Programs for women with substance abuse and criminal justice histories often incorporate empowerment and social support into service delivery systems. Women’s empowerment research has focused on the relationship between women’s personal identities and the larger sociopolitical context, with an emphasis on how community-based resources are critical for promoting well-being. Social support often protects against negative outcomes for individuals who live with chronic stress. However, few studies have evaluated community resource knowledge and empowerment among marginalized women or how social support might strengthen or weaken this relationship. This study investigated resource knowledge, social support, and empowerment among 200 minority women in substance abuse recovery who had recent criminal justice involvement. Results indicated that resource knowledge was related to empowerment and belonging social support marginally moderated this relationship. In addition, education level increased and current involvement in the criminal justice system decreased empowerment. Implications for research, practice, and policy are discussed.
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Hall MT, Golder S, Conley CL, et al. Designing programming and interventions for women in the criminal justice system. American Journal of Criminal Justice. 2013;38(1):27–50.
Golinelli D, Minton TD. Jail Inmates at Midyear 2013-Statistical Tables (Revised). Washington, D.C.: Bureau of Justice Statistics, 2014.
Belknap J. The Invisible Woman: Gender, Crime, and Justice. Boulder, CO: Cengage Learning, 2014.
Binswanger IA, Merrill JO, Krueger PM, et al. Gender differences in chronic medical, psychiatric, and substance-dependence disorders among jail inmates. American Journal of Public Health. 2010;100(3):476–482.
Alemagno SA. Women in jail: Is substance abuse treatment enough? American Journal of Public Health. 2001;91(5):798–800.
O’Brien P, Leem N. Moving from needs to self-efficacy: A holistic system for women in transition from prison. Women & Therapy. 2006;29(3–4):261–284.
Salina DD, Lesondak LM, Razzano LA, et al. Co-occurring mental disorders among incarcerated women: Preliminary findings from an integrated health treatment study. Journal of Offender Rehabilitation. 2007;45(1–2):207–225.
Fedock G, Fries L, Kubiak SP. Service needs for incarcerated adults: Exploring gender differences. Journal of Offender Rehabilitation. 2013;52(7):493–508.
Guerino P, Harrison PM, Sabol WJ. Prisoners in 2010. Washington, D.C.: Bureau of Justice Statistics, 2011.
Covington SS. Women and addiction: A trauma-informed approach. Journal of Psychoactive Drugs. 2008;40(Suppl 5):377–385.
Wilson MK, Anderson SC. Empowering female offenders: Removing barriers to community-based practice. Affilia. 1997;12(3):342–358.
Mahmood ST, Vaughn MG, Mancini M, et al. Gender disparity in utilization rates of substance abuse services among female ex-offenders: A population-based analysis. American Journal of Drug and Alcohol Abuse. 2013;39(5):332–339.
The Sentencing Project. Incarcerated Women. Available online at http://www.sentencingproject.org/doc/publications/cc_Incarcerated_Women_Factsheet_Sep24sp.pdf. Accessed on February 17, 2016.
Freudenberg N. Adverse effects of US jail and prison policies on the health and well-being of women of color. American Journal of Public Health. 2002;92(12):1895–1899.
Gutierrez LM. Working with women of color: An empowerment perspective. Social Work. 1990;35(2):149–153.
Jones LV, Hopson LM, Gomes A-M. Intervening with African-Americans: Culturally specific practice considerations. Journal of Ethnic and Cultural Diversity in Social Work. 2012;21(1):37–54.
Gilligan C. In a Different Voice. Cambridge, MA: Harvard University Press, 1982.
Miller JB. What do we mean by relationships? Work in Progress #22, Wellesley: Stone Center Working Paper Series, 1986.
Walt LC, Hunter B, Salina D, et al. Romance, recovery and community re-entry for criminal justice-involved women: Conceptualizing and measuring intimate relationship factors and power. Journal of Gender Studies. 2014;23(4):409–421.
Kaplan A. The “self-in-relation”: Implications for depression in women. Psychotherapy: Theory, Research, Practice, Training. 1986;23(2):234.
Fortin I, Guay S, Lavoie V, et al. Intimate partner violence and psychological distress among young couples: Analysis of the moderating effect of social support. Journal of Family Violence. 2012;27(1):63–73.
