Defining Fatherhood Among Drug Dependent Men

描述(由申请人提供)：建议的R03(PA 99-113)旨在调查参加美沙酮维持治疗计划(MMTP)的非裔美国人和拉丁裔父亲的育儿态度和行为，并探索父亲目前和过去使用药物和亲密伴侣暴力(IPV)的经历如何影响育儿态度和行为。物质使用和育儿方面的文献表明，药物使用损害了积极的父亲养育方式，并可能构成健康父子关系的障碍。 此外，关于IPV的研究显示，正在接受药物滥用治疗的男性中存在一个重大问题，IPV和虐待儿童的情况在家庭中重叠发生。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，也没有研究调查IPV如何影响吸毒成瘾男性的父亲态度和行为。与此同时，有大量和越来越多的证据表明，父亲对孩子有积极的影响，父亲的养育可能对男性的总体福祉有积极的影响。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，因此在暴力男子中促进积极的父子关系是极其复杂的。在NIDA正在进行的研究结果的基础上，在社会学习理论和生态框架的指导下，这项研究将通过焦点小组和深入访谈，收集纽约市MMTP中72名非洲裔美国人和拉美裔男性的父亲经历的背景叙述。通过对通过定性调查提供的这些关系的复杂动态的丰富和深入的理解，我们的目标是进一步提供信息和加强父亲支持干预和服务，以促进健康的父子参与。这些发现还将为R01应用程序提供信息，该应用程序旨在开发和(使用定量方法)测试在药物治疗环境中为药物依赖父亲及其家人的随机样本提供的育儿支持干预措施。苏珊·维特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博士进行咨询。

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.