Domestic Violence Perpetrator Programs: A Proposal for Evidence-Based Standards in the United States

A Systematic Review of the Quality of Perpetrator Programs' Outcome Studies: Toward A New Model of Outcome Measurement

This systematic review assessed whether studies on the outcomes of perpetrator programs comply with the model recommendations for outcome evaluation. Three databases (PsycINFO, Medline, and Scopus) were used to identify perpetrator program outcome studies from 1988 to 2021. The inclusion criteria were as follows: empirical studies with no time restriction; published in English or Spanish; evaluated interventions aimed at male perpetrators of any type of abuse toward women; evaluated the effectiveness of the intervention in a follow-up post-intervention; and provided an indicator of recidivism. The search and selection process resulted in 46 original studies. The results showed that studies did not include a thorough description of the study sample. Many approaches to psychological intervention are used, with cognitive behavioral therapy being the most widely used. Most studies did not describe the program content. Dropout rates varied greatly from one study to another (from 0% to 64%) and only eight studies provided dropout rates specified by each type of perpetrator. The follow-up period ranged from 3 months to 9 years. The recidivism rates (ranging from 5% to 72.5%), and their assessments were also very different. Only 12 of the 46 studies (26.1%) used more than one source to obtain recidivism rates. In terms of outcomes, few studies considered (ex-) partner accounts. Some studies had other measures of outcome, whereas a few included a pretest-posttest. In summary, these studies do not follow the recommendations of the model.

Which battering interventions work? An updated Meta-analytic review of intimate partner violence treatment outcome research

This meta-analytic review is an update to the first meta-analysis of battering interventions (Babcock et al., 2004) and includes 59 studies that evaluated treatment efficacy for domestically violent men and women. The outcome literature of controlled quasi-experimental and experimental studies was reviewed to test the relative impact of Duluth, cognitive-behavioral therapy (CBT), and novel types of treatment on subsequent recidivism of violence. The first model examines studies comparing interventions to no treatment control conditions. The second model compares novel interventions to treatment as usual (i.e., the Duluth curriculum). Study design and type of treatment were tested as moderators in both models. Consistent with previous meta-analyses, effect sizes were in the small range, smaller in true experiments as compared to quasi-experimental designs when recidivism was based on partner or police reports. However, new experiments comparing novel treatments to the Duluth curriculum reveal effect sizes comparable to when comparing novel interventions to an untreated comparison group. Novel interventions, including Acceptance and Commitment Therapy and Circles of Peace had the largest effect sizes when put head-to-head with Duluth control groups. Future research directions include testing moderators and mechanisms of change of the battering interventions that work. Implications for evidence-based practice in criminal justice include broader implementation and continued testing of these novel interventions with demonstrated efficacy in stopping intimate partner violence.

The Uptake and Measurement of Alternative Approaches to Domestic Violence Intervention Programs: A Scoping Review

This scoping review explores the breadth and depth to which Domestic Violence Intervention Programs (DVIPs) in the United States and globally: (a) incorporate components that address the relationship between intimate partner violence (IPV) and social injustice, racism, economic inequality, and adverse childhood experiences (ACEs); (b) use restorative (RJ)/transformative justice (TJ) practices, individualized case management, partnerships with social justice actors, and strengths-based parenting training in current programming; and (c) measure effectiveness. In 2021, we searched 12 academic databases using a combination of search terms and Medical Subject Headings. In all, 27 articles that discussed at least one key concept relative to DVIP curricula were included in the final review. Findings suggest that very few DVIPs address ACEs and/or the relationship between structural violence, social inequality, and IPV perpetration. Even fewer programs use restorative practices including RJ or TJ. Furthermore, DVIPs use inconsistent methods and measures to evaluate effectiveness. To respond to IPV perpetration more effectively and create lasting change, DVIPs must adopt evidence-informed approaches that prioritize social and structural determinants of violence, trauma-informed care, and restoration.

Group-Related Variables in Intervention Programs for Intimate Partner Violence Perpetrators: A Systematic Review

Intervention programs for male intimate partner violence (IPV) perpetrators mostly use the group intervention modality. Notwithstanding, the literature has neglected the study of group-related variables and their possible association with these interventions' functioning and outcomes. This systematic review aimed to analyze group-related variables, their predictors, and their relation to the functioning and outcomes of intervention programs for IPV perpetrators. The systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The following databases were searched from inception to November 2022: Web of Science, Scopus, PUBMED, and PsycINFO. Of the 5,941 identified studies, 13 were included in the review. The main predictors of group-related variables were: intervention stage, motivational strategies, and leadership (counseling approach). The group-related variables as predictors of intervention outcomes were: group management behaviors and support (facilitator behavior within the group); positive confrontation, protherapeutic behavior, active involvement, positive interaction with peers, and positive interaction with the facilitator (participant behavior within the group); and group cohesion and group climate (group dynamics). Group cohesion and participants' protherapeutic behavior stood out for their association with positive treatment outcomes (i.e., greater participation and working alliance, lower rates of violent behavior during follow-up). The findings from this review suggest that group processes are key factors in intervention programs for IPV perpetrators, and a better understanding of how these group processes are shaped, and how they can contribute to positive program outcomes, provides a new approach and insights to improve their effectiveness.

Differential Treatment Response of Proactive and Reactive Partner Abusive Men: Results from a Laboratory Proximal Change Experiment

Objective: The current study reexamines data from Babcock et al. (2011) proximal change experiment to discern the differential utility of two communication skills-based interventions for proactive and reactive partner violence offenders. Method: Partner violent men were randomly assigned to the Editing Out the Negative skill, the Accepting Influence skill, or to a placebo/timeout and reengaged in a conflict discussion with their partners. Proactivity was tested as a moderator of immediate intervention outcomes. The ability to learn the communication skills, changes in self-reported affect, observed aggression, and psychophysiological responding were examined as a function of proactivity of violence. Results: Highly proactive men had some difficulty learning the Accepting Influence skill and they responded poorly to this intervention. They responded positively to the Editing Out the Negative technique, with less aggression, more positive affect, and lower heart rates. Low proactive (i.e., reactive) men tended to feel less aggressive, more positive, and less physiologically aroused after completing the Accepting Influence technique. Conclusions: This study lends support for tailoring batterer interventions specific to perpetrator characteristics.

