title: A model for working with women dealing with child sexual abuse and addictions: The Laurel Centre, Winnipeg, Manitoba, Canada.
abstract: Clinical literature and research indicate that the issues of child sexual abuse and addictions need to be addressed concurrently. While the need to develop services for women dealing with these two issues has been identified, there is little literature providing frameworks for guiding these interventions. This article describes a process whereby practitioners providing such work developed a clinical model that integrates knowledge about trauma and addictions with clinical experience. The model that evolved provides a feminist-oriented approach to addiction treatment and involves the following stages: engaging and assessing, creating safety, intense debriefing, integrating, and moving on. The model is discussed and a case example illustrating its use is provided.
authors.affiliation: Faculty of Social Work, University of Manitoba, Winnipeg, Manitoba, Canada. hiebrt@cc.umanitoba.ca
authors.forename: D
authors.initials: D
authors.lastname: Hiebert-Murphy
authors.forename: L
authors.initials: L
authors.lastname: Woytkiw
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D015897:Comorbidity; D003717:Denial, Psychological; D005260:Female; D019513:Feminism; D006801:Humans; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*; D017741:Survivors / Q000523:psychology