Meeting the Needs of Women: Current Treatment Options Available for Women Who Have a History of Physical, Sexual or Emotional Trauma and are Current Substance Users

2017 ◽  
Author(s):  
Jordanne Dalgleish
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Treatment Outcomes ◽  
Treatment Options ◽  
Cost Effective ◽  
Strong Relationship ◽  
Current Treatment ◽  
Treatment Programs ◽  
Service Programs ◽  
Abuse Treatment

There is growing research which describes a strong relationship between early trauma and abuse histories with adult substance abuse. This relationship has often been explained as a coping tool by women who learn to self‐medicate the distress created by abuse. (Eliason, 2006) Although this link has been researched and treatment options explored, counselling services, substance abuse treatment programs and health service programs have only recently come together to address the intersections of past trauma, substance abuse and vulnerability in terms of affecting negative health and treatment outcomes. (Poole & Greaves, 2007) Women with both trauma and substance use issues have had to catalogue their needs and seek separate services, which has often led to incompatible treatment programs. Women who seek out treatment to address issues of sexual trauma may jeopardize their sobriety when strong feelings surface in the counselling process, resulting in a relapse. (Poole & Greaves, 2007) Combining treatments for trauma and substance use may be more effective for clients, and may also be more cost effective in using resources. There is a need for more research to gather additional data and determine the significance and result of treatment outcomes.

Neuropsychological correlates of adolescent substance abuse: Four-year outcomes

1999 ◽  
Vol 5 (6) ◽  
pp. 481-493 ◽  
Author(s):  
SUSAN F. TAPERT ◽  
SANDRA A. BROWN
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Drug Withdrawal ◽  
Neuropsychological Functioning ◽  
Treatment Programs ◽  
Drug Involvement ◽  
Abuse Treatment ◽  
Neuropsychological Impairments ◽  
The Relationship

Alcohol and other drug use are common in youth, but neurocognitive sequelae are unclear. This study examines the relationship between neuropsychological functioning and protracted substance use in adolescence. One hundred fifteen adolescents, ages 13 to 19 years, were recruited from inpatient substance abuse treatment programs and followed for 4 years. Adolescents were administered a comprehensive battery of neuropsychological tests and evaluated on substance use involvement during treatment, and at 6-month, 1-year, 2-year, and 4-year follow-up time points. Protracted substance abuse over the 4 years of follow-up was associated with significantly poorer subsequent functioning on tests of attention. In addition, alcohol and drug withdrawal accounted for significant variance in visuospatial functioning, above and beyond demographic, educational, and health variables in detoxified late adolescents and young adults. Results suggest that alcohol and drug withdrawal may be a more powerful marker of protracted neuropsychological impairments than other indices of youthful alcohol and drug involvement. (JINS, 1999, 5, 481–493.)

scholarly journals Perceptions of Problem Gambling Among Methadone Maintenance Treatment Clients and Counsellors

2018 ◽  
Author(s):  
Megan E Wall ◽  
Cassandra R Durand ◽  
Hana Machover ◽  
Rachel Arnold ◽  
Haley A Miles-McLean ◽  
...  
Keyword(s):  
Substance Use ◽  
Problem Gambling ◽  
Methadone Maintenance Treatment ◽  
Maintenance Treatment ◽  
Methadone Maintenance ◽  
Negative Impact ◽  
Treatment Options ◽  
Current Treatment ◽  
Treatment Programs ◽  
Structured Interviews

Problem gambling is highly prevalent and rarely treated among clients who attend methadone maintenance treatment programs (MMTPs). Compared with those of the general population, rates of gambling disorder have been found to be elevated among individuals receiving methadone maintenance treatment. Our study aims were to (a) develop a clearer understanding of the gambling experience of clients and counsellors at a methadone clinic and (b) gain insight into the current treatment options and obstacles to treatment in the clinic. Semi-structured interviews focusing on gambling issues were conducted with 8 clients and 8 counsellors at an MMTP located in an urban area. Participants were asked questions to gain an understanding about their perspectives on, treatment options for, and treatment barriers to problem gambling in the clinic. Data were coded by 4 investigators by using a constant comparison, open coding approach. The findings revealed important differences between clients and counsellors: Opinions differed on the definition of problem gambling, obstacles to treatment, and optimal treatment settings. Clients and counsellors also agreed on some elements, including the negative impact that problem gambling can have on recovery from substance use. This examination of responses of counsellors and client feedback provides a useful mechanism to better understand problem gambling in MMTPs.  In addition, the findings have important clinical implications, including a need for more effective screening and treatment in MMTPs and to provide substance use counsellors with training related to problem gambling.RésuméLe jeu compulsif est hautement répandu et rarement traité parmi les clients qui suivent un programme de traitement d’entretien à la méthadone. Comparés à ceux de la population en général, les taux de jeu pathologique ont jugé élevés chez les personnes qui suivent un tel traitement. Les objectifs de notre étude étaient de deux ordres : a) mieux comprendre l’expérience de jeu des clients et les connaissances en cette matière des conseillers d’une clinique de traitement à la méthadone, et b) avoir une meilleure compréhension des options de traitement actuelles et des obstacles au traitement en clinique. Des entretiens semi-structurés portant sur les problèmes de jeu ont été menés auprès de 8 clients et de 8 conseillers dans un centre de traitement, situé en zone urbaine. On a posé des questions aux participants pour mieux comprendre leurs points de vue sur les options et les obstacles au traitement contre le jeu problématique à la clinique. Les données ont été codées par quatre chercheurs en utilisant une approche de codification ouverte à comparaison constante. Les résultats ont révélé des différences importantes entre les clients et les conseillers : les opinions divergeaient quant à la définition du jeu problématique, les obstacles au traitement et les paramètres de traitement optimaux. Les clients et les conseillers ont par ailleurs été d’accord sur certains éléments, notamment l’impact négatif que le jeu problématique peut avoir sur le rétablissement d’une consommation abusive. L’examen des réponses des conseillers et des commentaires des clients constitue un mécanisme efficace pour mieux comprendre le jeu problématique dans les programmes de traitement d’entretien à la méthadone. De plus, les résultats ont d’importantes répercussions cliniques, notamment la nécessité d’un dépistage et d’un traitement d’entretien à la méthadone plus efficaces et d’une formation sur le jeu problématique pour les conseillers en toxicomanie. 