Self-Determined Goals of Male Participants Attending an Intervention Program for Intimate Partner Violence Perpetrators: A Thematic Analysis

Treatment adherence and motivation to change are among the main challenges in intervention programs for Intimate Partner Violence (IPV) perpetrators. Motivational strategies have shown promising results in increasing the effectiveness of intervention programs for IPV perpetrators. One of these motivational strategies is goal setting. The aim of this study was to analyze and categorize the self-determined goals (n = 204) of 227 male participants attending an intervention program for IPV perpetrators. Findings of the thematic analysis suggested three levels of analysis: 4 core categories, 12 categories, and 35 codes. The four core categories were "interpersonal relationships" (39.7%), "personal resources for daily life" (29.3%), "coping strategies" (27.8%), and "motivation to change" (3.2%). Identifying the main categories of self-determined goals of IPV perpetrators could guide professionals to tailor the intervention to participants' specific needs and implement evidence-based strategies to strengthen goal attainment and improve treatment outcomes.

Improving Policy and Treatment Interventions for Sexual and Gender Minority Perpetrators of Intimate Partner Violence to Reduce Adverse Health Outcomes

Intimate partner violence (IPV), understood as physical, sexual, and psychological aggression, is a pernicious health problem that is as or more prevalent in sexual and gender minority (SGM) relationships as in heterosexual and cisgender ones. IPV has many impacts, including physical and psychological health consequences. Effective treatment of abusers is needed to reduce IPV in SGM communities. Yet IPV in SGM relationships is understudied, making it difficult to determine whether current treatment, designed for people who identify as cisgender and heterosexual, is effective for SGM IPV abusers. This perspective identifies policy barriers to and recommendations for improving IPV perpetrator treatment for SGM individuals.

Structural Problems Demand Structural Solutions: Addressing Domestic and Family Violence

Despite the global recognition of domestic and family violence (DFV) as an outcome of unequal power relations between men and women, dominant frameworks for addressing DFV do not target the structural nature of the problem. Drawing on research conducted in partnership with the Federation of Community Legal Centres in Australia, we argue that a distinction needs to be made between what is genuinely structural change and what is system reform. Using intersectional feminist and decolonial theory and praxis, we reflect on what a structural approach to DFV could look like: one that confronts and actively tries to change the structural conditions that give rise to women's individual and collective vulnerability and victimization.

Randomized Clinical Trial of a Brief Alcohol Intervention as an Adjunct to Batterer Intervention for Women Arrested for Domestic Violence

Despite a rise in women being arrested for domestic violence and court-ordered to batterer intervention, batterer interventions remain limited in their ability to address women's treatment needs. Alcohol use is an important intervention target: one-third of women in batterer interventions have an alcohol-related diagnosis, half engage in at-risk drinking, and alcohol use contributes to intimate partner violence (IPV) and batterer intervention dropout. Research has not evaluated whether adding an alcohol intervention to batterer intervention improves women's alcohol use and IPV outcomes. We randomized 209 women (79.9% white) in Rhode Island to receive the state-mandated batterer intervention program alone or the batterer intervention program plus a brief alcohol intervention. Alcohol use (percentage of days abstinent from alcohol [PDAA], number of drinks per drinking day [DPDD], percentage of heavy drinking days [PHDD], percentage of days abstinent from alcohol and drugs [PDAAD]), and IPV perpetration and victimization frequency (psychological, physical, and sexual IPV, injury) data were collected at baseline and 3-, 6-, and 12-month follow-up. Multilevel modeling revealed that, relative to the batterer intervention alone, women who received the brief alcohol intervention reported a higher PDAA and PDAAD, fewer DPDD, and a lower PHDD across all follow-up assessments. Women who received the brief alcohol intervention perpetrated less physical IPV and experienced less injury than did women who only received the batterer intervention. For physical IPV, these differences became more pronounced over time. No other group differences or group x time interactions emerged. Adding an alcohol intervention may improve batterer intervention outcomes for women arrested for domestic violence.

Participants in Court-mandated Intervention Programs for Intimate Partner Violence Perpetrators with Substance Use Problems: A Systematic Review of Specific Risk Factors

Men with alcohol and/or other drug use problems (ADUPs) court-mandated to attend intervention programs for intimate partner violence (IPV) perpetrators have been identified as a high-risk, highly resistant group of IPV perpetrators, as they present lower treatment adherence and higher dropout and recidivism rates. Previous research suggests that IPV perpetrators with ADUPs may require tailored interventions to address their specific risk factors. The present systematic review was conducted using PRISMA guidelines to identify the specific risk factors in men with and without ADUPs on entry to court-mandated perpetrator programs. The following databases were searched from inception to November 2021: Web of Science, PsycINFO, and Scopus. There was a screening of 3,995 records, and 29 quantitative studies were included in the review. Risk factors present in males court-mandated to perpetrator programs were grouped into four categories: sociodemographic risk factors, personality disorders and psychological adjustment, social-relational risk factors, and risk factors related to attitudes towards women. Results indicated that the main risk factors in IPV perpetrators with ADUPs, compared to those without, were higher clinical symptomatology (e.g., anger and impulsivity), personality disorders, poorer executive functions, having experienced more stressful life events, higher exposure to childhood trauma, lower intimate social support, and higher responsibility attributed to the offenders' personal context. These results contribute to a deeper understanding of the complex phenomenon of IPV and ADUPs, and could help to inform key targets for perpetrator programs that may improve the well-being of their (ex)partners and increase the effectiveness of intervention programs for IPV perpetrators.

Evaluation of the Strength at Home Group Intervention for Intimate Partner Violence in the Veterans Affairs Health System

IMPORTANCE

Intimate partner violence (IPV) is a serious and prevalent public health issue that is interconnected with experiences of trauma, mental and physical health difficulties, and health disparities. Strength at Home (SAH) is a group intervention for persons using IPV in their relationships. Although previous studies have provided evidence of SAH's effectiveness in reducing IPV, its patient outcomes as implemented within organized health care have not been examined.

OBJECTIVE

To evaluate patient outcomes from implementation of SAH in the Department of Veterans Affairs (VA) health system.

DESIGN, SETTING, AND PARTICIPANTS

This quality improvement study evaluated patient outcomes from a national implementation and training program conducted between December 11, 2015, and September 24, 2021. Data were collected as part of treatment and submitted by clinicians at 73 VA health care facilities. Patients were 1754 veterans seeking care aimed at addressing and/or preventing their use of aggression in intimate relationships. They completed 1 pretreatment assessment and 1 follow-up assessment in the immediate weeks after group completion.

INTERVENTION

Strength at Home is a 12-week trauma-informed and cognitive behavioral group intervention to address and prevent the use of IPV in relationships.

MAIN OUTCOMES AND MEASURES

Changes in IPV were measured with the Centers for Disease Control and Prevention 2010 National Intimate Partner and Sexual Violence Survey. Changes in posttraumatic stress disorder (PTSD) symptoms were measured with the PTSD Checklist for DSM-5, and alcohol misuse was measured with the Alcohol Use Disorders Identification Test.

