An integrated relapse prevention and relationship safety intervention for women on methadone: testing short-term effects on intimate partner violence and substance use

This study tests the feasibility, safety, and short-term preliminary effects of a relapse prevention and relationship safety (RPRS) intervention in reducing drug use and the experience of intimate partner violence (IPV) among women on methadone. For this randomized controlled trial, 34 women who met IPV and drug use criteria were randomly assigned to either the RPRS condition (n = 16) or a one-session informational control (IC) condition (n = 18). RPRS participants were more likely than IC participants to report a decrease in minor physical or sexual IPV (OR = 7.1, p = .05), minor psychological IPV (OR = 5.3, p = .03) and severe psychological IPV (OR = 6.07, p = .03) at the 3-month follow-up. Data suggest that RPRS participants were also more likely than IC participants to report a decrease in any drug use at 3 months (OR = 3.3, p = .08). This study provides preliminary evidence that the RPRS intervention is effective in reducing IPV and drug use among women on methadone.     

"If I can't have you, no one can": development of a Relational Entitlement and Proprietariness Scale (REPS)

Relational proprietariness and entitlement have been theoretically related to partner violence following the threat of relationship dissolution. To date, however, no measure has been employed to verify such accounts. A multistage item pool development and refinement strategy was employed, resulting in a 32-item measure with strong construct validity. An online survey administered to 279 students resulted in an interpretable factor structure of sexual proprietariness and entitlement, consisting of social, behavioral, and information control, and a potential factor of face threat reactivity. These factors added unique variance to the prediction of instrumental and expressive aggression, were related to self-esteem and attachment, and were not contaminated by social desirability. Recommendations for bolstering the face threat reactivity factor and future studies are suggested. This measure provides a new tool that contributes to the prediction of intimate partner violence.     

The process of coping with domestic violence in adult survivors of childhood sexual abuse

Research suggests that the use of disengaged or avoidant strategies to cope with interpersonal violence contributes to the development of depressive symptoms and other psychological difficulties. Survivors of childhood sexual abuse (CSA) who are exposed to subsequent episodes of abuse may be more likely to rely on disengaged coping strategies, placing them at elevated risk of psychological symptomatology. In this study, we explored the interrelationships between coping, depression, and self-esteem in an ethnically diverse sample of domestic violence survivors (N = 219) with and without a history of CSA. As predicted, CSA survivors (n = 86) reported significantly greater use of disengaged coping strategies (wishful thinking, self-criticism, and social withdrawal) than non-CSA survivors (n = 133). As hypothesized, both a CSA history and the use of disengaged coping significantly predicted higher levels of depression and lower self- esteem. Clinical implications of the findings are discussed.     

Story-telling, women's authority and the "Old Wife's Tale": "The Story of the Bottle of Medicine"

The focus of this article is a single personal narrative – a Shetland woman's telling of a story about two girls on a journey to fetch a cure for a sick relative from a wise woman. The story is treated as a cultural document which offers the historian a conduit to a past that is respectful of indigenous woman-centred interpretations of how that past was experienced and understood. The "story of the bottle of medicine" is more than a skilful telling of a local tale; it is a memory practice that provides a path to a deeper and more nuanced understanding of a culture. Applying perspectives from anthropology, oral history and narrative analysis, three sets of questions are addressed: the issue of authenticity; the significance of the narrative structure and storytelling strategies employed; and the nature of the female performance. Ultimately the article asks what this story can tell us about women's interpretation of their own history.     

Meeting in the mist: Key considerations in a collaborative research partnership with people with mental health issues

Objectives: This study explored the experiences of an established collaborative research group, which were collected as data to gain research skills. Currently ideas about user involvement and knowledge transfer have not been considered together, indicating possible gaps in knowledge. Participants: Eight members of the group took part, including five people using local mental health services, an assistant and an occupational therapist from local services, and an academic. Methods: Experiences of collaborative working were explored in phases. Structured individual reflections were recorded and shared for initial analysis. A group discussion prepared for constant comparative analysis, which synthesized the emerging themes. Results: Participants had gained and shared skills, understanding and knowledge. "Meeting in the mist" was a metaphor to explain the journeys experienced by participants, within a collaborative cycle. This cycle was central to a visual model, "Creating space", which suggested the importance of allowing sufficient time and space to work for a shared vision of the future. A final theme was the "warp factor", which drew on relativity theory to highlight the sense of innovation. Conclusions: Collaborative work can be based on knowledge transfer and ideas about user involvement, generating tangible benefits for all involved, including engaging in productive occupations.     

Using agency-wide dashboards for data monitoring and data mining: the Solano County Health and Social Services Department

The Director needed accessible data on critical program areas in order to monitor changes presenting potential negative impacts. The Research, Evaluation and Planning division spearheaded the Dashboard featuring the seven program areas (Employment & Eligibility, Child Welfare Services, Mental Health, Public Health, Older Disabled Adult Services, Substance Abuse, and the Special Investigations Bureau), and three administrative units. Deputy Directors specified several key areas that their divisions were mandated to report or viewed as important for monitoring. The Dashboard enables Directors to communicate internally and externally about program results, strengths and growth areas, as well as track progress in relationship to strategic plan initiatives and intervene in areas needing improvement. Executive team members identify critical areas for improvement and the Assistant Director for Research and Evaluation implements corrective action through the Quality Assurance Committee. Agency lessons relate to the importance of automation, data interpretation, and team members' understanding of the indicators, related practice strategies, and contextual factors.