Helping at-risk youth overcome trauma and substance abuse through animal-assisted therapy

Animal-assisted therapy is a goal-oriented adjunct to traditional therapy programs. This type of therapy has benefitted many populations, including children, adolescents, and adults, in their recovery from a wide variety of physical and psychological traumas. Examples include patients who are undergoing rehabilitation related to major surgery, serious illness, or debilitating injury and patients who are receiving treatment to overcome substance abuse, physical abuse, and behavioral problems. The purpose of this article is to show how animal-assisted therapy has been used with at-risk youths who participate in a treatment program for a variety of traumatic experiences, including abuse and neglect, as well as criminality and substance abuse. In the therapy program, the youths work through a structured, goal-oriented curriculum with certified therapy dogs and volunteer handlers. Together they complete progressively advanced tasks in which the youths transfer skills learned about dog handling to understanding and modifying their own behavior. The overall aim is to help the youths develop positive life skills and facilitate positive social interactions to help break the cycle of crime, violence, or substance abuse.     

Reciprocity in Adolescent and Caregiver Violence

Over a 2-year period, with assessments every six months, the reciprocity in violent behaviors (verbal and physical) was investigated in a sample of 161 adolescents, who met the criteria for substance or alcohol abuse or dependence, and their caregivers, who participated in a clinical trial for family treatment for adolescent substance abuse. Using observed variables in a structural equation model with panel data, there was very little stability in violent behaviors across time from the perspectives of both the adolescents and caregivers. Evidence for violence reciprocity between adolescent and caregiver was demonstrated toward the end of the study period. The results are discussed in the context of previous literature about adolescent-to-parent violence.     

The Comparability of Male Violent Substance Abusers in Violence or Substance Abuse Treatment

The abuse of alcohol is strongly associated with violent behavior in general and domestic violence in particular. The present study examined the compara-bility of dual-problem (i.e., substance abuse and conjugal violence) men in substance abuse and violence treatment milieus. Thirty males in substance abuse treatment and 33 men in violence treatment were identified as being dual-problematic and were administered the Addiction Severity Index (ASI) to assess psychosocial and substance abuse status, the Conflict Tactics Scale (CTS) for the frequency and type of abusive behavior, the Symptoms Checklist-90 (SCL-90) for psychological distress, and the 16 Personality Factor (16PF) for personality attributes. When dual-problem men from each milieu were compared on these measures, men in the substance abuse-milieu reported not only significantly more severe substance abuse problems, but also more frequent partner sexual abuse. Few other differences emerged. Thus, while current referral procedures may be appropriate in identifying and directing more severe substance abuse problems to the appropriate treatment setting, violent men with difficulties comparable to those seen in violence treatment may also be found in substance abuse treatment. These findings emphasize the need for: (1) routine objective screening for family violence and substance abuse in these two treatment milieus; (2) informed and up-to-date staff in both settings who are sufficiently prepared for the therapeutic challenges such men may present, and (3) more study of how treatment for dual-problem men may be coordinated by the violence and substance abuse treatment communities to optimize their outcome.     

Propensity for Violence among Homeless and Runaway Adolescents: An Event History Analysis*

Little is known about the prevalence of violent behaviors among homeless and runaway adolescents or the specific behavioral factors that influence violent behaviors across time. In this longitudinal study of 300 homeless and runaway adolescents aged 16-19 years at baseline, we use event history analysis to assess the factors associated with acts of violence over three years, controlling for individual propensities and time-varying behaviors. The results indicate that females, non-minorities, and non-heterosexuals were less likely to engage in violence across time. Those who met criteria for substance abuse disorders (i.e. alcohol abuse, alcohol dependence, drug abuse) were more likely to engage in violence. A history of caretaker abuse was associated with violent behaviors, as were street survival strategies such as selling drugs, participating in gang activity, and associating with deviant peers. Simply having spent time directly on the streets at any specific time point also increased the likelihood for violence.     

