title: Identifying and intervening with substance-using women exposed to intimate partner violence: phenomenology, comorbidities, and integrated approaches within primary care and other agency settings.
abstract: Substance use and/or disorders (SUDs) have been identified as a significant correlate of intimate partner violence (IPV) exposure and present complex issues that intersect with the topography of IPV, attendant mental health, and physical co-morbidities and may pose barriers to primary care- and other agency-based screening and intervention efforts. Despite substantial research indicating significantly higher rates of all types and severity of IPV victimization among women with SUDs and bidirectional associations between partner or self-use of drugs or alcohol and IPV victimization, effective screening, brief interventions, coordinated systems of care, and treatment approaches to address these co-occurring problems remain very limited. We integrated select research examining the intersection of IPV victimization and SUDs and several comorbidities that have significant public health impact and provided recommendations for scaling up targeted interventions to redress these co-occurring problems among women in primary, emergency, and other care settings.
authors.affiliation: 1 Department of Psychology, Saint Louis University , Saint Louis, Missouri.
authors.forename: Terri L
authors.initials: TL
authors.lastname: Weaver
authors.forename: Louisa
authors.initials: L
authors.lastname: Gilbert
authors.forename: Nabila
authors.initials: N
authors.lastname: El-Bassel
authors.forename: Heidi S
authors.initials: HS
authors.lastname: Resnick
authors.forename: Samia
authors.initials: S
authors.lastname: Noursi
mesh_terms: D018585:Battered Women / Q000706:statistics & numerical data*; D015897:Comorbidity; D019548:Crime Victims / Q000706:statistics & numerical data*; D004638:Emergency Treatment / Q000379:methods; D005260:Female; D017408:Guidelines as Topic; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000458:organization & administration*; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D013179:Spouse Abuse / Q000175:diagnosis / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000517:prevention & control