scholarly journals Interrelationships of Economic Stressors, Mental Health Problems, Substance Use, and Intimate Partner Violence among Hispanic Emergency Department Patients: The Role of Language-Based Acculturation

2021 ◽  
Vol 18 (22) ◽  
pp. 12230
Author(s):  
Carol B. Cunradi ◽  
Raul Caetano ◽  
William R. Ponicki ◽  
Harrison J. Alter
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Protective Effect ◽  
Partner Violence ◽  
Mental Health Problems ◽  
Health Problems ◽  
Spanish Language ◽  
Spanish Speakers ◽  
Language Preference ◽  
Economic Stressors

We analyzed the interrelationships of economic stressors, mental health problems, substance use, and intimate partner violence (IPV) among a sample of Hispanic emergency department patients and probed if Spanish language preference, which may represent low acculturation and/or immigrant status, had a protective effect, in accordance with the Hispanic health paradox. Study participants (n = 520; 50% female; 71% Spanish speakers) provided cross-sectional survey data. Gender-stratified logistic regression models were estimated for mental health problems (PTSD, anxiety, depression), substance use (risky drinking, cannabis, illicit drug use), and IPV. Results showed that economic stressors were linked with mental health problems among men and women. Among men, PTSD was associated with greater odds of cannabis and illicit drug use. Men who used cannabis and illicit drugs were more likely to report IPV. Male Spanish speakers had lower odds of anxiety and cannabis use than English speakers. Female Spanish speakers had lower odds of substance use and IPV than English speakers. The protective effect of Spanish language preference on some mental health, substance use, and IPV outcomes was more pronounced among women. Future research should identify the mechanisms that underlie the protective effect of Spanish language preference and explore factors that contribute to the observed gender differences.

Factors Associated With Police Decisions on Immediate Responses to Intimate Partner Violence

2017 ◽  
Vol 35 (15-16) ◽  
pp. 2993-3010 ◽  
Author(s):  
Merete Berg Nesset ◽  
Johan Håkon Bjørngaard ◽  
Jim Aage Nøttestad ◽  
Richard Whittington ◽  
Cecilie Lynum ◽  
...  
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Police Officers ◽  
Partner Violence ◽  
Mental Health Problems ◽  
Intimate Partner ◽  
Health Problems ◽  
Violence Risk ◽  
Lethal Violence ◽  
Emergency Situations

Police officers are often the first responders to intimate partner violence. The aim of the study was to examine the association between structured police assessments on-site in cases of intimate partner violence, and decisions about immediate arrest of the perpetrator and/or relocation of the victim. Data were extracted from police reports on 124 emergency visits in cases of intimate partner violence perpetrated by men toward women. Six out of totally 15 items of the intimate partner violence risk assessment measure B-SAFER were used by the front line police officers as the basis for decisions on whether or not to arrest the perpetrator or relocate the victim. The six items: perpetrator violent acts, violent threats or thoughts, escalation of violence, substance use problems, mental health problems, and breach of no-contact order, were selected on the basis of their utility in emergency situations. There were increased odds of arrest on-site if the perpetrator was physically violent (adjusted odds ratio [AOR] = 2.8, 95% confidence interval [CI] = 1.0-7.7) or had substance problems (AOR = 2.3, 95% CI = [1.0- 5.2]). There were increased odds of victim relocation if the perpetrator had mental health problems (AOR = 7.4, 95% CI = [2.4-23.1]) or if children were present on-site (AOR = 3.1, 95% CI = [1.1- 8.6]). In contrast, escalation of violence was associated with reduced odds of the perpetrator being arrested (AOR = 0.4, 95% CI = [0.1- 0.9]) or the victim being relocated (AOR = 0.4, 95% CI = [0.1- 1.3]). The finding that the police did not immediately respond to escalation, potentially signaling lethal violence needs to be addressed.

scholarly journals High HIV/STI Test Acceptance Through a Behavioral Health Encounter in Latino Immigrants with Substance Use and Mental Health Problems

