How should crisis workers address substance use in IPV/sexual violence crises?

• A. Screen for use, avoid judgment, assess safety, provide harm-reduction options, link to treatment, and consider co-occurring mental health issues
• B. Ignore substance use and focus only on safety
• C. Forbid any substance use entirely
• D. Assume all survivors use substances

Answer: (A)

When crisis workers respond to IPV or sexual violence, substance use is treated as a factor that can influence safety, decision-making, and access to supports. The strongest approach starts with screening for use in a nonjudgmental, trauma-informed way. This invites survivors to share honestly and helps staff assess immediate safety risks, such as impaired judgment, potential withdrawal issues, or increased danger during intoxication.

Incorporating harm-reduction options is essential because abstinence may not be feasible right away. By meeting the survivor where they are, you offer practical steps to reduce harm, promote safety, and build trust, rather than imposing punitive demands. Linking to treatment and support services provides a real pathway for care when the survivor is ready, rather than leaving substance use unaddressed. It’s also crucial to consider co-occurring mental health issues, which are common in these crises and can affect both substance use and safety planning; addressing these together creates a more integrated and effective response.

Other approaches fall short because ignoring substance use leaves critical safety and health factors unaddressed; forbidding any use is unrealistic, potentially harmful, and can damage rapport; and assuming that all survivors use substances is a stereotype that ignores individual variation and needs.