Service Use by Men on Methadone Commiting Partner Abuse

男性使用美沙酮服务导致伴侣滥用

基本信息

批准号：
6667096
负责人：
Elwin Wu
金额：
$ 8.18万
依托单位：
COLUMBIA UNIV NEW YORK MORNINGSIDE
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-09-30 至 2005-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6667096
关键词：
behavioral /social science research tag clinical research drug abuse therapy health care service utilization health services research tag human subject interview male methadone spouse abuse

项目摘要

DESCRIPTION (provided by applicant): In response to NIDA PA-01-097, this application details an R03 project that focuses on the service utilization of formal healthcare, mental health, and social services for men on methadone who perpetrate intimate partner violence (IPV). The proposed study will examine barriers and enhancers of service utilization among male methadone maintenance treatment program (MMTP) clients who perpetrate IPV. Drug-involved men who perpetrate IPV lie at the heart of two critical public health issues, drug abuse and IPV, that exact enormous financial and societal costs. Perpetrators of IPV represent a significant proportion of drug-involved men that may have a greater number and/or unique spectrum of service needs that differ from non-violent, drug-involved men and that remain unmet due to lack of service utilization. These needs extend beyond drug abuse and IPV to include mental and physical health and other social service needs. Most of the prior studies with perpetrators of IPV have been carried out with samples obtained from batterers intervention programs. Thus, service utilization among a more general population of men who perpetrate IPV remains unexplored. The proposed research will build upon findings from the Men's Health Project (MHP), an ongoing NIDA-funded study (PI: El-Bassel) to examine over time the relationships among drug abuse, IPV, and HIV-related risks among a random sample of 355 men attending MMTPs in New York City (NYC). We propose to extend the MHP by reinterviewing MHP participants who perpetrated IPV to study factors that impact their service utilization, an area not addressed in the parent study. The proposed study also includes a qualitative inquiry with MMTP service providers to understand MMTP service providers' perspectives on factors that impede or promote service utilization among their male clients who perpetrate IPV, as well as identify potential targets of change in the MMTP service delivery system. Aims, hypotheses, and measurements in the proposed study are guided by the Network Episode Model, which conceptualizes utilization of formal services as a series of behaviors influenced by individual/social context, social network, and service system factors. This study will provide pilot findings for the development of an R01 study testing the efficacy of an intervention designed to increase service utilization among men attending MMTPs who perpetrate IPV.

描述（由申请人提供）：为了响应NIDA PA-01-097，此应用程序详细介绍了一个R03项目，该项目着重于对美沙酮的正式医疗保健，心理健康和社会服务的服务利用，该男性对美沙酮进行了亲密伴侣暴力（IPV）。拟议的研究将检查驾驶IPV的雄性美沙酮维护治疗计划（MMTP）客户的障碍和服务利用率。涉及IPV的毒品涉及男性是两个关键的公共卫生问题，即药物滥用和IPV的核心，这是巨大的金融和社会成本。 IPV的肇事者代表了相当一部分涉及药物的男性，这些男性可能具有更多和/或独特的服务需求范围，这些服务需求与非暴力，涉及毒品的男性不同，并且由于缺乏服务利用而保持未得到满足。这些需求超出了药物滥用和IPV，包括精神和身体健康以及其他社会服务需求。大多数先前对IPV肇事者的研究都是通过从击球手干预计划中获得的样本进行的。因此，持续IPV的更普遍的男性人口中的服务利用仍未得到探索。拟议的研究将基于男子健康项目（MHP）的发现，这是一项正在进行的NIDA资助的研究（PI：EL-Bassel），随着时间的流逝，在纽约市（NYC）参加MMTP的355名男性中随机样本中，药物滥用，IPV和与HIV相关的风险之间的关系。我们建议通过重新浏览MHP参与者来扩展MHP，这些MHP参与者将IPV进行研究，以研究影响其服务利用率的因素，这是父母研究中未解决的领域。拟议的研究还包括与MMTP服务提供商的定性询问，以了解MMTP服务提供商对阻碍IPV的男性客户中妨碍或促进服务利用的因素的观点，并确定MMTP服务交付系统的潜在变化目标。拟议研究中的目的，假设和测量值是由网络情节模型指导的，该模型将正式服务的利用概念化为受个人/社会环境，社交网络和服务系统因素影响的一系列行为。这项研究将为R01研究的开发提供试验结果，该研究测试了旨在增加参加IPV的MMTP的男性服务利用的干预措施的功效。