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11 - ‘Nowhere to Go’: Intimate Violence and Opioid Use in Rural Vermont
- Edited by Ziwei Qi, Fort Hays State University, Kansas, April N. Terry, Fort Hays State University, Kansas, Tamara J. Lynn, Fort Hays State University, Kansas
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- Book:
- Gender-based Violence and Rurality in the Twenty-first Century
- Published by:
- Bristol University Press
- Published online:
- 20 January 2024
- Print publication:
- 30 May 2023, pp 168-182
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Summary
Introduction
The problem of intimate partner violence (IPV) in rural areas intersects with another rural crisis: the epidemic of opioid use disorder (OUD) and opioid-related deaths. Rural opioid-related mortality rates are particularly high in the New England region (Stopka et al, 2019). At the same time, feminist criminological research shows that rural women are more likely than their suburban or urban counterparts to experience violence when separating from or divorcing their spouses (DeKeseredy and Schwartz, 2009; Rennison et al, 2013). Rates of intimate partner homicide also appear to be higher in rural areas (Edwards, 2015). There is a known, bidirectional relationship between opioid use and IPV (Stone and Rothman, 2019), such that drug use may precede abuse by an intimate partner and experiencing IPV is related to subsequent drug use. Abusive partners may exercise control by introducing their partners to drugs or coercing them to use, or by interfering with a partner's treatment and recovery efforts (Warshaw et al, 2014). IPV survivors have also described how substance use in their relationships can increase violence, paranoia, jealousy and arguments over procurement or sharing of drugs (Gilbert et al, 2001).
By understanding the first-hand experiences of people accessing rural IPV and OUD services, we can identify gaps in service provision and work to close them. In 2020, this goal became even more urgent as the COVID-19 pandemic widened these gaps and highlighted limitations of social services to respond to rural communities in crisis. For example, the pandemic saw the rapid implementation and expansion of telehealth services (Demeke et al, 2020). Telehealth has the potential to expand access to care in rural communities and has demonstrated effectiveness and patient satisfaction (DelliFraine and Dansky, 2008; Kruse et al, 2017; Totten et al, 2019). However, it requires substantial investment in infrastructure (for both providers and communities), and uneven implementation may worsen rural health disparities (Hirko et al, 2020; Pierce and Stevermer, 2020).
In this chapter, we connect the results of two data collection efforts: (1) a series of in-depth interviews with rural Vermonters with lived experience of IPV and OUD regarding their experiences accessing services and resources; and (2) a series of in-depth interviews with representatives of a county-level Coordinated Community Response (CCR) team comprising professionals working in IPV-and substance use disorder (SUD)-related services.
Contributors
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- By Peter K. Austin, Josh Berson, Michel Bert, Claire Bowern, David Bradley, Lyle Campbell, Lisa Conathan, Serafin M. Coronel-Molina, Lise M. Dobrin, Jeff Good, Lenore A. Grenoble, Colette Grinevald, Wayne Harbert, Leanne Hinton, Gary Holton, Anthony Jukes, Friederike Lüpke, Teresa L. McCarty, Lev Michael, Máiréad Moriarty, Ulrike Mosel, David Nathan, Carmel O’Shannessy, Naomi Palosaari, Julia Sallabank, Bernard Spolsky, Anthony C. Woodbury
- Edited by Peter K. Austin, School of Oriental and African Studies, University of London, Julia Sallabank, School of Oriental and African Studies, University of London
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- Book:
- The Cambridge Handbook of Endangered Languages
- Published online:
- 05 June 2012
- Print publication:
- 24 March 2011, pp ix-x
