; Monitor; National Institute of Drug Abuse; Outcome; Outcome Measure; Patient Self-Report; Patients; Pharmaceutical Preparations; Phase; Physical aggression; Play; Preparation; Prevalence; Public Health; Randomized; Randomized Controlled Clinical Trials; Range; Rate; Recording of previous events; Recruitment Activity; Relapse; Reporting; Research; Risk; Role; Sampling; Staging; Standards of Weights and Measures; Substance abuse problem; System; Testing; Therapeutic Intervention; TimeLine; Training; Urine; Videotape; Violence; Week; day; drug standard; intimate partner violence; male; men; offender; perpetrators; response; skills; skills training; therapy development; treatment effect

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.

描述（由申请人提供）： 寻求药物滥用治疗的男性施暴者通常会同时发生药物滥用和亲密伴侣暴力 (IPV)。药物滥用和 IPV 共同构成刑事司法和药物滥用治疗机构中遇到的主要公共卫生问题。药物滥用和 IPV 同时发生的比率很高，在各项研究中为 40-60%。研究表明物质使用和 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 男性犯罪者是暴力、药物滥用和 IPV 复发的高危人群。药物滥用治疗界中与 IPV 相关的问题是一个普遍存在的问题，需要采取协调一致的努力来解决这一日益严重的巨大公共卫生问题。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，需要开发利用药物滥用和 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，在第一阶段项目（根据 NIDA PA-03-126 重新提交）中，我们建议： 1) 为 IPV 犯罪者制定并试点药物滥用家庭暴力 (SADV) 个体治疗干预措施（第 1a 阶段）； 2) 进行初步随机试验，评估针对 IPV 犯罪者添加 SADV 干预措施与针对 IPV 犯罪者的标准个人药物咨询方法 (IDC) 的可行性和有效性（第 1 阶段 b）。该项目的主要目标是在药物滥用治疗机构中招募 80 名遭受亲密伴侣暴力 (IPV) 药物依赖的男性罪犯作为不同种族的样本。客户将被随机分配到 12 周 SADV 条件或 12 周 IDC 条件。我们将评估这些手动治疗方式的功效，并通过提供 3、6 和 9 个月的随访来评估研究停止后这些治疗效果的持久性和/或延迟出现。