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Substance abuse and batterer programmes in C alifornia, USA : factors associated with treatment outcomes
Author(s) -
Timko Christine,
Valenstein Helen,
Stuart Gregory L.,
Moos Rudolf H.
Publication year - 2015
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/hsc.12178
Subject(s) - domestic violence , substance abuse , medicine , intervention (counseling) , suicide prevention , government (linguistics) , health care , psychiatry , poison control , family medicine , environmental health , psychology , nursing , political science , linguistics , philosophy , law
The association between substance abuse and intimate partner violence is quite robust. A promising area to improve treatment for the dual problems of substance abuse and violence perpetration is the identification of client characteristics and organisational and programme factors as predictors of health outcomes. Therefore, we examined associations of client, organisational and programme factors with outcomes in community health settings. Directors of 241 substance use disorder programmes ( SUDP s) and 235 batterer intervention programmes ( BIP s) reported outcomes of programme completion and substance use and violence perpetration rates at discharge; data collection and processing were completed in 2012. SUDP s having more female, non‐white, younger, uneducated, unemployed and lower income clients reported lower completion rates. In SUDP s, private, for‐profit programmes reported higher completion rates than public or private, non‐profit programmes. SUDP s with lower proportions of their budgets from government sources, and higher proportions from client fees, reported better outcomes. Larger SUDP s had poorer programme completion and higher substance use rates. Completion rates in SUDP s were higher when clients could obtain substance‐ and violence‐related help at one location, and programmes integrated violence‐prevention contracting into care. In BIP s, few client, organisational and programme factors were associated with outcomes, but the significant factors associated with programme completion were consistent with those for SUDP s. Publicly owned and larger programmes, and SUDP s lacking staff to integrate violence‐related treatment, may be at risk of poorer client outcomes, but could learn from programmes that perform well to yield better outcomes.