ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Women's Perspectives on the Influence of Intimate Partner Violence on Substance Use Disorder Recovery and Associated Service Needs.
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Abstract
backgroundIntimate partner violence (IPV) is a prevalent source of stress and trauma among women, especially among women who use substances. However, IPV-related trauma is not widely addressed in substance use disorder (SUD) treatment and research on the influence of IPV on SUD is limited. We aimed to explore women's perspectives on the impacts of IPV on their substance use and recovery and identify associated service needs.
methodsWe conducted semi-structured interviews with women who experienced IPV and received SUD treatment at a safety-net health system in Massachusetts (June-October 2023). Pre-interview questionnaires captured demographic characteristics and histories of IPV, substance use, and receipt of SUD services. Interviews were audio-recorded, transcribed, and thematically analyzed using content analysis with an iterative inductive and deductive team-based analytic process.
resultsTwelve participants who identified as non-Hispanic Black (n = 2), non-Hispanic white (n = 7), Hispanic (n = 2), and more than one race (n = 1) completed interviews. All participants had experienced substance use and IPV. We identified three themes related to the perceived impact of IPV on substance use recovery and service access: 1) partner's coercive and controlling behaviors can contribute to women's substance use and inhibit SUD service engagement, 2) mental health impacts of IPV can exacerbate substance use and inhibit engagement in SUD services, and 3) women value mental health and IPV supportive services, along with SUD treatment, for their recovery.
conclusionOur findings highlight the need for co-addressing mental health and IPV concerns with SUD treatment to support women's recovery, including increased mental health and peer support to complement SUD treatment. Implementing a trauma-informed approach in SUD treatment could help address the underlying sources of stress and trauma among women to improve SUD treatment outcomes and overall well-being.
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