Understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment. This understanding begins during the screening and assessment process, which helps match the client with appropriate treatment services.
Full Answer
What is substance abuse treatment addressing the specific needs of women?
The primary goal of this TIP, Substance Abuse Treatment: Addressing the Specific Needs of Women, is to assist substance abuse treatment providers in offering effective, up-to-date treatment to adult women with substance use disorders. This TIP reviews gender-specific research and best practices begi …
What should women expect when entering substance abuse treatment programs?
In particular, women entering substance abuse treatment programs should be referred for mental health, medical, and dental examinations.
How can we improve access to substance abuse treatment for women?
Addressing heightened need among women for vital ancillary services such as childcare, perinatal treatment, and family services could enhance access to substance abuse treatment for many women. Evidence demonstrates that gender is not necessarily a significant predictor of retention, completion, or outcome once an individual begins treatment.
Which women have the fastest progression to substance abuse treatment?
Opioid-, cannabis- and alcohol-dependent women show more rapid progression to substance abuse treatment. Drug Alcohol Depend. 2004;74:265–272. [PubMed] [Google Scholar]
What is a good treatment plan for substance abuse?
Planning Long-Term Care Attending regular 12-step meetings or support groups. Continuing therapy sessions with a counselor. Taking prescription medications, including medication-assisted treatment for opioid and alcohol use disorders.
What is the most effective treatment for addiction?
According to American Addiction Centers, Cognitive Behavioral Therapy (CBT) is a valuable treatment tool because it can be used for many different types of addiction including, but not limited to, food addiction, alcohol addiction, and prescription drug addiction.
What are the unique needs of women with substance use disorders?
Other factors unique to women that can influence the treatment process include issues around how they come into treatment (as women are more likely than men to seek the assistance of a general or mental health practitioner), financial independence, and pregnancy and child care. NIDA.
What are the most successful methods for intervention?
Some of the most effective ones include:The Systemic Family Model of Intervention. ... The Love First Approach to Intervention. ... The Confrontational Model of Intervention. ... Tough Love. ... Crisis Intervention. ... The Johnson Model of Intervention. ... ARISE Intervention. ... CRAFT Intervention.
What makes an effective treatment?
3. Effective Treatment Attends to Multiple Needs of the Individual, not just his or her drug use: To be effective, treatment must address the individual's drug use and any associated medical, psychological, social, vocational, and legal problems.
What are principles of effective treatment?
To be effective, treatment must address the individual's drug abuse and any associated medical, psychological, social, vocational, and legal problems. It is also important that treatment be appropriate to the individual's age, gender, ethnicity, and culture.
How does gender influence drug effectiveness?
Pharmacodynamic differences in women include greater sensitivity to and enhanced effectiveness of beta blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics. Additionally, women are 50 to 75 percent more likely than men to experience an adverse drug reaction.
What types of barriers do women face in long-term recovery?
The Potential Barriers for Women to Achieve and Maintain Long-term RecoverySTIGMA. Traditionally, women have been viewed as the gatekeepers and caregivers of families, playing the pivotal role for their family to live their lives well. ... MOTHERHOOD. ... GENDER INEQUALITIES. ... BIOLOGY. ... TRAUMA. ... CO-OCCURRING DISORDERS. ... TABOR GROUP.
What does it mean to be a woman in recovery?
Women in Recovery (WIR) is an intensive outpatient alternative for eligible women facing long prison sentences for non-violent drug-related offenses.
How do you create an effective intervention?
An intervention usually includes the following steps:Make a plan. A family member or friend proposes an intervention and forms a planning group. ... Gather information. ... Form the intervention team. ... Decide on specific consequences. ... Make notes on what to say. ... Hold the intervention meeting. ... Follow up.
What are intervention strategies?
Intervention strategies means a plan for staff action that outlines methods, techniques, cues, programs, or tasks that enable the child to successfully complete a specific goal.
What are the priority nursing interventions for substance abuse?
Nursing interventions for a client with substance abuse include:Providing health teaching for client and family. Clients and family members need facts about the substance, its effects, and recovery.Addressing family issues. ... Promoting coping skills.
What are the characteristics of women in AUD treatment?
Such distinctions among women include younger age, more severe alcohol and drug use histories, less education, lower income, higher unemployment, more housing needs, more children living at home, and higher parental stress. 6 In terms of substance misuse, rates differ among subgroups. For example, non-Hispanic White and American Indian/Alaska Native women are more likely than women of other racial/ethnic groups to identify alcohol as their primary substance of use when entering treatment for SUD. 7 Among pregnant women entering treatment for SUD, approximately 18% identified alcohol as their primary substance of use. 7 In a study of women veterans with SUD, researchers found that entry into and engagement with treatment were associated with having a co-occurring psychological disorder and receiving services at facilities offering women’s treatment. 8
Why do women prefer single gender treatment?
