Substance use is a risk factor for intimate partner violence perpetration (IPV-P). Despite this, men in alcohol and drug (AOD) treatment (AODT) are rarely referred to perpetrator programs, and often drop out. Our research found that the psychopharmacological effects of AOD were rarely the only explanation for IPV-P, which was linked with power and control, often in the context of AOD use. We developed ADVANCE, a 16-week strengths-based perpetrator group program for men in the context of AOD, focusing on developing healthy, non-abusive relationships. The main targets for change were personal goal planning; self-regulation; and attitudes and beliefs supporting IPV-P. ADVANCE was adapted for digitally supported delivery (ADVANCE-D) to include groups, website practice sessions and individual coaching. We conducted a trial of ADVANCE among 104 men and a feasibility study of ADVANCE-D with 40 men in AODT. Reductions in IPV-P were reported. Delivering tailored perpetrator programs in AODT could increase their reach.
The ADVANCE-D Programme: addressing intimate partner violence
Gail Gilchrist | Professor in Addictions Healthcare Research, King’s College London
Gail Gilchrist is a Professor in Addictions Healthcare Research at King’s College London, conducting research on substance use for 30 years in the UK, Europe and Australia. Her research focuses on substance use and intimate partner violence (IPV) and developing interventions to reduce IPV in the context of substance use.

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