Meeting health and psychological needs of women in drug treatment court
Meeting health and psychological needs of women in drug treatment court
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DOI：
10.1016/j.jsat.2013.08.017
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发表时间：
2014-02-01
影响因子：
3.9
通讯作者：
Chin, Nancy
中科院分区：
文献类型：
--
作者：
Morse, Diane S.;Cerulli, Catherine;Chin, Nancy
我们通过将社会生态模型的背景与自我决定理论所表明的健康行为的动机需求相结合，来探索女性毒品法庭参与者与医疗保健相关的经历。对5个焦点群体进行了定性框架分析，其中包括8名女性毒品法庭参与者、8名法庭工作人员和9名社区服务提供者。主题出现在社会生态模型中，并与自我决定理论交叉映射--定义了自主、关联和能力的动机需求。社会生态层面的经验支持或侵蚀了妇女的动机需求：1)个人内部挑战参与者被称为复发、再犯、创伤和生活挑战的“恶性循环”；2)养育子女和耻辱的人际环境，涉及这一“恶性循环”的特点；3)在法律和医疗援助方面存在后勤障碍；4)社区资源不足以支持生活和就业需要。自我决定理论有助于解释解决妇女保健需求所需的动机和社会生态模型各个层面的多重需求。(C)2013 Elsevier Inc.保留所有权利。
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. (C) 2013 Elsevier Inc. All rights reserved.