Social recovery capital among women in early recovery

Social recovery capital among women in early recovery

Bibliographic Details
Main Author: Francis, Meredith Wells
Language:English
Published: Case Western Reserve University School of Graduate Studies / OhioLINK 2019
Subjects:
Social Work
Substance use
recovery
personal social network
women
trauma
recovery capital
latent profile analysis
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=case1553271357710124
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-case15532713577101242021-08-03T07:09:37Z Social recovery capital among women in early recovery Francis, Meredith Wells Social Work Substance use recovery personal social network women trauma recovery capital latent profile analysis Women’s personal social networks (PSNs) often contain members (alters) who simultaneously support and endanger their recovery from substance use disorders, necessitating a holistic approach in theory, analysis, and practice. Network structure and trauma may also affect women’s ability to use PSNs to support recovery. This dissertation aimed to 1) model the theoretical concepts of women’s PSNs in recovery; 2) identify typologies of social networks in women in early recovery using PSN characteristics known to influence recovery, 3) examine the relationship between trauma and typology membership, and 3) link typologies to sobriety outcomes over their first year after entering treatment.I used a 3-step latent profile analysis to 1) identify PSN typologies with 6 alter characteristics (sobriety, history of use with, sobriety support, treatment-related alters, isolates, and density), 2) relate Trauma Symptom Checklist (TSC-40) scores to typology membership, and 3) regress outcomes on typology membership in a sample of 377 low-income, racially-diverse women who were participating in residential or outpatient substance use disorder treatment at study entry. I identified 3 typologies. Women in the Insulated Sobriety Support type (14.3%) had tightly-knit networks, more sober alters, and fewer treatment-related alters. Women in the Treatment-Related Sobriety Support type (49.3%) had looser-knit networks with more sober and sobriety-supporting alters and alters they know from treatment. Women in the At-Risk type (36.3%) had more isolates, few sobriety-supporting alters, and more alters with whom they used. Women in the Treatment-Related Sobriety Support type were significantly more likely to maintain sobriety by 12 months (B=-0.81; OR=2.09, 95% CI [1.23-3.56]) than women in the At Risk type. Higher mean Trauma Symptom Checklist scores were positively related to membership in the At Risk type.This dissertation expands our knowledge of the role that network structure plays in recovery among women, indicating that network isolates may represent key structural elements that can be leveraged to support recovery. This study also allows us to examine the patterns in recovery networks and trauma that support or hinder women’s recovery from substance use disorders, which can provide a clinically-useful starting point for research on individualized, targeted, and trauma-responsive interventions for women in recovery. 2019-05-23 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1553271357710124 http://rave.ohiolink.edu/etdc/view?acc_num=case1553271357710124 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Social Work
Substance use
recovery
personal social network
women
trauma
recovery capital
latent profile analysis
spellingShingle Social Work
Substance use
recovery
personal social network
women
trauma
recovery capital
latent profile analysis
Francis, Meredith Wells
Social recovery capital among women in early recovery
author Francis, Meredith Wells
author_facet Francis, Meredith Wells
author_sort Francis, Meredith Wells
title Social recovery capital among women in early recovery
title_short Social recovery capital among women in early recovery
title_full Social recovery capital among women in early recovery
title_fullStr Social recovery capital among women in early recovery
title_full_unstemmed Social recovery capital among women in early recovery
title_sort social recovery capital among women in early recovery
publisher Case Western Reserve University School of Graduate Studies / OhioLINK
publishDate 2019
url http://rave.ohiolink.edu/etdc/view?acc_num=case1553271357710124
work_keys_str_mv AT francismeredithwells socialrecoverycapitalamongwomeninearlyrecovery
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