Intimate partner abuse and substance use Mental and Behavioural Disorders
Conditions
Interventions
Intervention condition:
The group intervention consists of 13 x 2-h group sessions + substance use treatment as usual. This includes a pre-group individual motivational and preparatio
Sponsors
King's College London
South London and Maudsley NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Men receiving community substance use treatment: 1. Male participant has perpetrated abusive or violent behaviour towards a current or ex female partner in the last 12 months 2. Contact with current or ex female partner at least once in the past 4 months – in person, or by phone/ text/ email/ social media 3. Plans to stay in current location for the next 6 months 4. Agrees to provide contact details of current and/or ex female partner 5. Ability to understand and communicate in English 6. Able to attend the intervention (believe that the proposed day and time the group is planned to be delivered is suitable) 7. Substance use treatment service assesses as suitable to participate in the trial Current or ex-female partners of men in the trial: 1. Current or ex-partner participating in the trial 2. Aged 18 years or older 3. Lives in the UK 4. Ability to understand and communicate in English
Exclusion criteria
Exclusion criteria: Men receiving community substance use treatment 1. Male reporting current order preventing him from contacting current or ex female partner 2. Currently attending an intervention for IPA 3. Previously attended the ADVANCE intervention for IPA 4. Participant is not/ no longer attending the substance use treatment service 5. Other safety concerns that may put the female partner at risk. These will be considered on a case by case basis by the research team and the substance use treatment service e.g. where both participants share a mobile phone number, the male participant has a court case pending for IPA or there is a child protection hearing pending. Current or ex-female partners of men in the trial 1. Current order preventing her from contacting current or ex male partner recruited to the trial 2. Other safety concerns that may put the male partner at risk. These will be considered on a case by case basis by the research team and the clinical team e.g. where both participants share a mobile phone number, the female participant has a court case pending for IPA or there is a child protection hearing pending. 3. Female partner discloses that there is an order preventing her male current or ex-partner from contacting her (i.e. contradicting what he has said in his screening interview). In such cases the man would not be withdrawn, unless the clinical team felt there was an increased risk to either party in his continuing in the study. Male partners and non-English speaking female partners will not be eligible to take part in the trial but will be offered support for their IPA victimisation. If a female partner is excluded because she has a current order preventing her from contacting current or ex male partner – her current or ex male partner will remain in the trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total score in self-reported perpetration of IPA by men in substance use treatment measured using the adapted 29-item Abusive Behavior Inventory (ABI) - partner form (perpetration)in the previous 4 months at 12 months post-randomisation | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluated for men at 4 and 12 months post-randomisation: 1. Other IPA perpetration 1.1. Abusive Behavior Inventory (ABI) - partner form (perpetration) in the previous 4 months at 4 months post randomisation only 1.2. Controlling Behaviours Scale (partial) in the past 4 months 1.3. Use of social media, stalking, locked in and Using children against partner in the past 4 months 2. Substance use 2.1. Number of alcohol free days in past 28 days assessed using the Treatment Outcome Profile 2.2. Number of drug free days in past 28 days assessed using the Treatment Outcome Profile 3. Mental Well-being 3.1. Depressive symptoms assessed using the PHQ-9 in the past 2 weeks 3.2. Anxiety symptoms assessed using the GAD-7 in the past 2 weeks 3.3. PTSD symptoms assessed using the Primary Care PTSD Screen in the past month 3.4. Propensity for Abusiveness Scale [anger subscale] 4. Self-Control: Brief Self-Control Scale 5. Quality of life will be measured using the EQ-5D-3L 6. Capability will be measured using the ICECAP-A 7. Service use and medication in past 4 months at 4 month follow-up and in the past 8 months at 12 month follow-up 8. Measures obtained to describe the therapy experience: 8.1. Therapeutic alliance Men in the intervention arm and group facilitators will complete evaluation forms at the end of each session to assess the acceptability of the intervention. At the end of the intervention, men’s perception of therapeutic alliance will be assessed using the Working Alliance Inventory – Short Revised and the California Psychotherapy Alliance Scale- Short Form 8.2. Nested process evaluation A process evaluation will be undertaken to underst | — |
Countries
England, Scotland, United Kingdom, Wales
Outcome results
None listed