Integrated Treatment for Fathers Who Perpetrate Domestic Violence

描述（由申请人提供）：候选人的总体，长期职业目标是运行自己的临床实验室，为受家庭暴力影响的家庭开发最佳实践治疗方法。该K23奖项的直接职业目标将帮助候选人发展独立技能：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，多站点数据收集和分析，以及4）定性和治疗保真度测量。为了实现这些目标，课程生物统计学，定性和纵向数据收集/分析已被选定沿着与研讨会的最佳实践治疗，法医学和治疗评价与这一人群。前往几个国际知名的研究人员在协调药物滥用治疗领域的实验室（Fals-Stewart博士），家庭暴力的儿童-父母治疗（Lieberman博士）和创伤和父母-儿童互动的定性评估（Scheeringa博士）进行强化培训，包括在前18个月准备候选人进行拟议的心理治疗发展研究。本K23概述了一项研究计划，以开发和评估患有药物滥用和家庭暴力共病的父亲的综合治疗，该治疗针对耶鲁大学医学院儿童和成人精神病学系的布鲁斯、卡罗琳伊斯顿和托马斯麦克马洪博士指导下的父亲角色。为了实现这一目标，本POR将支持以下研究项目：1）收集与匹配对照组相比，患有药物滥用的亲密伴侣暴力男性肇事者自我报告的养育压力、行为和亲子关系的定量数据; 2）手工开发和预试验，以开发依从性和忠诚度工具;以及3）通过针对该男性群体的家庭暴力综合父亲治疗（IFT-DV）的阶段I B随机试验进行初步评估，该试验包括最先进的药物滥用、家庭暴力和儿童创伤治疗方法。

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.