RESULTS

The study included 1754 participants (mean [SD] age, 44.3 [13.0] years; 1421 men [81%]), of whom 1088 (62%) were involved with the criminal legal system for IPV charges. Analyses indicate that SAH was associated with reductions in use of physical IPV (odds ratio, 3.28; percentage difference from before to after treatment, -0.17 [95% CI, -0.21 to -0.13]) and psychological IPV (odds ratio, 2.73; percentage difference from before to after treatment, -0.23 [95% CI, -0.27 to -0.19]), coercive control behaviors (odds ratio, 3.19; percentage difference from before to after treatment, -0.18 [95% CI, -0.22 to -0.14), PTSD symptoms (mean change, -4.00; 95% CI, 0.90-7.09; Hedges g = 0.10), and alcohol misuse (mean change, 2.70; 95% CI, 1.54-3.86; Hedges g = 0.24).

CONCLUSIONS AND RELEVANCE

In this quality improvement study of the patient outcomes after implementation of SAH, results suggested that the program was associated with reductions in IPV behaviors, PTSD symptoms, and alcohol misuse. Results also suggest that IPV intervention in routine health care at VA health care facilities was successful; extension to other organized health care systems could be warranted.

Women's Formal Help-Seeking Before and After Their Abusive Partner Initiates Relationship Violence Treatment

Intimate partner violence survivors (N = 122) reported on formal help-seeking before and after their male partners enrolled in a Relationship Violence Intervention Program (RVIP). At baseline, only 20% of survivors had ever received domestic abuse (DA) counseling. DA counseling was more common among survivors with more extensive partner abuse exposures, and for black women residing in suburban versus urban communities. New help-seeking was associated with survivor perceptions of the abusive partner's stage of change. RVIP impact may be enhanced through culturally sensitive survivor outreach that is responsive to a broad range of needs and includes repeated contact over time.

Challenges to an Individualized Approach Toward Batterers Intervention Programs in the Context of Coordinated Community Response to the Intimate Partner Violence in Lithuania

Purpose

Although batterers' intervention programs (BIPs) constitute an important part of the coordinated response to intimate partner violence (IPV) and contribute to increasing the perpetrators' accountability and keeping victims safe, the effectiveness of these programs is still debated. Only recently has the focus of these debates shifted away from researching outcomes by measuring overall program effectiveness toward specific qualities of interventions across program models that may be effective for the distinct client (Babcock et al., Clinical Psychology Review, 23(8), 1023-1053, 2004; Zarling et al., Psychology of Violence, 9(3), 257-266, 2019). The discussion on the practical implementation of BIPs was supplemented by various significant concepts emerging from new empirical findings, such as differential treatment, motivational interviewing, and effective facilitator-client alliances (Hamel et al., Partner Abuse, 11(4), 387-414, 2020; Holtrop et al., Journal of Interpersonal Violence, 32(8), 1267-1290, 2017). This paper aimed to address some of the abovementioned concepts by identifying challenges that arise during the implementation of BIPs in Lithuania.

Methods

Using qualitative data from semi-structured interviews and focus group discussions with BIPs facilitators, BIPs attendees, and various stakeholders, the paper discusses how to contribute to more effective BIPs outcomes.

Results

According to this study, the process of implementing BIPs in Lithuania should be systematized by incorporating existing instruments, such as motivational interviewing, risk-based assessment, and differential treatment, evidence-based programs focused on different theoretical approaches, and forms of implementation.

Conclusion

The study found that the consistency and integrity of the entire BIP implementation process should be prioritized, and institutional cooperation in Lithuania needs to be improved to achieve a successful coordinated response to intimate partner violence.

Assessing States' Intimate Partner Violence Offender Treatment Standards using a Principles of Effective Intervention Framework

Court-ordered treatment programs are a widely used response to intimate partner violence (IPV) and many states have developed standards to guide programs. The current study provides an update to Maiuro and Eberle's. (2008) review of states' standards and extends the literature by using the principles of effective intervention (PEIs; i.e., risk, need, responsivity, treatment, and fidelity) as an organizational framework to examine standards. Findings showed that 84% of states had standards in 2020, compared to 88% in 2007, and extensive changes both within and across states' standards had occurred. Regarding the PEIs, in line with the risk principle most states mandated the use of risk assessments; inconsistent with the needs principle, few states used these assessments to classify clients into risk levels or inform individualized treatment. The majority of standards addressed the treatment principle by outlining a required structure and duration, but few attended to responsivity factors (e.g., identifying treatment modalities, attending to specific client factors). Regarding the fidelity principle, most standards outlined education or training requirements for staff and required periodic program reviews or audits, but few standards were evidenced-based and only about half required that programs collect data to measure effectiveness. Taken together, findings suggest that standards have continued to evolve and that the integration of PEIs into IPV treatment is only just beginning. Standards provide a rich opportunity for future researcher-practitioner partnerships in the field of IPV intervention.

IPV Perpetrator Groups: Client Engagement, and the Role of Facilitators

Based on the emerging literature being developed in Motivational Interviewing that suggests certain group process factors and facilitator attributes predict treatment outcomes, this study sought to investigate the relationship between both client and facilitator ratings of the batterer intervention group experience. This study presents data from 16 group facilitators drawn from five agencies and 175 clients being served by these facilitators. The data gathered included both facilitator ratings of clients (i.e., Group Engagement Measure-GEM) and client ratings of facilitators and the group experience (i.e., Client Rating of Facilitator-CRF, Client Perceived Benefits of Group-CPBG). Results indicate that facilitators rated clients as being engaged in the group process across all the domains assessed by the GEM and that clients viewed the facilitators and group experiences favorably as assessed by the CRF and CPBG. There was no significant correlation between the GEM and CRF or the GEM and CPBG, but there was a strong, positive correlation between the CRF and CPBG. The results here support previous research findings suggesting a strong correlation between client engagement in the therapeutic process, based on their perception of the facilitator, and their perceived benefits of the group experience. Implications of the findings for improving empirical investigations of the batterer intervention group experience were explored and discussed.

