Jul 2026· Journal of Psychiatric and Mental Health Nursing· Vol 33, pp. 907-921· 0 citations· 24 references
Medicine
TL;DR
Motivations and barriers to treatment among women with SUD reflect an interplay of psychological, social and structural factors, and addressing these multidimensional needs is essential for sustained recovery.
Abstract
INTRODUCTION
Women with substance use disorders (SUD) face distinct gender-based challenges in accessing and engaging with treatment, including stigma, caregiving responsibilities and inadequate institutional support. Despite increasing rates of substance use among women, their treatment needs remain under-addressed in both clinical practice and research.
Aim
This study explored the lived experiences of women with SUD regarding their motivations and barriers to seeking and maintaining treatment in a psychiatric inpatient setting in Türkiye.
Method
A descriptive phenomenological approach was used. In-depth, semi-structured interviews were conducted with 27 women diagnosed with SUD who had completed detoxification and were receiving inpatient care. Data were analysed using Colaizzi's method, supported by MAXQDA 24.0.
Results
As a result of the research, two main themes emerged: 'Motivations and Barriers'. Also, four sub-themes: (1) Motivation to initiate treatment, (2) Motivation to maintain treatment, (3) Barriers to initiating treatment and (4) Barriers to maintaining treatment, and 17 codes were determined.
Discussion
Motivations and barriers to treatment among women with SUD reflect an interplay of psychological, social and structural factors. Addressing these multidimensional needs is essential for sustained recovery.
Using a generic qualitative design, this study draws on in-depth interviews with 17 social workers to explore barriers women face in accessing and participating in substance use treatment, their motivations for treatment, and service-related recommendations. Thematic analysis identified three main themes: disruptions i...
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