In Part II of this article, we present the results of a systematic review of European evidence on the effectiveness of domestic violence perpetrator programs. After searching through 10,446 titles, we discovered only 12 studies that evaluated the effectiveness of a perpetrator program in some systematic manner. The studies applied treatment to a total of 1,586 domestic violence perpetrators, and the sample sizes ranged from 9 to 322. Although the evaluations showed various positive effects after treatment, methodological problems relating to the evaluation designs do not allow attribution of these findings to the programs. Overall, the methodological quality of the evaluations is insufficient to derive firm conclusions and estimate an effect size. Accordingly, one cannot claim that one programmatic approach is superior to another. Evaluation of domestic violence perpetrator treatment in Europe must be improved and programs should become more tailored to the characteristics of the participants.
Most research on domestic violence perpetrator programs has been carried out in North America. It does not yet provide a clear picture on what works with these offenders and cannot be generalized to other cultural and legal systems. Therefore, in Part I of this article, we present the results of a survey of 54 programs that were in place in 19 European countries that addressed the programs' practice and effects. The survey captured data about program design, delivery, administration, infrastructure, and other features. Most programs applied cognitive-behavioral, profeminist, or psychodynamic treatment, or a combination of multiple treatment types. There was a wide disparity in approaches to handling domestic violence perpetrators, and a particular dearth of high-quality evaluation throughout the continent. Possible explanations for this disparity and avenues for improvement are discussed, related to a systematic review of European outcome evaluations (Part II).
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