Prosecutorial decision-making regarding offenders’ social reintegration programs in intimate partner violence cases. A Portuguese study

Intimate partner violence is one of the most challenging and demanding problems that the criminal justice system has to face. Given the severe consequences of intimate partner violence, it is imperative that intervention from the criminal justice system, regarding perpetrators, be effective to prevent further victimization and recurrences. In Portugal, it is up to the state prosecutor to decide which cases will be subject to a social reintegration program as a pretrial diversion program. This study aims to explore the variables that might influence the state prosecutor’s decision-making process. We have examined 283 intimate partner violence cases in which provisional suspension of criminal proceedings was applied. The decision as to whether defendants should be referred for social reintegration program attendance (G1) or not (G2) was made by the state prosecutor. Differences between G1 and G2 were identified: the victim’s age, couple living in a current relationship, drug-addicted defendant, intimate partner violence child exposure. However, defendants’ unemployment and drug abuse were the only two variables identified as a determinant for state prosecutor decisions. We believe that the effectiveness of state prosecution decision-making would benefit from: (a) systematically taking into account all intimate partner violence risk factors; (b) an index or checklist detailing what science reveals useful in intimate partner violence offenders’ social reintegration; (c) rehabilitation solutions based on the needs of each offender instead of a “one-size-fits-all” approach.

"Two Hours on a Sunday": Fatherhood Following an Intimate Partner Violence Incident-A Theory of Excision

Fathers who are arrested after an intimate partner violence (IPV) incident must navigate multiple systems, including child welfare, criminal justice and family court, that regulate their interactions with their family members post-arrest. Contact between fathers and their children is highly regulated in the name of safety, often creating lengthy separations and putting strain on already frayed parent-child relationships. While concerns for the safety of victims and survivors of IPV are warranted, there is increased acknowledgement of the important role that fathers, including those with a history of IPV, play in their children's lives. This exploratory study used grounded theory methodology to interrogate how fathers seeking treatment at an abusive partners' program maintained a relationship with their child(ren) and their identities as fathers. Fourteen fathers with experience in the phenomenon of interest completed in-depth qualitative interviews, focus groups, and demographic questionnaires. These data were analyzed along with observational memos to develop a four-stage theory of excision which captured the four stages of routine and effective separation of fathers from their children's lives observed: (a) extraction; (b) re-assignment of identity; (c) exclusion; and (d) what remains. The presence of a single negative case in this study allowed for a discussion of this excision appearing to operate differently along racial lines. The urgent need to redress the institutional racism within these systems that has resulted in extraordinary burden and injustice to families of color is detailed. Implications for policies and practice with families living with IPV are discussed.

Client Retention in Community Treatment: Completer and Noncompleter Experiences of an Individualized, Needs-Based Partner Abuse Intervention Program

There has been increased interest in the subjective experiences of participants of community partner abuse intervention programs (PAIPs). In the context of high attrition rates, qualitative research is needed to understand the factors associated with sustained engagement and dropout. Using a community nonmandated PAIP, the current study is a rare investigation of the experiences of both completers and noncompleters. We explored the differences between completers' and noncompleters' perceptions of the treatment process, the reasons for sustained program engagement, and the perceived outcomes of treatment. Semi-structured interviews were completed with 14 participants: nine completers and five noncompleters. The majority of participants were referred by children's social care and were unemployed at the time of interview. The interviews were conducted by research staff independent from the treatment-providing organization. Three themes emerged from the data: (a) Treatment as Challenging Yet Enlightening, (b) the Importance of a Well-timed and Safe Therapeutic Environment, and (c) Improved Emotional Self-Management Due to Treatment. Results highlighted how structured individualized sessions, underpinned by a strong therapeutic alliance with facilitators, helped participants increase their interpersonal problem-solving and communication skills. The study reinforced the importance of developing a therapeutic alliance and providing structured individualized treatment characterized by flexibility and accessibility. Noncompletion was perceived as related to known risk factors and treatment readiness. Therefore, it may be beneficial to employ screening measures to monitor these factors. Future research should use larger, more diverse samples to further investigate subjective experiences of PAIP completers and, particularly, noncompleters to enhance the limited literature in this area.

Treatment for perpetrators of intimate partner violence: What is the evidence?

Intimate partner violence (IPV) is recognized as a worldwide health issue that calls for urgent interventions to prevent the significant physical and mental harm it poses to the individuals involved and to reduce its wider deleterious impacts on society. Despite 40 years of research in the field, incidence rates of IPV have not significantly declined and treatment services for perpetrators of IPV are scarce. Empirical research has been hindered by ideological disputes, and the most commonly used treatment approaches-the feminist-oriented Duluth approach and cognitive-behavioral treatments-lack evidence for their efficacy. This introduction to this issue of In Session reviews these ideological controversies and the current state of empirical evidence for the treatment of perpetrators of IPV; and summarizes the five papers, commissioned from different countries in Europe, North America, and Africa, comprising this issue, each of which presents a novel therapeutic intervention for this heterogeneous population.

State Standards for Batterer Intervention Programs: A Content Analysis

Batterer intervention programs (BIPs) provide treatment options for domestic violence offenders across the United States with varying degrees of standardization of programs required by law. The purpose of this study was to investigate the current State Standards for Batterer Intervention Programs (SSBIPs) in the United States. The primary research question was to discern the minimum requirements and mandates for BIPs of the 50 states. Results from the content analysis of the 44 states with SSBIPs indicated that there were some commonalities (e.g., approach to offender treatment) among the standards; however, there persisted varied minimum standards within SSBIPs for a majority of elements within BIPs (e.g., intake, screening, and assessment procedures; curriculum; training and educational requirements for BIPs providers and supervisors; and evaluation of the BIP programs). Recommendations and implications are discussed.

Effectiveness of a Prison-Based Treatment Program for Male Perpetrators of Intimate Partner Violence: A Quasi-Experimental Study of Criminal Recidivism

Despite increasing interest in programming for perpetrators of intimate partner violence (IPV), the literature provides weak support for the effectiveness of these interventions. However, there are few studies that evaluate programs offered to felony IPV offenders who are serving prison sentences. This study uses a quasi-experimental design to evaluate the effectiveness of a prison-based implementation of a popular IPV intervention in reducing general and offense-specific recidivism among 169 men released from state prison in 2017. Because recidivism data were collected through early March 2019, the average follow-up period was approximately 20 months for both the control group and experimental group. Observable selection bias was minimized by using propensity score matching to create a comparison group of 169 nonparticipants released in 2017 who were not significantly different from the program participants. Cox regression models were used to predict general rearrest, reconviction, reincarceration, and supervised release revocation, as well as rearrest and reconviction for any violent offenses and rearrest and reconviction for domestic violence offenses in particular. No significant differences in any type of recidivism were found between the comparison group and those who participated in treatment, regardless of whether the participant completed or failed to complete the program. The findings suggest that the intervention is no more successful when offered within prisons than when offered in the community. The study concludes by making recommendations for increasing the effectiveness of prison-based domestic violence programming.

