Rates of violence in substance abuse treatment (SAT) samples (e.g., > 50%) are 2-3 times higher than rates found in community samples. Violence has psychosocial, medical and psychiatric costs, and is a marker for poor response to SAT. However, treatment programs typically do not include violence prevention interventions, and very few studies have examined interventions designed to prevent violence. The objectives of this research is to develop and pilot test an Integrated Violence Prevention Treatment (IVPT) to be delivered as a supplement to substance abuse treatment. IVPT will involve the integration of Motivational Enhancement Therapy and Cognitive Behavioral Therapy.
Specific aim 1 is to operationally define a promising behavioral therapy addressing violence (IVPT), delivered as an adjunct to drug abuse/dependence treatment. This will involve development and refinement of: (A) detailed IVPT treatment materials (personalized feedback session report; group session materials); (B) a detailed manual for implementing this therapy intervention; (C) a staff training protocol and measures of therapist skill and fidelity to the intervention; followed by (D) staff training to conduct the intervention; and (E) an open-trial to pilot test and refine the IVPT manual, therapist training protocol, screening and assessment procedures and measures.
Specific aim 2 is to conduct a pilot study using a randomized controlled trial design to determine the efficacy of IVPT in reducing drug use and violence. The pilot also will provide preliminary information regarding patient characteristics that may moderate the impact of IVPT on such outcomes, as well estimates of the intervention effect size. Participants will be recruited and screened from outpatient substance abuse treatment programs. Those screening positive for past-year violence then will complete a detailed assessment of drug and alcohol consumption patterns, violent events experienced in the six-months pretreatment, and a structured diagnostic interview. In the development phase, participants screening positive for past-year violence will be assigned to the IVPT intervention. For the pilot study, participants will be randomized to either IVPT or a control condition (attention placebo), and will complete follow-up assessments of substance use and violence at 3 and 6 months. This study will be an important first step in the development of interventions for a costly, common and under-treated problem within SAT.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA017295-02
Application #
6941796
Study Section
Adult Psychopathology and Disorders of Aging Study Section (APDA)
Program Officer
Riddle, Melissa
Project Start
2004-08-20
Project End
2007-06-30
Budget Start
2005-07-01
Budget End
2006-06-30
Support Year
2
Fiscal Year
2005
Total Cost
$382,500
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Psychiatry
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Chermack, Stephen T; Bonar, Erin E; Ilgen, Mark A et al. (2017) Developing an Integrated Violence Prevention for Men and Women in Treatment for Substance Use Disorders. J Interpers Violence 32:581-603
Epstein-Ngo, Quyen M; Walton, Maureen A; Sanborn, Michelle et al. (2014) Distal and proximal factors associated with aggression towards partners and non-partners among patients in substance abuse treatment. J Subst Abuse Treat 47:282-92
Chermack, Stephen T; Grogan-Kaylor, Andy; Perron, Brian E et al. (2010) Violence among men and women in substance use disorder treatment: a multi-level event-based analysis. Drug Alcohol Depend 112:194-200
Ilgen, Mark A; Chermack, Steve T; Murray, Regan et al. (2009) The association between partner and non-partner aggression and suicidal ideation in patients seeking substance use disorder treatment. Addict Behav 34:180-6
Chermack, Stephen T; Murray, Regan L; Winters, Jamie J et al. (2009) Treatment needs of men and women with violence problems in substance use disorder treatment. Subst Use Misuse 44:1236-62
Murray, Regan L; Chermack, Stephen T; Walton, Maureen A et al. (2008) Psychological aggression, physical aggression, and injury in nonpartner relationships among men and women in treatment for substance-use disorders. J Stud Alcohol Drugs 69:896-905
Chermack, Stephen T; Murray, Regan L; Walton, Maureen A et al. (2008) Partner aggression among men and women in substance use disorder treatment: correlates of psychological and physical aggression and injury. Drug Alcohol Depend 98:35-44