“…One way of explaining gender disparities in health outcomes and healthcare utilization rates among community supervised populations is through the lens of cumulative disadvantage. Women on community supervision experience multiple levels of adverse circumstances and opportunity gaps that coalesce into significant, cumulative social disadvantages relative to men (Bohmert & DeMaris, 2018 ), such as having significantly greater risk of experiencing intimate partner violence, having co-occurring mental health disorders, being unable to find employment, and having a history of trauma (Salem, Nyamathi, Idemundia, Slaughter, & Ames, 2013 ). Programs for women with co-occurring trauma and substance use disorders, such as integrated cognitive behavioral therapy programs implemented within carceral facilities (Zlotnick, Najavits, Rohsenow, & Johnson, 2003 ) and community settings (Hien et al, 2020 ), address the complex traumas experienced by justice-involved women with substance use disorders.…”