Characteristics and Factors Associated With Intimate Partner Violence-Related Homicide Post-Release From Jail or Prison

Intimate partner violence (IPV) victimization and perpetration are common experiences among incarcerated people. Despite knowledge regarding the challenges of re-integrating post-release from jail or prison, including an increased risk of homicide victimization, there is a dearth of research focused on IPV-related homicides post-release from a correctional facility. To address this gap, the current study used 2003-2015 data from the National Violent Death Reporting System from 27 states to examine the characteristics and circumstances surrounding IPV-related homicides soon after the homicide victim was released from jail or prison. Of the 126 post-release homicides, 13.5% were related to IPV. Post-release homicides involving either a female victim or perpetrator were more likely to be IPV-related. In the case of many of the IPV-related homicides, there was evidence of prior IPV as well as potential bystanders (including formal and informal supports) who were aware of the risk for IPV escalation and possible lethality. Compared with non-IPV post-release homicides, those related to IPV were more likely to occur in the victim's home, have been immediately preceded by a physical fight, and have occurred by means other than firearm. These findings highlight the importance of enhancing the capacity of correctional facilities and community-based services to assess for and respond to risk of IPV and IPV-related lethality for individuals leaving correctional institutions.

Pathways to Seeking Help From a Partner Abuse Intervention Program: A Qualitative Study of Voluntary and Non-Court-Mandated Latino Men's Experiences

Involvement in treatment for intimate partner violence and abuse (IPV/A) perpetration is often limited to those who are arrested and convicted of domestic violence offenses. Consequently, the majority of research into partner abuse intervention programs (PAIPs; also known as batterer intervention programs [BIPs]) has utilized data from court-mandated participants despite the existence of voluntary programs. Therefore, little is known about the experiences of voluntary and non-court-mandated BIP/PAIP participants. Using an interpretive phenomenological analysis, this study sought to understand how participants perceived their lived experience in seeking help from a voluntary BIP/PAIP serving Latino men. Men volunteering for this study participated in semi-structured in-depth interviews (N = 16). The findings reveal that the decision to engage in a BIP/PAIP voluntarily is process laden. Participants described the process as involving a breakdown in the health of their intimate relationship, reaching tipping points at which avoiding help was no longer an option, and locating specific information on where to seek treatment. The findings also reveal that once involved, most participants anticipated and desired to engage in the program long term. This study illuminates the many factors that may contribute to decision-making when men who have acted abusively seek help. Strategies for increasing voluntary BIP/PAIP participation may involve enhancing marketing of services or information for accessing services, and personal relationship building between facilitators and potential participants.

Testing the Validity of an Internal Power Theory of Interpersonal Violence

The assertion that the motive behind battering is "power and control" is commonly accepted. Indeed, the most commonly cited "theory" behind Batterer Intervention Programs, a primary criminal justice system response to domestic violence, is that domestic violence offenders are motivated by their need to obtain "power and control." However, this theory has not been fully developed or empirically tested. Researchers have argued for the need to turn attention back to developing better theoretical models with clear conceptualizations and operationalizations of the power construct. Wagers articulated such a theory and introduced a "super construct" called internal power. This article seeks to further develop and empirically test Wagers's theory. Confirmatory factor analysis is used to examine the viability of the internal power construct, and structural equation modeling is used to test the relationship between the internal power factor and self-reported interpersonal abusive behaviors. Findings indicate internal power is a viable construct that warrants further exploration and offer preliminary support for internal power theory as an explanation of intimate partner violence.

Changes in Violence and Clinical Distress Among Men in Individual Psychotherapy for Violence Against Their Female Partner: An Explorative Study

Most interventions for men who have acted violently toward their partner have been conducted as group interventions within a criminal justice context. Therefore, few studies have examined individual psychotherapy and how such interventions may reduce partner violence. In this study, we aimed to describe changes in violence, and changes in clinical distress in men undergoing individual psychotherapy targeting their use of partner violence, at a clinic organized within a psychosocial health care context. This is a naturalistic prospective study of men voluntarily receiving individual psychotherapy for their use of violence against their female partner. Participants were 84 male clients, and data on their use of physical violence, physical controlling violence, property violence and psychological violence were collected pretreatment, posttreatment and at follow-up 1.5 years after treatment from both the men, and their partners (n = 58). The percentage of use of all types of violence during a typical month the last year decreased from pretreatment to follow-up, according to both the men, and their partners. Over the course of treatment, use of all types of self-reported violence during the last month was reduced, however, this was only partially confirmed by their partners. Number of sessions was associated with a lower risk of having used physical and physically controlling violence 1.5 years after treatment. Alcohol abuse or dependency, or qualifying for one or more psychiatric diagnoses, were not associated with levels or change in use of violence. On average, the men's clinical distress declined over the course of psychotherapy. The findings suggest that individual psychotherapy may be a promising and worthwhile intervention for intimate partner violence. Studies with more elaborate designs are needed to identify the core mechanisms of psychotherapy for violence, and to corroborate these results with higher levels of evidence.

Integrating 'Principles of Effective Intervention' into Domestic Violence Intervention Programs: New Opportunities for Change and Collaboration

Several evaluations and meta-analytic reviews have suggested that domestic violence (DV) treatment programs have only a modest impact on reducing DV recidivism. In response, a growing number of scholars and practitioners have called for the integration of evidence-based practices into DV treatment programming. In recent years, one leading approach has been to explore the infusion of the 'principles of effective intervention (PEI),' the prevailing evidence- based practice in correctional programming, into DV treatment. Findings from initial empirical studies from scholars and practitioners working to infuse the PEI into DV treatment programs have shown promise. This article provides an overview of the PEI and research exploring the integration of the PEI into DV treatment; a discussion on how these research findings can inform DV treatment programs interested in adopting a PEI framework; and practitioners' perspectives on implementing programmatic changes and collaborating on evaluation research while also continuing to provide DV treatment.

The effectiveness of interventions to prevent recidivism in perpetrators of intimate partner violence: A systematic review and meta-analysis

BACKGROUND

Previous reviews of interventions to prevent recidivistic intimate partner violence (IPV) have cited minimal benefits and have been critical of interventions adopting a 'one-size-fits-all' approach to a heterogenous category of offenders. The present systematic review and meta-analysis assesses evidence for interventions situated in a risk-need-responsivity framework, in comparison with the more traditional 'one-size-fits-all' intervention approach.

METHOD

Six databases (PsycINFO, Web of Science, PubMed, EMBASE, SCOPUS, PILOTS) were searched for studies examining effectiveness of IPV interventions.

