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This chapter also discusses the role of the refuge workers, the approach they took to their work and their needs for support to enable then to work effectively with women in a stressed and pressurized environment.

  • I don't think the sentence-modifier reading makes sense ('[discussing] the approach they took to their work' doesn't seem all that connected to 'enabl[ing] the[m] to work effectively with women' though I suppose one learns from one's mistakes), but this is inherently ambiguous. So 'support geared towards enabling ...'. – Edwin Ashworth Jun 5 at 11:19
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It refers only to support. The sentence wouldn't make sense otherwise, i.e., it wouldn't make sense if "to enable them …" also modified "the role of refuge workers" and "the approach they took to their work".

I might reword the sentence as follows: "This chapter also discusses the role of the refuge workers, the approach they took (take?) to their work and the support they need (needed?) to work effectively with women in a stressed and pressurized environment."

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