**Mary Motz 1, Naomi C. Z. Andrews 2,\*, Bianca C. Bondi 3, Margaret Leslie <sup>1</sup> and Debra J. Pepler <sup>3</sup>**


Received: 27 September 2019; Accepted: 26 October 2019; Published: 30 October 2019

**Abstract:** From a developmental–relational framework, substance use in women can be understood as relating to early experiences of violence in relationships and across development. This article uses a developmental-relational approach to outline specific strategies that can be used by service providers and to guide interventions for women with substance use issues. By reviewing research and clinical work with women attending a community-based prevention and early intervention program, we describe how specific components of programming can target the developmental and intergenerational pathway between experiences of violence in relationships and substance use. We include the voices of women who attended the program to support the strategies discussed. Specifically, these strategies address the impact of interpersonal violence on substance use by promoting the process of repair and reintegration for women whose neurological development, sense of self, and capacity to form relationships have been significantly impacted by experiences of violence in relationships.

**Keywords:** interpersonal violence; domestic violence; substance use; intervention; women; developmental–relational; gender-specific approach
