Fathers for Change vs. Individual Drug Counseling for Substance Abuse

This trial tests two treatments to help fathers reduce substance use and family violence. The first treatment, Fathers for Change (F4C), helps dads improve emotional control, while the second, Individual Drug Counseling (IDC), provides standard support for substance issues. The goal is to determine which method better assists fathers with substance abuse problems and a history of family violence. Ideal candidates are dads who have struggled with substance use, reported family violence in the past 18 months, and have regular contact with at least one young child. As a Phase 2 trial, this research measures the effectiveness of the treatments in an initial, smaller group, allowing participants to contribute to important findings.

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your healthcare provider.

Earlier studies have examined Fathers for Change (F4C) for its effects on substance use and family violence. Research shows that this program uses cognitive-behavioral therapy (CBT), a type of talk therapy that helps people change their behavior. Although specific information on side effects for F4C is unavailable, programs based on CBT are usually well-tolerated by participants.

This trial is in Phase 2, focusing on evaluating the program's effectiveness and examining its safety more closely. Some evidence suggests it is safe, but the trial continues to gather detailed information on participants' responses to the treatment.

Researchers are excited about the Fathers for Change (F4C) treatment for substance abuse because it offers a unique approach that targets family dynamics and parenting skills, unlike most current treatments that focus solely on the individual. Traditional options often center around individual counseling or medication-assisted therapy, but F4C integrates family therapy to address underlying relational issues that may contribute to substance abuse. This holistic approach not only aims to reduce substance use but also to improve family relationships, potentially leading to more sustainable recovery outcomes. By focusing on the role of fathers within the family unit, F4C provides a tailored and comprehensive strategy that is not typically addressed in conventional treatment programs.

Research has shown that the Fathers for Change (F4C) program, one of the treatments in this trial, can effectively assist fathers with substance use issues and reduce family violence. Studies have found that F4C helps fathers manage their reactions to threats and control impulsive behavior, leading to lasting changes. Specifically, one study found that F4C reduces substance use as effectively as Individual Drug Counseling (IDC), the other treatment option in this trial, while also improving family relationships. Additionally, F4C has been linked to better emotional control, which aids in reducing substance use and violence. These findings suggest that F4C could be a promising option for fathers seeking to improve their health and family life.¹⁶⁷⁸⁹