Disability and Abuse in Relation to Substance Abuse

Abstract

This analysis reviewed five years of a state's substance abuse treatment admissions and discharges in order to identify specific patterns among persons who had a disability. Using a series of group comparisons, Chi-squares, and logistic regressions, specific patterns of violence and abuse to this population were identified. Results indicate that persons who had a disability and abused substances were more likely to be victimized by physical abuse and domestic violence when compared with their peers without a disability. A person with a disability had about one-half to one-third the odds of receiving long-term residential, short-term residential and intensive outpatient care when compared with persons without a disability.     

Domestic Violence and Intergenerational Rates of Child Sexual Abuse: A Case Record Analysis

Using case review at a shelter for battered women and their children, this exploratory study investigated the association between physical abuse, exposure to domestic violence and intergenerational occurrence of child sexual abuse. The charts of 570 children were reviewed in an attempt to explore the relationship between the children's experiences with sexual abuse and their nonoffending parent's own history of having been sexually abused. Results indicated that a significant percentage of nonoffending parents who reported a history of child sexual abuse also had children who were sexually abused. Additionally, we found that most (93%) of the children studied had been exposed to domestic violence, and while the base rate of sexual abuse was relatively low (11%), the rate of physical abuse of the children was substantial (41%). Logistic regression results indicated that children of sexually abused nonoffending parents may be at heightened risk for sexual abuse. Implications for treatment and intervention are discussed.     

TANF child-only cases in California: Barriers to self-sufficiency and well-being

Since the United States implemented Temporary Assistance to Needy Families (TANF), or ‘welfare reform,’ the number of assistance cases without an adult receiving aid has risen dramatically. In states like California, these child-only cases now constitute the majority of all TANF cases. Despite this increase, existing research sheds little light on the composition of child-only caseloads and the status of the adults and children in such cases. Drawing on county administrative data and interviews with 143 parents associated with child-only cases in five California counties, this paper identifies both the demographics of the child-only caseload in these sites and the major barriers to employment that parents in sanctioned and timed-out child-only cases face. These include human capital, health, and family issues, in addition to other obstacles. The data suggest that, despite functioning as one administrative entity, CalWORKs, California's TANF program, has transformed into two separate programs: a welfare-to-work program and a subsistence-level cash assistance program for some members of child-only families. Given this transformation, the paper closes by suggesting a research agenda for future child-only scholarship and argues for policy innovations to meet the needs of the expanding child-only caseload.     

Hidden in the Margins: A Qualitative Examination of What Professionals in the Domestic Violence Field Know About Transgender Domestic Violence

This qualitative study endeavored to examine the views and experiences of individuals who work with, and those who consider issues related to, transgender domestic violence in an effort to determine what (if anything) is known about this construct. Using a phenomenological approach, ten interviews were conducted with individuals who professionally confront transgender intimate partner violence. Overall, the study found that many individuals from different disciplines were in agreement concerning the paucity of resources for this population, and future research would benefit from quantitative research to understand more about transgender domestic abuse. Furthermore, criminal justice organizations should take active steps within their own agencies to appropriately address this problem for transgender victims of abuse. Finally, all of the participants stated their beliefs that transgender domestic abuse is a very serious problem and believed that more research should be done to better understand it before it can be addressed.     

Domestic Violence

ABSTRACT

As our communities and families are faced with the growing problem of violence, more information is needed as to what women in abusive relationships see as challenges that prevent or delay leaving. To address the issue in the brief therapeutic environment, 14 women in counseling for abuse agreed to participate in three task groups and were asked to identify and rank-order the challenges they faced that could prevent them from leaving. Group one included women who had a desire to leave but were not sure they could. Group two consisted of women working on a case plan but who still had concerns; and, the third group contained women who had left the relationship and were expecting not to return. Overall, when analyzing and comparing these groups, all women (regardless of the stage of leaving) expressed similar challenges and concerns. Major themes presented in all groups included: limited resources (e.g., money, shelter, day-care and medical expenses), fears (e.g., fear of being killed, retaliation, being alone, making the wrong choices, the unknown), commitment to the relationship, concern for children, love for the abuser and other emotional issues. These challenges are discussed and specific applications to facilitate practice are made.     

