2020
DOI: 10.1111/jrh.12518
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“He Would Take My Shoes and All the Baby's Warm Winter Gear so We Couldn't Leave”: Barriers to Safety and Recovery Experienced by a Sample of Vermont Women With Partner Violence and Opioid Use Disorder Experiences

Abstract: This qualitative study explored themes about barriers to substance use treatment for women who experience intimate partner violence (IPV) and opioid use in rural Vermont. The goal was to collect descriptive information to aid in the development of intervention ideas to facilitate better treatment access for women in this situation. Methods: One-on-one telephone interviews with 33 rural Vermont women who experienced both IPV and opioid use took place between February and August 2019. Findings: There were 5 main… Show more

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Cited by 13 publications
(21 citation statements)
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“…Individuals with OUD face numerous psychosocial vulnerabilities and barriers to receiving evidence-based treatments, including poverty, homelessness, lack of MOUD access, transportation, and stigma; violence and trauma likely interact and further amplify the negative impacts these barriers have on individuals' abilities to initiate, continue, and receive optimal health benefits from OUD treatment (Stone et al, 2021;Warshaw et al, 2014). Survivors and providers alike report desire for more robust integration of IPT prevention and intervention services into OUD treatment centers (Klaman et al, 2019(Klaman et al, , 2020Stone et al, 2021) as well as integration of OUD training into that for violence and trauma staff (Rothman et al, 2018). In order to move towards these goals, further investigations at the intersection of OUD and IPT are needed to highlight potential strategies to enhance engagement and retainment in MOUD treatment and ultimately optimize long-term health outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…Individuals with OUD face numerous psychosocial vulnerabilities and barriers to receiving evidence-based treatments, including poverty, homelessness, lack of MOUD access, transportation, and stigma; violence and trauma likely interact and further amplify the negative impacts these barriers have on individuals' abilities to initiate, continue, and receive optimal health benefits from OUD treatment (Stone et al, 2021;Warshaw et al, 2014). Survivors and providers alike report desire for more robust integration of IPT prevention and intervention services into OUD treatment centers (Klaman et al, 2019(Klaman et al, , 2020Stone et al, 2021) as well as integration of OUD training into that for violence and trauma staff (Rothman et al, 2018). In order to move towards these goals, further investigations at the intersection of OUD and IPT are needed to highlight potential strategies to enhance engagement and retainment in MOUD treatment and ultimately optimize long-term health outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…The model posits that personal and public behaviors are often impacted by a confluence of social interactions that can be categorized into five levels of influences: intrapersonal, interpersonal, community, organizational, and social [ 19 ]. As behavioral sciences evolve, many iterations of the model have been developed [ 24 ], largely rooted in the need to address the unique characteristics of individual research contexts (e.g., the influence of the pandemic [ 25 ]). In this study, we adapted the original social ecological model to better shed light on our research question.…”
Section: Methodsmentioning
confidence: 99%
“…Six studies identified the inability to reach healthcare services due to inadequate transport or geographical location (Dichter et al, 2021;Laughon, 2007;Moe, 2007;Robinson et al, 2021;Stone et al, 2021). For example, one participant was accepted to a service but stated, 'Because I don't drive, it was about going to their offices and things like that and a lot of the time it might be that they need to come out and do some things at home once the order is in' (Robinson et al, 2021).…”
Section: Availabilitymentioning
confidence: 99%
“…Another relied on her partner to drive her to the appointment so he had control over whether she attended or not (Alhusen et al, 2020). A participant in Stone et al (2021) study exploring barriers to substance use treatments for women experiencing domestic and family violence in rural settings stated, 'He would take my shoes and all the baby's warm winter gear, so we couldn't leave […]. He would unplug the phone so I couldn't call nobody.…”
Section: Ta B L E 2 (Continued)mentioning
confidence: 99%
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