Slides - ATTC Network
Transcripción
Slides - ATTC Network
3/22/2016 Substance, Domestic Violence and Latin@s Survivors: Examining the Intersections Jose Juan Lara Jr., MS Project Coordinator March 22, 2016 casadeesperanza.org nationallatinonetwork.org Casa de Esperanza • Our mission—to mobilize Latin@ communities to end domestic violence—is served through our five core values: – Latina leadership – Entrepreneurship – Organizational excellence – Living free of violence – Community‐driven solutions • We recognize that it is the community that will end domestic violence, not any system or organization. • We emphasize developing social capital (i.e. trust, reciprocity, information and cooperation) because we believe it decreases domestic violence. Casa de Esperanza © 2016 The National Latin@ Network • The National Latin@ Network is a project of Casa de Esperanza that is working at ending violence and promoting the health and well‐being of Latin@ communities around the country. • The main goals of the National Latin@ Network are: – Public Policy – Research – Training & Technical Assistance Casa de Esperanza © 2016 1 3/22/2016 The importance of language! Anti‐Violence Language • Relationships with men and in same‐sex/gender relationships. • Historical experiences of child physical and sexual abuse and neglect. • Trauma stems from the impact of colonialism, ableism, racism, heterosexism and other systemic oppressions. • Is situated very clearly in the medical approach to health. • Consumer is a term that is situated within the mental health system and is currently adopted by many people who access that system, alongside the term survivor. Mental Health • Survivor in this context means that the person is a survivor of their life experiences, their mental health difficulties or the mental health system itself. Language Substance Abuse Language • There is a continuum of substance use and the line between “use” and “misuse” varies considerably. • To avoid making judgments about a survivors substance use, use the terms “substance use” or “problematic substance use,” rather than substance abuse. Freedom from Violence: Tools for Working with Trauma, Mental Health and Substance Use Domestic Violence & Sexual Assault in Latin@ Communities • 20‐25% of Latinas will experience DV during her lifetime, and 1 in 20 in the previous 12 months.5 • Reported rates of DV were lower for Mexican immigrants (13.4%) than for persons of Mexican descent born in the U.S. 1 • Immigrant women (including Latinas) who are married are more likely to experience DV than unmarried women. 4 • A study that included 2,000 Latinas found 63.1% of women identified being victimized in their lifetime. 3 Casa de Esperanza © 2016 Statistics on Domestic Violence and Substance Use • 25 and 50% of men who commit domestic violence also have problems with substance misuse. 7 • >30% of men drank at the time they committed a domestic assault; 90% abused substances on the same day, with alcohol and cocaine abuse most common. 7 • In cases where men try to kill their partner, alcohol is involved in more than two‐thirds of cases, and a quarter of those who committed murder had taken both alcohol and drugs. 7 • 75% of victims in an abusive relationship who misuse alcohol or drugs are with a partner who also abuses substances. 7 Casa de Esperanza © 2016 2 3/22/2016 What do we know about Latin@s and substance use? NOT ENOUGH! Casa de Esperanza © 2016 Substance Use among Latin@s • Consistently report lower rates of illicit drug use than non‐Hispanic Blacks/non‐ Hispanic whites and higher than Asian Americans (National Household Survey on Drug Abuse). • US born Latin@s report higher rates of experimental use, abuse and dependence than immigrants do. Casa de Esperanza © 2016 Substance Use among Latin@s • Gender differences in substance use disorders are not unique to Latin@s. 6 • Lifetime prevalence of alcohol use disorders was 16.7% for Latino men and 4.3% for Latina women. 6 Casa de Esperanza © 2016 3 3/22/2016 Substance Use and Domestic Violence • Interpersonal violence • Stress of living in a new country • Discrimination • Socioeconomic pressures • Loss of social support mechanisms upon immigration • Exposure to drugs and alcohol often lead to chemical use and dependency Casa de Esperanza © 2016 Trauma and Co‐Occurring Issues TRAUMA Substance Abuse Mental Health Incarceration Poverty Sex Trafficking Homelessness Casa de Esperanza © 2016 Sorting out the messages… Substance Abuse Counselor DV Advocate • You have a disease. You need treatment. • Your priority must be sobriety. • You must accept your powerlessness. • You need to look for your part in your problems. • You need to change yourself and be of service to others. • You are a victim of a crime. You need justice. • Our priority is your safety. • You need to be empowered. • You are not responsible for what happened. The perpetrator must be held accountable. • We need to change society. Alaska Network on Domestic and Sexual Assault Getting Safe and Sober: Real Tools You Can Use 4 3/22/2016 Sorting out messages… • Disease or criminal behavior? • Safety first or sobriety first? • Powerlessness or empowerment? • Who is responsible? • Social change or service to others? Alaska Network on Domestic and Sexual Assault Getting Safe and Sober: Real Tools You Can Use The Survivors Substance Use • Acute and chronic effects of Substance Abuse may prevent women from accurately assessing the level of danger posed by their perpetrators. 