The ADVANCE-D Programme

ADVANCE-D is a unique programme to reduce intimate partner violence (IPV) by men who use substances.

King's College London University of Edinburgh

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We offer comprehensive training to address IPV in the context of substance use through local programme delivery.

Changing Behaviours, Changing Lives

Substance use is a known risk factor for intimate partner violence (IPV) yet most perpetrator programmes do not address it.

ADVANCE-D is an evidence-based programme, that can be delivered in-person, remotely or a hybrid of the two. The ADVANCE-D Programme seeks to reduce IPV by helping those who engage in this behaviour change, by addressing IPV in the context of substance use, ensuring better outcomes for the men involved, their partners and children.

Integrated partner support alongside regular case management meetings with the facilitators and clear respectful and information sharing protocols, are essential components of the ADVANCE-D Programme.

“It’s [ADVANCE-D] given me the tools I need to do things a bit different, and stop things getting worse”

- ADVANCE-D Group Member

The Challenge

Why do we need a targeted perpetrator programme for men with substance use problems?

Programme Overview

Men who use substances who are abusive are less likely to be referred for programmes and more likely to drop out.

Men who use abusive behaviour and use substances are less likely to be referred to perpetrator programmes and more likely to drop out when they are.

International research shows that tailored interventions, that include some motivational work, delivered by well trained staff, to the right group of people are more effective. The ADVANCE-D programme is an integrated programme that focuses on helping men who use substances to understand and reduce their abusive behaviour and provide support for partners. Early results indicate that engaging in the ADVANCE-D programme can really help this group.

Without ADVANCE-D, men with substance use problems and their current or ex-partners may not receive the support they need.

  • 4 in 10

    men in substance use treatment had abused a female current or ex-partner in the past year.

  • Less than 1%

    of perpetrators in the UK are referred to a specialist intervention.

IPV costs and savings

Perpetrator programmes reduce abusive behaviour by 30-65%, with one evaluation reporting a social return on investment of £14 for every £1 spent. Therefore, delivering the ADVANCE-D Programme, could save money, reduce recidivism and improve outcomes for perpetrators and survivors.

  • £66bn

    is the social and economic costs of intimate partner violence in the UK.

  • £47bn

    of which is attributable to the physical and emotional harm to victims/ survivors

  • £19bn

    of lost economic output and costs to deal with the consequences of IPV including NHS, the criminal justice system and services for victims/survivors

  • £34,015

    is the estimated annual costs for a victim of IPV.

  • £44,600

    is the cost per year to imprison someone.

  • 1 in 3

    women experience IPV, resulting in poor mental, physical and sexual health.

  • 42%

    higher healthcare costs for women who have experienced abuse.

Breaking the Cycle of Abuse

The ADVANCE-D intervention helps men address their abusive behaviour and consider the impact of their substance use and supports the partners and ex-partners signposting or providing the help they ask for.

By reducing IPV, ADVANCE-D can be seen as an early step in reducing the likelihood of intergenerational transmission of abuse, thus promoting positive outcomes for children and future generations.

Existing and potential referral pathways

Substance use treatment services in some areas of the UK have already been trained to deliver ADVANCE-D in their service and training in probation and criminal justice social work is ongoing.

Following training and certification in delivering ADVANCE-D, facilitators from any setting are able to deliver ADVANCE-D. Our team are also able to provide services with trained facilitators to deliver ADVANCE-D.