This chapter describes the process of ComB treatment implementation, in which the “active ingredients” are introduced that that are chosen to reduce the power of antecedent cues, to divert the individual’s ability to engage in their BFRB, and to provide alternative means for achieving reinforcing outcomes that encourage and perpetuate BFRB activity. The process of introducing appropriate interventions is described in detail, with emphases on fitting interventions to each client’s needs and preferences. The reader is guided through methods for choosing specific interventions, monitoring their effectiveness, and making decisions about modifying the intervention plan as therapy moves forward. The SCAMP formulation is revisited to illustrate how specific interventions within each of the five domains draw upon tried-and-true cognitive behavioral techniques that can be incorporated in problem-solving common difficulties encountered within each domain.

Many factors contribute to the problem, and it is not surprising therefore that a multifaceted response is needed to address it. Above all, it is essential to de-normalise alcohol-related violence if genuine and effective responses to the problem are to be found. This chapter maps out the relationship between alcohol and violence, and reviews both the key dimensions and dynamics of alcohol-related violence, and approaches to preventing it. In particular, it investigates topics of alcohol and violence, family and domestic violence, responsibilities of the different levels of government in Australia for preventing alcohol-related violence and family and domestic violence. It also investigates various challenges facing practitioners and policy-makers working in these areas, including competing ideological views about how best to prevent these offences, negative unintended consequences of adopting particular approaches, and urban versus rural issues that affect alcohol-related violence.