IPV and Fatherhood Intervention in Residential Substance Abuse Treatment

 描述（由申请人提供）：拟议的第1阶段干预发展研究旨在解决两个重要的共同发生的问题，为父亲与药物滥用（SA）的问题：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一个重要途径，因为SA治疗本身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。父亲的变化，一个综合门诊干预，显示承诺作为一个干预模式，针对SA，IPV和CM的交叉点。干预使用男性作为父亲的角色作为改变的动机，并针对已知触发SA，IPV和CM的因素：敌对认知和不良情绪调节。这种干预措施尚未作为男子住宅药物滥用方案的一部分进行整合和测试。该项目将按照心理治疗发展准则分四个阶段进行：（a）修改“父亲促进变革”门诊手册，以纳入住院性焦虑治疗和康复护理;（B）对10名接受住院性焦虑治疗的父亲进行“父亲促进变革”公开试验;（c）完成培训手册和忠诚工具， (d)一项对60名父亲的试点研究，这些父亲被随机分配到“父亲改变计划”或“父母教育计划”（PE）进行比较。父亲的变化的初步可行性将进行评估，比较它与PE在以下领域：参与者完成率，敌对认知，情绪调节，SA复发，IPV，CM风险行为（消极的养育）。敌对认知和情绪调节的变化将被检查为父亲的变化减少复发，IPV和CM风险行为的机制。如果父亲的变化表明，在减少敌意认知和负面情绪调节，导致减少SA，IPV和CM的疗效，干预可以很容易地集成到住宅SA护理设施。减少IPV和吸毒复吸将对公共卫生和刑事司法产生重大影响。本R34的初步调查结果将为在FL治疗法院授权客户的住宅环境中进行第二阶段的Faters for Change RCT提供依据。

 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.