Barriers to Addressing Substance Abuse in Domestic Violence Court

Substance abuse commonly co-occurs with intimate partner violence among both perpetrators and survivors. Specialized courts that focus on intimate partner violence provide a unique opportunity to address both problems simultaneously, but research has yet to identify whether this happens. In this qualitative study of a domestic violence court in a large midwestern metropolitan area, key informants were interviewed to understand how the Court treats substance abuse. Results indicate that substance abuse typically is not identified among perpetrators or survivors going through the Court unless it is mentioned in a police report. Barriers to such identification are the organization of the Court, bounded definition of actors’ roles in the Court, limited resources, and negative attitudes towards survivors. These results suggest that specialized courts that attend to only one problem may overlook the possibility of addressing issues that commonly co-occur.     

Female Offenders in Domestic Violence

SUMMARY

It is well accepted that large numbers of men batter women. Although some data also reveal that women report assaulting men in large numbers, interpretation of the latter data has been fraught with controversy. The present article reports on a sample of women arrested for domestic violence. When questions were asked about frequency of violence initiation, which partner began the overall pattern of violence in the relationship, and the women's reasons for using violence, it was found that about two-thirds of the women were battered and using violence to protect themselves or to retaliate for previous violence against them. Implications of these findings for conceptualizing women's violence as well as for training law enforcement personnel are discussed.     

Batterer Program Directors' Views on Substance Abuse and Domestic Violence

This article reports on a national survey of batterer intervention program (BIP) directors (N?=?150). The beliefs of these directors on the relationship of substance abuse and domestic violence is reported and discussed. BIP director's opinions are important because they make programmatic and treatment decisions. Most BIP directors believe that for many of their clients, both men and women, perpetrator and victim, violence and substance abuse is related. Treatment and methodological considerations are discussed.     

Voices from the Group

Summary

This article presents experiential reactions of male and female domestic violence perpetrators one year after completing a 52-week court-mandated intervention program. Data were derived from in-depth interviews as part of a larger research study looking at recidivism and other outcomes in a probation department with a domestic violence courtand a coordinated legal, programmatic and community response. Overall, elements that were most helpful in domestic violence intervention were primarily relational ones, such as group support and therapist/facilitator alliances, and secondarily, specific strategies of handling anger and other emotions, and interpersonal communication. The discussion focuses on the implications of these findings for therapists and facilitators involved in providing services for this population.     

Mandated Reporting Among School Personnel

Summary

An empirical review and critique of existing state standards for batterer programs in the domestic violence field appeared timely, given the current debate about their status and utility. Although there has been a considerable amount of polemic discussion of the topic, relatively limited data have been reported. The present article surveyed the content of standards developed in 30 states within the United States. Five categories of interest were examined including: (1) the minimum length of treatment specified; (2) specification of treatment orientation, methods, and content; (3) preferred or allowable modalities of treatment; (4) whether research findings were mentioned or endorsed as a basis for development of treatment standards; and (5) methods for developing and revising standards. A related area, the minimum education required for providers, was also included as an area of interest to further describe the current pool of practitioners targeted for regulation. An analysis of the content of these standards was then performed with regard to existing peer-reviewed research in the field. The results are discussed in terms of the strengths and weaknesses of current standards, the areas in which further research is needed, and specific recommendations regarding steps that might be taken to improve existing efforts.     

Toward Evidence-Based Practice with Domestic Violence Perpetrators

This review examines the policy and practice of interventions with male perpetrators of domestic violence in light of the widely accepted principles of evidence-based practice. Thus far, these policies and practices have enjoyed immunity from the external, empirical accountability available through implementing the findings from evaluations research and other empirical practice analyses. This immunity is supported by a policy framework where, for example, the state certifying agencies may presumptively forbid methods of intervention, with no obligation to empirically assess their efficacy or safety, that contradict the approved model. Based on the review of findings from both explanatory research and interventions research, evidence-based recommendations for policy and program change are proposed.     

