Substance abuse and batterer programmes in California, USA: factors associated with treatment outcomes.
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 (SUDPs) and 235 batterer intervention programmes (BIPs) reported outcomes of programme completion and substance use and violence perpetration rates at discharge; data collection and processing were completed in 2012. SUDPs having more female, non-white, younger, uneducated, unemployed and lower income clients reported lower completion rates. In SUDPs, private, for-profit programmes reported higher completion rates than public or private, non-profit programmes. SUDPs with lower proportions of their budgets from government sources, and higher proportions from client fees, reported better outcomes. Larger SUDPs had poorer programme completion and higher substance use rates. Completion rates in SUDPs were higher when clients could obtain substance- and violence-related help at one location, and programmes integrated violence-prevention contracting into care. In BIPs, few client, organisational and programme factors were associated with outcomes, but the significant factors associated with programme completion were consistent with those for SUDPs. Publicly owned and larger programmes, and SUDPs 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.
['Timko|Christine|C|', 'Valenstein|Helen|H|', 'Stuart|Gregory L|GL|', 'Moos|Rudolf H|RH|']
D000328:Adult D002140:California D003153:Community Health Services D005006:Ethnicity D005260:Female D006801:Humans D008297:Male D008875:Middle Aged D012947:Social Work D012959:Socioeconomic Factors D013179:Spouse Abuse D019966:Substance-Related Disorders D016896:Treatment Outcome
treatment outcomes intimate partner violence programme factors community health substance use disorder batterer intervention client factors organisational factors