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28-09-2024 | Opioids | Original Article

“They Are Notoriously Not Very Honest”: Provider-Based Stigma and the Challenge of Integrated Care for Women Experiencing IPV and OUD

Authors: Katherine McLean, Richard Wentling, Bobur Rakhmatullaev, Elizabeth Schachte, Penelope Morrison

Published in: Journal of Family Violence

Abstract

Purpose

A growing literature has documented the frequent co-occurrence of opioid use disorder (OUD) and intimate partner violence (IPV) among women, with IPV victimization prevalence among women with OUD estimated between 44 and 90%. Prior research has identified significant barriers to care for women dealing with IPV or OUD in isolation – barriers that may be further amplified by co-morbidity.

Methods

Recruiting a diverse cross-section of professionals (n = 39) who serve women with co-occurring IPV/OUD, this project used semi-structured interviews to describe the unique impediments to engaging and retaining this population within relevant programming, including health care, housing, IPV, and substance use services.

Results

Stigma against both women experiencing IPV and people who use opioids (PWUO) was cited as a major barrier by participants, who described the ways in which stigma deterred service-seeking, service enrollment, and long-term retention. At the same time, many providers expressed stigmatizing attitudes toward women with co-occurring IPV/OUD, characterizing them as blameworthy, dangerous, and incapable of, or unwilling to, change.

Conclusion

Provider-based stigma is prevalent, yet maybe be largely unacknowledged, among professionals who serve women with co-occurring IPV/OUD. Medical-legal partnerships that integrate care for this population, putting OUD and IPV providers in direct collaboration, may mitigate provider-based stigma.

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Title: “They Are Notoriously Not Very Honest”: Provider-Based Stigma and the Challenge of Integrated Care for Women Experiencing IPV and OUD
Authors: Katherine McLean
Richard Wentling
Bobur Rakhmatullaev
Elizabeth Schachte
Penelope Morrison
Publication date: 28-09-2024
Publisher: Springer US
Keywords: Opioids
Opioids
Published in: Journal of Family Violence
Print ISSN: 0885-7482
Electronic ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-024-00751-7

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

“They Are Notoriously Not Very Honest”: Provider-Based Stigma and the Challenge of Integrated Care for Women Experiencing IPV and OUD

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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