scholarly journals Perspectives on Motivation and Change in an Intervention for Men Who Use Substances and Perpetrate Intimate Partner Abuse: Findings From a Qualitative Evaluation of the Advance Intervention

2021 ◽  
pp. 088626052199743
Author(s):  
Sandi Dheensa ◽  
Gemma Halliwell ◽  
Amy Johnson ◽  
Juliet Henderson ◽  
Beverly Love ◽  
...  
Keyword(s):  
Substance Use ◽  
Partner Abuse ◽  
Self Regulation ◽  
Qualitative Evaluation ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Substance Use Treatment ◽  
Goal Theory ◽  
Framework Analysis ◽  
The Impact

Despite consistent evidence that substance use is a contributory risk factor for perpetration of intimate partner abuse (IPA), little evidence exists for effective interventions for male IPA perpetrators who use substances. The Advance intervention aimed to meet this need. This 16-week intervention addressed both IPA and substance use, and was for men accessing substance use treatment who had perpetrated IPA toward a female (ex-)partner within the last 12 months. Two key theories underpinned the intervention: goal theory and self-regulation theory. In this article, we aim to illustrate the views of men and substance use treatment staff on men’s motivations to change, the ways in which men and staff said that men had changed their behavior, and the aspects of the intervention that they reported were key in the process of change. Using framework analysis, we analyzed data from 12 men who took part in the intervention as well as 31 staff members from substance use treatment services. Our five overarching themes were personal goal setting and motivation; recognition of IPA and the substance using lifestyle; improved self-regulation; considering the impact on others; and learning together in a group. Men and staff valued having a program that integrated IPA and substance use and thought the program was unique and much needed. Moreover, our findings suggest that goal theory, self-regulation, and more broadly, motivational and strengths-based approaches with practice-based activities, may be beneficial for effecting change in the substance using perpetrator population. However, further research is needed to determine the effectiveness of the intervention. Overall, our findings highlight the value of using qualitative outcome measures of perpetrator programs to complement quantitative measures of impact.

scholarly journals ADVANCE integrated group intervention to address both substance use and intimate partner abuse perpetration by men in substance use treatment: a feasibility randomised controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gail Gilchrist ◽  
Laura Potts ◽  
Polly Radcliffe ◽  
Gemma Halliwell ◽  
Sandi Dheensa ◽  
...  
Keyword(s):  
Substance Use ◽  
Formative Evaluation ◽  
Partner Abuse ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Substance Use Treatment ◽  
Definitive Trial ◽  
The Third ◽  
Randomised Controlled ◽  
Post Randomisation

Abstract Background Substance use is a risk factor for intimate partner abuse (IPA) perpetration. Delivering perpetrator interventions concurrently with substance use treatment shows promise. Methods The feasibility of conducting an efficacy and cost-effectiveness trial of the ADVANCE 16-week intervention to reduce IPA by men in substance use treatment was explored. A multicentre, parallel group individually randomised controlled feasibility trial and formative evaluation was conducted. Over three temporal cycles, 104 men who had perpetrated IPA towards a female (ex) partner in the past year were randomly allocated to receive the ADVANCE intervention + substance use treatment as usual (TAU) (n = 54) or TAU only (n = 50) and assessed 16-weeks post-randomisation. Participants’ (ex) partners were offered support and 27 provided outcome data. Thirty-one staff and 12 men who attended the intervention participated in focus groups or interviews that were analysed using the framework approach. Pre-specified criteria assessed the feasibility of progression to a definitive trial: 1) ≥ 60% of eligible male participants recruited; 2) intervention acceptable to staff and male participants; 3) ≥ 70% of participants followed-up and 4) levels of substance use and 5) IPA perpetrated by men in the intervention arm did not increase from average baseline level at 16-weeks post-randomisation. Results 70.7% (104/147) of eligible men were recruited. The formative evaluation confirmed the intervention’s acceptability. Therapeutic alliance and session satisfaction were rated highly. The overall median rate of intervention session attendance (of 14 compulsory sessions) was 28.6% (range 14.3–64.3% by the third cycle). 49.0% (51/104) of men and 63.0% (17/27) of their (ex) partners were followed-up 16-weeks post-randomisation. This increased to 100% of men and women by cycle three. At follow-up, neither substance use nor IPA perpetration had worsened for men in the intervention arm. Conclusions It was feasible to deliver the ADVANCE intervention in substance use treatment services, although it proved difficult to collect data from female (ex)partners. While some progression criteria were met, others were not, although improvements were demonstrated by the third cycle. Lessons learned will be implemented into the study design for a definitive trial of the ADVANCE intervention. Trial registration ISRCTN79435190 prospectively registered 22nd May 2018.

