At a Crossroads

Salem, Benissa E.; Nyamathi, Adeline; Idemundia, Faith; Slaughter, Regina; Ames, Masha

doi:10.1097/jfn.0b013e31827a1e9d

Cited by 44 publications

(33 citation statements)

References 41 publications

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“…Our previous, qualitative research (Nyamathi et al, 2016; Salem, Nyamathi, Idemundia, et al, 2013) and extensive community-based work have informed the development of the DBT-CM intervention and engaged collaboration between CHWs and nurses during reentry to help homeless female offenders more successfully transition into the community.…”

Section: Discussionmentioning

confidence: 99%

“…Among women, recidivism associated with drug-related violations is greater than those of male offenders (32% vs. 21%) (Leukefeld et al, 2009). Few gender-sensitive programs address drug and alcohol use and recidivism behaviors (Salem, Nyamathi, Idemundia, Slaughter, & Ames, 2013), which necessitates obtaining information about how to effectively address the unique needs of the homeless female exoffender following release.…”

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confidence: 99%

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Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women

et al. 2017

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Background Homeless female exoffenders (homeless female offenders) exiting jail and prison are at a critical juncture during re-entry and transitioning into the community setting. Objective The purpose of the study was to compare the effect of a dialectical behavioral therapy-corrections modified (DBT-CM) program with a health promotion (HP) program on achieving drug and alcohol abstinence among female parolees/probationers residing in the community. Methods We conducted a multicenter parallel randomized controlled trial with 130 female parolees/probationers (aged 19–64) residing in the community randomly assigned to either DBT-CM (n = 65) or HP (n = 65). The trial was conducted in four community-based partner sites in Los Angeles (LA) and Pomona, California from February, 2015 to November, 2016. Treatment assignment was carried out using a computer-based URN randomization program. The primary outcome was drug and alcohol use abstinence at six-month follow up. Results Analysis was based on data from 116 participants with complete outcome data. Multivariable logistic regression revealed that the DBT-CM program remained an independent positive predictor of decrease in drug use among the DBT-CM participants at six months (p = .01) as compared with the HP program participants. Being non-White (p < .05) and having higher depressive symptom scores (p < .05) were associated with lower odds of drug use abstinence (i.e., increased the odds of drug use) at six months. Discussion DBT-CM increased drug and alcohol abstinence at six month follow-up, compared to a health promotion program.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women

et al. 2017

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“…During the reentry period, many women faced challenges seeking employment due to a history of incarceration. Previous research have also validated the desire for women to be employed (Salem et al, 2013); however, employment opportunities were limited for those with a history of incarceration. For some women, lack of adequate financial resources resulted in relapse due to the need for “quick money.” Future research necessitates connecting formerly incarcerated women with a network of providers which can provide opportunities for long term employment and continued training.…”

Section: Discussionmentioning

confidence: 99%

“…As the male parolee study was being implemented, female residents of the RDT questioned why they were not able to participate in the male study. Focus group sessions with several female residents in a RDT program (Salem, Nyamathi, Idemundia, Slaughter, & Ames, 2013) led the way to on-going discussions with the administrative community at the RDT about the design of a Female Ex-Offender study.…”

Section: Methodsmentioning

confidence: 99%

Female Ex-Offender Perspectives on Drug Initiation, Relapse, and Desire to Remain Drug Free

Nyamathi

Srivastava

Salem

et al. 2016

Journal of Forensic Nursing

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Recently-released homeless women residing in temporary residential drug treatment programs are at a critical juncture in the process of recovery, transition and reentry. The purpose of this study was to explore factors influencing initial use of drugs and relapse triggers among a sample of incarcerated women exiting jails and prisons, and who are residing in a residential drug treatment (RDT) program and preparing for reentry into their communities. Among this population, relapse to drug use and recidivism are common. A qualitative study was conducted utilizing focus groups to understand the perspectives of formerly incarcerated, currently homeless women residing in a RDT program. Content analysis generated the development of three broad categories: a) factors associated with first drug use; b) factors involved in relapse; c) factors influencing desire to remain drug free. A discussion follows highlighting the importance of targeted interventions at RDT sites that integrate physical, psychological and social needs to optimize reentry into communities. This would include a focus on building self-esteem, life skills, and providing access to resources such as housing, employment, and healthcare.

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“…Traditional health care barriers for homeless populations may include lack of transportation and long wait times (Salem, Nyamathi, Idemundia, Slaughter, & Ames, 2013), along with being uninsured; in fact, 59.5% of a homeless population did not have health insurance coverage (Baggett et al, 2010). In one study of MSM, the majority reported received care from a physician (59%) and community/public health clinic (20%) and 22% reported not having any health insurance coverage (Kipke et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Unmet Physical and Mental Healthcare Needs Among Stimulant-using Gay and Bisexual Homeless Men

Salem

Nyamathi

Reback

et al. 2015

Issues in Mental Health Nursing

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Purpose Homeless gay and bisexual (G/B) men evidence unmet physical and mental healthcare needs. To gain a greater understanding of predictors of unmet physical and mental healthcare needs, the purpose of this cross-sectional study was to understand correlates of baseline self-reported unmet physical and mental healthcare needs among stimulant-using homeless G/B men (N=422, 18-46 years of age). Methods A structured questionnaire was administered at baseline; data were collected from October 2009 to January 2013. The study was approved by the University of California Human Subjects' Protection committee and the Friends Research Institute Human Research Protection Committee. Results Logistic regression revealed that those who self-reported ever being married, being in fair or poor health and in moderate-to-very severe pain were more likely to experience unmet need for physical healthcare. Those who self-reported ever being married, being in fair or poor health and in moderate-to-very severe pain were more likely to experience unmet need for physical healthcare. In terms of unmet mental health needs, those who self-reported moderate-to-very severe pain and/or those reporting having sex while high were more likely to report unmet need for mental healthcare. In contrast, those reporting receiving social support from others were less likely to have an unmet mental healthcare need. Conclusions Research implications will be discussed as they relate to access to physical and/or mental healthcare needs among this vulnerable population.

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At a Crossroads

Cited by 44 publications

References 41 publications

Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women

Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women

Female Ex-Offender Perspectives on Drug Initiation, Relapse, and Desire to Remain Drug Free

Unmet Physical and Mental Healthcare Needs Among Stimulant-using Gay and Bisexual Homeless Men

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