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Women's Perspectives on the Influence of Intimate Partner Violence on Substance Use Disorder Recovery and Associated
Shannon N Ogden1, Melissa E Dichter2, Erin Major3
1Department of Health Policy, Law, & Management, Boston University School of Public Health, Boston, Massachusetts; Division of Research, Kaiser Permanente Northern California, Pleasanton, California.
Intimate partner violence (IPV) significantly impacts women's substance use disorder (SUD) recovery by exacerbating mental health issues and hindering treatment engagement. Integrated mental health and trauma-informed care are crucial for improving SUD treatment outcomes.
Area of Science:
- Public Health
- Mental Health
- Addiction Medicine
Background:
- Intimate partner violence (IPV) is a significant stressor for women, particularly those with substance use disorders (SUD).
- IPV-related trauma is often overlooked in SUD treatment, with limited research on its influence.
- Understanding women's experiences with IPV and SUD is crucial for developing effective interventions.
Purpose of the Study:
- To explore women's perspectives on how IPV affects their substance use and recovery.
- To identify specific service needs for women experiencing both IPV and SUD.
- To inform the integration of trauma-informed care into SUD treatment.
Main Methods:
- Semi-structured interviews were conducted with women receiving SUD treatment who had experienced IPV.
- Data collection included questionnaires on demographics, IPV, substance use, and SUD services.
- Thematic analysis, using an iterative inductive and deductive approach, was applied to transcribed interviews.
Main Results:
- Coercive behaviors by partners were found to increase substance use and impede engagement with SUD services.
- Mental health consequences of IPV worsened substance use and reduced service engagement.
- Participants emphasized the value of integrated mental health and IPV support services alongside SUD treatment for recovery.
Conclusions:
- Co-addressing mental health and IPV within SUD treatment is essential for women's recovery.
- Increased mental health support and peer support can complement existing SUD treatment.
- Adopting a trauma-informed approach in SUD treatment can improve outcomes and well-being for women.
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