When considering issues relating to dual diagnosis and motherhood, it is crucial to view them through a gendered lens. Substance use and mental health are often described as wider forms of 'multiple disadvantage', along with domestic and sexual abuse, homelessness, criminal justice involvement and poverty. Research shows us that these issues often intersect: One in every 20 women have experienced extensive physical or sexual violence and abuse across their life course (compared to one in every 100 men); Of these women, more than half have a common mental health condition, one in five have been homeless and one in three have an alcohol problem (Scott and McManus, 2016); Up to 50% of women with a dual diagnosis have experienced sexual abuse (Royal College of Psychiatrists, 2002)As well as gender, other issues such as a woman's race/ethnicity, immigration status, sexuality, socio-economic position and experiences living with disability, all impact experiences of multiple disadvantage (AVA and Agenda, 2018). In addition, many women experiencing multiple disadvantage will be mothers, and will have had varying experiences of children's social care involvement.
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