RESULTS

Thirty-one studies met the inclusion criteria. Studies were analysed separately depending on whether they compared two treatments (n = 17) or used a no-treatment control group (n = 14). In the meta-analysis, overall effect sizes were OR = 0.52, 95% CI [0.35-0.78] for interventions with follow-up of ≤ one year (p < 0.001) and OR = 0.60, 95% CI [0.46-0.78] for interventions with follow-up between one and two years (p < 0.001). The pooled effects from the studies using follow-up of greater than two years did not reach statistical significance. Subgroup analyses suggested that effect sizes differed across treatment types, with risk-need-responsivity treatments performing well against other modalities.

CONCLUSIONS

Risk-need-responsivity treatments showed promise in the short-to-medium term, but the challenge of sustaining effects into the longer term remains.

Court-mandated interventions for individuals convicted of domestic violence: An updated Campbell systematic review

Background

Survey research and analysis of police records, hospital emergency rooms, and women's shelters have clearly established the severity of the intimate partner violence problem and the need to find programs to address this issue. Roughly 1 in 4 women in an intimate relationship is a victim of intimate partner violence. Court-mandated batterer intervention programs (BIPs) have been implemented throughout the United States as a leading method to address this problem. These programs are also now implemented in Canada and Europe. These programs emerged from the women's shelter movement leading to programs with a strong feminist orientation, such as the Duluth Model. The programs that were developed were group-based and relied on psychoeducational methods. Their aim was to get men to take responsibility for their sexist beliefs and stop abusing their partners by teaching them alternative responses for handling their anger. More recent programs draw from cognitive-behavioral therapeutic principles or a mix of the latter with feminist components as well.

Objectives

This is an update of our prior review. The aim was to assess the effects of postarrest court-mandated interventions for intimate partner violence offenders that target, in part or exclusively, male batterers. Our focus was on studies aimed at reducing intimate partner violence, above and beyond what would have been expected by routine legal procedures (e.g., probation monitoring, etc.).

Search Methods

We searched numerous databases and websites, bibliographies of published reviews of related literature, and a scrutiny of annotated bibliographies of related literature. Our goal was to identify all published and unpublished literature that met our selection criteria. The original review identified nine eligible studies. The updated search identified two new studies. The total sample size across these 11 studies was 4824.

Selection Criteria

We included experimental (random assignment) and quasi-experimental evaluations of court-mandated BIPs that measured official or victim reports of future intimate partner violence. Rigorous quasi-experimental designs were defined as those that either used matching or statistical controls to improve the comparability of the treated (program) and untreated (comparison) groups. The original review also included quasi-experimental designs that used treatment drop-outs as the comparison group. Given the serious selection bias of such studies, these have not been included in this update.

Data Collection and Analysis

We coded characteristics of the treatment, sample, outcomes, and research methods. Findings were extracted in the form of an effect size and effect sizes were analyzed using the inverse-variance weight method of meta-analysis. Official report and victim report outcomes were analyzed separately as were the different design types (i.e., random assignment and quasi-experimental designs with a no treatment comparison).

Results

The mean effect for official reports of intimate partner violence from experimental studies showed a modest (but statistically nonsignificant) benefit for the program group (odds ratio, 0.79; 95% confidence interval [CI] [0.49-1.28], k = 7) whereas the mean effect for victim reported outcomes showed equal outcomes for both groups (e.g., no benefit or harm; odds ratio, 0.99; 95% CI, [0.74-1.32], k = 7). The quasi-experimental studies showed a small but not statistically significant benefit for the program group on official reports (odds ratio, 0.54; 95% CI [0.24-1.22], k = 7). One quasi-experiment reported a nonsignificant effect for a victim report outcome (odds ratio, 1.76; 95% CI [0.50-6.14], k = 1). None of the analyses were statistically significant. Thus, there is insufficient evidence to conclude that these programs are effective. Both the official measure and the victim reported measures have potential sources of bias, increasing the uncertainty regarding any benefits or harms related to these programs.

Authors' Conclusions

The findings, we believe, raise doubts about the effectiveness of court-mandated BIPs in reducing re-assault among men convicted of misdemeanor intimate partner violence. New programs and/or entirely new approaches to this important social problem should be explored.

Pathways to Engagement: An Exploratory Qualitative Analysis of Factors That Facilitate Men's Engagement in IPV Intervention Programs

Research on intimate partner violence (IPV) interventions has long indicated mixed support for their effectiveness at reducing abusive behaviors. Limited prior research has focused on factors associated with participant engagement in the treatment process. Using a qualitative thematic analysis and a sample of 180 participants who completed an IPV intervention program, the purpose of this study was to identify key factors that facilitate men's responsiveness to IPV intervention programs. The findings highlight several commonalities in participants' perceptions of pathways that facilitated and/or hindered their engagement in the treatment process, and provide insights into how program/process elements can be structured to enhance engagement.

Effectiveness of a Domestic Abuse Program for Australian Indigenous Offenders

The subject of this study is to assess the effectiveness of a culture-neutral domestic abuse program (DAP) developed for offenders with domestic and family violence histories, when used for Australian Indigenous offenders, serving community-based supervised orders. The study employed a retrospective quasi-experimental research design and intention-to-treat program definition for 953 DAP-treated men and propensity score-matched controls, from diverse cultural, religious, and racial backgrounds, 19% being Indigenous Australians. Outcomes measured were program completion, time to first reconviction, and reconviction rates. Indigenous men completed the program similar to non-Indigenous men (58% vs. 63%; NS), although significantly more dropped out (22% vs. 18%); 63% of Indigenous DAP-treated men, remained reconviction free versus 49% of Indigenous controls. Significant therapeutic benefits required program completion, 73% Indigenous and 74% of non-Indigenous men remained reconviction free. Indigenous DAP participants, relative to controls, took significantly longer to first reconviction. Survival was associated with prior criminal histories, but not with rural or remote domiciles. Reconviction rates were predicted by Level of Service Inventory-Revised actuarial risk scores and by DAP completion, but not by Indigenous status. Program effect size was d = .477, mean reconvictions for Indigenous DAP enrollees being 50% lower than controls. Generic domestic violence interventions utilising evidence-based theoretical principles can be effective for Indigenous offenders, despite an absence of specific Indigenous cultural, or healing content, and delivery by Indigenous facilitators or Elders.

The Pursuit of Research-supported Treatment in Batterer Intervention: The Role of Professional Licensure and Theoretical Orientation for Duluth and CBT Programs

PURPOSE

The purpose of this study was to understand the importance of research-supported practice for batterer intervention programs.

