Interventions targeting substance abuse among women survivors of intimate partner abuse: A meta-analysis

Fowler, Dawnovise N.; Faulkner, Monica

doi:10.1016/j.jsat.2011.06.001

Cited by 34 publications

(20 citation statements)

References 57 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The literature suggests that PTSD treatments aimed at those with a diagnosed substance use disorder are only effective when accompanied by numerous services aimed at the first stage safety and stabilisation work (Roberts et al 2016). There is further suggestion that substance use treatments addressing IPA are effective for substance use reduction among women reporting IPA in the preceding 6 months before treatment entry, compared to women reporting less recent trauma (Fowler and Faulkner 2011). As such this sample of practitioners, although not exhaustive of those providing traumaspecific substance use treatments to women in England, could be considered promising practice as the UK embarks in developing more integrated approaches to treating substance use and PTSD.…”

Section: Discussionmentioning

confidence: 99%

“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder

Bailey

Trevillion

Gilchrist

2019

Addiction Research & Theory

View full text Add to dashboard Cite

Introduction and aims: The high prevalence of women experiencing co-occurring substance use, interpersonal abuse, and symptoms of post-traumatic stress disorder (PTSD) has led to international calls for trauma-specific substance use treatments and wider trauma-informed practice. The aim of this study was to explore how services in England have developed practice responses with limited historical precedence for this work. Design and Methods: A purposive sample of 14 practitioners from substance use, interpersonal violence and criminal justice services were chosen for their integrated practice. Semi-structured interviews exploring their understanding of the co-occurring issues, staged treatment models and wider traumainformed practice, and the challenges associated with this. Thematic analysis was employed. Results: Three key interlinking themes were identified: practitioners' philosophical approach; tailored clinical practice, and system responsiveness. Analyses identified the importance of relational, non-pathologising practice, extensive focus on physical and emotional safety, and cautionary approaches towards using trauma-specific treatments involving trauma disclosure. Challenges included poor service integration, time-limited treatments and tokenistic trauma informed practice. Discussion: Practitioners from across disciplines emulated important components of trauma-informed practice and promoted a 'safety-first' approach reliant on multi-agency working and wider system responses. Trauma-specific interventions required skilled and experienced practitioners, and longer treatment programmes comprising first stage work. Conclusions: In the context of limited gender-responsive substance use treatment in the UK, practitioners demonstrated integrated practice that supported the recommended staged PTSD model and trauma-informed practice. Organisational leadership and support from service commissioners and funders are recommended to promote growth of this approach across the UK. ARTICLE HISTORY

show abstract

Section: Discussionmentioning

confidence: 99%

“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder

Bailey

Trevillion

Gilchrist

2019

Addiction Research & Theory

View full text Add to dashboard Cite

show abstract

“…1 A recent meta-analysis of integrated IPV and substance abuse interventions among women identified 11 intervention studies that met review criteria. 39 All interventions were conducted with substance abuse treatment populations. Only two of the intervention studies found significant effects for reducing IPV; 40,41 however, one of these had a small sample size (n = 34) 40 and one lacked a control group.…”

Section: Advancing Evidence-based Differential Integrated Interventionsmentioning

confidence: 99%

“…The effect sizes on reducing IPV and substance use in these traumainformed studies ranged from no effect to small size effects. 39 If mutual IPV is present generally, or specifically, if a woman and her partner are engaging in mutual IPV because they are experiencing withdrawal or fighting over drug supply, they may benefit from a couples-based intervention that addresses couple communication. Some preliminary research suggests that couple-based approaches may be promising by improving couple communication skills, negotiation skills, and problem solving skills to address these co-occurring problems.…”

Section: Advancing Evidence-based Differential Integrated Interventionsmentioning

confidence: 99%

Identifying and Intervening with Substance-Using Women Exposed to Intimate Partner Violence: Phenomenology, Comorbidities, and Integrated Approaches Within Primary Care and Other Agency Settings

Weaver

Gilbert²,

El‐Bassel³

et al. 2015

Journal of Women's Health

View full text Add to dashboard Cite

Substance use and/or disorders (SUDs) have been identified as a significant correlate of intimate partner violence (IPV) exposure and present complex issues that intersect with the topography of IPV, attendant mental health, and physical co-morbidities and may pose barriers to primary care-and other agency-based screening and intervention efforts. Despite substantial research indicating significantly higher rates of all types and severity of IPV victimization among women with SUDs and bidirectional associations between partner or selfuse of drugs or alcohol and IPV victimization, effective screening, brief interventions, coordinated systems of care, and treatment approaches to address these co-occurring problems remain very limited. We integrated select research examining the intersection of IPV victimization and SUDs and several comorbidities that have significant public health impact and provided recommendations for scaling up targeted interventions to redress these co-occurring problems among women in primary, emergency, and other care settings.

show abstract

“…Some of the factors known to be reasons or risk factors for addition-related problems among women include alcohol advertising (15), sexual orientation (16, 17), drinking norms (17, 18), a history of abuse (19, 20), partner violence (21), and cognitive impairment (22). …”

Section: Contextmentioning

confidence: 99%

“…The vast majority of studies highlights the role of partners in women’s taking up and maintaining drug and alcohol use and misuse and especially in the initiation and following of treatment (21, 47, 48). A world health organization (WHO) multi-country study (including Bangladesh, Brazil, Ethiopia, Japan, Namibia, Peru, Samoa, Serbia and Montenegro, Thailand, and the United Republic of Tanzania) on 24,097 women aged 15 - 49 years, from 2000 to 2003, showed that the reported lifetime prevalence of physical or sexual partner violence, or both, varies from 15% to 71%, with two sites having a prevalence of less than 25%, seven between 25% and 50%, and six between 50% and 75%.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review

Abasi

Mohammadkhani

2016

Int J High Risk Behav Addict

View full text Add to dashboard Cite

ContextRecent years have produced many articles about women’s addiction and its risk factors and the consequences of substance use and misuse in the emotional, social, psychological, and economic domains of life. Family vulnerabilities are one of the most important variables contributing to addiction among women. Thus, the purpose of this article is to investigate areas of family life that lead to women’s taking up and maintaining drug and alcohol abuse.Evidence AcquisitionA database search of PubMed, ScienceDirect, Springer, and Google Scholar was conducted using the following keywords: “women and addiction”, “women addiction and family”, “addiction”, “substance abuse” and “family”. For the first step, we chose studies that were conducted between 2000 and 2015, and for the second step, studies conducted before 2000. We categorized all search results into three main groups: processes related to family disturbances, factors related to parenting styles, and variables related to partners.ResultsPartners, parenting styles, and family disturbances are three main factors affecting children growing up in a family and their inclination toward addiction. Some of these pathways are complicated and indirect, and some are straightforward.ConclusionsFuture research should pay more attention to the mechanisms and pathways mediating or moderating the relationship between family risk factors and addiction in women. Clinicians and researchers should keep in mind these vulnerabilities and take into consideration factors special to processes related to addiction in women.

show abstract

Interventions targeting substance abuse among women survivors of intimate partner abuse: A meta-analysis

Cited by 34 publications

References 57 publications

“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder

“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder

Identifying and Intervening with Substance-Using Women Exposed to Intimate Partner Violence: Phenomenology, Comorbidities, and Integrated Approaches Within Primary Care and Other Agency Settings

Family Risk Factors Among Women With Addiction-Related Problems: An Integrative Review

Contact Info

Product

Resources

About