Substance abuse programs for homeless women would benefit from knowing the degree of victimization and violence they may encounter in the population they serve. A substance abuse treatment program for homeless mothers with young children operating over a 2-year period encountered high rates of victimization and violence. Ongoing patterns of victimization and violence in these mothers continued during their time in the program. This report presents statistical information on rates of violence and victimization in program participants, with accompanying anecdotal case detail to provide a greater appreciation of the depth and effects of the problem. The majority of the women acknowledged incidents of childhood and adult victimization. The majority also reported having engaged in adult aggressive or abusive acts, behaviors that had often begun in childhood. Implications for effective substance abuse programs in this population are discussed.
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References
1.
Amaro, H. , Fried, L. E., Cabral, H., & Zuckerman, B. (1990). Violence during pregnancy and substance use.American Journal of Public Health, 80, 575-579.
2.
American Psychiatric Association . (1987). American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised.Washington, DC: Author.
3.
Bassuk, E. L. , & Rosenberg, L. (1988). Why does family homelessness occur? A case-control study.American Journal of Public Health, 78, 783-788.
4.
Bassuk, E. L. , Rubin, L., & Lauriat, A. S. (1986). Characteristics of sheltered homeless families.American Journal of Public Health, 76, 1097-1101.
5.
Browne, A. (1993). Family violence and homelessness: The relevance of trauma histories in the lives of homeless women.American Journal of Orthopsychiatry, 63, 370-383.
6.
Burnam, M. A. , Stein, J. A., Golding, J. M., Siegel, J. M., Sorenson, S. B., Forsythe, A. B., & Telles, C. A. (1988). Sexual assualt and mental disorder in a community population.Journal of Consulting and Clinical Psychology, 56, 843-850.
7.
Cottler, L. B. , Compton, W. M., Mager, D., Spitznagel, E. L., & Janca, A. (1992). Posttraumatic stress disorder among substance users from the general population.American Journal of Psychiatry, 149, 664-670.
8.
D'Ercole, A. , & Struening, E. (1990). Victimization among homeless women: Implications for service delivery.Journal of Community Psychology, 18, 141-152.
9.
Fischer, P. J. , & Breakey, W. R. (1991). The epidemiology of alcohol, drug, and mental disorders among homeless persons.American Psychologist, 46, 1115-1128.
10.
Fullilove, M. P. , Fullilove, R. E., Smith, M., Winkler, K., Michael, C., Panzer, P. G., & Wallace, R. (1993). Violence, trauma, and posttraumatic stress disorder among women drug users.Journal of Traumatic Stress, 6, 533-543.
11.
Goodman, L. A. (1991). The prevalence of abuse among homeless and housed poor mothers: A comparison study.American Journal of Orthopsychiatry, 61, 489-500.
12.
Gorney, B. (1989). Domestic violence and chemical dependency: dual problems, dual interventions.Journal of Psychoactive Drugs, 21, 229-238.
13.
Hagen, J. L. (1987, July-August). Gender and homelessness.Social Work, 312-316.
14.
Jacobson, A. (1989). Physical and sexual assault histories among psychiatric outpatients.American Journal of Psychiatry, 146, 755-758.
15.
Koegel, P. , Burnam, A., & Farr, R. K. (1988). The prevalence of specific psychiatric disorders among homeless individuals in the inner city of Los Angeles.Archives of General Psychiatry, 45, 1085-1092.
16.
Koss, M. P. (1990). Violence against women.American Psychologist, 15, 374-390.
17.
Ladwig, G. B. , & Andersen, M. D. (1992). Substance abuse in women: Relationship between chemical dependency of women and past reports of physical and/or sexual abuse. In C. M. Simpselle (Ed.), Violence against women. (pp. 167-179). New York: Hemisphere.
18.
North, C. S. , & Smith, E. M. (1992). Posttraumatic stress disorder among homeless men and women.Hospital and Community Psychiatry, 43, 1010-1016.
19.
North, C. S. , Smith, E. M., & Spitznagel, E. L. (1993). Is antisocial personality a valid diagnosis among the homeless?American Journal of Psychiatry, 150, 578-583.
20.
North, C. S. , Smith, E. M., & Spitznagel, E. L. (1994). Violence and the homeless: An epidemiologic study of victimization and aggression.Journal of Traumatic Stress, 7, 95-110.
21.
Padgett, D. K. , & Struening, E. L. (1992). Victimization and traumatic injuries among the homeless: Associations with alcohol, drug, and mental problems.American Journal of Orthopsychiatry, 62, 525-534.
22.
Paone, D. , Chavkin, W., Willets, I., Friedman, P., & Des Jarlais, D. (1992). The impact of sexual abuse: Implications for drug treatment.Journal of Women's Health, 1, 149-153.
23.
Pribor, E. F. , & Dinwiddie, S. H. (1992). Psychiatric correlates of incest in childhood.American Journal of Psychiatry, 149, 52-56.
24.
Robins, L. N. , Locke, B. Z., & Regier, D. A. (1991). An overview of psychiatric disorders in America. In L. N. Robins & D. A. Regier (Eds.), Psychiatric disorders in America: The Epidemiologic Catchment Area Study (pp. 328-386). New York: Free Press.
25.
Russell, D.E.H. (1983). The incidence and prevalence of intrafamilial and extrafamilial sexual abuse of female children.Child Abuse and Neglect, 7, 133-146.
26.
Shinn, M. , Knickman, J. R., & Weitzman, B. C. (1991). Social relationships and vulnerability to becoming homeless among poor families.American Psychologist, 46, 1180-1187.
27.
Smith, E. M. , North, C. S., & Heaton, T. M. (1993). A substance abuse recovery program for homeless mothers with children: St. Louis.Alcoholism Treatment Quarterly, 10, 91-100.
28.
Smith, E. M. , North, C. S., & Spitznagel, E. L. (1992). A systematic study of mental illness, substance abuse, and treatment in 600 homeless men.Annals of Clinical Psychiatry, 4, 111-120.
29.
Smith, E. M. , North, C. S., & Spitznagel, E. L. (1993). Alcohol, drugs, and psychiatric comorbidity among homeless women: An epidemiologic study.Journal of Clinical Psychiatry, 54, 82-l87.
30.
Swanson, J. W. (1993). Alcohol abuse, mental disorder, and violent behavior: An epidemiologic inquiry.Alcohol Health and Research World, 17, 123-132.
31.
Swanson, J. W. , Holzer, C. E., Ganju, V. K., & Jono, R. T. (1990). Violence and psychiatric disorder in the community: evidence from the Epidemiologic Catchment Area surveys.Hospital and Community Psychiatry, 41, 761-770.
32.
Wood, D. , Valdez, R. B., Hayashi, T., & Shen, A. (1990). Homeless and housed families in Los Angeles: A study comparing demographic, economic, and family function characteristics.American Journal of Public Health, 80, 1049-1052.