Factor Structure and Reliability of the Revised Conflict Tactics Scales for Incarcerated Female Substance Abusers

Incarcerated women with a history of substance abuse often experience intimate partner violence (IPV), both as victims and as perpetrators. The issues surrounding partner violence and substance abuse are complex, and accurate assessment of this population's experience is critical to ensure proper treatment planning and program development. One of the most common instruments with which to measure IPV is the Conflict Tactics Scales (CTS). Unfortunately, very little published data exist on the revised version of the Conflict Tactics Scales (CTS2), and no data could be located in the literature using this scale with incarcerated women. The purpose of this investigation was to examine the underlying factor structure and reliability of the CTS2 for 359 incarcerated women who had voluntarily participated in a 1–year long substance abuse treatment program. Item analysis revealed a high level of reliability for the overall scale as well as for the individual subscales. Additionally, results from the confirmatory multiple group factor analysis support the 5 underlying subscales, and taken together indicate that the scale is acceptable to use with this population.     

Adolescent homicides in Finland: offence and offender characteristics

Approximately 9% of the homicides in Finland are committed by adolescents under 20 years of age. The purpose of this study was to investigate the offence and offender characteristics in homicidal adolescents. Forensic psychiatric evaluation statements of adolescent offenders accused of a homicide during 1990-2001 were reviewed retrospectively (n=57). In 38% of the cases, there were multiple offenders. In 58% of the cases, the victim was an acquaintance, in 25% a stranger, in 12% a family member and in 5% of the cases an (ex)intimate partner. Sixty-nine percent of the offenders were intoxicated and 21% under the influence of drugs at the time of the killing. The most frequent motives were an argument (25%) and a robbery (25%). Sixty-four percent of the offenders had developmental problems and 42% had a crime history. Approximately half were diagnosed as having a conduct or a personality disorder, but 32% of the offenders were considered not to suffer from a mental illness or substance abuse. For 63%, the level of intellectual functioning was average or above average. There were signs of more than one form of violence in 54% of the cases and 28% of the cases contained excessive violence. The use of multiple and excessive violence was significantly related to the offender age, multiple offenders, offender-victim relationship and substance abuse, but not related to having developmental problems, crime history or mental illness.     

The Interrelationship Between Substance Abuse and the Likelihood of Arrest,Conviction, and Re-offending in Cases of Intimate Partner Violence

The nexus between substance abuse and intimate partner violence has been studied in depth. The interrelationship between substance abuse, intimate partner violence, and the criminal justice system response and subsequent offending has not received as much attention. In this article, the authors examine the impact of substance abuse on the likelihood of an officer’s decision to make an arrest, conviction in that case, and subsequent re-offending. The authors find that while official decision-making remains unaffected by the fact that the offender has been drinking and/or using drugs, substance abuse and subsequent re-offending are inextricably interlinked. These findings highlight the need to screen domestic violence offenders for alcohol/drug abuse, and provide offenders manifesting these problems with alcohol/drug treatment in addition to batterer treatment.     

Testing a Theoretical Model of the Relationship Between Impulsivity,Mediating Variables,and Husband Violence

The present study involved a multimethod assessment of impulsivity among 86 men. Using two questionnaires and four performance-based measures of impulsivity, the factor structure of the impulsivity data was examined. Four constructs that theoretically mediate the relationship between impulsivity and husband violence (i.e., substance abuse, anger/hostility, marital dissatisfaction, and psychological abuse) were assessed to examine a mediational model predictive of husband violence. Substance abuse and marital dissatisfaction mediated the relationship between impulsivity and psychological abuse. Psychological abuse mediated the relationship between substance abuse and marital dissatisfaction and husband violence. Although anger/hostility was not a mediator, there were bivariate associations between anger/hostility and impulsivity, psychological abuse, and husband violence. The results of the regression analyses were virtually identical when controlling for the effect of intelligence on the model variables. The implications of the findings for the assessment of impulsivity and for future husband violence research are discussed.     

Effects of Parental Substance Abuse on Current Levels of Domestic Violence: A Possible Elaboration of Intergenerational Transmission Processes

Research conducted on the intergenerational transmission of domestic violence has framed much of its inquiry from within the context of social learning theory. Although consistently significant, the effect size of social learning-derived intergenerational transmission variables is often small. This study was undertaken in an effort to broaden the theoretical basis of intergenerational transmission of family violence by assessing if incorporating parental substance abuse variables with exposure to violence in family of origin would increase the predictive power of a multiple regression model. Subjects (N = 74) were men in treatment for domestic violence. Paternal substance abuse was found to exert effects on respondents' violent behavior comparable to those from exposure to family of origin violence. Findings supported a need to broaden theoretical views of the etiology of domestic violence perpetration.     