Barriers to Integrated Treatment of Substance Abuse and Trauma Among Women

Despite increasing empirical support for an integrated approach to treating trauma and substance abuse, many substance abuse treatment programs have been slow to embrace integrated models of practice. Using an embedded case study design, the purpose of this study was to understand barriers that prevented a substance abuse treatment provider and 20 professionals and staff from adopting an integrated approach to treating substance abuse and trauma. Data analysis revealed 2 kinds of barriers that prevented substance abuse treatment professionals from fully integrating substance abuse and trauma: systemic and professional barriers. These barriers have to be taken into account when trying to move providers and professionals toward integrated approaches to treating substance abuse and trauma.     

Domestic Abuse Against Elder Women and Perceived Barriers to Help-Seeking

The study's (n = 447) purposes were to (1) describe relationships of abuser behavior to elder women's perception of barriers to help-seeking; (2) compare fit of model to participants' levels of abuse, race-ethnicity, age, and gender and relationship of identified close other; and (3) determine extent to which the model differentiated relationship of abuser to participant and level of abuse. Analyses identified six factors contributing to the overall barrier score, accounting for 84% of total variance (χ²/df = 1.527, CFI = .989, RMSEA = .034), including three internal and two external factors and a single abuser behavior factor that were invariant across participant characteristic; however, covariances did differ.     

Domestic Abuse Assessment in Child Custody Disputes: Beware the Domestic Violence Research Paradigm

ABSTRACT

In some states, custody assessors are now required to become familiar with the dynamics of prevalence of domestic abuse since the presence of one or more abusive parents in the house has an impact on the “best interests of the child.” The domestic abuse literature is misleading in setting a framework for abuse incidence and threat source for children. Males are represented as primary perpetrators of physical abuse although data from meta-analytic studies show otherwise. Indirect aggression is scarcely mentioned in the literature, although prevalent in research on aggression. Physical violence directed towards children is actually more likely to be mother-perpetrated. Child safety may be compromised if attention is focused solely on the possibility of abuse from a male perpetrator.     

Domestic Violence in Rural India: Phenomenological Study from Cultural Perspective

Historically, women in India have been experiencing domestic violence in various forms throughout their lives, irrespective of caste, class, religion, and region. The objective of this study is to gain a deep and thorough understanding of the causes and concerns relating to domestic violence in rural Indian sociocultural context. It also tries to understand the type of support the female partners get while coping with intimate partner violence through phenomenological principles. The purposive sample consisted of 15 rural Indian women. The results showed four main themes: (1) causes of domestic violence, (2) impact on health, (3) support received, and (4) dilemma of abused women. During the study the women came up with various causes leading to domestic violence that affected their physical and mental health. They also narrated the limited support they received in terms of protection from their family and/or neighbors, highlighting their dilemma and helplessness in the rural Indian cultural context. This study also attempts to show some insights on what Hindu religion says about women.     

Domestic Violence in the Second Half of Life

Providing an adequate and effective community response to women age 50 and older who experience domestic violence is complicated by the oftentimes disparate goals and expectations of service providers, emergency responders, and victims themselves. This article shares information provided by participants of focus groups designed to understand and identify what women age 50 and older want and need from agencies that provide services to enhance victim safety.     

Do Child Abuse and Interparental Violence Lead to Adulthood Family Violence?

The cycle of violence posits that victimized children grow up to victimize others. Three forms of the cycle have never been tested: whether exposure to physical victimization and interparental violence additively or interactively increase risk for adulthood (a) child abuse perpetration; (b) partner abuse perpetration; or (c) partner abuse victimization. These hypotheses were tested in a nationally representative data set (1985 National Family Violence Survey) comprising 6,002 participants. Dually exposed, compared to singly exposed, women had significantly increased risk for adulthood family violence. Frequency of family‐of‐origin violence predicted adulthood child and partner abuse through both main and interactive effects.     

