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Helping Substance-Abusing Women of Vulnerable Populations : effective treatment principles and strategies
Current research suggests that biology, psychology, culture, and social standing all contribute to alcohol and other drug (AOD) problems in women, yet few books show how to account for these factors during evaluation and treatment. Especially in terms of vulnerable populations, acknowledging these influences proves crucial to effective assessment and help.
Drawing on extensive empirical research, this volume provides the necessary concepts, tools, and techniques for culturally and socially inclusive practice with vulnerable female populations. After a brief history of substance abuse among women in the United States, along with an overview of previous epidemiological study, An-Pyng Sun systematically describes the characteristics and nature of AOD problems among pregnant women, teenage girls, older women, street-walking prostitutes, homeless women, and lesbians. Clearly and concisely, she presents the theories that explain women's AOD problems, along with their related risk factors, and recommends effective treatment guidelines and strategies that speak directly to the needs of individual clients.
Vulnerable women are more likely to develop substance abuse problems than other women, and their consequences tend to be more severe. This volume organizes complex data into a practical framework so practitioners can successfully respond to this special population. It supplies a long-overdue, comprehensive, and comprehensible knowledge base for screening, assessment, and care.
eBook
I Know What Im Doing: Experiences of Women who Use Methamphetamine
Women drug users have been in the focus of social science research for several decades. Quite a lot has been written about their specific situation, especially concerning their unequal gender position, higher stigmatization, or harder access to treatment or social services. On the other hand, not much attention has been given to their strategies of resistance, or dealing with problems they encounter in their everyday lives. In this book, the author provides a different view on their living situations. Through the narrative analysis of qualitative interviews and focus groups with seven women who have experience with long-term methamphetamine use, the author explores not only the challenges that they face, but also the strengths and agency they use to influence and take control of their lives, and negotiate their needs and interests with the world around them.
eBook
Women and addiction : a comprehensive handbook
For many years, addiction research focused almost exclusively on men. Yet scientific awareness of sex and gender differences in substance use disorders has grown tremendously in recent decades. This volume brings together leading authorities to review the state of the science and identify key directions for research and clinical practice. Concise, focused chapters illuminate how biological and psychosocial factors influence the etiology and epidemiology of substance use disorders in women; their clinical presentation, course, and psychiatric comorbidities; treatment access; and treatment effectiveness. Prevalent substances of abuse are examined, as are issues facing special populations.
eBook
“So what if I use tobacco or alcohol? It won’t hurt me!” How women perceive substance use: insights from a community study in India
To explore the subjective perceptions of women from rural and urban communities in Bangalore, India, regarding their perspectives about addictive substance use (ASU), and the interventions/support they need to quit use. Based on the data collected, the goal of this study was to develop an intervention that would address the women’s needs. Mixed methods were used as follows: (a) door-to-door survey of women (N = 2044) regarding their use of addictive substances, and (b) focus group discussions with the women to explore their perceptions. Interviews were transcribed verbatim, themes and sub-themes identified. More than one-third (32.7%) reported past 3-month ASU, with majority reporting smokeless tobacco products (82.6%). Alcohol use was reported by 17.4%. Four major themes (with sub-themes) were identified from the focus group discussions: (1) Patterns of use (oral tobacco products-kaddipudi, thambaku; alcohol), (2) Reasons for use (to relieve stress and forget problems, tobacco use as a way of life, for postnatal benefits, due to easy availability, to reduce fatigue and pain, indigestion, hunger), (3) Low risk perception related to ASU (“We know how to use tobacco safely”, “No real harm from tobacco”), and (4) Issues related to quitting ASU and help-seeking (unwillingness to quit, methods of intervention- “videos, or tablets/injections to help us quit ASU”). The findings highlight challenges involved in the development of effective interventions for women. Additionally, there is a clear need for broader community agencies to address psychological, cultural, and social dimensions.