Coker AL, Smith PH, Thompson MP, et al. Social support protects against the negative effects of partner violence on mental health. Journal of Women’s Health & Gender-Based Medicine. 2002;11(5):465–476.
Sherman AM, Skrzypek A, Bell R, et al. The contribution of social support and social strain to depressive symptoms in African American, Native American, and European American women. Journal of Social and Personal Relationships. 2011; 28(8): 1104–1129.
Broadhead WE, Kaplan BH, James SA, et al. The epidemiologic evidence for a relationship between social support and health. American Journal of Epidemiology. 1983;117(5):521–537.
Jackson T. Relationships between perceived close social support and health practices within community samples of American women and men. The Journal of Psychology. 2006;140(3):229–246.
Primomo J, Yates BC, Woods NF. Social support for women during chronic illness: The relationship among sources and types to adjustment. Research in Nursing & Health. 1990;13(3):153–161.
Skaff MM, Finney JW, Moos RH. Gender differences in problem drinking and depression: Different “vulnerabilities?”. American Journal of Community Psychology. 1999;27(1):25–54.
Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychological Bulletin. 1985;98(2):310–357.
Pollack S. Reconceptualizing women’s agency and empowerment: Challenges to self-esteem discourse and women’s lawbreaking. Women & Criminal Justice. 2000;12(1):75–89.
Martire LM, Stephens MAP, Townsend AL. Emotional support and well-being of midlife women: Role-specific mastery as a mediational mechanism. Psychology and Aging. 1998;13(3):396–404.
Young IM. Punishment, treatment, empowerment: Three approaches to policy for pregnant addicts. Feminist Studies. 1994;20(1):32–57.
Schumm JA, Briggs‐Phillips M, Hobfoll SE. Cumulative interpersonal traumas and social support as risk and resiliency factors in predicting PTSD and depression among inner‐city women. Journal of Traumatic Stress. 2006;19(6):825–836.
Thoits PA. Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior. 1995; 35: 53–79.
Barrera Jr M. Distinctions between social support concepts, measures, and models. American Journal of Community Psychology. 1986;14(4):413–445.
Hamberger LK, Ambuel B, Marbella A, et al. Physician interaction with battered women: The women’s perspective. Archives of Family Medicine. 1998;7(6):575–582.
Crane PA, Constantino RE. Use of the Interpersonal Support Evaluation List (ISEL) to guide intervention development with women experiencing abuse. Issues in Mental Health Nursing. 2003;24(5):523–541.
Nyamathi A, Bennett C, Leake B, et al. Social support among impoverished women. Nursing Research. 1995;44(6):376–380.
Dobkin PL, Civita MD, Paraherakis A, et al. The role of functional social support in treatment retention and outcomes among outpatient adult substance abusers. Addiction. 2002;97(3):347–356.
Ellis B, Bernichon T, Yu P, et al. Effect of social support on substance abuse relapse in a residential treatment setting for women. Evaluation and Program Planning. 2004;27(2):213–221.
Surrey JL. The relational model of women’s psychological development: Implications for substance abuse. Studies. 1997;335:351.
Lichtenstein B. Women and crack-cocaine use: A study of social networks and HIV risk in an Alabama jail sample. Addiction Research & Theory. 1997;5(4):279–296.
Mulia N, Ye Y, Zemore SE, et al. Social disadvantage, stress, and alcohol use among black, Hispanic, and white Americans: Findings from the 2005 US National Alcohol Survey. Journal of Studies on Alcohol and Drugs. 2008;69(6):824–833.
Taylor RD, Budescu M. Emotional adjustment and distressed interpersonal relations among low-income African American mothers: Moderating effects of demanding kin relations. Cultural Diversity and Ethnic Minority Psychology. 2013;19(1):58–66.
Perkins DD, Zimmerman MA. Empowerment theory, research, and application. American Journal of Community Psychology. 1995;23(5):569–579.
Maton KI. Empowering community settings: Agents of individual development, community betterment, and positive social change. American Journal of Community Psychology. 2008;41(1–2):4–21.
Carr ES. Rethinking empowerment theory using a feminist lens: The importance of process. Affilia. 2003;18(1):8–20.
Cattaneo LB, Chapman AR. The process of empowerment: A model for use in research and practice. American Psychologist. 2010;65(7):646–659.