METHODS

This study applied descriptive statistics and chi-square analyses to a novel dataset from the Domestic Violence Perpetrator Treatment Survey (N = 411). This was a 69-item survey developed by domestic violence providers and researchers to understand the role of research-supported practice in the treatment of intimate partner violence (IPV).

RESULTS

This study found statistically significant differences between Duluth oriented programs and Cognitive Behavioral Therapy (CBT) oriented programs with respect to the importance of research-supported practices and motivational interviewing, a strategy found effective in treatment of IPV by extant research.

DISCUSSION

There appears to have been an evolution among practitioners toward more eclecticism, and an acknowledgment that programs should be research-supported.

CONCLUSION

Implications of this study for education and treatment are discussed.

Empathy Mediates the Relations between Working Memory and Perpetration of Intimate Partner Violence and Aggression

Deficits in executive functioning have been associated with aggressive and violent behavior toward intimate partners. However, it is unclear what specific mechanisms are being affected by cognitive deficits that increase an individual's tendency to become aggressive. The current study examined empathy as a mediating factor between deficits in working memory and perpetration of intimate partner aggression and violence. Men in heterosexual relationships (N = 49) were administered a measure of visual-spatial working memory, and questionnaire measures of head injury and empathy. During a second session, men participated in a conflict discussion with their female partner that was coded for aggressive behavior. Female partners also reported on men's physical and psychological abuse. Working memory was positively related to cognitive and affective empathy, and negatively related to men's physical abuse perpetration and observed aggression during the conflict discussion. The effects of working memory on observed aggression during the conflict were fully mediated by cognitive and affective empathy. Additionally, the effects of working memory on reported physical IPV frequency were fully mediated by affective empathy. Deficits in working memory may decrease men's ability to use empathetic processes, resulting in increased aggression and violence toward their intimate partners. Clinically, incorporating empathy training in battering intervention programs may be helpful, especially among men with deficits in cognitive functioning.

The Men's Group at St. Pius V: A Case Study of a Parish-Based Voluntary Partner Abuse Intervention Program

Literature on Latino men and intervention for intimate partner violence/abuse (IPV/A) is slim. Over 100 men have voluntarily sought help for IPV/A perpetration from “The Men’s Group” (TMG) at St. Pius V parish in Chicago, IL (US) and remained engaged for extended periods. Given the rarity of prolonged non-court mandated engagement in batterer intervention programs (BIPs), a case study was conducted to explore how TMG functions. Drawing on multiple data sources, this study examined development and implementation of TMG, while also investigating contextual factors, motivators and facilitators of participants’ involvement. Data revealed that TMG functions within a supportive community context by using a mixture of traditional techniques and innovative practices, creating a unique treatment modality. The program was found to be culturally-sensitive and spirituality-based. Reasons for initial attendance varied but included: (1) fear of losing or actual loss of their partner/family; (2) acknowledging a problem and desiring to change for self or others; and (3) a desire to reach inner peace. Three themes shed light on why men remain engaged in TMG, including: (1) being met with respect by facilitators; (2) experiencing TMG as “family”; and (3) gaining benefits. Reliance upon the criminal justice system is not enough to address IPV/A perpetration. This program shows promise as an alternative or supplement to traditional BIPs, which typically rely on clients being court-mandated to attend treatment. Given the widespread nature of IPV/A, understanding the operation of potential community-based alternatives or supplements to BIPs is critical in widening access to treatment.

Male IPV Perpetrators' Perspectives on Facilitation of Batterer Intervention Program: Results From a 2-Year Study

As part of a two-year ethnographic study of batterer intervention programs (BIPs) we interviewed 76 male perpetrators of intimate partner violence (IPV) on their perspectives regarding BIP facilitators. Participants endorsed a number of characteristics of facilitators that helped to reduce their resistance to the group process and assisted in engaging them in the learning process, including facilitators who were invested in the program and its mission, and displayed a non-judgmental demeanor. At the same time, they also endorsed facilitators who were honest with them and challenged them on their behavior, and who exhibited a high degree of experience in IPV. Additionally, participants endorsed the need to have a female facilitator as part of the group to further promote engagement and learning. This study has implications for thinking about what components of BIP facilitation might be important for reducing some of the resistance that may lead to client attrition, and how BIPs can better engage clients in prosocial behavioral changes.

A randomized controlled trial of restorative justice-informed treatment for domestic violence crimes

Recent innovation in domestic violence (DV) treatment suggests that when a batterer intervention programme (BIP) is combined with clinical elements, including motivational or readiness to change strategies, subsequent incidents of violence can be reduced. Prompted by previous research on restorative justice in reducing recidivism in crimes other than DV, a randomized controlled trial in Utah, USA, compared a typical BIP with one that included restorative justice-informed treatment, called circles of peace (CP). The findings reveal that the 'hybrid' BIP-plus-CP resulted in statistically significant reductions in both new arrests (53%) and crime severity scores (52%) for all offences, including DV, over a 24-month period. We conclude that a hybrid BIP-plus-CP programme should be considered as a viable treatment option for DV offenders. Implications for DV victims are discussed, as are the study's limitations, including the fact that some elements typical of restorative justice programmes could not be attained in this DV context.

Treatment impact on recidivism of family only vs. generally violent partner violence perpetrators

Background/Objective

The outcome of a treatment program for a large sample of male perpetrators on probation for intimate partner violence (IPV) was evaluated with particular reference to the differential impact on family only (FO) versus generally violent (GV) perpetrators.

Method

Official rates of recidivism for three years post termination of treatment and probation were examined for 456 perpetrators after they were classified as FO and GV.

Results

Both treatment completion and type of perpetrator were predictive of IPV recidivism and time to recidivism. However, analyses conducted separately for the two groups indicated that participation in the intervention predicted both recidivism and time to recidivism for the GV but not FO perpetrators who participated in treatment. Specifically, GV men were responsive to treatment whereas FO men were not. Results were somewhat different depending on who was included in the no treatment comparison group.

Conclusions

Implications of these findings for one size fits all interventions in IPV are discussed with specific reference to the need to develop different interventions for GV and FO perpetrators.

Factors Associated With Batterer Intervention Program Attrition

Batterer intervention programs' (BIPs) curriculum have been criticized for their one-size-fits-all approach to rehabilitation with recent research suggesting specialized and client-centric approaches to batterer intervention may be more effective than traditional programming. Adverse childhood experiences (ACEs) have been examined as a risk factor for intimate partner violence (IPV) perpetration and numerous studies suggest a relationship between ACEs and low mental health treatment engagement. However, absent from the conversation is how ACEs may influence BIP treatment engagement and more specifically how ACEs influence BIP program attendance and attrition. The current study used administrative data from a sample of 268 men enrolled in a county-operated BIP to explore this question. BIP participants who experienced any ACEs, only household dysfunction ACEs, and/or both household dysfunction ACEs and child abuse/neglect ACEs had decreased odds of BIP attrition compared to participants with no ACEs. These findings have practical implications regarding screening, service delivery, and BIP curricula and highlight additional research needed on this topic.

