title: The (dubious?) benefits of second chances in batterer intervention programs.
abstract: In batterer intervention programs, there are conflicting recommendations about best practices for responding to client dropout. Risk management philosophies emphasize the importance of swift and sure sanctions for failure to comply with program attendance requirements. In contrast, change theory emphasizes the importance of providing clients with multiple opportunities to engage in treatment. To clarify the implications of each of these philosophies, the current study examined rates of program dropout, reinstatement, and completion in a consecutive sample of 294 probation-mandated clients referred to a large batterer intervention program. Just over half (53.7%) of men completed intervention on their first attempt. Over the 2-year follow-up study period, 73 clients were reinstated once by the intervention program, 23 clients were reinstated twice, and 5 clients reinstated three (or more) times. Reinstated clients were, in general, more similar to men who failed to complete than those who completed on their first attempt. Although rates of dropout at each reentry point were quite high (56% to 80%), 32 of the 73 (43.7%) reinstated clients eventually completed. There were significant costs associated with providing clients with additional chances to complete the program, with successful reinstatement requiring an average of 7.55 phone calls to clients, 3.82 phone calls to referral agents, one letter, and 0.73 in-person meetings. Results are discussed in terms of practice and policy implications of risk management and change theory approaches to dropout.
authors.affiliation: University of Toronto, Toronto, ON, Canada. kscott@oise.utoronto.ca
authors.forename: Katreena
authors.initials: K
authors.lastname: Scott
authors.forename: Colin
authors.initials: C
authors.lastname: King
authors.forename: Holly
authors.initials: H
authors.lastname: McGinn
authors.forename: Narges
authors.initials: N
authors.lastname: Hosseini
mesh_terms: D000374:Aggression / Q000523:psychology; D003156:Community Mental Health Services / Q000458:organization & administration; D057237:Criminals / Q000523:psychology / Q000706:statistics & numerical data*; D055030:Drug Users; D005260:Female; D005500:Follow-Up Studies; D006301:Health Services Needs and Demand / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015397:Program Evaluation; D012720:Severity of Illness Index; D013179:Spouse Abuse / Q000191:economics / Q000534:rehabilitation*; D016896:Treatment Outcome; D055815:Young Adult