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Looking Backward, Looking Forward: MLA Members Speak
- April Alliston, Elizabeth Ammons, Jean Arnold, Nina Baym, Sandra L. Beckett, Peter G. Beidler, Roger A. Berger, Sandra Bermann, J.J. Wilson, Troy Boone, Alison Booth, Wayne C. Booth, James Phelan, Marie Borroff, Ihab Hassan, Ulrich Weisstein, Zack Bowen, Jill Campbell, Dan Campion, Jay Caplan, Maurice Charney, Beverly Lyon Clark, Robert A. Colby, Thomas C. Coleman III, Nicole Cooley, Richard Dellamora, Morris Dickstein, Terrell Dixon, Emory Elliott, Caryl Emerson, Ann W. Engar, Lars Engle, Kai Hammermeister, N. N. Feltes, Mary Anne Ferguson, Annie Finch, Shelley Fisher Fishkin, Jerry Aline Flieger, Norman Friedman, Rosemarie Garland-Thomson, Sandra M. Gilbert, Laurie Grobman, George Guida, Liselotte Gumpel, R. K. Gupta, Florence Howe, Cathy L. Jrade, Richard A. Kaye, Calhoun Winton, Murray Krieger, Robert Langbaum, Richard A. Lanham, Marilee Lindemann, Paul Michael Lützeler, Thomas J. Lynn, Juliet Flower MacCannell, Michelle A. Massé, Irving Massey, Georges May, Christian W. Hallstein, Gita May, Lucy McDiarmid, Ellen Messer-Davidow, Koritha Mitchell, Robin Smiles, Kenyatta Albeny, George Monteiro, Joel Myerson, Alan Nadel, Ashton Nichols, Jeffrey Nishimura, Neal Oxenhandler, David Palumbo-Liu, Vincent P. Pecora, David Porter, Nancy Potter, Ronald C. Rosbottom, Elias L. Rivers, Gerhard F. Strasser, J. L. Styan, Marianna De Marco Torgovnick, Gary Totten, David van Leer, Asha Varadharajan, Orrin N. C. Wang, Sharon Willis, Louise E. Wright, Donald A. Yates, Takayuki Yokota-Murakami, Richard E. Zeikowitz, Angelika Bammer, Dale Bauer, Karl Beckson, Betsy A. Bowen, Stacey Donohue, Sheila Emerson, Gwendolyn Audrey Foster, Jay L. Halio, Karl Kroeber, Terence Hawkes, William B. Hunter, Mary Jambus, Willard F. King, Nancy K. Miller, Jody Norton, Ann Pellegrini, S. P. Rosenbaum, Lorie Roth, Robert Scholes, Joanne Shattock, Rosemary T. VanArsdel, Alfred Bendixen, Alarma Kathleen Brown, Michael J. Kiskis, Debra A. Castillo, Rey Chow, John F. Crossen, Robert F. Fleissner, Regenia Gagnier, Nicholas Howe, M. Thomas Inge, Frank Mehring, Hyungji Park, Jahan Ramazani, Kenneth M. Roemer, Deborah D. Rogers, A. LaVonne Brown Ruoff, Regina M. Schwartz, John T. Shawcross, Brenda R. Silver, Andrew von Hendy, Virginia Wright Wexman, Britta Zangen, A. Owen Aldridge, Paula R. Backscheider, Roland Bartel, E. M. Forster, Milton Birnbaum, Jonathan Bishop, Crystal Downing, Frank H. Ellis, Roberto Forns-Broggi, James R. Giles, Mary E. Giles, Susan Blair Green, Madelyn Gutwirth, Constance B. Hieatt, Titi Adepitan, Edgar C. Knowlton, Jr., Emanuel Mussman, Sally Todd Nelson, Robert O. Preyer, David Diego Rodriguez, Guy Stern, James Thorpe, Robert J. Wilson, Rebecca S. Beal, Joyce Simutis, Betsy Bowden, Sara Cooper, Wheeler Winston Dixon, Tarek el Ariss, Richard Jewell, John W. Kronik, Wendy Martin, Stuart Y. McDougal, Hugo Méndez-Ramírez, Ivy Schweitzer, Armand E. Singer, G. Thomas Tanselle, Tom Bishop, Mary Ann Caws, Marcel Gutwirth, Christophe Ippolito, Lawrence D. Kritzman, James Longenbach, Tim McCracken, Wolfe S. Molitor, Diane Quantic, Gregory Rabassa, Ellen M. Tsagaris, Anthony C. Yu, Betty Jean Craige, Wendell V. Harris, J. Hillis Miller, Jesse G. Swan, Helene Zimmer-Loew, Peter Berek, James Chandler, Hanna K. Charney, Philip Cohen, Judith Fetterley, Herbert Lindenberger, Julia Reinhard Lupton, Maximillian E. Novak, Richard Ohmann, Marjorie Perloff, Mark Reynolds, James Sledd, Harriet Turner, Marie Umeh, Flavia Aloya, Regina Barreca, Konrad Bieber, Ellis Hanson, William J. Hyde, Holly A. Laird, David Leverenz, Allen Michie, J. Wesley Miller, Marvin Rosenberg, Daniel R. Schwarz, Elizabeth Welt Trahan, Jean Fagan Yellin
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- Journal:
- PMLA / Publications of the Modern Language Association of America / Volume 115 / Issue 7 / December 2000
- Published online by Cambridge University Press:
- 23 October 2020, pp. 1986-2078
- Print publication:
- December 2000
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