Substance Abuse: Domestic Violence and Substance Abuse Treatment

Every 15 seconds a woman is subjected to domestic violence in the United States. Domestic violence can be defined as a pattern of abusive behavior that is used to gain or maintain power and control in an intimate relationship, such as marriage, dating, family, friendship or living together. Anyone can be a victim or perpetrator of domestic violence.

Keeping this in mind, we will be focusing on male batterers and female survivors of domestic violence since this is the “typical” scenario and will be seen most often in treatment facilities. We will discuss substance abuse in both the batterer and the survivor.

When most people think of the relationship between substance abuse and domestic violence they picture an alcoholic husband beating his wife, and while this is one case, it is most certainly not the only. This case suggests a direct correlation between substance abuse and the occurrence of domestic violence. However, most studies show that while they are linked the relationship is not that straightforward.

The problem with directly linking the two issues together is similar to problems in dealing with co-occurring disorders (dual diagnosis) in that the question that is most often debated is which one came first, the drinking or the violence. Even though according to the U.S. Department of Justice study reports that 61% of domestic violence offenders also have substance abuse problems, we must remember that the violence may not necessarily be a consequence of the substance abuse and that the substance abuse could be a result of the violence. However, as with co-occurring disorders, it is imperative that we address both issues and not focus too much which came first.

Substance abuse in the batterer is what most people will think about when substance abuse and domestic violence are mentioned together so we will discuss this first. The characteristics of a batterer are very similar to the characteristics and risk factors you would find in substance abusers. These characteristics include: witnessing parental violence, parental substance abuse, corporal punishment, depression, socioeconomic hardships and an intense need for power and control.

Despite the difficulty of finding an exact cause and effect relationship between substance abuse and domestic violence, experts have organized batterers into three categories in order to improve their treatment. The first category is “Typical Batterers”. Typical batterers are characterized by keeping the violence they inflict in the home, which will be less severe when compared to other batterers, and are usually not substance abusers. They will also most likely have no history of legal troubles, mental illness and will usually be remorseful for the violence. The second category is “Antisocial Batterers”.

The characteristics of the antisocial batterer include being extremely abusive, having some mental health issues, may be a substance abuser and will most likely have difficulty completing domestic violence program without being provided additional services. The third category is “Sociopathic Batterers”. The characteristics of a sociopathic batterer include being the most extremely violent, heavy substance abuse, tremendous difficulties in treatment programs, little or no empathy for others, no remorse for the violence inflicted and the most likely of the three categories to have had legal issues.

Treatment for a batterer with a substance abuse problem can be much more difficult than the already difficult treatment for a person with just a drug or alcohol addiction problem. The most common model for batterer intervention is the Duluth Model. The Duluth Model is a behavioral change model that seeks to alter the batterer’s behavior by confronting his denial, his need for power and control and helping him realize his alternatives to the violent behavior. This model is a community-wide model that involves many people including law enforcement which ensures that the batterer will be arrested while the survivor is protected.

Like I said above, when most people think of substance abuse and domestic violence they only think of the addiction in the batterer. However, survivors of domestic violence are also likely to present in treatment programs with drug or alcohol problems. In fact, in 2002, the Department of Justice reported that 36% of survivors in domestic violence programs also had substance abuse problems.

Again, there is no direct cause and effect relationship between a survivor’s addiction and the domestic violence although it is commonly thought that the violence increases the likelihood that a survivor will abuse alcohol or drugs. While this may not be the case for all survivors with drug or alcohol problems, both the domestic violence and the addiction have an extreme impact on the survivor’s recovery from both and the treatment provider needs to be aware of this.

When a client presents for substance abuse treatment and reports a history of domestic violence, especially a recent history, there are several steps that a treatment provider should follow. First, the provider should make sure that the client is in a safe environment and that they understand that while they are at the facility they are safe. Second, the provider should never doubt the survivor’s story, even if there are discrepancies. If a client feels they cannot trust the counselor or provider they will leave treatment and put themselves back in dangerous situations. Finally, during the assessment the provider should identify the client’s options and the perceived benefits and consequences with each option and then have the client work on a safety plan. This will involve the client and make them feel involved in their treatment and encourage them to stay and feel as though they can accomplish their goals. One of the most important things to remember when working with survivors is that their safety, both physical and emotional, is the most important obstacle in the initial stages of treatment to be addressed. If it is not addressed immediately the likelihood of the client staying in treatment is very low.

Domestic violence and substance abuse are separately two of the most devastating issues in American society today, but combined they are significantly worse and more attention needs to be paid to the relationship and treatment of the two. It is vital to properly screen and assess clients as soon as they present for substance abuse treatment so the next steps of the treatment provider will be the correct ones. There are many resources available on domestic violence and addiction including SAMHSA TIP 25, the National Coalition Against Domestic Violence, the Tennessee Association of Alcohol, Drug & other Addiction Services, and Women’s Rural Advocacy Programs.

 


 

Macklemore talks Otherside, Lil Wayne, Substance Abuse, Seattle Hip Hop and more – www.hardknock.tv Exclusive in-depth interview with Macklemore and Ryan Lewis at Paid Dues. In part 1 Macklemore talks to Nick Huff Barili about Seattle Hip Hop, early influences, how the “Gateways” program impacted his life, looking up to Lil Wayne, lean aka sizzurp and its negative effects, substance abuse and how it led to him writing the song Otherside, how he and Ryan Lewis started working together and much more. Make sure you watch this Wednesday for Part 2 of our interview with Macklemore and Ryan Lewis. Trust us we are just getting started! Subscribe to www.youtube.com for our latest videos, including our interview with Mac Miller. You can also follow us at www.facebook.com/hardknocktv and @Hardknocktv @NickHuff on twitter.