Applying a Strengths-Based Psychoeducational Model of Rehabilitation to the Treatment of Intimate Partner Violence: Program Theory and Logic Model

In the United Kingdom, there is an increasing need to develop prevention programs for intimate partner violence and abuse (IPVA). However, this need has increased within a context of increasing financial pressure. Consequently, commissioners are expressing interest in models of prevention that are brief. This article first reviews the effectiveness of domestic violence (DV) prevention programs, including those from England and Wales. This article then describes the theoretical development of an emerging IPVA prevention program that combines solution-focused brief therapy (SFBT) and cognitive behavioral therapy (CBT) methods. The article addresses how CBT content is integrated within the SFBT approach and provides details of the intervention logic model.

Cognitive behavioural group therapy for male perpetrators of intimate partner violence: a systematic review

BACKGROUND

Violence against intimate partners is a worldwide public health problem. Cognitive behavioural therapy delivered in a group format is widely used for the treatment of men's violent behaviour towards their female partners. A Cochrane review about the effectiveness of this therapy from 2011 revealed a lack of controlled studies. Our aim is to update the current evidence on the effectiveness of cognitive behavioural group therapy on men's violent behaviour towards their female partner.

METHODS

The Cochrane Library, the Campbell Collaboration Social, MEDLINE, PsychINFO, CINAHL, SCOPUS, Embase, Open Grey, Grey Literature Report, and Sociological Abstracts were searched for studies investigating the effectiveness of cognitive behavioural group therapy on intimate partner violence published in the period of January 1, 2010, to February 12, 2018. Manual searches were also performed to identify randomized and non-randomized controlled trials. Data extraction was done in duplicate. The primary outcome was the reduction in violent behaviour, and secondary outcomes were physical health, mental health, quality of life, emotion regulation, and substance use. Study quality was assessed with the Cochrane Collaboration's risk of bias tool and the Risk of Bias In Non-Randomized Studies of Interventions tool. A narrative summary was used to describe the review findings.

RESULTS

We identified six new studies that met the inclusion criteria: four randomized controlled trials and two non-randomized trials. Three of the randomized controlled trials found a reduction in intimate partner violence after treatment. The fourth randomized trial found that a subsample of responding partners reported a reduction in violence but no changes in the men's self-reported violence after treatment. No effect could be detected in the two non-randomized studies. Analysis of risk of bias revealed mixed results, indicating both strengths and weaknesses.

LIMITATIONS

Only a limited amount of studies which scored as "low quality" were available.

CONCLUSIONS

There is still insufficient evidence to confirm that cognitive behavioural group therapy for perpetrators of intimate partner violence has a positive effect. Future research should focus on randomized controlled studies distinguishing between convicted and non-convicted populations where violent behaviour is the primary outcome.

TRIAL REGISTRATION

CRD42016041493 .

Male Perpetrators of Intimate Partner Violence: A Comparison Between Incarcerated and Community Offenders

The literature considers intimate partner violence (IPV) perpetrators to be a heterogeneous group. In Portugal, IPV perpetrators may be sentenced to either of two types of sentences: deprivation of freedom or alternatives to prison (in the community). In the present study, we performed a comparative analysis between 76 male individuals sentenced to prison and 76 male individuals sentenced to community measures for crimes against their current or former partners, using a set of psychological measures. The results indicate that although incarcerated and nonincarcerated IPV perpetrators demonstrate considerable differences, some similarities may also be observed. Incarcerated IPV perpetrators present the lowest socioeconomic status and education, perpetrate more severe IPV, and have more criminal convictions. A hierarchical regression analysis revealed that the use of weapons and objects increased the probability of IPV perpetrators belonging to the prison group above and beyond sociodemographic variables. Based on these results, implications for IPV perpetrators' treatment are discussed.

National implementation of a trauma-informed intervention for intimate partner violence in the Department of Veterans Affairs: first year outcomes

BACKGROUND

The U.S. Department of Veterans Affairs (VA) has recently implemented a comprehensive national program to help veterans who use or experience intimate partner violence (IPV). One important component of this plan is to implement Strength at Home (SAH), a 12-week cognitive-behavioral and trauma-informed group treatment designed to reduce and end IPV use among military and veteran populations.

METHOD

The present study describes initial patient and clinician findings from the first year of a training program tasked with implementing SAH at 10 VA medical centers.

RESULTS

Results from 51 veterans who completed both pre- and post-treatment assessments indicate SAH was associated with significant pre- to post-treatment reductions in the proportion of veterans who reported using physical and psychological IPV toward a partner, the types of IPV used, and posttraumatic stress disorder symptoms. Overall, veterans reported high satisfaction with the quality and nature of services received, and with the program materials. In addition, 70% of sites and 34% of the 79 clinicians trained were successful in launching the program in the first year. The mean number of days between site training and initiation of the first group session was 135.86 (SD = 63.16, range 72-252).

CONCLUSIONS

Results suggest that the training and implementation program was successful overall. However, average length of time between in-person training and initiation of group services was longer than desired and there were three sites that did not successfully implement the program within the first year, suggesting a need to reduce implementation barriers and enhance institutional support.

A Survey of Domestic Violence Perpetrator Programs in the United States and Canada: Findings and Implications for Policy and Intervention

A 15-page questionnaire, the North American Domestic Violence Intervention Program Survey, was sent to directors of 3,246 domestic violence perpetrator programs (also known as batterer intervention programs, or BIPs) in the United States and Canada. Respondent contact information was obtained from state Coalitions Against Domestic Violence and from various government agencies (e.g., Attorney General) available on the Internet. Two hundred thirty-eight programs completed and returned the questionnaire, a response rate of 20%. The survey yielded descriptive data on respondent characteristics; program philosophy, structure, content, and service; client characteristics; treatment approach and adjunct services; and group facilitator views on intervention approaches and domestic violence policy and treatment standards. The programs varied in the extent to which they adhere to treatment approaches suggested by the empirical research literature. In addition, chi-square analyses were conducted on the associations between several factors. Significant correlations were found between respondent low level of education and adherence to a feminist-gendered program philosophy; respondent low level of education and use of a shorter assessment protocol; feminist-gendered program philosophy and incorrect facilitator knowledge about domestic violence; and feminist-gendered program philosophy and a program focus on power and control as the primary cause of domestic violence.