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性侵犯和亲密伴侣暴力幸存者及受害者服务专业人员在治疗酒精滥用方面的感知障碍和促进因素。

Perceived Barriers and Facilitators to Treatment for Alcohol Misuse Among Survivors and Victim Service Professionals Following Sexual Assault and Intimate Partner Violence.

机构信息

Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, South Carolina, USA

Southeast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.

出版信息

Violence Vict. 2023 Oct 1;38(5):645-663. doi: 10.1891/VV-2022-0057. Epub 2023 Jun 29.

Abstract

Survivors of sexual assault (SA) and intimate partner violence (IPV) report high rates of alcohol misuse and often receive services from community agencies. We conducted a qualitative study to examine barriers and facilitators to treatment for alcohol misuse after experiences of SA/IPV among survivors ( = 13) and victim service professionals (VSPs; = 22) at community-based agencies using semi-structured interviews and focus groups. Survivors discussed seeking treatment for alcohol misuse when alcohol is being used to cope with SA/IPV-related distress and when alcohol use becomes problematic. Survivors identified that stigma and acknowledgment of alcohol misuse are individual-level barriers and facilitators to treatment. System-level factors were also described including having access to treatment and sensitive providers. VSPs also discussed individual (e.g., stigma) and system (e.g., availability and quality of services) level barriers and facilitators to treatment for alcohol misuse. Results indicated several unique barriers and facilitators to treatment for alcohol misuse following SA/IPV.

摘要

性侵犯 (SA) 和亲密伴侣暴力 (IPV) 的幸存者报告称,他们有很高的酒精滥用率,并且经常从社区机构获得服务。我们进行了一项定性研究,使用半结构化访谈和焦点小组,在社区机构中,对性侵犯/亲密伴侣暴力幸存者(n = 13)和受害者服务专业人员(VSP;n = 22)进行了关于 SA/IPV 后治疗酒精滥用的障碍和促进因素的研究。幸存者在使用酒精来应对 SA/IPV 相关困扰时以及当酒精使用出现问题时,会讨论寻求治疗酒精滥用的问题。幸存者认为,污名化和对酒精滥用的承认是治疗的个人层面的障碍和促进因素。还描述了系统层面的因素,包括获得治疗和敏感的提供者。VSP 还讨论了治疗酒精滥用的个人(例如,污名化)和系统(例如,服务的可用性和质量)层面的障碍和促进因素。研究结果表明,在经历了性侵犯/亲密伴侣暴力之后,治疗酒精滥用存在一些独特的障碍和促进因素。

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