A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders

Johnstone, Samantha; Cruz, Gil Angela Dela; Kalb, Natalie; Tyagi, Smita Vir; Potenza, Marc N.; George, Tony P.; Castle, David

doi:10.1080/00952990.2022.2130348

Cited by 14 publications

(5 citation statements)

References 58 publications

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“…The service-level barriers to PAU treatment accessibility found in this review generally aligned with barriers identified in other recent systematic, scoping, and narrative reviews of the general SUD literature (153)(154)(155)(156)(157)(158)(159)(160), some of which have focused on specific subgroups related to female sex or gender (154,156,157,159) or specific treatment attributes (e.g., treatment goal (160), telehealth mode of delivery ( 153)).…”

Section: Contextualizing Findings With Other Reviewssupporting

confidence: 64%

“…Many sex-related barriers found in our review were amplified in a scoping review of studies of female veterans for whom mental healthcare in the predominantly male military environment was perceived as unwelcoming and insensitive, necessitating a sex-specific approach (157). Integrated genderresponsive approaches have also been advocated for women with SUD and concurrent mental health disorders to overcome many of the difficulties to treatment engagement faced by this very vulnerable group (159). Two recent reviews reported barriers to treatment accessibility resulting from specific treatment attributes: non-abstinence approaches (160) and a telehealth delivery model (153).…”

Section: Contextualizing Findings With Other Reviewsmentioning

confidence: 99%

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Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review

Wolfe,

Hutton,

Corace

et al. 2023

Front. Public Health

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IntroductionServices to treat problematic alcohol use (PAU) should be highly accessible to optimize treatment engagement. We conducted a scoping review to map characteristics of services for the treatment of PAU that have been reported in the literature to be barriers to or facilitators of access to treatment from the perspective of individuals with PAU.MethodsA protocol was developed a priori, registered, and published. We searched MEDLINE®, Embase, the Cochrane Library, and additional grey literature sources from 2010 to April 2022 to identify primary qualitative research and surveys of adults with current or past PAU requiring treatment that were designed to identify modifiable characteristics of PAU treatment services (including psychosocial and pharmacologic interventions) that were perceived to be barriers to or facilitators of access to treatment. Studies of concurrent PAU and other substance use disorders were excluded. Study selection was performed by multiple review team members. Emergent barriers were coded and mapped to the accessibility dimensions of the Levesque framework of healthcare access, then descriptively summarized.ResultsOne-hundred-and-nine included studies reported an extensive array of unique service-level barriers that could act alone or together to prevent treatment accessibility. These included but were not limited to lack of an obvious entry point, complexity of the care pathway, high financial cost, unacceptably long wait times, lack of geographically accessible treatment, inconvenient appointment hours, poor cultural/demographic sensitivity, lack of anonymity/privacy, lack of services to treat concurrent PAU and mental health problems.DiscussionBarriers generally aligned with recent reviews of the substance use disorder literature. Ranking of barriers may be explored in a future discrete choice experiment of PAU service users. The rich qualitative findings of this review may support the design of new or modification of existing services for people with PAU to improve accessibility.Systematic Review RegistrationOpen Science Framework doi: 10.17605/OSF.IO/S849R.

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Section: Contextualizing Findings With Other Reviewssupporting

confidence: 64%

Section: Contextualizing Findings With Other Reviewsmentioning

confidence: 99%

Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review

Wolfe,

Hutton,

Corace

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

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“…128,129 Seeking Safety has been used as an enhancement to prison-based SUD treatment and shown to reduce symptoms of PTSD and other mental health issues among women with SUD over time. 43,128,[130][131][132][133][134] While outcomes of studies implementing Seeking Safety have been promising, additional research is needed specifically in conjunction with SUD treatment for women to further verify effectiveness. Other examples of interventions using cognitive behavioral approaches in the co-treatment of SUD and violence include Helping Women Recover 135 and Beyond Trauma.…”

Section: Sud Treatment and Interventionsmentioning

confidence: 99%

Identifying and Treating Incarcerated Women Experiencing Substance Use Disorders: A Review

Staton,

Tillson,

Levi

et al. 2023

SAR

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While research on substance use disorder (SUD) treatment among justice-involved populations has grown in recent years, the majority of corrections-based SUD studies have predominantly included incarcerated men or men on community supervision. This review 1) highlights special considerations for incarcerated women that may serve as facilitating factors or barriers to SUD treatment; 2) describes selected evidence-based practices for women along the cascade of care for SUD including screening and assessment, treatment and intervention strategies, and referral to services during community re-entry; and 3) discusses conclusions and implications for SUD treatment for incarcerated women.

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“…Examining 11 recent studies, the findings suggested ML as a promising tool. A lack of studies evaluating substance use treatments in women with severe mental illness who differ in their needs and capacity has been noted [16], there are opportunities to explore the potential application to research in this field of Automated Machine Learning (AutoML) interfaces.…”

Section: Introductionmentioning

confidence: 99%

Predicting Co-Occurring Mental Health and Substance Use Disorders in Women: An Automated Machine Learning Approach

Acharya,

Kar,

Ally

et al. 2024

Applied Sciences

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Significant clinical overlap exists between mental health and substance use disorders, especially among women. The purpose of this research is to leverage an AutoML (Automated Machine Learning) interface to predict and distinguish co-occurring mental health (MH) and substance use disorders (SUD) among women. By employing various modeling algorithms for binary classification, including Random Forest, Gradient Boosted Trees, XGBoost, Extra Trees, SGD, Deep Neural Network, Single-Layer Perceptron, K Nearest Neighbors (grid), and a super learning model (constructed by combining the predictions of a Random Forest model and an XGBoost model), the research aims to provide healthcare practitioners with a powerful tool for earlier identification, intervention, and personalised support for women at risk. The present research presents a machine learning (ML) methodology for more accurately predicting the co-occurrence of mental health (MH) and substance use disorders (SUD) in women, utilising the Treatment Episode Data Set Admissions (TEDS-A) from the year 2020 (n = 497,175). A super learning model was constructed by combining the predictions of a Random Forest model and an XGBoost model. The model demonstrated promising predictive performance in predicting co-occurring MH and SUD in women with an AUC = 0.817, Accuracy = 0.751, Precision = 0.743, Recall = 0.926 and F1 Score = 0.825. The use of accurate prediction models can substantially facilitate the prompt identification and implementation of intervention strategies.

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A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders

Cited by 14 publications

References 58 publications

Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review

Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review

Identifying and Treating Incarcerated Women Experiencing Substance Use Disorders: A Review

Predicting Co-Occurring Mental Health and Substance Use Disorders in Women: An Automated Machine Learning Approach

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