Smoking Status and Substance Use Treatment Outcomes Among Spanish Speakers Enrolled in Substance Abuse Treatment

2016 ◽  
Vol 72 (10) ◽  
pp. 1037-1048 ◽  
Author(s):  
Marcel A. de Dios ◽  
Miguel Ángel Cano ◽  
Sarah Childress ◽  
Ellen Vaughan ◽  
Yohanna Cerna ◽  
...  
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Substance Abuse Treatment ◽  
Treatment Outcomes ◽  
Smoking Status ◽  
Spanish Speakers ◽  
Substance Use Treatment ◽  
Abuse Treatment

scholarly journals 2094 Validation of a set of “healthcare trust” scales for women seeking substance abuse treatment in community-based settings

2018 ◽  
Vol 2 (S1) ◽  
pp. 76-77
Author(s):  
Joshua Cockroft ◽  
Deondria Matlock ◽  
Susie Adams
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Substance Abuse Treatment ◽  
Substance Use Disorder ◽  
Target Population ◽  
Treatment Programs ◽  
Community Based ◽  
History Of ◽  
Abuse Treatment ◽  
The Impact

OBJECTIVES/SPECIFIC AIMS: To validate previously published psychometric scales capturing interpersonal or healthcare-related trust in a target population of women with a history of substance use disorder seeking substance abuse treatment in a community-based setting. METHODS/STUDY POPULATION: Participants are enrolled at The Next Door, Inc. (TND) and Renewal House (RH), 2 community agencies in metropolitan Nashville that provide substance abuse treatment and post-incarceration re-entry services for women with a history of substance use disorder. We will enroll 300 participants to provide sufficient power for statistical psychometric validation. Inclusion criteria include adult women with self-identified history of substance use disorder seeking substance abuse treatment within seven days of initiation of inpatient residential or intensive outpatient treatment at TND or RH. Participants complete a one-time online survey comprising a demographics questionnaire, Rotter Interpersonal Trust Scale, Wake Forest Trust in Physician Scale, Revised Health Care System Distrust Scale, 5-item RAND Social Desirability Scale, and Adverse Childhood Events Survey. Participants then individually participate in a modified protocol of the “Trust Game.” Predictor variables for multivariate analysis collected include age, race/ethnicity, gender identification, number of days in current treatment, number of prior substance abuse treatment programs, and number of adverse childhood events. RESULTS/ANTICIPATED RESULTS: Each individual scale will be assessed for item analysis, factor analysis, construct validity, content validity, and reliability and compared with general population sample values published in the literature. We will use multivariate analysis to determine the impact of potential predictor variables on specific types of interpersonal or healthcare-related trust. We anticipate having preliminary results to present in April. DISCUSSION/SIGNIFICANCE OF IMPACT: Women who seek substance abuse treatment in the community face unique challenges compared to their male counterparts, including higher rates of prior interpersonal trauma, co-occurring psychiatric diagnoses, and more serious physical health problems. Characteristics such as these highlight the need for regular healthcare engagement in the setting of an increased risk of decreased interpersonal or healthcare-related trust. Prior qualitative research demonstrates that trust building is seen as an essential component of care in ongoing substance abuse treatment for women in this population. Validation of psychometric healthcare-related trust scales in a population of women seeking substance abuse treatment in a community based setting will provide a framework for future quantitative inquiry into the impact of healthcare-related trust on health outcomes, healthcare engagement, and treatment retention for this target population. Similarly, it will also facilitate inquiry into the effectiveness of specific treatment programs or interventions on improving therapeutic trust building.

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