Meeting health and psychological needs of women in drug treatment court.
We explored healthcare-related experiences of women drug court participants through combining context from the socio-ecological model with motivation needs for health behavior as indicated by self-determination theory. Five focus groups with 8 women drug court participants, 8 court staff, and 9 community service providers were examined using qualitative framework analysis. Themes emerged across the socio-ecological model and were cross-mapped with self-determination theory-defined motivation needs for autonomy, relatedness, and competence. Socio-ecological levels contained experiences either supporting or eroding women's motivation needs: (1) intrapersonal challenges participants termed an "evil cycle" of relapse, recidivism, trauma, and life challenges; (2) interpersonal context of parenting and stigma involving features of this "evil cycle"; (3) institutions with logistical barriers to legal and medical assistance; (4) community resources inadequate to support living and employment needs. Self-determination theory helps explain motivation required to address the women's healthcare needs and multiple demands at all levels of the socio-ecological model.
Departments of Psychiatry and Medicine, University of Rochester School of Medicine, Women's Initiative Supporting Health, Center for Community Health, Rochester, NY 14642, USA. Electronic address: Diane_Morse@urmc.rochester.edu.
Diane S
DS
Morse
Catherine
C
Cerulli
Precious
P
Bedell
John L
JL
Wilson
Katherine
K
Thomas
Mona
M
Mittal
J Steven
JS
Lamberti
Geoffrey
G
Williams
Jennifer
J
Silverstein
Aninda
A
Mukherjee
Donna
D
Walck
Nancy
N
Chin
D000328:Adult; D003153:Community Health Services / Q000458:organization & administration; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006301:Health Services Needs and Demand; D006801:Humans; D035846:Law Enforcement; D008875:Middle Aged; D008962:Models, Theoretical; D009042:Motivation; D016487:Parenting; D026684:Personal Autonomy; D011582:Psychological Theory; D012008:Recurrence; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D055815:Young Adult
Drug treatment court; Self-determination theory; Socio-ecological model; Trauma; Women