Edwards Katie M, Murphy Sharon, Palmer Kelly M, Haynes Ellen E, Chapo Sara, Ekdahl Britta A, Buel Sara
a Professor of Psychology and Women's Studies and Fellow, Prevention Innovations Research Center and the Carsey School of Public Policy , University of New Hampshire , Durham , NH , USA.
b Associate Professor of Social Work Emerita , University of New Hampshire , Durham , NH , USA.
J Psychoactive Drugs. 2017 Jan-Mar;49(1):74-82. doi: 10.1080/02791072.2016.1273566. Epub 2017 Jan 13.
Despite the co-occurrence of substance use disorders (SUDs) and domestic and/or sexual violence (DSV) in the lives of women, there remains a dearth of research on how and why these phenomena intersect as well as the role that trauma-informed sober living homes (SLHs) may play in promoting recovery. Following a detailed description of a unique trauma-informed SLH (Support, Education, Empowerment, and Directions [SEEDs]), we present findings from a qualitative study that documented the perceptions and lived experiences of 28 female current or former residents of a trauma-informed SLH; all women had histories of SUDs and DSV. Results uncovered four themes (fractured foundations, points of intersection of SUDs and DSV, pervasiveness of SUDS and DSV, resiliency) and a constitutive pattern (moving away from instability and harnessing self-agency). Women noted that their engagement with SEEDs played a significant role in their recovery, specifically through fulfilling their needs for tangible resources (e.g., food, clothing, shelter) and the community's provision of emotional support (e.g., family, love, consistency) to promote recovery. These findings provide new insights on SUDs and DSV and preliminary support for the effectiveness of a trauma-informed SLH.
尽管物质使用障碍（SUDs）与家庭和/或性暴力（DSV）在女性生活中同时存在，但对于这些现象如何以及为何相互交织，以及创伤知情的清醒生活之家（SLHs）在促进康复中可能发挥的作用，仍缺乏研究。在详细描述了一个独特的创伤知情的SLH（支持、教育、赋权和指导[SEEDs]）之后，我们展示了一项定性研究的结果，该研究记录了28名创伤知情的SLH的现任或前任女性居民的看法和生活经历；所有女性都有物质使用障碍和家庭及/或性暴力的病史。结果揭示了四个主题（破碎的基础、物质使用障碍和家庭及/或性暴力的交叉点、物质使用障碍和家庭及/或性暴力的普遍性、复原力）和一种构成模式（摆脱不稳定并发挥自我能动性）。女性指出，她们与SEEDs的接触在她们的康复中发挥了重要作用，特别是通过满足她们对有形资源（如食物、衣服、住所）的需求以及社区提供情感支持（如家庭、爱、一致性）来促进康复。这些发现为物质使用障碍和家庭及/或性暴力提供了新的见解，并为创伤知情的SLH的有效性提供了初步支持。