Single-gender treatment services seem appealing because they have the potential to provide an environment in which women may feel more comfortable sharing emotional and personal information. For instance, it is possible that among women who have a history of trauma or abuse from men, single-gender treatment might be preferable because of the possibility that participation in a mixed-gender program could trigger trauma-related symptoms. In addition, given the broader literature on the relative interactional dominance of men in mixed-gender groups, women may have more opportunities to participate when in women-only groups. 38 However, research on women’s treatment preferences yields a more nuanced picture. Although some research suggests that women prefer women-only groups, 23 a narrative analysis of interviews with women with a range of SUD treatment experiences found that the women reported concerns and anxiety about being in women-only treatment because of their own history of dysfunctional relationships with women and their greater comfort in being with men. 39 However, women in the study reported positive experiences once they entered women-only services.
What are the barriers to alcohol use disorder?
Women with alcohol use disorder (AUD) experience more barriers to AUD treatment and are less likely to access treatment than men with AUD. A literature review identified several barriers to women seeking help: low perception of a need for treatment; guilt and shame; co-occurring disorders; employment, economic, and health insurance disparities; childcare responsibilities; and fear of child protective services. Women entering treatment present with more severe AUD and more complex psychological, social, and service needs than men. Treatment program elements that may reduce barriers to AUD treatment include provision of childcare, prenatal care, treatment for co-occurring psychological problems, and supplemental social services. Research has suggested that outcomes for women are best when treatment is provided in women-only programs that include female-specific content. To date, research on treatments tailored to the individual needs of women is limited, but research on mechanisms of change has suggested the importance of targeting anxiety and depression, affiliative statements in treatment, abstinence self-efficacy, coping skills, autonomy, and social support for abstinence. Future research should focus on early interventions, linkages between primary care or mental health clinics and AUD treatment settings, and integrated treatments for co-occurring AUD and other disorders. Further research should also explore novel treatment delivery approaches such as digital platforms and peer support groups.
How many women have AUD?
Historically, women with alcohol use disorder (AUD) have been an underserved population. In the United States, more than 5 million adult women, or 4.2% of the adult female population, meet criteria for current AUD. 1 Although this percentage is half that of adult men (8.4%), among adolescents, more females than males meet criteria for current AUD (2.7% vs. 2.3%), 1 and recent research has suggested that the gender gap in alcohol use and alcohol-related harm is narrowing. 2 Heterogeneity in rates of AUD is found among different racial/ethnic groups, with higher rates among Black and Hispanic women than among White women, 3 and rates of AUD among gender minority women also are higher than among heterosexual women. 4
What are the topics covered in the treatment module?
Treatment modules include topics hypothesized to be essential to women’s recovery: a focus on self and the integration of roles with feelings, thoughts, and attitudes; healthy interpersonal relationships; sexuality; and spirituality.
Is there a peer support group for women?
Female-specific, coping-skills-based, peer support groups are not widely available. The evidence base for women’s Alcoholics Anonymous meetings needs to be established. In addition, the recent positive development of a recovery coach industry may help with in vivo social support especially for women, but research is necessary to establish an evidence base.
Is integrated treatment for PTSD better than stand alone treatment?
Overall, it remains unclear whether integrated treatments for PTSD and AUD/SUD in women are superior to stand-alone SUD treatments.
Why is understanding the extent and nature of a woman's substance use disorder and its interaction with other life areas important
Understanding the extent and nature of a woman’s substance use disorder and its interaction with other life areas is essential for careful diagnosis, appropriate case management, and successful treatment.
What should providers use to ensure that important information is obtained?
To ensure that important information is obtained, providers should use standardized screening and assessment instruments and interview protocols, some of which have been studied for their sensitivity, validity, and accuracy in identifying problems with women.
What is a substance use disorder?
Substance use disorders (SUDs) represent a serious public health problem in the United States. Recent attention has focused most on opioid use, including heroin use and prescription opioid misuse, with the attendant high rates of opioid-related overdoses.
How many people used heroin in 2015?
In 2015, approximately 0.3 million Americans aged 12 years and older reported past-month heroin use, and about 828,000 people reported past-year use. [ 1] . The 2015 NSDUH, however, revealed a dramatic reduction in the rate of new heroin users aged 12 years or older.
What is the medication used to treat OUD and alcohol use disorder?
Naltrexone. Naltrexone is a medication used to treat OUD and alcohol use disorder and is available in oral and injectable forms. Non-medical drug use. The taking of prescription drugs, whether obtained by prescription or otherwise, other than in the manner, for the reasons, or in the time period prescribed.