Although incarcerated women are a highly victimized population, therapy for sexual violence victimization (SVV) sequela is not routinely offered in prison. SHARE is a group therapy for SVV survivors that was successfully implemented and sustained in a women’s correction center. Here, we aimed to identify implementation factors and strategies that led to SHARE’s success and describe incarcerated women’s perspectives on the program. We conducted a retrospective process evaluation using interviews structured according to EPIS, a well‐established implementation science framework. Participants (N = 22) were incarcerated women, members of the SHARE treatment team, and members of the correction center’s leadership, therapeutic team, and volunteer program. Factors that facilitated SHARE implementation varied by EPIS phase and organization. Positive inter‐organizational and interpersonal relationships were key across phases, as were the synergies between both the strengths and needs of each organization involved in implementation. Incarcerated women reported a strong need for SHARE and did not report any concerns about receiving trauma therapy in a carceral setting. Therapy for SVV sequelae, including exposure‐based therapy, is possible to implement and sustain in carceral settings. Community–academic partnerships may be a particularly feasible way to expand access to SVV therapy for incarcerated women.

中文翻译：

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实施和维持 SHARE：针对被监禁的性暴力女性幸存者的基于暴露的心理治疗小组


尽管被监禁的女性是一个高度受害的群体，但监狱中并不常规提供针对性暴力受害（SVV）后遗症的治疗。 SHARE 是一种针对 SVV 幸存者的团体疗法，已在妇女惩教中心成功实施和维持。在这里，我们的目的是确定导致 SHARE 成功的实施因素和策略，并描述被监禁妇女对该计划的看法。我们使用根据 EPIS（一个完善的实施科学框架）构建的访谈进行了回顾性过程评估。参与者（ N = 22）是被监禁的女性、SHARE 治疗团队的成员以及惩教中心领导层、治疗团队和志愿者项目的成员。促进 SHARE 实施的因素因 EPIS 阶段和组织而异。积极的组织间和人际关系是各个阶段的关键，参与实施的每个组织的优势和需求之间的协同作用也是如此。被监禁的妇女报告了对“分享”的强烈需求，并且没有报告对在监狱环境中接受创伤治疗有任何担忧。 SVV 后遗症的治疗，包括基于暴露的治疗，可以在监狱环境中实施和维持。社区-学术伙伴关系可能是扩大被监禁妇女获得 SVV 治疗机会的特别可行的方法。