"They are notoriously not very honest": provider-based stigma and the challenge of integrated care for women experiencing IPV and OUD
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 wo...
| Autores principales: | ; ; ; ; |
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| Tipo de documento: | Electrónico Artículo |
| Lenguaje: | Inglés |
| Publicado: |
2026
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| En: |
Journal of family violence
Año: 2026, Volumen: 41, Número: 1, Páginas: 17-29 |
| Acceso en línea: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
| Verificar disponibilidad: | HBZ Gateway |
| Palabras clave: |
MARC
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| 100 | 1 | |a McLean, Katherine |e VerfasserIn |0 (orcid)0009-0005-9457-7808 |4 aut | |
| 245 | 1 | 0 | |a "They are notoriously not very honest" |b provider-based stigma and the challenge of integrated care for women experiencing IPV and OUD |c Katherine McLean, Richard Wentling, Bobur Rakhmatullaev, Elizabeth Schachte, Penelope Morrison |
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| 520 | |a 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. | ||
| 650 | 4 | |a co-occurring disorders | |
| 650 | 4 | |a Intimate Partner Violence | |
| 650 | 4 | |a Medical-legal partnerships | |
| 650 | 4 | |a Opioid use disorder | |
| 650 | 4 | |a Stigma | |
| 700 | 1 | |a Wentling, Richard |e VerfasserIn |0 (DE-588)1372851704 |0 (DE-627)1932218289 |4 aut | |
| 700 | 1 | |a Rakhmatullaev, Bobur |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schachte, Elizabeth |e VerfasserIn |4 aut | |
| 700 | 1 | |a Morrison, Penelope |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of family violence |d Getzville, NY : HeinOnline, 1986 |g 41(2026), 1, Seite 17-29 |h Online-Ressource |w (DE-627)320574547 |w (DE-600)2016884-6 |w (DE-576)121465950 |x 1573-2851 |7 nnas |
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