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Thread: Treatment of Intimate Partner Violence and Substance Abuse in a Substance Abuse Treat

  1. #1

    Post Treatment of Intimate Partner Violence and Substance Abuse in a Substance Abuse Treat

    While historically considered a private family matter, intimate partner violence (IPV) has more recently been conceptualized as a widespread public health concern, requiring the attention of both the treatment community and criminal justice system. In fact, representative surveys of couples, which include less severe instances of aggression, such as single occurrences of pushing or slapping one's partner, suggest rates of 15% to 20% annually for any husband-to-wife violence [1,2]. Yet, these estimates are dwarfed in comparison to those observed among married or cohabiting substance-abusing patients entering substance abuse treatment.
    Unfortunately, effective treatment options for providers who must deal with this issue are limited. To date, the typical answer has been for providers to refer these cases to agencies specializing in batterers' treatment. However, there are three fundamental problems with this strategy. First, many batterers' treatment programs will only accept individuals who are specifically mandated by the legal community to participate in IPV treatment. Yet, most patients in substance abuse treatment settings are not required to attend a batterers' program; in fact, a large majority of substance-abusing patients are not identified as having engaged in IPV or are only so identified after lengthy or careful assessment while receiving treatment for substance abuse. Second, in those instances in which batterers' programs will accept referrals of nonmandated substance-abusing patients, the vast majority of these patients typically either do not attend the batterers' intervention or drop out early in the treatment process. Third, and perhaps most important, results of a recent meta-analytic review indicate that batterers' intervention programs are largely ineffective in reducing partner aggression. Given these very significant problems with the current referral approach, substance abuse treatment programs need to develop strategies for addressing IPV that can be incorporated into their intervention packages.

  2. #2
    Junior Member
    Join Date
    Oct 2009


    That was an interesting post! I think it would really help others especially now. The number of abused were growing and growing. And, it could be really helpful.

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