Integrated Treatment for Fathers Who Perpetrate Domestic Violence

描述（由申请人提供）：候选人的首要，长期的职业目标是经营自己的临床实验室，为受家庭内部暴力影响的家庭开发最佳实践治疗方法。这个K23奖项的直接职业目标将帮助候选人在以下方面发展独立技能：1)药物滥用和暴力评估，2)心理治疗发展的阶段模型，3)治疗评估（包括纵向，多地点数据收集和分析，以及4）定性和治疗保真度测量。为了实现这些目标，选择了生物统计学、定性和纵向数据收集/分析课程，以及针对这一人群的最佳实践治疗、法医学和治疗评估研讨会。前18个月包括前往几位国际知名的药物滥用协调治疗（Fals-Stewart博士）、家庭暴力的亲子治疗（Lieberman博士）和创伤和亲子互动的定性评估（Scheeringa博士）领域的研究人员的实验室进行强化培训，以使候选人准备进行拟议的心理治疗发展研究。本K23概述了一项研究计划，旨在为患有药物滥用和家庭暴力共病的父亲制定和评估综合治疗方案，在博士的指导下，针对他们作为父亲的角色。布鲁斯·朗萨维尔，卡罗琳·伊斯顿和托马斯·麦克马洪在耶鲁大学医学院儿童和成人精神病学部门。为了实现这一目标，该项目将支持以下研究项目：1)收集与匹配对照组相比，具有共病药物滥用的亲密伴侣暴力男性施暴者自我报告的养育压力、行为和亲子关系的定量数据；2)手工开发和预试点，以开发依从性和保真度工具；3)通过家庭暴力综合父亲治疗（IFT-DV）阶段b随机试点对这一男性群体进行初步评估，该治疗结合了最先进的药物滥用、家庭暴力和儿童创伤治疗方法。公共卫生相关性：在药物滥用或家庭暴力治疗的概念化和提供过程中，社会服务系统很少承认男性作为父亲的地位。亲密伴侣暴力、药物滥用和虐待儿童的发生率之高，构成了一个重大的公共卫生问题。鉴于合并症的高发率，迫切需要更综合的循证治疗来解决这些家庭面临的问题。

DESCRIPTION (provided by applicant): The overarching, long-term career goal of the candidate is to run her own clinical laboratory to develop best practice treatment approaches for families impacted by intrafamilial violence. The immediate career goals of this K23 award will aid the candidate in development of independent skills in: 1) substance abuse and violence assessment, 2) the stage model of psychotherapy development, 3) treatment evaluation (including longitudinal, multisite data collection and analysis, and 4) qualitative and treatment fidelity measurement. To achieve these goals, courses in biostatistics, qualitative and longitudinal data collection/analysis have been selected along with seminars in best practice treatment, forensics, and treatment evaluation with this population. Travel to the labs of several internationally known researchers in the field of coordinated substance abuse treatment (Dr. Fals-Stewart), child-parent treatment for domestic violence (Dr. Lieberman) and qualitative assessment of trauma and parent-child interactions (Dr Scheeringa) for intensive training is included in the first eighteen months to prepare the candidate to undertake the psychotherapy development research proposed. This K23 outlines a program of research to develop and evaluate an integrated treatment for fathers with co-morbid substance abuse and domestic violence that targets their roles as fathers under the mentorship of Drs. Bruce Rounsaville, Caroline Easton and Thomas McMahon in the Departments of Child and Adult Psychiatry at the Yale University School of Medicine. To facilitate this goal, this POR will support the following research projects: 1) collection of quantitative data on the self-reported parenting stress, behaviors, and child-parent relationships of male perpetrators of intimate partner violence with comorbid substance abuse compared to matched controls; 2) manual development and pre-piloting for the development of adherence and fidelity tools; and 3) initial evaluation via a Stage l b randomized pilot of Integrated Father Treatment for Domestic Violence (IFT-DV) for this population of men which incorporates state-of-the-art substance abuse, domestic violence, and child-trauma treatment approaches. PUBLIC HEALTH RELEVANCE: Social service systems rarely acknowledge the status of men as fathers in the conceptualization and delivery of treatment for substance abuse or domestic violence. The enormous rates of intimate partner violence, substance abuse, and child maltreatment constitute a major public health concern. Given the high rates of comorbidity, there is a pressing need for more integrated evidence-based treatments to address the issues facing these families.