Intimate partner violence (IPV) remains a critical public health concern, affecting millions of individuals and families across the United States. Those who engage in acts of domestic violence may find treatment options through specialized intervention programs, while those affected by domestic violence often benefit from mental health support and therapeutic services. Understanding these treatment approaches and their effectiveness is essential for both professionals and individuals seeking help.
Battering encompasses multiple types of abuse including physical violence, psychological manipulation, sexual coercion, and economic control. Research shows that the perpetrator uses violence to maintain power and control over their partner, making intervention programs crucial for breaking this cycle of abuse.
Table of Contents
- What Is Intimate Partner Violence and Battering?
- Understanding Batterer Intervention Programs
- Treatment Approaches and Models
- Effectiveness and Outcomes
- Impact on Children and Families
- The Coordinated Community Response
- Role of Mental Health Treatment
- Frequently Asked Questions
- How Therapy Can Help / Find a Therapist
What Is Intimate Partner Violence and Battering?
Intimate partner violence refers to a pattern of abusive behaviors used by one partner to gain or maintain control over another intimate partner. Perpetrators' intervention programs (PIPs) are crucial for addressing this complex phenomenon, as IPV affects approximately 1 in 4 women and 1 in 5 men in their lifetime.
Battering is not typically the result of anger management issues, mental illness, or substance use alone. Rather, it represents learned behavior often motivated by the desire to control one's partner. According to this perspective, the perpetrator uses violence to maintain power and control over their partner.
Forms of Intimate Partner Violence
IPV manifests in various forms, each designed to establish dominance:
Physical Violence
- Hitting, beating, pushing, or shoving
- Choking or strangulation
- Using weapons or throwing objects
- Restraining a partner from leaving
- Refusing to get help when a partner is injured
Psychological and Emotional Abuse
- Verbal insults designed to undermine self-confidence
- Intimidation through threatening gestures or actions
- Destroying property or harming pets
- Making threats against the victim, children, or family members
- Isolating the victim from friends, family, or support systems
Sexual Coercion
- Unwanted sexual acts or forced sexual practices
- Sexual humiliation or degradation
- Non-disclosure of sexually transmitted infections
- Reproductive coercion
Economic Control
- Controlling all financial resources
- Preventing access to money or employment
- Hiding sources of income
- Forcing financial dependence
Technology-Facilitated Abuse
- Digital surveillance and monitoring
- Online harassment or threats
- Controlling access to phones or computers
- Using technology to track movements
Understanding Batterer Intervention Programs
Batterer intervention programs (BIPs) emerged in the late 1980s as states began arresting and prosecuting perpetrators of domestic violence more consistently. Batterer intervention programs (BIPs) constitute a primary intervention for perpetrators of intimate partner violence (IPV).
Program Structure and Requirements
The specified course of treatment typically consists of between 16 and 52 weeks of participation in a psychoeducational group, also known as batterer intervention programs, or BIPs. Most programs share common characteristics:
- Duration: Programs typically run 24-26 weeks on average, though some states mandate as few as 12 weeks or as many as 52 weeks
- Format: Group sessions are the most common format, allowing participants to learn from peers
- Referral Source: Approximately 80% of participants are court-mandated following domestic violence charges
- Certification: Many states require programs to meet specific certification standards
- Completion Requirements: Participants must attend regularly and demonstrate engagement with material
Key Program Components
Modern BIPs typically include several core elements designed to promote behavior change:
Education About Abuse
- Identifying different forms of abuse
- Understanding the impact on victims and children
- Recognizing warning signs and triggers
- Learning about healthy relationships
Accountability and Responsibility
- Taking ownership of abusive behaviors
- Understanding the choice to use violence
- Examining justifications and excuses
- Developing empathy for victims
Skill Development
- Communication and conflict resolution
- Emotional regulation techniques
- Stress management strategies
- Problem-solving skills
Safety Planning
- Developing personal accountability plans
- Identifying high-risk situations
- Creating behavior change goals
- Building support networks
Treatment Approaches and Models
The Duluth Model
The early interventions were based on the Duluth model, which views IPV as a manifestation of patriarchy or male socialization. This model:
- Views violence as intentional behavior used to maintain male dominance
- Focuses on changing patriarchal attitudes and beliefs
- Uses the "Power and Control Wheel" as a teaching tool
- Emphasizes that perpetrators can change their behavior
- Although the Duluth model adopts an educational format, it also includes cognitive-behavioral techniques
Cognitive-Behavioral Therapy (CBT) Approaches
CBT for perpetrators of IPV aims to transform hostile cognitive biases, work on affect dysregulation, and address skill-based deficiencies, including assertiveness, communication, and problem-solving. CBT-based programs:
- Help participants identify and change negative thought patterns
- Teach emotional regulation skills
- Address cognitive distortions that support violence
- Build healthy coping strategies
- Focus on behavior modification techniques
Novel and Emerging Approaches
Acceptance and Commitment Therapy (ACT)
Novel interventions, including Acceptance and Commitment Therapy and Circles of Peace, had the largest effect sizes when put head-to-head with Duluth control groups. ACT specifically focuses on increasing psychological flexibility and reducing psychological inflexibility as a means of reducing maladaptive behaviors.
