Abstract
Attrition in male battering treatment programs is a serious problem. To keep clients in treatment, it is crucial to understand why they drop out. The current study examined the contribution of both client and program characteristics in predicting dropout from treatment programs for abusive men. Data were collected at intake from 306 abusive men who sought treatment at four different sites. The rate of preprogram attrition (from intake to the first treatment session) was higher in the program that had a lengthy waiting list (46%) than in the other programs amp lpar3%-13%). In-program attrition was more highly related to client characteristics than program characteristics (all programs had rates between 36% and 42%). Those men who dropped out after starting treatment tended to have unstable lifestyles (e.g., substance abuse problems, criminal history, unemployment) and to have inflicted more severe abuse than those who completed treatment. Results also supported a significant interaction between verbal aptitude and structure of program; men with low verbal aptitude were the most likely to drop out of an unstructured program. Possible strategies for preventing attrition are discussed.
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REFERENCES
Andrews, D. A. (1982). The Level of Supervision Inventory (LSI): The First Follow-Up, Ministry of Correctional Services of Ontario, Toronto.
Andrews, D. A., and Bonta, J. L. (1995). LSI-R: The Level of Service Inventory-Revised, Multi-Health, Toronto, Ontario.
Andrews, D. A., and Bonta, J. L. (1998). The Psychology of Criminal Conduct, 2nd edn., Anderson, Cincinnati, OH.
Andrews, D. A., Kiessling, J. J., Mickus, S. G., and Robinson, D. (1986). The construct validity of interview-based risk assessment in corrections. Can. J. Behav. Sci. 18: 460–470.
Andrews, D. A., Zinger, I., Hoge, R. D., Bonta, J., Gendreau, P., and Cullen, F. T. (1990). Does correctional treatment work? A clinically relevant and psychologically informed meta-analysis. Criminology 28: 369–404.
Antonowicz, D. H., and Ross, R. R. (1994). Essential components of successful rehabilitation programs for offenders. Int. J. Offend. Ther. Comp. Criminol. 38: 97–104.
Baekeland, F., and Lundwall, L. (1975). Dropping out of treatment: A critical review. Psycho. Bull. 82: 738–783.
Baekeland, F., Lundwall, L., and Shanahan, T. J. (1973). Correlates of patient attrition in the outpatient treatment of alcoholism. J. Nerv. Ment. Dis. 157: 99–107.
Bandura, A. (1973). Aggression: A Social Learning Analysis, Prentice-Hall, Englewood Cliffs, NJ.
Brown, P. D., O'Leary, D. K., and Feldbau, S. R. (1997). Dropout in a treatment program for self-referring wife abusing men. J. Fam. Viol. 12: 365–387.
Cadsky, O., Hanson, R. K., Crawford, M., and Lalonde, C. (1996). Attrition from a male batterer treatment program: Client-treatment congruence and lifestyle instability. Viol. Vict. 11: 51–64.
Cox, D. R., and Oakes, D. (1984). Analysis of Survival Data, Chapman and Hall, London.
DeHart, D. D., Kennerly, R. J., Burke, L. K., and Follingstad, D. R. (1999). Predictors of attrition in a treatment program for battering men. J. Fam. Viol. 14: 20–34.
DeMaris, A. (1989). Attrition in batterers' counselling: The role of social and demographic factors. Soc. Serv. Rev. 63: 142–154.
Elkin, I., Shea, M. T., Watkins, J. T., Imber, S. D., Sotsky, S. M., Collins, J. F., Glass, D. R., Pilkonis, P. A., Weber, W. R., Docherty, J. D., Fiester, S. J., and Parloff, M. B. (1989). NIMH treatment of depression collaborative research program: General effectiveness of treatment. Arch. Gen. Psychiat. 46: 977–982.
Faulkner, K. K., Cogan, R., Nolder, M., and Shooter, G. (1991). Characteristics of men and women completing cognitive/behavioural spouse abuse treatment. J. Fam. Viol. 6: 243–254.
Garfield, S. L. (1986). Research on client variables in psychotherapy. In Garfield, S. L., and Bergin, A. E. (eds.), Handbook of Psychotherapy and Behavior Change, 3rd edn., New York, Wiley, pp. 213–256.
Glueck, S., and Glueck, E. T. (1930). 500 Criminal Careers, Knopf, New York.
Gondolf, E. W., and Foster, R. A. (1991). Preprogram attrition in batterer programs. J. Fam. Viol. 6: 337–349.
Gottredson, M. R., and Hirschi, T. (1990). A General Theory of Crime, Stanford University Press, Stanford, CA.
