Yale University School of Medicine, Child Study Center, New Haven, CT, USA; University of South Florida, Department of Mental Health Law and Policy, Tampa, FL, USA.
Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA; Yale University School of Medicine, Child Study Center, New Haven, CT, USA.
J Subst Abuse Treat. 2019 Sep;104:116-127. doi: 10.1016/j.jsat.2019.07.003. Epub 2019 Jul 10.
Residential substance misuse treatment programs for men typically do not integrate treatment for intimate partner violence (IPV) or parenting despite significant overlap between substance misuse, IPV and child maltreatment. A randomized trial compared two fatherhood focused interventions in 6-month residential substance misuse treatment programs. Fathers for Change (F4C) is an integrated intervention targeting IPV and child maltreatment. Dads 'n' Kids (DNK) is a psychoeducational intervention focused on child development and behavioral parenting skills. Sixty-two fathers were randomly assigned to F4C or DNK. They received 12 weeks of individual treatment while in the residential facility and were offered 4 aftercare sessions following discharge. They were assessed prior to treatment, at the time of residential discharge, following completion of the intervention booster sessions, and 3 months following intervention. Overall, both groups showed significant reductions in affect dysregulation, anger, and IPV. F4C fathers showed significantly greater decreases in affect dysregulation problems. There were no significant differences between groups on IPV but men who received F4C may have been less likely to use substances after leaving residential treatment. Integration of fatherhood focused interventions were possible and welcomed by residents at the facilities. F4C showed some benefit over DNK in terms of affect dysregulation symptoms and substance use relapse.
男性居住型物质使用障碍治疗项目通常不将针对亲密伴侣暴力（IPV）或育儿的治疗纳入其中，尽管物质使用障碍、IPV 和儿童虐待之间存在显著重叠。一项随机试验比较了 6 个月居住型物质使用障碍治疗项目中两种以父亲为中心的干预措施。父亲改变计划（F4C）是一种针对 IPV 和儿童虐待的综合干预措施。爸爸与孩子（DNK）是一种专注于儿童发展和行为育儿技能的心理教育干预措施。62 名父亲被随机分配到 F4C 或 DNK 组。他们在居住设施中接受了 12 周的个体治疗，并在出院后提供了 4 次后续治疗。他们在治疗前、居住出院时、干预强化治疗完成后以及干预后 3 个月进行了评估。总体而言，两组在情绪失调、愤怒和 IPV 方面都有显著减少。F4C 组的父亲在情绪失调问题上的减少更为显著。两组在 IPV 方面没有显著差异，但接受 F4C 的男性在离开居住治疗后可能不太可能使用物质。以父亲为中心的干预措施的整合是可能的，并且受到设施居民的欢迎。F4C 在情绪失调症状和物质使用复发方面显示出比 DNK 更好的效果。
