Meeting health and psychological needs of women in drug treatment court.
J Subst Abuse Treat
; 46(2): 150-7, 2014 Feb.
Article
em En
| MEDLINE
| ID: mdl-24074850
ABSTRACT
We explored healthcare-related experiences of women drug court participants through combining context from the socio-ecological model with motivation needs for health behavior as indicated by self-determination theory. Five focus groups with 8 women drug court participants, 8 court staff, and 9 community service providers were examined using qualitative framework analysis. Themes emerged across the socio-ecological model and were cross-mapped with self-determination theory-defined motivation needs for autonomy, relatedness, and competence. Socio-ecological levels contained experiences either supporting or eroding women's motivation needs (1) intrapersonal challenges participants termed an "evil cycle" of relapse, recidivism, trauma, and life challenges; (2) interpersonal context of parenting and stigma involving features of this "evil cycle"; (3) institutions with logistical barriers to legal and medical assistance; (4) community resources inadequate to support living and employment needs. Self-determination theory helps explain motivation required to address the women's healthcare needs and multiple demands at all levels of the socio-ecological model.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Transtornos Relacionados ao Uso de Substâncias
/
Autonomia Pessoal
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Aplicação da Lei
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Necessidades e Demandas de Serviços de Saúde
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article