A Therapy Approach for Subst. Abuse & Domestic Violence

描述(由申请人提供)： 在寻求药物滥用治疗的男性犯罪者中，药物使用和亲密伴侣暴力(IPV)通常是共同发生的。药物滥用和IPV共同构成了在整个刑事司法和药物滥用治疗设施中遇到的一个重大公共卫生问题。药物滥用和IPV并存的比率很高，在研究中从40%到60%不等。研究表明，物质使用和IPV之间存在着既定的联系。寻求治疗的男性药物依赖患者在药物滥用治疗前一年的暴力流行率高达50%-60%。正在接受药物滥用治疗的IPV男性罪犯是暴力、药物滥用和IPV复发的高危群体。药物滥用治疗社区内与IPV有关的问题是一个普遍存在的问题，需要作出协调一致的努力，以解决这一日益严重的公共卫生问题。初步研究已经开始表明，单独使用靶向药物可以减少药物使用和与IPV相关的问题。然而，有必要开发治疗模式，利用药物使用和IPV的技能培训，试图进一步减少药物滥用和亲密伴侣暴力。因此，在这个针对NIDA PA-03-126的重新提交的第一阶段项目中，我们建议：1)开发和试验针对IPV违法者的药物滥用-家庭暴力(SADV)个人治疗干预(阶段1a)；以及2)进行一项初步随机试验，评估为IPV违规者增加药物滥用-家庭暴力(SADV)干预与针对IPV违规者采用标准的个人药物咨询方法(IDC)的可行性和有效性(第1阶段b)。该项目的主要目标是在药物滥用治疗机构招募80名亲密伴侣暴力(IPV)依赖药物男性罪犯的不同种族样本。客户将被随机分配到12周的SADV条件或12周的IDC条件。我们将评估这些手动治疗方式的疗效，并将通过提供3个月、6个月和9个月的随访来评估这些治疗效果在研究停止后的持久性和/或延迟出现。

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.