Domestic Violence, Substance Abuse, Parenting
Conditions
Brief summary
Social service systems rarely acknowledge the status of men as fathers in the conceptualization and delivery of treatment for substance abuse or domestic violence. Although there has been extensive focus on the treatment of mothers who abuse substances, are victims of intimate partner violence (IPV) (defined as physical aggression and/or psychological abuse and control at the hands of an intimate partner), or maltreat their children there has been little consideration of the need for interventions for fathers with histories of co-morbid IPV and substance abuse. It is estimated that between 10 and 17.8 million children are witness to violence in their homes each year. National and regional samples indicate 50-70% of families impacted by IPV and the typically co-occurring substance abuse have children under the age of seven. Large percentages of these men continue to live with or have consistent contact with their young children despite aggression and substance use. Court mandated treatments for perpetrators of domestic violence have become the norm, however the efficacy of these treatments is questionable and most do not speak to the broader needs of batterers and their families. How batterer's treatments might impact parenting and father-child relationships and the psychosocial functioning of children is vastly understudied and not currently understood. Since batterer treatments are court mandated and require tremendous financial and community resources, the efficacy of these interventions in stopping the cycle of domestic violence and improving the health and well-being of the batterer, his partner and children is crucial. There are currently NO evidence-based treatments that address co-morbid substance abuse and domestic violence perpetration with emphasis on paternal parenting and the father-child relationship. Consequently, the proposed psychotherapy development project will develop and evaluate the potential efficacy of a novel, relational parent intervention for fathers with co-morbid substance abuse and IPV who have young children. The goals of this intervention are to decrease aggression and substance abuse by increasing focus on fathering and an improved father-child relationship.
Interventions
BEHAVIORALFathers for Change
FATHERS FOR CHANGE comprises 16, 60 minute sessions of treatment utilizing components of three evidence based practices: SADV-Cognitive Behavioral Therapy, Behavioral Couple Therapy and Child-Parent Psychotherapy. The goals of the intervention are: 1) decreased substance abuse and IPV by teaching coping and anger management skills, 2) improved communication and increased problem solving around shared parenting 3) parenting education including child development and the impact of violence on children, 4) discussion of discipline practices and development of behavior modification or positive reinforcement plans, and 5) attachment focused parent-child play sessions to coach fathers in play with their children and process traumatic experiences.
BEHAVIORALIndividual Drug Counseling
Individual drug counseling focuses on the symptoms of drug addiction and related areas of impaired functioning and the content and structure of the patient's ongoing recovery program. This model of counseling is time limited and emphasizes behavioral change. It gives the patient coping strategies and tools for recovery and promotes 12-step ideology and participation. The primary goal of addiction counseling is to assist the addict in achieving and maintaining abstinence from addictive chemicals and behaviors. The secondary goal is to help the addict recover from the damage the addiction has caused in his or her life.
Sponsors
National Institute on Drug Abuse (NIDA)
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
MALE
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. meet current DSM-IV criteria for substance abuse and who have used a substance within the 60 days prior to screening; 2. have a police reported incident of IPV (pushing, slapping, kicking) within 6 months of referral; 3. have at least one biological child under the age of 7 with whom they reside or have at least weekly visitation.
Exclusion criteria
1. Have histories of severe physical violence (e.g. choking, causing hospitalization); 2. Men who have an active NO CONTACT protective order pertaining to their partner or child; 3. Men whose female partners indicate that they do not want the child to participate; 4. If the female partner indicates that she believes her child is afraid of his/her father and will NOT want to participate; 5. Men who are currently in withdrawal from substances and in need of detoxification; 6. Have cognitive impairment or a lifetime history of any psychotic or bipolar disorder; or 7. Are currently suicidal or homicidal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Decrease in Verbal and Physical Aggression | Baseline (Start of Tx), 4 month follow-up, 7 month follow-up | Conflict Tactics Scale and the TimeLine Follow-back calendar interview |
| Decrease in Substance Abuse | weekly for months 1-4, 7 month followup | urinalysis results and self report |
| Decrease in Negative Parenting Behavior | baseline, 4 month, 7 month follow-up | IOWA, Adult child relationship questionnaire, Parental Acceptance Rejection Questionnaire |
Countries
United States
Outcome results
None listed