The Case for Early Intervention to Reduce the Impact of Intimate Partner Abuse on Child Outcomes: Results of an Australian Cohort of First-Time Mothers

Birth ◽  
2014 ◽  
Vol 41 (4) ◽  
pp. 374-383 ◽  
Author(s):  
Deirdre Gartland ◽  
Hannah Woolhouse ◽  
Fiona K. Mensah ◽  
Kelsey Hegarty ◽  
Harriet Hiscock ◽  
...  
Keyword(s):  
Early Intervention ◽  
Child Outcomes ◽  
Partner Abuse ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
First Time Mothers ◽  
Australian Cohort ◽  
The Impact ◽  
First Time

Awareness among health visitors of the association between postnatal depression and intimate partner abuse

2020 ◽  
Vol 8 (11) ◽  
pp. 472-478
Author(s):  
Emma Davies ◽  
Dwynwen Spargo
Keyword(s):  
Public Health ◽  
Literature Review ◽  
Postnatal Depression ◽  
Emotional Abuse ◽  
Partner Abuse ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Health Visitors ◽  
Health And Development ◽  
The Impact

Intimate partner abuse and postnatal depression (PND) are of particular significance to specialist community public health nurses in the field of health visiting practice as they are key contributors to the health and development of children. However, evidence regarding the association between these two phenomena is limited. A literature review was conducted to identify ways in which health visiting practice could be informed to identify and support women experiencing intimate partner abuse and PND. The review identified three main themes: a significant co-concurrence between intimate partner abuse and PND; a relationship between lifetime abuse and PND; and the impact of emotional abuse in relation to PND.

scholarly journals Promoting Inclusivity in Intimate Partner Abuse Research: Exploring Gender and Age

Partner Abuse ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 359-372 ◽  
Author(s):  
Nikki L. Carthy ◽  
Elizabeth A. Bates ◽  
Nicoletta Policek
Keyword(s):  
Older Adults ◽  
Partner Abuse ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Vulnerable Groups ◽  
Research Trend ◽  
Service Development ◽  
Male Victims ◽  
Treatment Practice ◽  
The Impact

Scholarship of intimate partner abuse is heavily dominated by a gendered paradigm that has strongly impacted on the development and delivery of services and treatment programs; however it is not inclusive to all victim and perpetrator groups. The gendered viewpoint of the male abuser and female victim is critiqued by identifying gender differences in intimate partner abuse research, and the impact this has on male victims. A further critique challenges the dominant research trend that has favored working with younger victims and perpetrators, with an analysis of the impact and issues for older adults and their help-seeking. Implications for practice are discussed. The lack of support services for male victims and older adults is identified, as well as the focus of treatment practice on the male abuser. Finally, an argument to support more vulnerable groups such as older men who are absent within intimate partner abuse literature and service development is presented.

scholarly journals Using the Behaviour Change Wheel to Design an Intervention for Partner Abusive Men in Drug and Alcohol Treatment

2021 ◽  
Author(s):  
Elizabeth Allison Gilchrist ◽  
Amy Johnson ◽  
Mary McMurran ◽  
Danielle Stephens-Lewis ◽  
Sara Kirkpatrick ◽  
...  
Keyword(s):  
Substance Use ◽  
Behaviour Change ◽  
Partner Abuse ◽  
Mode Of Delivery ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Theoretical Development ◽  
Behaviour Change Techniques ◽  
Target Behaviour ◽  
Substance Use Services

