Introduction: Despite the high prevalence of intimate partner violence (IPV) perpetration by men who use substances, limited evidence exists about how best to reduce IPV among this group. Method: A systematic narrative review with meta-analysis determined the effectiveness of interventions to reduce IPV by men who use substances. Inclusion criteria were randomized and nonrandomized controlled trials; adultheterosexual male IPV perpetrators where at least 60% of participants were alcohol and/or drug users; the intervention targeted IPV with or without targeting substance use (SU); outcomes included perpetrator and/or victim reports of IPV, SU, or both. Methodological quality was assessed. Results: Nine trials (n ¼ 1,014 men) were identified. Interventions were grouped into (1) integrated IPV and SU interventions (n ¼ 5), (2) IPV interventions with adjunct SU interventions (n¼2), and (3) stand-alone IPV interventions (n¼2). Cognitive behavioral and motivational interviewing therapies were the most common approaches. Data from individual trials showed a reduction in SU outcomes in the short term (3months; n¼ 2 trials) and IPV perpetration at different time points (n ¼ 3 trials) for interventions compared with treatment as usual (TAU). Meta-analysis with integrated IPV and SU interventions showed no difference in SU (n ¼3 trials) or IPV outcomes (n ¼4 trials) versus SU TAU. Conclusions: Little evidence exists for effective interventions for male IPV perpetrators who use substances. Outcomes in integrated interventions were not superior to TAU in meta-analysis. Future trials should consider the nature of the relationship between IPV and SU in intervention design, duration of intervention, and type and timing of outcome measures.
Bibliographical noteThe acceptance date for this record is provisional and based upon the month of publication for the article.
- domestic violence
- alcohol and drugs
Feder, G. S., Stephens-ewis, D., Johnson, A., Huntley, A. L., Gilchrist, E., McMurran, M., Henderson, J., Howard, L. M., & Gilchrist, G. (2019). Interventions to Reduce Intimate Partner Violence Perpetration by Men Who Use Substances: A Systematic Review and Meta-Analysis of Efficacy. Trauma, Violence, and Abuse. https://doi.org/10.1177/1524838019882357