Journal Article
Counseling addicted women : a practical guide
The result of the combined efforts of staff at a substance abuse treatment center, this book provides practical, hands-on guidance for working with addicted women. With staff and client training exercises at the end of each chapter, this comprehensive guide places particular emphasis on the women and their special needs and concerns. Special issues and populations addressed include: pregnancy and substance abuse; designing treatment programs; homeless women; and substance abuse in the workplace.
eBook
Treating Women with Substance Use Disorders
Filling a crucial need, this manual presents the Women's Recovery Group (WRG), an empirically supported treatment approach that emphasizes self-care and developing skills for relapse prevention and recovery. Grounded in cognitive-behavioral therapy, the WRG is designed for a broad population of women with alcohol and drug use disorders, regardless of their specific substance of abuse, age, or co-occurring disorders. Step-by-step intervention guidelines are accompanied by 80 reproducible clinical tools, including participant handouts, session outlines, bulletin board materials, and more. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials.
eBook
Need for and Receipt of Substance Use Disorder Treatment Among Adults, by Gender, in the United States
Objectives
Disparities in substance use disorder (SUD) treatment use persist across groups, including gender. Using a gender-informed approach to expand treatment capacity and reduce barriers to treatment engagement is vital. We examined SUD treatment need and receipt among people with SUD in the United States, by gender, and assessed gender-specific sociodemographic factors associated with unmet need for SUD treatment and reported treatment barriers.
Methods
We conducted an analysis of data among adults aged ≥18 with a past-year SUD from the National Survey on Drug Use and Health (2015-2018). We computed population-adjusted frequencies and proportions for SUD treatment need and receipt and assessed gender differences. Multivariate logistic regression assessed gender-specific sociodemographic variables associated with SUD treatment receipt.
Results
Among adults with a past-year SUD, 63.4% were men and 36.6% were women (P < .001), only 10.6% received SUD treatment, and a greater percentage of women than men needed treatment for opioid use disorder (11.9% vs 9.9%; P = .002). Receipt of SUD treatment was lowest among women with alcohol use disorder followed by men with alcohol use disorder (7.5% vs 8.9%; P = .052). Non-Latinx Black men had fewer than half the adjusted odds of receiving SUD treatment than non-Latinx White men (adjusted odds ratio [aOR] = 0.44; 95% CI, 0.27-0.71). Latinx women (aOR = 0.37; 95% CI, 0.18-0.73) and non-Latinx Black women (aOR = 0.51; 95% CI, 0.27-0.94) had significantly lower odds of receiving SUD treatment than non-Latinx White women.
Conclusions
As public health efforts target expanding SUD treatment capacity and addressing disparities in use of SUD treatment, interventions informed by gender and culture should be prioritized.
Journal Article
Secrecy Versus Disclosure: Women with Substance Use Disorders Share Experiences in Help Seeking During Pregnancy
ObjectivesSubstance misuse during pregnancy can be harmful to the health of both mothers and infants. Existing recovery services or prenatal care for pregnant women with substance use disorders (SUD) in the U.S. and other countries typically fall short in providing the necessary specialized care women with SUDs need. Disclosure of substance misuse is one key factor in gaining access to specialized prenatal care; yet, barriers such as social stigma and internal shame and guilt lead many women to under-report any substance misuse during their pregnancy. This study sought to understand the process of how and why pregnant women with SUDs choose to disclose or not disclose their substance misuse to their providers when seeking prenatal care.MethodsData were collected through interviews with N = 21 women with SUDs in the northeast U.S. whose young children had been exposed to opioids, cocaine, or MAT in utero. Thematic, inductive analysis using line-by-line coding was conducted to understand the perspectives of the women.ResultsThe women’s narratives suggested a clear tension regarding whether to disclose their substance misuse to any providers during their pregnancy. Four themes describing the process of disclosure or non-disclosure were found, including reasons for and ways of being secret or choosing to disclose their substance misuse during pregnancy.Conclusions for PracticeThe centrality of shame, guilt, and stigma regarding substance misuse must be addressed by medical and mental health providers in order to increase disclosure and improve access to care for women with SUDs.
Journal Article