Domestic violence survivors' empowerment and mental health: Exploring the role of the alliance with advocates.

Over the last 4 decades, domestic violence (DV) programs-both residential and nonresidential-have sprung up in communities across the country with the aim of helping survivors become safe. These programs place strong emphasis on the relationship between the advocate and survivor as critical to becoming safer and healing from the trauma of abuse. Yet little research has demonstrated the extent to which specific aspects of the advocate-survivor alliance are related to specific indicators of survivor well-being, nor shown what factors might mediate that relationship. This study explored in a sample of help-seeking survivors (N = 370) whether the strength of the alliance between survivors and their advocates is related to lower symptoms of depression and posttraumatic stress disorder (PTSD) and whether this association is mediated by survivors' sense of empowerment in the domain of safety. The structural equation model we tested also controlled for variables that might influence these relationships, including race/ethnicity, financial strain, and length of stay in the program. As expected, stronger alliance was associated with reduced symptoms of both depression and PTSD, through the mechanism of empowerment in the domain safety. These findings provide direction to programs seeking to establish a theory of change and point the way toward longitudinal research on the nature and function of the alliance as a potential contributor to healing. (PsycINFO Database Record (c) 2016 APA, all rights reserved).