High Risk Behaviors Among Victims of Sibling Violence

Despite the fact that sibling abuse has been documented as the most common form of intrafamilial abuse, it has been largely overlooked. Using data from the 2007 Delaware Secondary School Student Survey (N = 8,122), this paper focuses on four objectives: to estimate prevalence of sibling abuse, examine the relationship between sibling violence and high risk behaviors such as substance use, delinquency and aggression, explore the interplay of sibling abuse and other forms of family violence in predicting high risk behaviors, and test theory. Results suggest that sibling violence occurs more frequently than other forms of child abuse. Results also confirm that sibling violence is significantly related to substance use, delinquency, and aggression. These effects remain significant after controlling for other forms of family violence. The data suggest support for feminist theory and social learning theory.     

Youth violence: an exploratory study of a treatment program in a central Illinois county

A local treatment provider has developed an OPTIONS program to prevent adolescent aggression. The program is designed for youths who displayed threatening or abusive behaviors, particularly toward family members. This study described the characteristics of juveniles and their families who were referred to the program and if the program participation helped reduce the severity of violence and improve the communication skills among program participants. Referrals came from law enforcement, juvenile court services, school resource officers, and parents. Information on 100 juveniles and their families were provided by the counselors of the program. The findings showed that a large percentage of juveniles came from unstable families with a family history of criminal convictions, substance abuse, or mental illness. Program participants showed an improvement in communication skills and reduction in their levels of dangerousness.     

Identifying subgroups at high risk of dropping out of domestic batterer treatment: the buffering effects of a high school education

This study identifies the subgroups of domestic batterers who are at a low or high risk of failing to complete domestic batterer cognitive behavioral treatment. The sample is composed of 355 domestic batterers ordered to complete treatment, with 31.8% not completing treatment. Three subgroups of batterers were identified as having at least a 60% chance of treatment failure: (a) unemployed generalized aggressors, (b) high school dropouts ordered into substance abuse treatment, and (c) unemployed offenders ordered into substance abuse treatment. Furthermore, a high school education, even when offenders are unemployed or living in poverty, buffers the negative effects of a substance abuse problem among court-mandated batterers required to participate in both domestic violence treatment and substance abuse treatment. Two thirds of substance-abusing high school graduates completed both domestic violence and substance abuse treatment, compared to only one third of the substance-abusing high school dropouts. Implications are discussed.     

Factors Mediating the Link Between Witnessing Interparental Violence and Dating Violence

The present study examined several protective and vulnerability factors in a subsample of adolescents who witnessed high levels of interparental violence to determine what factors differentiated adolescents who inflicted (and received) violence in their dating relationship and those who had violence-free dating relationships. Findings revealed that males who witnessed high levels of interparental violence, who inflicted violence in their dating relationships, were differentiated from those who had violence-free relationships by the following variables: low socioeconomic status, exposure to community and school violence, acceptance of violence in dating relationships, and low self-esteem. Low socioeconomic status and acceptance of violence in dating relationships differentiated males who experienced dating violence and those who had not. With regard to females, exposure to community and school violence, poor school performance, and experiencing child abuse differentiated those who inflicted dating violence from those who had not, while poor school performance and experiencing child abuse differentiated females who experienced dating violence and those who had not. Implications of the findings are discussed.     

Treatment of Concurrent Substance Dependence,Child Neglect and Domestic Violence: A Single Case Examination Involving Family Behavior Therapy

Although child neglect and substance abuse co-occur in greater than 60% of child protective service cases, intervention outcome studies are deplorably lacking. Therefore, a home-based Family Behavior Therapy is described in the treatment of a woman evidencing child neglect, substance dependence, domestic violence and other co-occurring problems. Treatment included contingency management, self control, stimulus control, communication and child management skills training exercises, and financial management components. Results indicated improvements in child abuse potential, home hazards, domestic violence, and drug use, which were substantiated by objective urinalysis testing, and tours of her home. Validity checks indicated the participant was being truthful in her responses to standardized questionnaires, and assessors were “blind” to study intent. Limitations (i.e., lack of experimental control and follow-up data collection) of this case example are discussed in light of these results.     

RAISING THE BAR: WHY SUPERVISED VISITATION PROVIDERS SHOULD BE REQUIRED TO MEET STANDARDS FOR SERVICE PROVISION

The New York Society for the Prevention of Cruelty to Children (NYSPCC) has provided a supervised visitation program (SVP) for high‐risk families for almost two decades. Parents needing supervised visitation often have histories of domestic violence, child abuse and neglect, mental illness or substance abuse, therefore providers delivering services must be adequately trained and supervised in order to protect the child from further harm during the visitation process. This article describes the need for SVP's, parental issues warranting consideration, the special needs of children in these circumstances, policy recommendations for provider standards, and a certification process to be developed and adopted in New York State.     

