Culturally Appropriate Substance Abuse Treatment for Parenting African American Women

Lewis, Lena A.

doi:10.1080/01612840490443437

Cited by 13 publications

(32 citation statements)

References 26 publications

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“…Client perceptions that therapists are untrustworthy (Terrell & Terrell, 1984), lack relevant cultural knowledge (Lewis, 2004), and are unable or unwilling to connect (Palmer et al, 2009) weaken the therapeutic relationship and have been identified as obstacles to clients staying in treatment (Bass & Jackson, 1997;Comas-Diaz & Greene, 1994;Sanchez-Hucles, 2001). This is significant because a favorable therapeutic relationship is signifi cantly associated with increased treatment retention (Florentine & Hillhouse, 1999;Hawke, Hennen, & Gallione, 2005;Martin, Garske, & Davis, 2000;Palmer et al, 2009).…”

Section: Treatment Retention and Working Alliancementioning

confidence: 98%

Therapist effects, working alliance, and African American women substance users.

Davis¹,

Ancis²,

Ashby³

2015

Cultural Diversity & Ethnic Minority Psychology

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African American (AfA) women with substance use disorders experience low rates of treatment retention compared to other groups of substance abusers. This is problematic since substance abuse treatment is effective only to the extent clients are retained. A weak working alliance is a significant barrier to treatment retention for AfA women. Thus, identifying therapist characteristics that facilitate a strong working alliance among this population stands as a promising step toward reducing disparities in treatment retention for this group. Therapist characteristics were explored as predictors of working alliance with AfA women substance users (N = 102). Two hypotheses were tested: (1) Population Sensitive Therapist Characteristics (PSTCs: multicultural competence, egalitarianism, and empowerment) will explain a significant amount of variance in working alliance beyond that explained by general therapist characteristics (GTCs: empathy, regard, and genuineness) and (2) GTCs will partially mediate the effect of each individual PSTC on working alliance. Hierarchical multiple regression revealed that PSTCs explained 12% of the variance in working alliance after controlling for GTCs. Bootstrapping analyses demonstrated that GTCs mediated the effect of each PSTC on working alliance. Findings suggest that therapists can facilitate a stronger working alliance with AfA women substance users through demonstration of PSTCs in addition to GTCs, and that PSTCs are facilitative because they increase the likelihood the therapist is perceived as empathic, having unconditional positive regard, and genuine. Clinical and therapist training implications are discussed.

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Section: Treatment Retention and Working Alliancementioning

confidence: 98%

Therapist effects, working alliance, and African American women substance users.

Davis¹,

Ancis²,

Ashby³

2015

Cultural Diversity & Ethnic Minority Psychology

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“…Women's addiction has been described as more bsocially embeddedQ than men's (Saunders, Baily, Phillips, & Allsop, 1993). Similarly, qualitative studies concerned with women's recovery hinge on the repair of relationships with children and other family members and on the development of support systems to prevent relapse (Kearney, 1998;Lewis, 2004).…”

Section: Gender-specific Treatmentmentioning

confidence: 98%

“…For women in such groups, issues left unaddressed can result in adverse psychological effects (Copeland & Hall, 1992). Women stress that a treatment environment that is safe for themselves and their children promotes therapeutic effects (Lewis, 2004). Other environmental characteristics, such as comfort, size, privacy, location, and attractiveness, have a small but demonstrable influence on women's engagement in treatment (Grosenick & Hatmaker, 2000).…”

Section: Gender-specific Treatmentmentioning

confidence: 98%

Does gender-specific substance abuse treatment for women promote continuity of care?

Claus¹,

Orwin²,

Kissin³

et al. 2007

Journal of Substance Abuse Treatment

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“…In mixed gender groups, women tend to be less verbally expressive and more likely to yield to interruptions than when in same-sex groups (Hodgins et al, 1997), which can result in adverse effects, including dropout (Copeland & Hall, 1992). Women report that a treatment environment in which they feel safe promotes therapeutic effects (Lewis, 2004). A safe and welcoming environment has been deemed essential to the process of change for substance-using women (Curet & His, 2002).…”

Section: Gender-specific Substance Abuse Treatment For Womenmentioning

confidence: 99%

“…For many women, substance abuse offers a means of coping with trauma, such as childhood abuse, partner violence, and, for Aboriginal women, the intergenerational effects alcohol (Comfort & Kaltenbach, 2000;Finkelstein, 1994;McComish et al, 2003). In qualitative studies of females in recovery, women report the importance of repairing relationships with family members and developing social support systems to prevent relapse (Kearney, 1998;Lewis, 2004). In a recent qualitative study of First Nations women in treatment for drug abuse in Canada, social stigma was reported as a significant influence on women's self-identity and on their recovery (Acoose & Dell, 2009).…”

Section: Introductionmentioning

confidence: 99%

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Niccols

Dell

Clarke

2009

Int J Ment Health Addiction

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In many cultures, approximately one third of people with drug dependence are women of childbearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and their children. For many women, substance abuse offers a means of coping with trauma, such as childhood abuse, partner violence, and, for Aboriginal women, the intergenerational effects of colonization. In this paper, we review treatment issues for Aboriginal mothers with substance use problems and their children. We discuss gender-specific issues in substance abuse, the need for women-specific treatment, the impact of substance abuse on children and parenting, the additional risks for Aboriginal women and children, and the need for integrated programs (those that integrate pregnancy-, parenting-, and child-related services with women-specific addiction treatment). We describe New Choices as an example of an integrated program, review research on existing treatment for Aboriginal mothers with substance use issues, and describe Sheway as a promising integrated program for Aboriginal women with substance abuse issues and their young children. There are few treatment programs specifically for Aboriginal mothers with substance use issues and their children and very little research on their effectiveness. Based on our review of existing evidence, we offer recommendations for future research and practice.

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Culturally Appropriate Substance Abuse Treatment for Parenting African American Women

Cited by 13 publications

References 26 publications

Therapist effects, working alliance, and African American women substance users.

Therapist effects, working alliance, and African American women substance users.

Does gender-specific substance abuse treatment for women promote continuity of care?

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

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