 

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Funding approved for substance abuse treatment center for women

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Independence House is a long-term residential treatment facility that provides recovery services for pregnant and postpartum women facing substance abuse and addiction. The grant will go toward helping Independence House provide necessary treatment and …
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22 Responses to Substance Abuse: Domestic Violence and Substance Abuse Treatment

  • hardknocktv says:

    Part two is up? now!

  • ChuChuX6 says:

    Lol you mean fried chicken and doing crack and having babies at 15? I’m not in Seattle but I’d love to meet up you little pussy ass bitch. Bet you’re real? hard behind that keyboard you ape!

  • yungsandifer says:

    arent you and you family eating fried? baby thighs right now,you lil gook..if your in Seattle lets meet up and see whuts really goin on,,,,your a fag with a rainbow flag.

  • Limjucas8396 says:

    i fucking love music. all music, pretty much. people who love music and have passion for art can feel when an artist is putting himself into his work, it doesnt matter what? hes talking about. I love some corny people, but their heart is in it. fuck man. stop responding to him, hes a troll. let him hate

  • KarlosOlea says:

    he’s a great man, but i just don’t understand why he? like Lil Wayne…

  • yungsandifer says:

    wacklemore?

  • ChuChuX6 says:

    And by that I mean? the hole in the middle cuz you like that lol

  • ChuChuX6 says:

    Lol sure I believe you. Keep proving how hard you are dawg. I pop that Kurtis Blow? and J Cole only thing you fuckin wit is that vinyl record dawg

  • yungsandifer says:

    What clown,,wheres jin the MC at huh,,i fucks wit Em Beastie Boyz and 3rd Base,,what you know about 3rd Base fool,,,shit i even used to bang N2DEEP,,get the fuck outta here mumble mouth muthafucka,,you dont know shit about hip hop i been in this shit since the beginning bitch,your a youngster,look at my playlist, nothing but CLASSIC real HIPHOP east coast weast coast the? real dirty south,,,,this shit he makes music for the suburbs,,LOL,,shits wack face it,,

  • ChuChuX6 says:

    Lol which explains the black guys at his? shows and in his videos? I think you’re just butthurt that white people are in the rap game lol. And if he didn’t know any artist from Seattle why would he tour with them or collaborate. Lol you got some issues man hope you get that worked out!

  • ChuChuX6 says:

    I don’t even know why people flagged your responses for spam, dude’s clearly got insecurity? issues. I mean besides the videos he looks at being conspiracy theory that almost are universally disproved and discredited by you know…the legitimate historical and scientific community. It’s really sad because there are people of all stripes that are like this…it’s like celebrate culture and others being able to take part in it, for real.

  • Limjucas8396 says:

    @yungsandifer i was going to amswer you, then i saw your responses to other people and it is very clear you have some issues with other people succeeding. check your? ego dude.

  • yungsandifer says:

    your a flamer for? listening to shit like lil b,only a cotton candy type of a guy would try to stick up for some greaser lookin whiteboy fraud,,only white people buy this guys shit…he dosent know any artist from my city,,,,,,,,,,

  • yungsandifer says:

    what about? the rest of what i said..

  • Limjucas8396 says:

    listing inspirations is name? dropping? Upload some of your raps, I want to hear what you have offered for the world

  • FloSick808 says:

    I? thought Hip-Hip was about peace, love, and having fun. If you’re not representing Hip-Hop positively, you should be ashamed.

  • FloSick808 says:

    Finally HardKnock is starting to go back to? interviewing dope artists.

  • DelScully says:

    you? sound so sophisticated. It blows my mind.

  • ChuChuX6 says:

    So I know this totally degenerated into a flaming match, but here we have yungsandifer, the most insecure fuck (as if the videos he? has on his youtube aren’t proof enough) posturing so hard in racial terms that he started to prove how tough he is. What’s holding back hip hop and the black community is people like him, as if the system in place didn’t do it enough smh. Hope you find peace in your life man you too angry lol.

  • ChuChuX6 says:

    Lol another idiot black supremacist. So insecure you need to make shit out of something that never happened to feel good about yourself. Talk? about insecure as fuck! So insecure that you gotta believe that shit to feel good about yourself and your inferiority complex because of what black people face. If Africans so good how come they got they shit conquered homey? Go jerk yourself off, it’s the only thing you good at lol

  • yungsandifer says:

    you know whats crackin,she got a black pole in that lil pussyhole thats why you cant reach that spot,3 inch? dick muthafucka,once again let me hear some asian hiphop,,

  • yungsandifer says:

    yeah right walk by some niggas with your girl and watch you start handcuffin,i see it all the time in you lil dick asians,,,insecure in your own culture go do some karate ,oh thats? right the africans taught you muthafuckas how to fight thousands of years ago fool,thats why blacks dominate MMA,all of the asian gods are black deities,check the record for yourself,,,,and stop wearing tight jeans and New Era snapbacks,,,you never made your girl CUM b4 in your life,so when she dosent answer yo calls.

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