ACT-based programs help participants:
- Develop psychological flexibility
- Practice mindfulness and acceptance
- Clarify personal values
- Commit to behavior change aligned with values
- Reduce avoidance of difficult emotions
Motivational Enhancement Approaches
The literature underscores the importance of addressing the motivation of IPV perpetrators, given their notably high dropout rates and the consequences of non-treatment completion (e.g., dropout is a predictor of IPV recurrence). Programs incorporating motivational interviewing techniques:
- Increase engagement and reduce dropout
- Help participants recognize the need for change
- Address ambivalence about treatment
- Build intrinsic motivation
- Improve treatment outcomes
Trauma-Informed Approaches
Recent developments recognize that some perpetrators have their own trauma histories. Evaluation of the Strength at Home group intervention for intimate partner violence in the Veterans Affairs health system has shown promise for addressing both trauma and violence prevention.
Effectiveness and Outcomes
Research Findings on Program Effectiveness
The effectiveness of batterer intervention programs remains a topic of ongoing research and debate. This review of 59 controlled outcome studies on battering interventions reveals small but significant effects on recidivism of physical abuse.
Key findings from recent meta-analyses include:
- BIP participants were about 3 times less likely to have DV recidivism and about 2.5 times less likely to have general offense recidivism, compared to nontreated control/comparison groups
- True experiments yield smaller effect sizes than do quasi-experimental studies
- A widely cited meta-analysis (Babcock et al., 2004) concluded that interventions do produce small positive effects on recidivism that equate approximately to a 5% reduction in offending
- Programs show more promise when participants complete the full course of treatment
Factors Affecting Success
Several factors influence program effectiveness:
Participant Characteristics
- Motivation and readiness to change
- Substance use issues requiring concurrent treatment
- Mental health conditions
- Social support systems
- Employment and housing stability
Program Features
- Length and intensity of intervention
- Quality of facilitation
- Use of evidence-based curricula
- Integration with community services
- Cultural responsiveness
System Factors
- Court monitoring and accountability
- Victim services and support
- Coordination between agencies
- Swift and certain consequences for non-compliance
Challenges in Measuring Effectiveness
There is little understanding as to what operational, or program-level, challenges BIPs face that can impede their effectiveness and adherence to state standards. Challenges include:
- High dropout rates affecting outcome data
- Variation in program quality and implementation
- Different measures of "success" across studies
- Limited long-term follow-up data
- Underreporting of continued violence
Impact on Children and Families
Children's Exposure to Domestic Violence
The effects of intimate partner violence extend far beyond the direct victims. UNICEF, however, calls growing up in a home with domestic violence "one of the most pervasive human rights challenges of our time."