2 • Substance Abuse may be encouraged or forced by an abusive partner as a mechanism of control. 2 • There may be reluctance on the part of the victims to seek assistance or contact police for fear of arrest, deportation or referral to a child protection agency. 2 • The compulsion to use and withdrawal symptoms may make it difficult for Substance Abuse victims of IPV to access services such as shelter, advocacy, or other forms of help. 2 • Women who are using substances or who have used substances in the past may not be believed. 2 Casa de Esperanza © 2016 The Abusive Partners Substance Abuse • For most men who batter, alcohol or drug use does not directly cause their abusive behavior. However, for most men who batter, alcohol and drug use may: – Increase the risk that he will misinterpret his partner's behavior. – Increase his belief that violent behavior is due to alcohol or drugs. – Make him think less clearly about the repercussions of his actions. – Reduce his ability to tell when a victim is injured. – Reduce the chance that he will benefit from punishment, education, or treatment. Illinois Department of Human Services Addressing Substance Abuse in Batterer’s Programs 5 3/22/2016 Safety and Sobriety Risk to safety in traditional treatment Risk to sobriety in traditional advocacy programs • Safety may not be linked to sobriety. • The batterer may be included as part of conjoint, couples or family counseling. • The batterer may sabotage treatment efforts (e.g. prevent partner from attending group, get partner to leave against medical advice, mislead counseling team, etc.). • Sobriety may not be linked with safety. • The batterer’s use of alcohol and other drugs to control a partner may not be acknowledged as a risk factor in a safety plan. • Poor understanding of physiology and pharmacology and focus on options and choices may lead to re‐ victimization. Alaska Network on Domestic and Sexual Assault Getting Safe and Sober: Real Tools You Can Use Strategies for Safety, Sobriety and Wellness • Identifying who to call for help (e.g. advocate, sponsor, counselor, peer), forming support systems, knowing about safe support groups and meetings. • Knowing information and getting education about domestic violence, sexual assault, addiction and mental health issues. • Removing substances and paraphernalia from the home. Removing weapons from their usual spot in the home. • Knowing how substance use or untreated mental illness can be a safety issue. • Understanding physical, emotional, cognitive, environmental and other cues indicative of risk, and having a plan to deal with it. Recognizing the role of stress and craving, and having a plan to deal with it. Alaska Network on Domestic and Sexual Assault Getting Safe and Sober: Real Tools You Can Use Substance Use and IPV in Lesbian, Gay, Bisexual, Transgender Relationships • IPV is at the same rate as in heterosexual couples. 2 • The few studies that examine co‐occurring same‐sex IPV and substance abuse suggest that the prevalence of co‐ occurrence is not different from that among heterosexuals. 2 Casa de Esperanza © 2016 6 3/22/2016 • An abusive partner first introduced them to alcohol and drugs by forcing, threatening, and/or coercing them into using substances. Consumption • Alcohol consumption was a gendered practice in which abusive partners as well as men in the family became primary consumers. Introduction • Latina survivors did not consume alcohol or drugs understanding it would impair their ability to care for their children. • They cared for their partners during and post intoxication. Care Casa de Esperanza © 2016 Reference 1Aldarondo, E., Kantor, G.K. & Jasinski, J.L. (2002). A risk marker for analysis of wife assault in Latino families. Violence Against Women, 8(4), 429‐454. 2Bennette, L. & Bland, Patricia. (2008, May). Substance Abuse and Intimate Partner Violence. Harrisburgh, PA: VAWnet a project of the National Resource Center on Domestic Violence. Retrieved February 4, 2016, from: http://vawnet.org 3Cuevas, C.A., Sabina, C., & Picard, E.H. (2010). Interpersonal Victimization Patterns and Psychopathology Among Latino Women: Results from the SALAS Study, Psychological Trauma Theory Research Practice and Policy, 2(4), 296‐306. doi:10.1037/a0020099 4Dutton, M., Orloff, L., & Hass, G.A. (2000). Characteristics of help‐seeking behaviors, resources, and services needs of battered immigrant Latinas: Legal and policy Implications. Georgetown Journal on Poverty Law and Policy, 7(2), 245‐306. Reference 5National Latin@ Network. (2014). Prevalence and occurrence of intimate partner violence. Facts on intimate partner violence among Latin@s. Retrieved from: http://www.nationallatinonetwork.org/learn‐more/facts‐ and‐statistics/prevalence‐and‐occurrence 6Otiniano Verissimo, A.D., Grella, C.E., Amaro, H., & Gee, G.C. (2014). Discrimination and Substance Use Disorders Among Latinos: The Role of Gender, Nativity, and Ethnicity. American Journal Of Public Health, 104 (8), 1421. doi:10.2105/AJPH.2014.302011 7Steps to Recovery. Understanding the Link between Substance Abuse and Domestic Violence. Retrieved from: http://www.stepstorecovery.com/understanding‐the‐link‐between‐ substance‐abuse‐and‐domestic‐violence/ 7 3/22/2016 Contact Information Jose Juan Lara Jr., M.S. Project Coordinator Email: [email protected] @casadeesperanza www.facebook.com/casa deesperanzamn Web page: www.nationallatinonetwork.org www.rednacionallatina.org www.casadeesperanza.org Casa de Esperanza © 2016 casadeesperanza.org nationallatinonetwork.org Casa de Esperanza © 2014 8