An Examination of the Perceived Social Support Levels of Women in Methadone Maintenance Treatment Programs Who Experience Various Forms of Intimate Partner Violence
Adelphi University School of Social Work, Garden City, NY 11530, USA. Women s Health Issues
(Impact Factor: 2.33).
01/2008; 18(1):35-43. DOI: 10.1016/j.whi.2007.10.007
Intimate partner violence (IPV) has emerged as a serious problem among women in drug treatment programs. Research has underscored the importance of social support for abused women as well as women who use substances.
The main objectives of this study were to describe the perceived social support levels and examine the associations between various forms of IPV and perceived levels of available social support perceived levels among a sample of women in drug treatment programs.
Face-to-face, structured interviews were conducted with randomly selected 416 women on methadone.
The prevalence of physical, sexual, and injurious IPV in the sample was 39%, 31%, and 16% respectively, and the combined IPV prevalence was 44.5%. Findings from multiple linear regression models revealed that lower levels of perceived social support were significantly associated with physical aggression (beta = -4.71; p = .0001), sexual assaults (beta = -4.10; p = .003), and injurious attacks (beta = -4.03; p = .022). Respondents perceived highest levels of social support from their "significant others" (mean = 5.64; standard deviation [SD] = 1.27) and lowest levels of social support from friends (mean = 4.20; SD = 1.48). The average network size was 2.7 individuals.
Findings from this study highlighted significantly lower levels of perceived social support levels for drug-using women in the context of IPV experiences. Interventions with these women should focus on strengthening social support networks that enable help seeking for both IPV and substance abuse issues.
Available from: Sheilla Rodriguez-Madera
- "Maximizing SS is therefore a useful strategy in treatment (Panchanadeswatan, El-Bassel, Gilbert, Wu, & Chang, 2008; Falkin & Strauss, 2003). However, a limited SS network, composed of few or untrustworthy members or of solely drug users, might hinder abstinence (Panchanadeswatan et al., 2008). Additionally, intimate partners might provide SS for women with SA/D but might also exert social control, perpetrate violence, pressure the women to use drugs, or oppose their treatment (Falkin & Strauss, 2003). "
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ABSTRACT: With .3% of its inhabitants in prison, Puerto Rico has one of the highest incarceration rates in Latin America, and 43% of its population of incarcerated women report having problematic use of illicit drugs. As the War on Drugs has reached a global dimension with a surge in incarceration rates and disastrous consequences for the health of the poor, undertaking research on illegal substance abuse or dependence has become increasingly important in both the correctional and public health contexts. In this article, we articulate the role of qualitative methodology in developing a research agenda on intimate partner relationships and treatment design for substance abuse or dependence for women recently released from jail in Puerto Rico. Based on an extensive literature review, we identify six variables related to intimate partner relationships that have a direct impact on women's health-related decision-making processes which could potentially affect treatment seeking and adherence: social support, communication, intimate partner violence, sexual intimacy, stigmatization, and partner's illicit drug abuse or dependence.
Available from: Susan M Jack
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ABSTRACT: There is a need for services that effectively and comprehensively address the complex needs of women with substance use issues and their children. A growing body of literature supports the relevance of integrated treatment programs that offer a wide range of services in centralized settings. Quantitative studies suggest that these programs are associated with positive outcomes. A qualitative meta-synthesis was conducted to provide insight into the processes that contribute to recovery in integrated programs and women's perceptions of benefits for themselves and their children.
A comprehensive search of published and unpublished literature to August 2009 was carried out for narrative reports of women's experiences and perceptions of integrated treatment programs. Eligibility for inclusion in the meta-synthesis was determined using defined criteria. Quality assessment was then conducted. Qualitative data and interpretations were extracted from studies of adequate quality, and were synthesized using a systematic and iterative process to create themes and overarching concepts.
A total of 15 documents were included in the meta-synthesis. Women experienced a number of psychosocial processes during treatment that played a role in their recovery and contributed to favourable outcomes. These included: development of a sense of self; development of personal agency; giving and receiving of social support; engagement with program staff; self-disclosure of challenges, feelings, and past experiences; recognizing patterns of destructive behaviour; and goal setting. A final process, the motivating presence of children, sustained women in their recovery journeys. Perceived outcomes included benefits for maternal and child well-being, and enhanced parenting capacity.
A number of distinct but interconnected processes emerged as being important to women's addiction recovery. Women experienced individual growth and transformative learning that led to a higher quality of life and improved interactions with their children. The findings support the need for programs to adopt practices that focus on improving maternal health and social functioning in an environment characterized by empowerment, safety, and connections. Women's relationships with their children require particular attention as positive parenting practices and family relationships can alter predispositions toward substance use later in life, thereby impacting favourably on the cycle of addiction and dysfunctional parenting.
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ABSTRACT: This study investigated association between post-traumatic stress disorder (PTSD) and a 1-year follow-up heroin use among female clients in methadone clinics in Israel. Participants were 104 Israeli female clients from four methadone clinics (Mean age = 39.09, SD = 8.61) who reported victimization to childhood sexual abuse. We tested traces in urine of these female clients for heroin a year preceding and a year following the assessment of their PTSD. Results show that 54.2% reported symptoms that accedes the DSM-IV criteria for PTSD. We found that among childhood victimized women PTSD is associated with more frequent use of heroin at a 1-year follow-up even after controlling for duration of the stay at the clinic, background, other traumatic experiences and heroin use a year prior the assessment of their PTSD. This study shows the potential long-run negative consequences of childhood sexual abuse. Not only are these sexually abused women trapped into drug dependence and addiction, they cannot break the vicious cycle of continuing the use of illicit drugs even when treated for their addiction. One major practice implication is that treatment for PTSD proven efficacious will be provided in the methadone and other drug treatment services.
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