Urban and rural differences in the relationship between substance use and violence

This article examines the relationship between substance use and violence across rural-urban and Appalachian places of residence. The data come from a larger study on the health service use of 637 men who have a history of chronic substance abuse and who were incarcerated in four Kentucky prisons. The findings generally support previous research on substance use and violence but do not support Fischer's (1995) subculture theory of urbanism. Contrary to expectations, the population size of the prisoners' residence was not significantly associated with the prisoners' levels of violent victimization, violence toward others, violence toward intimate partners, or overall violence in the year prior to incarceration. Appalachian residency was also not associated with violence. Recognizing that the effect of substance use on violence perpetrated against others does not vary significantly by urban or rural residence may be helpful for designing violence prevention programs and planning law enforcement efforts.     

Predicting the Use of Different Conflict Tactics Among Arab Siblings in Israel: A Study Based On Social Learning Theory

The article presents a study conducted among 832 Arab adolescents from Israel, in an attempt to predict their use of different tactics (i.e., reasoning, verbal abuse, and physical violence) to resolve conflicts with siblings from the perspective of social learning theory. Different forms of the CT Scales were utilized to elicit information on Arab adolescents' exposure to and experience with different conflict tactics in their families of origin, as well as on their use of such tactics with siblings. Results indicate that the more they witnessed reasoning in their families of origin, the greater the likelihood that they would use the same tactic to resolve conflicts with their siblings. At the same time, the more they witnessed or experienced verbal abuse and physical violence, the greater their use of verbal and physical violence against their siblings. A detailed discussion of different patterns of violence in Arab families as reported by the adolescents is presented, and several implications of the study are addressed.     

Parental Sociopathy as a Predictor of Childhood Sexual Abuse

Research on childhood sexual abuse has often examined, in isolation of one another, such highly correlated risk factors as parental substance abuse, domestic violence, and pathological family functioning. Investigating comorbid antecedents separately does not allow accurate specification of the predictors of abuse. Moreover, sexual trauma research has tended to neglect parental sociopathy as a risk factor. Given the limitations of past research, the present study examined the relationships among parental sociopathy, parental substance use, marital violence, poor family functioning, and childhood sexual abuse. We administered a battery of questionnaires to a nonclinical sample of 130 college women and replicated previous findings by showing that parental substance use predicted sexual abuse when examined in isolation. However, when parental sociopathy and the other risk factors were included in a regression model, parental sociopathy was the only significant predictor. Mother's and father's sociopathy predicted sexual abuse independently and when combined.     

Cognitive Mechanisms of the Transmission of Violence: Exploring Gender Differences among Adolescents Exposed to Family Violence

This study focuses on the mechanisms through which exposure to family violence leads to aggressive behavior in adolescents who were the victims of abuse and neglect. A sample of 166 adolescents from residential child welfare and protection centers for victims of abuse and neglect completed measures of victimization and witnessing violence at home, three schemas (justification of violence, mistrust, and grandiosity), aggressiveness (proactive and reactive), and depression. The results showed that witnessing family violence is more intensely associated with aggressiveness than victimization, and that part of this association is mediated by schemas of justification of violence and grandiosity. Victimization was associated with less aggressiveness and more depression, through the schema of mistrust. In girls exposure to family violence was more intensely associated with aggressiveness.     

Poor parenting and antisocial behavior among homeless young adults: links to dating violence perpetration and victimization

Though research has examined risk factors associated with street victimization among homeless young people, little is known about dating violence experiences among this group. Given homeless youths' elevated rates of child maltreatment, it is likely that they are at high risk for dating violence. As such, the current study examined the association between child maltreatment and parental warmth with dating violence perpetration and victimization through substance use and delinquency among a sample of 172 homeless males and females. Results from path analysis revealed that physical abuse, sexual abuse, and neglect were all significant correlates of both substance use and delinquency, whereas lack of parental warmth was only associated with substance use. Neglect and substance use had direct effects on dating violence and substance use and was found to mediate the relationship between physical abuse and dating violence. Finally, females, older youth, and non-Whites had significantly higher levels of dating violence compared with their counterparts.