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Similarities Between Substance Abuse and Domestic Violence Substance Abuse Domestic Violence Isolation of the family Isolation of the family Shame Shame Impacts mental, emotional, physical, sexual, financial aspects of one’s life Impacts mental, emotional, physical, sexual, financial aspects of one’s life Negatively impacts user’s self-esteem Negatively impacts both victim’s and perpetrator’s self-esteem Often intergenerational Often intergenerational Denial and minimization of the problem are common Denial and minimization of the problem are common Use of substances is progressive - use becomes more frequent Use of violence is progressive - use becomes more frequent and/or more violent Relapse - returns to active use Relapse - returns to abusive relationship Can result in fatality without intervention Can result in fatality without intervention Requires interface with legal, medical, and criminal justice systems Requires interface with legal, medical, and criminal justice systems Must address stigma, myths, and misinformation Must address stigma, myths, and misinformation Staff must be experienced in working with clients in a crisis situation Staff must be experienced in working with clients in a crisis situation High community expectations with limited resources available to help clients. High community expectations with limited resources available to help clients.