Developing Guidelines for Domestic Violence Offender Programs

Summary

This article reviews research on domestic violence that can help inform the development of guidelines for programs for men who batter. It also illustrates some successes and problems in other fields that might be instructive for the domestic violence field. Firm conclusions about “best practice” guidelines for intervention seem to be premature because of flaws in evaluation studies. In addition, there is growing evidence of variability among men who batter on dimensions such as severity of violence, childhood traumas, generality of violence and personality traits. Programs also need to be able to respond to motivational and cultural difference among abusers. Existence of variability implies the need for multiple forms of interventions.     

Domestic Violence Screening in Medical and Mental Health Care Settings

ABSTRACT

Health care providers and patients agree that domestic violence presents a serious health issue that falls within the purview of medical care. The patient-physician encounter has the potential to assist domestic violence victims in considering their options of living without violence and playing a critical role in preventing future violence. Despite this possibility, many persons evaluated in the health care system do not experience the benefits of such interactions. This article reviews current research that evaluates physician, patient, and systems barriers to providing care to patients experiencing domestic violence as well as gaps in the current research and suggestions for how these barriers might be overcome. Educational initiatives, implementation of protocols, and increasing environmental cues that prompt patients and physicians to discuss domestic violence may all increase the likelihood of screening and the success of interventions.     

Occupational Therapy's Role with Victims of Domestic Violence

ABSTRACT

Occupational therapists encounter individuals who are victims of domestic violence in many different settings. The role of the occupational therapist with each client depends on that client's specific needs, the treatment setting, and the skills and beliefs of the therapist. This article presents a theoretical argument for why the occupational therapist should choose to be involved in the treatment of domestic violence. The Model of Human Occupation provides a framework for understanding functional issues related to domestic violence. Methods of assessment and treatment are presented using this model. A continuum of levels of involvement including referrals for resources or treatment, direct and indirect treatment and program consultation is offered. Each level is illustrated with case vignettes demonstrating the therapist's role. Issues related to the challenge of working in domestic violence and reasons that women may refuse intervention are also discussed.     

Future Directions in Intimate Partner Violence Prevention Research

ABSTRACT

During the past 20 years, research on dynamics of intimate partner violence, risk factors, and treatment of intimate partner violence has flourished. However, research on the prevention of intimate partner violence is in its infancy. The current volume was developed in order to examine the state of the art in preventing intimate partner violence. To that end, this article offers a synthesis of recommendations for future research made by the authors in this volume and participants in the symposium on the prevention of intimate partner violence sponsored by the Department of Defense. A goal in compiling these recommendations is to foster more and better research into preventing intimate partner violence.     

Measuring Myths about Domestic Violence: Development and Initial Validation of the Domestic Violence Myth Acceptance Scale

The past 2.5 decades have seen explosive growth in research and practice in the area of intimate partner violence (IPV), especially of perpetrators. In the present paper, the author reflects on his observations of key developments in the field and examines research that has increased our understanding of batterers, who they are, and how we might best work with them to end IPV. Issues and controversies that surround batterer treatment and research with batterers are also examined. The author calls for continued development of an empirical base to guide theory development and practice standards, as well as increased dissemination and translation of research into formats that are useful to clinicians.     

Toward Empirically Based Standards for Abuser Intervention

Summary

This article describes the development of operational guidelines for Abuser Intervention Programs in Maryland. Unlike in many states which have adopted quite specific standards regarding program format, duration, etc., the Maryland guidelines address a fairly narrow range of issues. These include outreach to victims, communication with the courts, and the need for intervention programs to address domestic abuse directly in their program content. Maryland has also established a research task force on Abuser Intervention Programs, whose goal is to use empirical data to inform the use of best practices in the state, to facilitate empirical research at abuser intervention programs in Maryland, and to develop more detailed program standards in the future.     

