A Therapy Approach for Subst. Abuse & Domestic Violence

物质的治疗方法。

• 批准号: 7048061
• 负责人: Caroline J. Easton
• 金额: $ 29.1万
• 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/7048061
• 关键词: behavior therapy; behavioral /social science research tag; breath tests; clinical research; combination therapy; counseling; domestic violence; drug abuse; drug abuse therapy; dyadic interaction; human subject; human therapy evaluation; patient oriented research; publications; substance abuse related behavior; therapy design /development; training; urinalysis

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）： 在寻求药物滥用治疗的男性肇事者中，药物使用和亲密伴侣暴力（IPV）通常共同发生。药物滥用和IPV构成了一个重大的公共卫生问题，在整个刑事司法和滥用药物治疗设施中遇到了一个重大的公共卫生问题。同时发生的药物滥用和IPV的速度很高，研究范围从40-60％的研究不等。研究表明，物质使用与IPV之间建立了良好的联系。在药物滥用治疗前一年，寻求治疗的男性依赖性患者的暴力患病率高达50-60％。正在进入药物滥用治疗的IPV的男性罪犯是暴力，药物滥用和IPV复发的高风险群体。药物滥用治疗社区中与IPV相关的问题是一个普遍的问题，需要进行协调的努力来解决这一庞大而不断增长的公共卫生问题。初步研究已经开始表明，仅靶向物质使用就可以减少使用物质的使用和IPV相关的问题。但是，有必要开发治疗模型，以利用技能培训进行药物使用和IPV，以进一步减少药物滥用和亲密伴侣的暴力。因此，在此阶段1项目中，对NIDA PA-03-126进行重新提交，我们建议：1）开发和试行对IPV罪犯的滥用药物虐待性的暴力（SADV）个人治疗干预措施（1A阶段）； 2）进行初步的随机试验，以评估为IPV的IPV和标准个人药物咨询方法（IDC）添加SADV干预措施的可行性和功效（IPV阶段1 B）。该项目的主要目的是在毒品滥用治疗机构中招募80种依赖物质的男性罪犯（IPV）的种族多样化样本。客户将被随机分配到12周的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个，6个月和9个月的随访，评估这些治疗效果后这些治疗效果的耐用性和/或延迟出现。