2019 ◽  
Vol 23 (4) ◽  
pp. 835-846
Author(s):  
Julie H. Levison ◽  
Margarita Alegría ◽  
Ye Wang ◽  
Sheri L. Markle ◽  
Larmiar Fuentes ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Behavioral Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Latino Immigrants

scholarly journals Exploring links between common mental health problems, alcohol/substance use and perpetration of intimate partner violence: A rapid ethnographic assessment with men in urban Kenya

2018 ◽  
Vol 5 ◽  
Author(s):  
A. Schafer ◽  
P. Koyiet
Keyword(s):  
Mental Health ◽  
Intimate Partner Violence ◽  
Substance Use ◽  
Alcohol Use ◽  
Marital Conflict ◽  
Partner Violence ◽  
Mental Health Problems ◽  
High Stress ◽  
Intimate Partner ◽  
Psychosocial Issues

Introduction:Kenya has some of the highest rates of gender-based violence (GBV) in the world, particularly intimate partner violence. World Vision completed a rapid ethnographic assessment to explore common problems faced by men and local perspectives about the links between men, mental health, alcohol use and GBV.Methods:Data from community free-listing surveys (n = 52), four focus group discussions and two key informant interviews formed the basis for thematic analysis and findings.Results:Lack of jobs, ‘idleness’ and finances were viewed as top priority concerns facing men; however, alcohol and substance use were equally prioritised. Family problems, crime and general psychosocial issues (e.g., high stress, low self-esteem) were also reported. Men withdrawing socially, changing behaviour and increasing alcohol consumption were described as signs that men were experiencing mental health challenges. The community observed alcohol use as the biggest cause of GBV, believing men resorted to drinking because of having ‘too much time’, marital conflict, psychosocial issues and access to alcohol. The findings theorise that a circular link between unemployment, alcohol and crime is likely contributing to familial, psychosocial and gender concerns, and that men's mental health support may assist to re-direct a trajectory for individuals at risk of perpetrating GBV.Conclusions:Data confirmed that GBV is a major concern in these Kenya communities and has direct links with alcohol use, which is subsequently linked to mental health and psychosocial problems. Attempting to disrupt progression to the perpetration of violence by men, via mental health care interventions, warrants further research.

scholarly journals Severe and enduring mental health problems within an established substance misuse treatment partnership

2014 ◽  
Vol 38 (5) ◽  
pp. 216-219 ◽  
Author(s):  
Kathryn Walsh ◽  
Alex Copello
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Suicide Risk ◽  
Substance Misuse ◽  
Mental Health Problems ◽  
Health Problems ◽  
Clinical Implications ◽  
The Past ◽  
Self Harm ◽  
Effective Service

Aims and methodThe study reports findings of an investigation into the presence of severe and enduring mental health problems within the four statutory and non-statutory teams of an established substance misuse treatment partnership.ResultsOf a total of 772 clients in the four teams surveyed, 69 (8.9%) were identified as having severe and enduring mental health problems and problem substance use in the past 12 months. Alcohol was the most prevalent substance used by this predominantly male group. Different rates were found across the four teams, with higher numbers in the non-statutory teams. The clients displayed significant levels of self-harm and suicide risk and were responsible for 131 acute service contacts over the past 12 months.Clinical implicationsClients with severe and enduring mental health problems engaged with substance misuse services display high levels of complex need. It is important to identify the best and most effective service response to this group.

scholarly journals Violent offenses associated with co-occurring substance use and mental health problems: Evidence from CJDATS

2009 ◽  
Vol 27 (1) ◽  
pp. 51-69 ◽  
Author(s):  
Stanley Sacks ◽  
Charles M. Cleland ◽  
Gerald Melnick ◽  
Patrick M. Flynn ◽  
Kevin Knight ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Mental Health Problems ◽  
Health Problems ◽  
Violent Offenses
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