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Trauma can sometimes lead to substance use disorders, but not all individuals who experience trauma become addicted.SAMHSA’s TIP 57 explains that the use of substances as a coping mechanism when dealing with trauma can be attributed to a variety of factors, including the symptoms the person is trying to suppress as well as his ability to gain access to the particular substance.Several IPV screening tools do exist, including the HITS, WAST, and PVS.Currently, there is a need for validation of existing screening tools and interventions for IPV co-occurring with substance use disorders. Many people don’t know how to talk about it (This is true for perpetrators as well as those who are assaulted or witness the assaults).And trauma is intertwined with both IPV substance use disorders.

For example, victims of IPV are 70% more likely to drink alcohol heavily than those who have not experienced IPV, although we don’t understand which one causes the other.What has not changed over the course of the years is the co-occurrence of substance use/substance use disorders and IPV.SAMHSA’s Treatment Improvement Protocol (TIP) Series 25, published in 1997, noted studies as far back as the 1970s that indicated alcohol or drugs contribute to, facilitate, precipitate, or exacerbate IPV in some way.Likewise, not all individuals who become addicted are involved in IPV.What is clear is that the coexistence of IPV and substance use is a complex and multifaceted dynamic that does not receive the research funding it deserves.

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Many of us have been screening for IPV since the late 1990s. They note a lack of clinical evidence to support screening women over age 46.

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