Between three and ten million children and adolescents witness violence between their parents or caregivers each year. Research shows that exposure to domestic violence affects children profoundly:
Immediate Effects
- Feeling jumpy or nervous, being easily startled, reliving images, sensations, and memories of what occurred, avoiding reminders of the event, feeling numb or shutting down, trouble sleeping and nightmares, and acting out what they observed with other children, or in their play
- Physical symptoms like headaches and stomachaches
- Regression in developmental milestones
- Difficulty concentrating in school
Long-Term Consequences
- Children exposed to domestic violence may show declined educational performance and social abilities. Internalization problems, depression, post-traumatic stress disorder symptoms, and externalization symptoms such as aggressive behaviors and even lower levels of IQ are the most important reported complications
- Those who've experienced CDV also frequently struggle with mental health issues, such as anxiety, depression, and post-traumatic stress disorder (PTSD), which may culminate in self-medicating and self-harming measures such as substance abuse, cutting, and suicide. In fact, they are 6 times more likely to commit suicide and 50 times more likely to abuse drugs or alcohol
- Increased risk of perpetrating or experiencing violence in future relationships
Protective Factors and Resilience
How successful a child is at recovering from abuse or trauma depends on several things, including having a good support system or good relationships with trusted adults. Protective factors include:
- Strong relationship with a non-abusive parent or caregiver
- Access to therapy and support services
- School-based interventions and support
- Community connections and mentorship
- Development of coping skills
Supporting Children Affected by Violence
Cognitive behavioral therapy (CBT) is a type of talk therapy or counseling that may work best for children who have experienced violence or abuse. Effective interventions include:
- Trauma-focused cognitive behavioral therapy
- Play therapy for younger children
- Family therapy when safe and appropriate
- Group support programs
- School-based counseling services
The Coordinated Community Response
Components of Community Coordination
Effective responses to intimate partner violence require collaboration across multiple systems. Continued work needs to be done at both the state and local level, and in coordination with community judicial, mental health, human services, and other agencies to help provide resources that support BIPs in sustained, safe, and as effective as possible work.
Key partners in a coordinated response include:
Criminal Justice System
- Law enforcement trained in domestic violence response
- Prosecutors specializing in IPV cases
- Probation officers monitoring compliance
- Courts with dedicated domestic violence dockets
Victim Services
- Emergency shelter and housing
- Safety planning and advocacy
- Legal assistance and representation
- Economic support and job training
Healthcare System
- Screening for IPV in medical settings
- Documentation of injuries
- Referrals to support services
- Trauma-informed care
Community Organizations
- Faith-based support groups
- Cultural-specific services
- Prevention education programs
- Men's accountability groups
Benefits of Coordination
Research demonstrates that coordinated approaches:
- Increase victim safety
- Improve offender accountability
- Reduce system gaps and barriers
- Enhance service delivery
- Decrease repeat violence
Role of Mental Health Treatment
Individual Therapy Considerations
While batterer intervention programs provide group-based education and accountability, individual therapy may address underlying issues:
Appropriate Uses of Individual Therapy
- Addressing trauma history
- Managing mental health conditions
- Substance abuse treatment
- Processing childhood experiences
- Building emotional awareness
Important Considerations
- Individual therapy alone is rarely sufficient for addressing IPV
- Therapists need specialized training in domestic violence
- Safety planning for victims remains paramount
- Coordination with BIP providers is essential
When Couples Therapy Is Not Appropriate
Most experts strongly advise against couples therapy when domestic violence is present because:
- It may increase danger for the victim
- Power imbalances prevent honest communication
- Victims may be blamed for "triggering" abuse
- Abusers may use session content for manipulation
- Safety cannot be ensured
Couples therapy may only be considered after:
- The perpetrator completes a full BIP
- Violence has ceased for an extended period
- The victim freely chooses to participate
- The therapist has domestic violence expertise
- Ongoing safety assessments occur
Supporting Survivors in Therapy
Survivors of intimate partner violence benefit from trauma-informed therapeutic approaches:
- Safety planning and risk assessment
- Processing trauma and grief
- Rebuilding self-esteem and identity
- Developing healthy boundaries
- Addressing practical needs and resources
Frequently Asked Questions
What is the difference between anger management and batterer intervention?