Worell J, Remer P. Feminist Perspectives in Therapy: Empowering Diverse Women. Hoboken, NJ: Wiley, 2002.
Zimmerman MA. Psychological empowerment: Issues and illustrations. American Journal of Community Psychology. 1995;23(5):581–599.
Kabeer N. Resources, agency, achievements: Reflections on the measurement of women’s empowerment. Development and Change. 1999;30(3):435–464.
Kasturirangan A. Empowerment and programs designed to address domestic violence. Violence Against Women. 2008;14(12):1465–1475.
Morgan M, Coombes L. Empowerment and advocacy for domestic violence victims. Social and Personality Psychology Compass. 2013;7(8):526–536.
Thompson MP, Kaslow NJ, Short LM, et al. The mediating roles of perceived social support and resources in the self-efficacy-suicide attempts relation among African American abused women. Journal of Consulting and Clinical Psychology. 2002;70(4):942–949.
Messina N, Grella CE, Cartier J, et al. A randomized experimental study of gender-responsive substance abuse treatment for women in prison. Journal of Substance Abuse Treatment. 2010;38(2):97–107.
LaFave L, Desportes L, McBride C. Treatment outcomes and perceived benefits: A qualitative and quantitative assessment of a women’s substance abuse treatment program. Women & Therapy. 2008;32(1):51–68.
Fallot RD, McHugo GJ, Harris M, et al. The trauma recovery and empowerment model: A quasi-experimental effectiveness study. Journal of Dual Diagnosis. 2011;7(1–2):74–89.
Zelvin E. Applying relational theory to the treatment of women’s addictions. Affilia. 1999;14(1):9–23.
Lewandowski CA, Hill TJ. The impact of emotional and material social support on women’s drug treatment completion. Health & Social Work. 2009;34(3):213–221.
Jason LA, Salina D, Ram D. Oxford Recovery Housing: Length of stay correlated with improved outcomes for women previously involved with the criminal justice system. Substance Abuse. In press.
McLellan AT, Kushner H, Metzger D, et al. The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment. 1992;9(3):199–213.
Johnson DM, Worell J, Chandler RK. Assessing psychological health and empowerment in women: The personal progress scale revised. Women & Health. 2005;41(1):109–129.
Perez S, Johnson DM, Wright CV. The attenuating effect of empowerment on IPV-related PTSD symptoms in battered women living in domestic violence shelters. Violence Against Women. 2012;18(1):102–117.
Wright CV, Perez S, Johnson DM. The mediating role of empowerment for African American women experiencing intimate partner violence. Psychological Trauma: Theory, Research, Practice, and Policy. 2010;2(4):266–272.
Hunter BA, Jason LA, Keys CB. Factors of empowerment for women in recovery from substance use. American Journal of Community Psychology. 2013;51(1–2):91–102.
Cohen S, Hoberman HM. Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology. 1983;13(2):99–125.
Bates DS, Toro PA. Developing measures to assess social support among homeless and poor people. Journal of Community Psychology. 1999;27(2):137–156.
Brookings JB, Bolton B. Confirmatory factor analysis of the interpersonal support evaluation list. American Journal of Community Psychology. 1988;16(1):137–147.
Wowra SA, McCarter R. Validation of the empowerment scale with an outpatient mental health population. Psychiatric Services. 1999;50(7):959–961.
Funding for this study made possible in part through the National Institute of Health, Center of Minority of Health and Health Disparities (NCMHD) grants #5R24MD002748-02. We also acknowledge the National Institute of Drug Abuse research training grant (T32 DA 019426: J.K. Tebes, P.I.). Address all correspondence to the fourth author at DePaul University, Center for Community Research, 990 W Fullerton, Chicago, IL, 60614.
Conflict of Interest
The authors declare that they have no conflict of interest.
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Barringer, A., Hunter, B.A., Salina, D.D. et al. Empowerment and Social Support: Implications for Practice and Programming Among Minority Women with Substance Abuse and Criminal Justice Histories. J Behav Health Serv Res 44, 75–88 (2017). https://doi.org/10.1007/s11414-016-9499-6
- Social Support
- Criminal Justice
- African American Woman
- Criminal Justice System
- Resource Knowledge