Divorcing Abused Latina Immigrant Women's Experiences With Domestic Violence Support Groups

The purpose of this study was to explore and describe the experiences of Latina immigrants who are divorcing and in domestic violence support groups (DVSGs). To gain an understanding of the client perspective, an ex-post facto research design was utilized with the data collection taking place after the members had terminated with the DVSG services. The convenience sample consisted of 15 Latina women. A questionnaire was used to determine the women's satisfaction with the group services. Results indicated that overall the group experience was positive, with 80% of the women reporting an overall “excellent” experience and 20% reporting an overall “good” experience.     

Victim or Whore: The Similarities and Differences between Victim's Experiences of Domestic Violence and Sex Trafficking

This research review addresses the similarities and differences between domestic violence and sex trafficking victimization. While there is evidence that domestic violence and sex trafficking often co-occur, there is a large disparity in the understanding and interventions utilized by law enforcement as well as the services available for victims of each crime despite the considerable overlap of victimization. This article explores current research regarding domestic violence and sex trafficking with a focus towards identifying areas of overlap and areas distinct to sex trafficking.     

Women's Experience of Co-Occurring Substance Abuse and Mental Health Conditions

ABSTRACT

This study explored the relationship between gender and co-occurring substance abuse and mental health conditions among a sample of 754 consumers of behavioral health services in the southwest U.S. Logistic regression was used to determine factors that would predict women's unique experience of dual diagnosis. Women were almost seven times more likely than men in this sample to have a diagnosis of posttraumatic stress disorder in conjunction with substance abuse. Women were also significantly more likely to experience anxiety and mood disorders and to have been married. Implications of these findings for social work practice are suggested.     

Domestic Violence in the South Asian Muslim Immigrant Population in the United States

This paper describes the phenomenon of domestic violence in the South Asian Muslim population living in the United States. Religion, culture, and family play significant and positive roles in the lives of South Asian women. This paper highlights some of the problematic areas in which these institutions are not responding to the needs of women. These findings are based upon the author's work in a committee for the prevention of domestic violence in the Muslim community and upon personal experience of the South Asian culture.     

Women with Disabilities and Experiences of Abuse

Abstract

A qualitative study of disabled and non-disabled professionals and survivors of abuse revealed a range of types of abuse endured by disabled women, some of which were unique to that population. Two major themes emerged from data analysis: vulnerable beginnings and complexity of abuse. Three sub-themes are encompassed within complexity of abuse: active abuse, abuse through image, and contextual abuse by social service/legislative systems. The authors present data essential to an informed assessment and analysis of abuse that considers the person-in-environment circumstances of women with disabilities. Implications for future research and the human behavior in the social environment curriculum are discussed.     

Culturally Competent Substance Abuse Treatment for Asian/Pacific Islander Women

Summary

In response to the urgent need for substance abuse treatment among pregnant and postpartum Asian/Pacific Islander (A/PI) women, heath care and social service providers in a rural community of Hawaii established a culturally based, women-centered residential treatment program. The program was designed to address barriers that often prevent A/PI women from engaging and completing treatment. Treatment included Hawaiian healing practices or deep cultural therapy, provision for newborns to live with their mothers, infant health-care services, parent education, and infant-mother bonding guided by kupu-na (elders) of the community.

Analysis of twenty-one in-depth interviews revealed factors that A/ PI women participants found vital to their treatment process: having their children with them in a non-punitive, mutually respectful treatment milieu; working with consistent, competent residential staff and culturally-sensitive interdisciplinary professionals; and involvement in a range of substance abuse interventions, including cultural healing practices.

Findings underscore the importance of learning about and affirming women's lived-experiences and cultural contexts in the development of culturally competent practice models, interventions, research procedures, and policies that focus on the complex needs of chemically dependent pregnant and parenting women (Brindis & Theidon, 1997).