Defining Fatherhood Among Drug Dependent Men

描述（由申请人提供）：拟议的R 03（PA 99-113）旨在检查参加美沙酮维持治疗计划（MMTPs）的非洲裔美国人和拉丁裔父亲的育儿态度和行为，并探讨育儿态度和行为如何受到父亲当前和过去吸毒和亲密伴侣暴力（IPV）经历的影响。物质使用和养育子女的文献表明，吸毒损害积极的父亲，并可能构成障碍，健康的父子关系。 此外，关于IPV的研究表明，在因药物滥用而接受治疗的男子中存在一个严重的问题，IPV和家庭中发生的虐待儿童现象重叠。然而，到目前为止，令人惊讶的是，很少有人努力研究父亲在暴力家庭中的作用，也没有研究探讨父亲的态度和行为是如何受到IPV药物依赖男性的影响。与此同时，有大量和越来越多的证据表明，父亲对他们的孩子有积极的影响，父亲的行为可能对男性的福祉产生积极的影响。鉴于研究表明，积极的父亲效应可能会被IPV和虐待儿童所抵消，在暴力男子中促进积极的父子关系是极其复杂的。基于正在进行的NIDA研究的结果，并以社会学习理论和生态框架为指导，该研究将通过焦点小组和深入访谈，收集72名非洲裔美国人和拉丁裔男子在纽约市MMTP中的父亲经历的背景叙述。通过背景丰富，深入了解这些关系的复杂动态提供通过定性调查，我们的目标是进一步告知和加强父亲的支持干预和服务，以促进健康的父亲-孩子的参与。调查结果还将告知R 01应用程序，旨在开发和有效性测试（使用定量方法）的育儿支持干预提供药物治疗环境中的药物依赖的父亲及其家庭的随机样本。Susan Witte博士将在哥伦比亚大学社会工作学院社会干预小组（SIG）的Nabila EI-Bassel博士的指导下进行这项研究，并与Suniya Luthar博士和Peter Steinglass博士协商。

DESCRIPTION (provided by applicant): The proposed R03 (PA 99-113) is designed to examine parenting attitudes and behaviors among African American and Latino fathers attending methadone maintenance treatment programs (MMTPs), and to explore how parenting attitudes and behaviors are affected by a father's current and past experiences with drug use and intimate partner violence (IPV). Substance use and parenting literature indicate that drug use compromises positive fathering and can constitute barriers to healthy father-child relationships. In addition, studies on IPV have revealed a significant problem among men being treated for drug abuse, and an overlap of IPV and child abuse occurring in families. However, to date, surprisingly few efforts have been made to study the role of fathers in violent families and no studies have examined how fathering attitudes and behaviors are affected by IPV among drug-dependent men. Concurrently, there is substantial and growing evidence suggesting that fathers have positive influences on their children, and that fathering may have positive effects on the well being of men in general. In light of research indicating that positive father effects may be countered by IPV and child abuse, promoting positive father-child relationships among violent men is extremely complex. Building on findings generated from ongoing NIDA studies, and guided by social learning theory and an ecological framework, the study will collect contextual narratives on the experience of fatherhood among 72 African American and Latino men in a New York City-based MMTP through focus groups and in-depth interviews. Through a contextually rich, in-depth understanding of the complex dynamics of these relationships afforded through qualitative inquiry, we aim to further inform and enhance paternal support interventions and services to promote healthy father-child involvement. The findings will also inform an R01 application aimed at the development and efficacy testing (using quantitative methods) of a parenting support intervention provided in drug treatment settings for a random sample of drug-dependent fathers and their families. Dr. Susan Witte will conduct the study under the guidance of Dr. Nabila EI-Bassel of the Social Intervention Group (SIG) at the Columbia University School of Social Work, and in consultation with Drs. Suniya Luthar and Peter Steinglass.