Anger management focuses on controlling emotional responses and is appropriate for general anger issues. Batterer intervention specifically addresses the use of power and control in intimate relationships. Most states emphasize gender role factors and offender use of "power and control" behaviors and ignore, discourage, or outright ban evidence-based approaches such as anger management for domestic violence cases because IPV is about control, not just anger.
How long do batterer intervention programs typically last?
The specified course of treatment typically consists of between 16 and 52 weeks of participation in a psychoeducational group. The exact length varies by state requirements and individual program structure, with most averaging 24-26 weeks.
Can someone voluntarily attend a batterer intervention program?
Yes, while approximately 80% of participants are court-mandated, individuals can voluntarily seek help through these programs. Voluntary participants often show higher motivation and better outcomes.
Do batterer intervention programs work for female perpetrators?
These programs can be directed toward men, women, or both partners, although most programs still address male perpetrators. Programs specifically designed for female perpetrators are less common but increasingly available, addressing unique dynamics and needs.
What happens if someone doesn't complete the program?
Dropout is a predictor of IPV recurrence. Non-completion typically results in legal consequences such as probation violation, potential jail time, and increased monitoring. It also significantly increases the risk of continued violence.
How can family members support someone in a batterer intervention program?
Family members can:
- Encourage program attendance and engagement
- Avoid making excuses for abusive behavior
- Support accountability and behavior change
- Seek their own counseling or support groups
- Maintain appropriate boundaries for safety
How Therapy Can Help / Find a Therapist
If you or someone you know is struggling with intimate partner violence, professional help is available. The path to change begins with taking responsibility and seeking appropriate intervention.
For those who have used violence: Completing a certified batterer intervention program is often the first step. Individual therapy can supplement group programs by addressing underlying trauma, mental health concerns, or substance abuse issues that may contribute to violent behavior.
For survivors of violence: Specialized trauma therapy can help process experiences, develop safety strategies, and rebuild your life. Many communities offer free or low-cost counseling through domestic violence agencies.
For children affected by domestic violence: Early intervention through play therapy, trauma-focused CBT, or family therapy (when safe) can help children heal and break the intergenerational cycle of violence.
GoodTherapy's directory can help you find qualified mental health professionals with expertise in domestic violence, trauma, and family violence intervention. Look for therapists who specifically mention experience with:
- Domestic violence or intimate partner violence
- Trauma and PTSD
- Family violence
- Court-mandated treatment
- Safety planning
Remember, seeking help is a sign of strength, not weakness. Change is possible with commitment, accountability, and the right support.
If you are in immediate danger, call 911 or the National Domestic Violence Hotline at 1-800-799-SAFE (7233).
References:
- American Academy of Child & Adolescent Psychiatry. (2023, September). Domestic violence and children (Facts for Families No. 109). https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Helping-Children-Exposed-to-Domestic-Violence-109.aspx
- Arai, L., Shaw, A., Feder, G., et al. (2021). Hope, agency, and the lived experience of violence: A qualitative systematic review of children's perspectives on domestic violence and abuse. Trauma, Violence, & Abuse, 22(3), 427–438. https://doi.org/10.1177/1524838019849582
- Babcock, J. C., Gallagher, M. W., Richardson, A., Godfrey, D. A., Reeves, V. E., & D'Souza, J. (2024). Which battering interventions work? An updated meta-analytic review of intimate partner violence treatment outcome research. Clinical Psychology Review, 111, 102447. https://doi.org/10.1016/j.cpr.2024.102447
- Blue Shield of California Foundation. (2024). Domestic violence: Prevention past due. Health Affairs, 43(5), 729–736. https://doi.org/10.1377/hlthaff.2023.01435
