Exhibit 5-1Time Out! For Men

TOFMEN is a group intervention for male clients in substance abuse treatment that promotes the reexamination of gender stereotypes, social pressures, and sexual misconceptions to help men improve their relationships with their partners. TOFMEN was developed in 1996 by Bartholomew and Simpson as part of the Drug Abuse Treatment Outcome Study (DATOS) project funded by NIDA. The intervention is designed to be run by a substance abuse or other behavioral health counselor; a training module is available online (http://www.ibr.tcu.edu/pubs/trtmanual/tofmen.html). TOFMEN is a short-term intervention designed to be implemented over eight sessions.

  • Session 1: This session focuses on creating a bond among group members and exploring male and female gender roles. Specifically, group members examine what they need and want in their intimate relationships and what role socialization plays in their values and choices. The counselor asks each man to create a list of the characteristics that make an ideal man and woman; group members use these lists to look at how gender role stereotypes affect their relationships. Men are challenged to implement and discuss what they have learned via a take-home assignment. After session 1, group members are given worksheets to help them identify their needs and how they can meet the needs of their spouses or partners.
  • Session 2: Men start by reviewing their homework from the day before. After, they concentrate on building communication skills to achieve and maintain an assertive attitude. They discuss the disadvantages of aggressive and passive communication styles and the differences between “I-statements” and “You-statements.”
  • Session 3: This session focuses on listening, a key skill for maintaining good relationships. Group members participate in listening exercises to help them decipher common listening problems and identify good listening habits. In one exercise, an item (e.g., a mug) is passed to the participant who has the floor. The next group member to receive the item then restates what he heard the previous speaker say.
  • Session 4: Participants discuss feelings and how to accept and express them. After making a list of feeling words, group members identify and discuss which feelings are hard or uncomfortable for them to talk about.
  • Session 5: Men discuss how to resolve conflicts. They are encouraged to seek solutions instead of assigning blame when conflict arises and are taught how to fight fairly with others.
  • Session 6: This session uncovers misconceptions about sexual and reproductive health and how they can affect attitudes and values about sexuality. Clients are taught how unnecessary concerns about normal body functions, sexual responses, and sexual feelings can cause undue stress on relationships.
  • Session 7: This session continues the discussion of sexuality as the men address common concerns about and the effects of substances on sexual functioning. They also examine stereotypes concerning the man's role in sexual relationships and try to devise self-help solutions for sexual problems in relationships.
  • Session 8: The last session focuses on increasing self-esteem (e.g., by writing affirmations) and reviewing communication skills covered in previous sessions. The men are encouraged to keep building these skills. The workshop closes with a graduation celebration; group members are awarded certificates for completing the intervention.

Source: Bartholomew and Simpson 2002.

From: 5, Treatment Modalities and Settings

Cover of Addressing the Specific Behavioral Health Needs of Men
Addressing the Specific Behavioral Health Needs of Men.
Treatment Improvement Protocol (TIP) Series, No. 56.
Center for Substance Abuse Treatment (US).

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