Grusznski, R. J. and Carrillo, T. P. (1988). Who completes batterer's treatment groups? An empirical investigation. J. Fam. Viol. 3: 141–150.
Hamberger, L. K., and Hastings, J. E. (1989). Counseling male spouse abusers: Characteristics of treatment completers and dropouts. Viol. Vict. 4: 275–286.
Hanson, R. K. (1993a). The Abuse Inventory, Unpublished questionnaire.
Hanson, R. K. (1993b). The Commitment to Change Scale, Unpublished questionnaire.
Hanson, R. K., and Whitman R. (1995). A rural, community action model for the treatment of abusive men. Can. J. Comm. Ment. Health 14: 49–59.
Jennings, J. L. (1987). History and issues in the treatment of battering men: A case for unstructured group therapy. J. Fam. Viol. 2, 193–213.
Kalbleisch, J. D., and Prentice, R. L. (1980). The Statistical Analysis of Failure Time Data, John Wiley and Sons, New York.
Leigh, I., Ogborne, A. C., and Cleland, P. (1984). Factors associated with patient dropout from an outpatient alcoholism treatment service. J. Stud. Alcohol 45: 359–362.
Levesque, D. A. (1998). Violent desistance among battering men: Existing interventions and the application of the transtheoretical model of change, Unpublished doctoral dissertation, University of Rhode Island.
Levesque, D. A., Gelles, R. J., and Velicer, W. F. (2000). Development and validation of a stages of change measure for men in batterer treatment. Cognit. Ther. Res. 24: 175–199.
Meichenbaum, D. (1977). Cognitive-Behavior Modification: An Integrative Approach, Plenum Press, New York.
Miller, W. R., and Rollnick, S. (1991). Motivational Interviewing: Preparing People to Change Addictive Behavior, Guilford, New York.
Motiuk, M. S., Motiuk, L. L., and Bonta, J. (1992). A comparison of self-report and interviewbased inventories in offender classification. Crim. J. Beh. 19: 143–159.
Paitich, D. (1977). The ClarkeVocabulary Scale, Clarke Institute of Psychiatry, Toronto, Ontario.
Pence, E., and Maymer, M. (1993). Education Groups for Men Who Batter: The Duluth Model, Springer, New York.
Petrik, N. D., Petrik, R. E., and Subotnik, L. C. (1993). The prediction of completion of treatment for male abusers: A pilot study. Res. Treat. Issues 9: 20–22.
Pirog-Good, M. A., and Stets, J. (1986). Who drops out and what can be done. Res. Vict.Women Childr. 9: 17–19
Reitsma-Street, M., and Leschied, A. W. (1988). The conceptual-level matching model in corrections. Crim. J. Beh. 15: 92–108.
Saunders, D. G. (1996). Feminist-cognitive-behavioral and process-psychodynamic treatments for men who batter: Interaction of abuser traits and treatment models. Viol. Vict. 11: 393–414.
Saunders, D. G., and Hanusa, D. (1986). Cognitive-Behavioral treatment of men who batter. The short-term effects of group therapy. J. Fam. Viol. 1: 357–377.
Saunders, D. G., and Parker, J. C. (1989). Legal sanctions and treatment follow-through among men who batter: A multivariate analysis. Soc. Work Res. Abstr. 25: 21–29.
Shorts, I. (1988). A community-based vocational preparation/training programme for delinquent youths: General Aptitudes as predictors of attrition? Int. J. Offend. Theory Comp. Criminol. 32: 179–184.
Straus, M. A. (1979). Measuring intrafamily conflict and violence: Conflict Tactics (CT) Scales. J. Marr. Fam. 41: 75–88.
Stern, G., and Brown, R. (1994). The effect of a waiting list on attendance at initial appointments in a child and family clinic. Child Care Health Dev. 20: 219–230.
Tolman, R. M. (1989). The development of a measure of psychological maltreatment of women by their male partners. Viol. Vict. 4: 159–177.
Tolman, R. M., and Bhosley, G. (1990). A comparison of two types of pregroup preparation for men who batter. JSSR 13: 33–43.
Wierzbicki, M., and Pekarik, G. (1993). Ametaanalysis of psychotherapy dropout. Prof. Psycho. Res. Pract. 24: 190–195.
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Rooney, J., Hanson, R.K. Predicting Attrition From Treatment Programs for Abusive Men. Journal of Family Violence 16, 131–149 (2001). https://doi.org/10.1023/A:1011106902465
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DOI: https://doi.org/10.1023/A:1011106902465