IPV and Fatherhood Intervention in Residential Substance Abuse Treatment

 描述(由申请人提供)：拟议的第一阶段干预发展研究旨在解决有药物滥用(SA)问题的父亲的两个重要共生问题：亲密伴侣暴力(IPV)和虐待儿童(CM)。SA治疗方案是减少家庭暴力的重要途径，因为单靠SA治疗并不能结束这些行为。目前可用的干预措施在降低男性IPV方面收效甚微。父亲争取改变，一个综合的门诊干预，显示了作为一种针对SA、IPV和CM的交叉的干预模式的前景。这种干预将男性作为父亲的角色作为改变的动力，并针对已知的引发SA、IPV和CM的因素：敌意认知和糟糕的情绪调节。这种干预尚未作为针对男性的住宅药物滥用计划的一部分进行整合和测试。该项目将根据心理治疗发展指导方针分为四个阶段：(A)修改《父亲改变门诊手册》，以便融入住院SA治疗和善后护理；(B)对住院SA治疗中的10名父亲进行公开试验；(C)完成培训手册和忠诚度工具；以及 (D)对随机分配给父亲的60名父亲进行试点研究，以进行改变或父母教育方案(PE)的比较。通过在参与者完成率、敌对认知、情绪调节、SA复发、IPV和CM危险行为(消极养育)方面与PE进行比较，评估父亲改变的初步可行性。敌对认知和情绪调节的改变将作为改变父亲减少复发、IPV和CM危险行为的机制进行审查。如果父亲争取改变在减少敌对认知和导致减少SA、IPV和CM的负面情绪调节方面表现出有效性，这种干预可以很容易地整合到住院SA护理设施中。减少IPV和毒品复发将对公共卫生和刑事司法产生重大影响。R34的初步发现将为Fater第二阶段RCT提供理由，以改变居住环境，治疗佛罗里达州法院授权的客户。

 DESCRIPTION (provided by applicant): The proposed stage 1 intervention development study is designed to address two significant co-occurring issues for fathers with substance abuse (SA) problems: Intimate partner violence (IPV) and child maltreatment (CM). SA treatment programs are an important avenue to reduce family violence because SA treatment alone does not result in an end to these behaviors. Currently available interventions have had little success in reducing male IPV. Fathers for Change, an integrated outpatient intervention, shows promise as an intervention model targeting the intersection of SA, IPV, and CM. The intervention uses men's roles as fathers as a motivation for change and targets factors that are known to trigger SA, IPV and CM: hostile cognitions and poor emotion regulation. An intervention of this sort has not been integrated and tested as part of a residential substance abuse program for men. This project will have four phases following the psychotherapy development guidelines: (a) Adaptation of the outpatient manual for Fathers for Change for integration in residential SA treatment and aftercare; (b) Open trial of Fathers for Change with 10 fathers in residential SA treatment, (c) Completion of a training manual and fidelity tools, and (d) A pilot study of 60 fathers randomly assigned to Fathers for Change or a Parent Education Program (PE) comparison. The initial feasibility of the Fathers for Change will be assessed by comparing it to PE in the areas of: participant completion rates, hostile cognitions, emotion regulation, SA relapse, IPV, and CM risk behaviors (negative parenting). Change in hostile cognitions and emotion regulation will be examined as the mechanisms through which Fathers for Change reduces relapse, IPV and CM risk behaviors. If Fathers for Change demonstrates efficacy in reducing hostile cognitions and negative emotion regulation leading to reduce SA, IPV and CM, the intervention can readily be integrated into residential SA care facilities. Reductions in IPV and drug relapse will have major public health and criminal justice implications. The initial findings of this R34 will provide justification for a Stage II RCT of Faters for Change in residential settings treating court mandated clients in FL.