Abstract Background: We aimed to establish what core elements were required in a group therapy programme for men who disclose perpetrating intimate partner abuse in a substance use setting and develop, and test the feasibility of delivering an intervention in this setting. Methods: We describe the theoretical development and feasibility testing of an integrated substance use and intimate partner abuse intervention(“ADVANCE”) for delivery in substance use services. We employed a comprehensive eight stage process to guide this development applying the ‘COM-B’ model for intervention design which specifies: 1) define the problem, 2) select the target behaviour, 3) specify the target behaviour, 4) identify what needs to change, 5) identify intervention functions, 6) identify policy categories, 7) select behaviour change techniques, and 8) design a mode of delivery. The development was informed by primary research conducted by the authors, consulting with organisation steering groups and by those with personal experiences. A feasibility study (ISRCTN 79435190) involving 104 men, 27 female partners and 30 staff at three different locations across the UK was conducted to assess the feasibility and acceptability of the intervention and to refine the content and approach to delivery. Results: Our final intervention, the ADVANCE intervention consisted of a group intervention comprising of up to four pre-group individual interviews, followed by 12 x 2-hour group sessions supported by integrated safety work for victim/survivors, and risk and safety support and integrity support for the professionals. The main targets for change were personal goal planning, self-regulation and attitudes and beliefs supporting intimate partner abuse. The intervention was regarded as very acceptable to both staff and clients in substance use services, with group attendees reported positive behavior changes and development of new skills, that facilitators noted were ‘life-changing’ for some. Conclusion: We have demonstrated the ability to employ a structured eight-step process to develop an integrated intervention to address substance use related intimate partner abuse that is acceptable to staff and clients in substance use services.

scholarly journals “No blood, no foul”?: How invalidating responses to non-physical intimate partner abuse imperils victims

2019 ◽  
Author(s):  
Jenni Nathan
Keyword(s):  
Decision Making ◽  
Physical Abuse ◽  
Help Seeking ◽  
Prolonged Exposure ◽  
Service Providers ◽  
Partner Abuse ◽  
Intimate Partner Abuse ◽  
Intimate Partner ◽  
Popular Discourse ◽  
The Impact

In Australian legislation and policy, definitions of intimate partner abuse acknowledge that it is an ongoing pattern employed by a perpetrator in order to gain or maintain control, foster dependency, and erode the self-worth of the victim and can include behaviours that are physical, sexual, emotional, or psychological in nature. However, societal responses – from service providers, and friends and family – to help seeker’s disclosures of non-physical abuse are indicative of much narrower understandings. This thesis draws on qualitative data derived from semi-structured interviews with nine survivors of non-physical abuse to examine how responses to help seeking efforts influence stay/leave decision-making. Constructivist grounded theory was used in the analysis of responses from which two categories emerged – invalidating and validating. Invalidating responses inhibited further help seeking and prolonged exposure to abuse. Validating responses prompted efforts to alleviate or leave abuse. Drawing on the thesis findings, the discussion and analysis centre on better understanding the social foundations of decision-making and responses. These include: the reasons responses are so influential in the decision-making process, why responses are often incongruent with current policy and practice guidelines, conceptions of abuse in popular discourse, and the impact of social norms and popular discourse on non-help seeking behaviours. Following from this, some of the measures that might be employed to change societal responses to intimate partner abuse are discussed. The current study found that responses to participant’s help seeking efforts were influential in their decisions to stay in, or leave the relationship. The findings indicate that responses to help-seeking efforts are derived from public perceptions of, and attitudes to, intimate partner abuse. Poor understandings can result in poor responses, which can ultimately put the victim at risk. The current societal focus on physical manifestations of abuse belies the complexity of the problem and is detrimental to efforts to address intimate partner abuse. Improved awareness and acknowledgment of the impact of non-physical intimate partner abuse is therefore critical to domestic violence reduction and intervention.

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