Conjoint Couple's Treatment for Intimate Partner Violence

Abstract

Despite lingering concerns in the field about the wisdom of seeing couples conjointly when there has been Intimate Partner Violence (IPV), the research literature and clinical practice experience both indicate that this approach can be safe and effective for at least some couples. In this paper, we briefly review the existing outcome research on Couple's treatment for IPV and then suggest best clinical practices for this work. Best practices, in our view, include seeing Couple's treatment of IPV as a clinical specialty necessitating specific training, working as part of a coordinated community response to IPV, modification of the structure of therapy to increase safety, as well as careful screening of couples and on-going assessment of the propriety of conjoint treatment.     

Predictors of Treatment Completion and Recidivism Among Intimate Partner Violence Offenders

This study examined the variables that predicted completion of an AMEND-Emerge-based program designed to treat men (n = 202) who had engaged in intimate partner violence and the rates of recidivism among those who completed versus those who failed to complete the program. Data were collected from an archival database that housed historical and demographic data on each participant; recidivism was determined by accessing publicly available court records, and was defined very broadly as any charges filed within a year after participating in the program. Overall recidivism for this sample was low (22.28%). Demographic factors demonstrated to correctly classify post-treatment recidivism included age, race, and relationship status. Whereas those who completed the program had lower recidivism than non-completers, the differences between those groups in age, race, and relationship status suggest that features of the program may not address the needs of younger African Americans who are not married.     

A Qualitative Study of the Activities and Outcomes of Domestic Violence Coordinating Councils

Efforts to promote systems change frequently involve the creation of councils, coalitions, and other collaborative settings. However, research, to date, reports limited empirical evidence that they achieve desired outcomes (Roussos and Fawcett, Annu Rev Public Health 21:369–402, 2000). The precise nature of this evidence base has received less attention. In particular, formal investigations into council effectiveness (a) rarely highlight the specific nature of collaborative efforts; (b) emphasize fairly distal markers as the “gold standard” for effectiveness; (c) focus largely on formative “outcomes” (e.g., action plan quality); and (d) utilize primarily quantitative research approaches. The current study extends previous research by employing a qualitative approach to investigate the particular activities and proximal outcomes of 41 domestic violence coordinating councils. Study findings suggest that councils engage in six primary activities: discussing issues, sharing information, identifying weaknesses in the system’s response, providing training for key stakeholders, engaging in public/community education, and lobbying key stakeholders who are not council members. Three proximal outcomes were consistently identified in council efforts: the promotion of knowledge, relationships, and institutionalized change. Attending more directly to proximal outcomes and concrete activities in our research has important implications for conceptualizing and researching the effectiveness of councils and collaborative settings.     

Council-Based Approaches to Reforming the Health Care Response to Domestic Violence: Promising Findings and Cautionary Tales

Councils are commonly formed to address social issues including intimate partner violence (IPV). Research suggests that councils may be well positioned to achieve proximal outcomes, but that their success may depend on contextual factors. The current study compared providers and health care settings at two points in time to explore the degree to which the Health Care Council achieved proximal outcomes in the health care response to IPV, including: (a) providers' reported capacity to screen for IPV, (b) providers' beliefs about IPV as a health care issue and about the IPV screening process, (c) providers' screening behaviors and (d) organizational policies and protocols to encourage screening. This study, while preliminary, provides support for council-based efforts to stimulate change in the health care response to IPV and also highlights the central role that organizational environment plays in shaping desired outcomes.     

Equipping Religious Professionals to Engage Effectively with Domestic Violence

ABSTRACT

Grant-funded agencies provide the context for religious professionals seeking to engage with domestic violence. Christian and Jewish professionals are addressed. Research-driven resources sanctioned by domestic violence agencies will be identified, examining etiology, dynamics, and treatment. Domestic violence presupposes a structure of beliefs in which religious professionals participate. Physical violence may be predatory or affective and violence may be non-physical. It occurs in all congregations. Cultural norms for appropriate behavior provide a deceptive cover. Consistent resources include books, articles, information packets, audio-visual resources, seminars/workshops and the Internet. Ties between seminaries/ religious organizations and domestic violence agencies must be promoted to fully expose and reduce this public health epidemic.