- Centers for Disease Control and Prevention. (2024, September 9). Domestic violence prevention enhancement and leadership through alliances: Achieving health equity through addressing disparities (DELTA AHEAD). https://www.cdc.gov/intimate-partner-violence/programs/index.html
- Cheng, S. Y., Davis, M., Jonson-Reid, M., & Yaeger, L. (2021). Compared to what? A meta-analysis of batterer intervention studies using nontreated controls or comparisons. Trauma, Violence, & Abuse, 22(3), 496–511. https://doi.org/10.1177/1524838019865927
- Creech, S. K., Benzer, J. K., Bruce, L., et al. (2023). Evaluation of the Strength at Home group intervention for intimate partner violence in the Veterans Affairs health system. JAMA Network Open, 6(3), e232997. https://doi.org/10.1001/jamanetworkopen.2023.2997
- Cunha, O., Pedrosa, B., & Caridade, S. (2024). The effectiveness of intervention programs for perpetrators of intimate partner violence with substance abuse and/or mental disorders: A systematic review. Behavioral Sciences, 14(11), 1074. https://doi.org/10.3390/bs14111074
- Cunha, O., Pinto, R. J., Pereira, B. S., Caridade, S., & Rodrigues, A. C. (2023). Motivational interview techniques and the effectiveness of intervention programs with perpetrators of intimate partner violence: A systematic review. Trauma, Violence, & Abuse, 24(5), 3229–3246. https://doi.org/10.1177/15248380221127285
- Kim, J. Y., Zhang, L., Gruber, A. M., et al. (2024). Prenatal exposure to intimate partner violence and child developmental outcomes: A scoping review study. Trauma, Violence, & Abuse, 25(3), 2249–2263. https://doi.org/10.1177/15248380231185479
- Lila, M., Gracia, E., & Catalá-Miñana, A. (2018). Individualized motivational plans in batterer intervention programs: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 86(4), 309–320. https://doi.org/10.1037/ccp0000291
- Lila, M., Gracia, E., & Catalá-Miñana, A. (2020). More likely to dropout, but what if they don't? Partner violence offenders with alcohol abuse problems completing batterer intervention programs. Journal of Interpersonal Violence, 35(9-10), 1958–1981. https://doi.org/10.1177/0886260517699952
- Mastorakos, A., & Scott, K. L. (2023). Psychological complications of the children exposed to domestic violence: A systematic review. Egyptian Journal of Forensic Sciences, 13(1), 26. https://doi.org/10.1186/s41935-023-00343-4
- National Child Traumatic Stress Network. (2023). Interventions for children exposed to domestic violence: Core principles. https://www.nctsn.org/
- National Domestic Violence Hotline. (2024). Domestic violence support. https://www.thehotline.org/
- National Institute of Mental Health. (2024). Fiscal year 2024 congressional justification. U.S. Department of Health and Human Services. https://www.nimh.nih.gov/sites/default/files/documents/about/budget/nimh_fy_2024_cj_0.pdf
- Romero-Martínez, Á., Lila, M., & Moya-Albiol, L. (2025). Motivational strategies reduce recidivism and enhance treatment adherence in intimate partner violence perpetrators with substance use problems. Frontiers in Psychiatry, 16, 1538050. https://doi.org/10.3389/fpsyt.2025.1538050
- Travers, A., McDonagh, T., Cunningham, T., Armour, C., & Hansen, M. (2021). The effectiveness of interventions to prevent recidivism in perpetrators of intimate partner violence: A systematic review and meta-analysis. Clinical Psychology Review, 84, 101976. https://doi.org/10.1016/j.cpr.2021.101976
- Walker-Descartes, I., Mineo, M., Condado, L. V., et al. (2025). Impact of intimate partner violence on children. Pediatric Clinics of North America, 72(3), 509–523. https://doi.org/10.1016/j.pcl.2024.12.005
- Zarling, A., & Berta, M. (2025). Changes in psychological inflexibility and intimate partner violence among men in an acceptance and commitment therapy-based intervention program. Behavioral Sciences, 15(3), 317. https://doi.org/10.3390/bs15030317
- Zarling, A., Bannon, S., & Berta, M. (2019). Evaluation of acceptance and commitment therapy for domestic violence offenders. Psychology of Violence, 9(3), 257–266. https://doi.org/10.1037/vio0000097
- Zarling, A., Berta, M., & Weems, C. F. (2025). Changes in sexist beliefs and psychological flexibility among men court-mandated to domestic violence programs. Journal of Interpersonal Violence, 40(1), 189–211. https://doi.org/10.1177/08862605251368854
