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Abuser Treatment Program Guidelines
Philosophy
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Domestic Violence as defined by North Carolina State Statutes
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NC 50B-1 Definition: The commission of one or more of the following
acts upon an aggrieved party or upon a minor child residing with or in
the custody of the aggrieved party by a person with whom the aggrieved
party has or has had a personal relationship, but does not include acts
of self defense: (1) attempting to cause bodily injury, or intentionally
causing bodily injury; or (2) placing the aggrieved party or a member of
the aggrieved party’s family or household in fear of imminent serious
bodily injury; or (3) committing any act defined in G.S. 14-27.2 through
G.S. 14-27.7.For the purpose of this section, the term "personal
relationship" means a relationship wherein the parties involved:
(1) are current or former spouses; (2) are persons of opposite sex who
live together or have lived together; (3) are related as parents and
children, including others acting in loco parentis to a minor child, or
as grandparents and grandchildren. For purposes of this subdivision, an
aggrieved party may not obtain an order of protection against a child or
grandchild under the age of 16; (4) have a child in common; (5) are
current or former household members; (6) are persons of the opposite sex
who are in a dating relationship or have been in a dating relationship.
For purposes of this subdivision, a dating relationship is one wherein
the parties are romantically involved over time and on a continuous
basis during the course of the relationship. A casual acquaintance or
ordinary fraternization between persons in a business or social context
is not a dating relationship.
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Hold batterers accountable
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Recognize program limitations
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As with all methods of therapeutic intervention, programs should
stress that they cannot guarantee that the abuser will stop being violent;
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The purpose of intervention is not to salvage the relationship, but to keep victims safe.
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Focus on the effects of violence in the home as it relates to the
children in the home.
Program Objectives
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Victim safety
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The creation of a Memorandum of Agreement (MOA) between the abuser’s
treatment program and the victim’s service provider, detailing the
roles and responsibilities of each;
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Lethality assessment; and
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Making the victim aware of all available resources.
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Domestic Violence Task Force (DV Task Force)/Coordinated Community
Response (for the purpose of these guidelines, these terms have the same meaning).
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Conduct regular meetings. It is suggested that the team include the
following, however, the community itself may dictate other members or
the exclusion of some of the suggested list: (1) DV Service Providers;
(2) Abuser Treatment Program Staff; (3) Criminal Justice
Professionals, such as, Judges, District Attorneys, Law Enforcement,
Probation and Parole, Magistrate, Clerk, Pre-Trial Release; (4)
Department of Social Services (DSS); (5) Mental Health; (6) Medical Community; (7) Clergy/Faith Community; and (8) Schools.
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Heighten the awareness of the prevalence of domestic violence in the
local community and the effects domestic violence has on the
community.
Victim Contact
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Victim Confidentiality
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All abuser treatment programs shall keep all information provided by
the victim confidential unless the victim gives written permission for
the program to release the information. All information received from
the victim shall be kept in separate files from the participant’s
files. If the victim tells the abuser treatment program that the
participant has committed a new offense, the treatment program shall
encourage the victim to contact: (1) appropriate law enforcement; and
(2) the local domestic violence program or other support services.
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Duty to warn the victim of threat of violence
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The abuser treatment program, along with the DV service provider,
will establish policy and procedure in regards to informing the victim
of threats of violence.
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Provide the victim with updates on the abuser’s enrollment in the
treatment program to include start date, end date and discharge date.
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Participant Confidentiality: All abuser treatment programs shall
establish and comply with written policies and procedures regarding
participant confidentiality and provide notice of the policies and
procedures to all who provide direct services and those with access to
participant records. Except as noted below, program staff shall not
disclose, without the participant’s consent, any confidential
communications made by a participant to the program staff during the
course of the program.
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Exceptions to Participant Confidentiality: All participant
information shall be kept strictly confidential except under the
following conditions: (1) When a participant makes an overt or covert
threat to harm self or others, there is a duty to warn the potential
victim and law enforcement personnel; (2) If the participant is
suspected of child abuse or neglect, program staff shall report such
abuse or neglect to the director of social services in the county
where the juvenile resides pursuant to G.S.7B-301; (3) If a
participant has been mandated to an abuser treatment program by a judge,
appropriate staff shall release information about acceptance to,
attendance, compliance with program rules and guidelines, behavior in
group, and current abuse or threats of abuse to an officer of the
court, a probation officer, a judge or other referring agency; (4) The
person identified as the victim of abuse shall be notified of the
participant’s acceptance or rejection for enrollment in the abuser
treatment program for the dual purposes of ensuring the safety of the
victim and providing information about the program; and (5) The
program shall be permitted to disclose information about a participant
under court order when the participant or his or her heirs, executors
or administrators file a suit or complaint against the abuser
treatment program that arises out of or is connected with the services
rendered or denied to such participant by the program. It is
recommended that the abuser treatment program obtain professional
liability insurance.
