Substance abuse and intimate partner violence: treatment considerations

Keith C. Klostermann

54 citations0/0 files storedSubstance Abuse Treatment Prevention and Policy

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Intimate Partner and Family Violence Substance Abuse Treatment and Outcomes Sexual Assault and Victimization Studies

Abstract

Given the increased use of marital- and family-based treatments as part of treatment for alcoholism and other drug disorders, providers are increasingly faced with the challenge of addressing intimate partner violence among their patients and their intimate partners. Yet, effective options for clinicians who confront this issue are extremely limited. While the typical response of providers is to refer these cases to some form of batterers' treatment, three fundamental concerns make this strategy problematic: (1) most of the agencies that provide batterers' treatment only accept individuals who are legally mandated to complete their programs; (2) among programs that do accept nonmandated patients, most substance-abusing patients do not accept such referrals or drop out early in the treatment process; and (3) available evidence suggests these programs may not be effective in reducing intimate partner violence. Given these very significant concerns with the current referral approach, coupled with the high incidence of IPV among individuals entering substance abuse treatment, providers need to develop strategies for addressing IPV that can be incorporated and integrated into their base intervention packages.

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References

2000Sex differences in aggression between heterosexual partners: A meta-analytic review.1990Physical Violence in American Families: Risk Factors and Adaptations to Violence in 8,145 Families.2004Does batterers' treatment work? A meta-analytic review of domestic violence treatment 1989Physical Violence in American Families, 1985 1992The Myth of Sexual Symmetry in Marital Violence 1990Physical Violence in American Families: Risk Factors and Adaptations to Violence in 8,145 Families 2005Current Controversies on Family Violence 2005The Differential Effects of Intimate Terrorism and Situational Couple Violence

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2012Addressing substance abuse and violence in substance use disorder treatment and batterer intervention programs 2011Alcoholism and partner aggression among gay and lesbian couples 2009Attitudes Toward Wife Beating Among Palestinian Women of Reproductive Age From Three Cities in West Bank 2014Interpersonal violence against wives by substance dependent men 2016“You can never work with addictions in isolation”: Addressing intimate partner violence perpetration by men in substance misuse treatment

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