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.
journal_name
J Subst Abuse Treatjournal_title
Journal of substance abuse treatmentauthors
Morse DS,Cerulli C,Bedell P,Wilson JL,Thomas K,Mittal M,Lamberti JS,Williams G,Silverstein J,Mukherjee A,Walck D,Chin Ndoi
10.1016/j.jsat.2013.08.017subject
Has Abstractpub_date
2014-02-01 00:00:00pages
150-7issue
2eissn
0740-5472issn
1873-6483pii
S0740-5472(13)00205-5journal_volume
46pub_type
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