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Waiver of Confidentiality: Information may be shared according to
the terms of Waivers of Confidentiality that may be signed by the
participant in the course of the program.
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Group Confidentiality: All abuser treatment program counseling and
educational groups are confidential and closed to those other than
participants, program staff, and monitors. Sometimes the participation
of other professionals is necessary for the functioning of program
services. Those providing services to the deaf, offering language
translation and interpretation, or bringing information critical to
the curriculum to the group may attend at the staff’s discretion.
Other people who wish to visit, including newspaper reporters,
grant-makers, and the participant’s family and friends may attend
only when the participants unanimously agree to a visit, and upon a
written warning by staff that the program shall not be responsible for
any breach of confidentiality. Program staff shall advise visitors and
participants of the confidentiality policy and require visitors to
execute an agreement not to disclose identity of participants or
participant-specific information except as they receive written
permission to do so.
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Separate Records: The abuser treatment program shall maintain
separate locked files for participants and victims. There shall be no
commingling of confidential information in victim and participant
records.
Staff Ethics and Qualifications
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Ethics
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Program staff should be violence free in their personal lives as
follows: Violence free a minimum of three (3) years and has
successfully completed a certified abuser treatment program.
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Establish a drug free workplace and inform all staff of the written
policy and procedures.
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Establish a non-discrimination policy and inform all staff of the
written policy and procedures.
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Qualifications
Program Design
All programs shall establish and comply with a written program
curriculum based on psychoeducational models, such as the Duluth Model,
DAP (Domestic Abuse Project) model, or a combination of models. The abuser treatment program must
be based on the philosophies of the Power and Control Wheel and the core
beliefs as a contributing factor to the perpetuation of domestic violence
as opposed to an anger management approach. The programs shall include but
are not limited to the following and should also comply with North Carolina Council for
Women established guidelines and obtain certification.
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Intake
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History of Violence;
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Mental Health assessment and referral;
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Substance Abuse assessment and referral;
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Lethality assessment;
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Family and social history;
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Most recent violent episode;
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Family origin of violence;
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Violence in previous relationships;
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Past criminal behavior;
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Assessment of participant’s cognitive or social skill; and
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Any other factors that might interfere with the participation in a
group program.
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Intervention
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Group intervention of 12 to 15 abusers is the preferred course of
treatment, in addition, individual case management may be provided;
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If a group exceeds 6 abusers, it must be facilitated by two staff
members, preferably a team consisting of a male facilitator and a
female facilitator;
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No couples counseling;
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No individual counseling;
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No mediation or dispute settlement;
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Groups must be gender specific;
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All abuser treatment programs shall establish written policies and
procedures to serve culturally diverse programs for underserved populations;
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Duration: (1) Twenty-six weeks minimum; and (2) Each session must be
at least 90 minutes in length;
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Adopt the following core beliefs in the curriculum:(1)
The dynamics of domestic violence including pertinent issues of power
and control; (2) Domestic violence impacts all family members and that
children who grow up in violent homes have higher risks for behavioral
problems, including suicide, substance abuse, violence and other
criminal activities; (3) Respect for equal rights of partners in a
relationship; (4) Non-violent, non-controlling relationship skills;
(5) Change in an abuser’s belief system which supports the use of
violence in intimate relationships.
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Follow-up care: (1) Four to six months minimum; and (2) Criminal
records check.
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Fees
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Termination
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Programs shall establish written policy and procedures for
terminating the participant including the following: (1) non-payment;
(2) excessive absences, that is, a violation of court order and
established attendance policy based on length of program; (3) fails to
participate according to the written program criteria; (4) repeated
physical violence; and (5) failure to comply with treatment
recommendations.
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If a participant is terminated from the program, the program shall:
(1) document the violations; and (2) notify all parties involved with
the understanding that all reasonable attempts should be made to
notify the victim first.
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Completion
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Evaluation
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Program Level: (1) Recidivism; (2) Completion/Termination; and (3)
Penetration Rates, that is, ethnicity, age, socio-economic status.
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Client Level: (1) 26-week evaluation; and (2) pre and post
test.
Prohibited Activities
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No couples therapy or counseling;
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No family therapy or counseling;
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No systems theory approaches;
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No addiction counseling models that identify the violence as an
addiction and the children or adult victim as enabling or codependent;
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No abuser treatment program activities will be conducted in a
location that is deemed a domestic violence shelter or crisis
intervention facility;
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No models or theories that identify and promote anger management as
a primary cause of domestic violence;
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No theories or techniques that identify poor impulse control as the
primary cause of domestic violence;
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No methods that identify psychopathology on either parties’ parts
as a primary cause of violence;
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No gradual containment or de-escalation methods or techniques; and,
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No techniques, theories or models that identify substance abuse or
alcohol abuse as a primary cause of domestic violence.
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