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Both survivors and service providers emphasized SUD and MH as top priorities and reported a high prevalence of post-traumatic stress disorder (PTSD), depression, anxiety, and low self-esteem coupled with increasing rates of heroin, methamphetamine, and pharmaceutical abuse. Emergent themes included (a) trauma impacts functioning, (b) substances as coping strategy, (c) weighing safety against need, (d) lacking SUD and MH services, and (e) need for comprehensive and culturally specific resources. Scarcity of funding demands cross-sector collaboration to support survivors.<\/jats:p>","DOI":"10.1177\/1077801219882496","type":"journal-article","created":{"date-parts":[[2019,10,30]],"date-time":"2019-10-30T02:13:50Z","timestamp":1572401630000},"page":"108-123","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Substance Use as a Coping Mechanism for Survivors of Intimate Partner Violence: Implications for Safety and Service Accessibility"],"prefix":"10.1177","volume":"27","author":[{"given":"Lindsay B.","family":"Gezinski","sequence":"first","affiliation":[{"name":"Independent Researcher, Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-6493","authenticated-orcid":false,"given":"Kwynn M.","family":"Gonzalez-Pons","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallory M.","family":"Rogers","sequence":"additional","affiliation":[{"name":"University of Utah, Salt Lake City, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,29]]},"reference":[{"key":"bibr1-1077801219882496","doi-asserted-by":"publisher","DOI":"10.1177\/0886260508322192"},{"key":"bibr2-1077801219882496","doi-asserted-by":"publisher","DOI":"10.1177\/1077801207299189"},{"key":"bibr3-1077801219882496","volume-title":"The national intimate partner and sexual violence survey (NISVS): 2010 Summary report","author":"Black M. 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