Program factors related to women's substance abuse treatment retention and other outcomes: A review and critique

Sun, An-Pyng

doi:10.1016/j.jsat.2005.07.002

Cited by 40 publications

(30 citation statements)

References 45 publications

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“…In a systematic review of program factors related to successful treatment outcomes among women in 35 studies, five factors were identified: (1) single-versus mixed-gender programs; (2) treatment intensity; (3) provision of child care; (4) case management; and (5) supportive staff and the provision of individual counseling (Sun 2006). Simi larly, a systematic review of 38 studies of substance abuse treatment for women (most of which had nonexperimental designs) identifi ed six elements that were associated with better outcomes regarding treatment completion, length of stay, decreased use of substances, reduced mental health symptoms, improved birth outcomes, employment, self reported health status, and HIV risk reduction (Ashley, Marsden & Brady 2003).…”

Section: Treatment Outcomes In Gender-specific Programs For Womenmentioning

confidence: 99%

From Generic to Gender-Responsive Treatment: Changes in Social Policies, Treatment Services, and Outcomes of Women in Substance Abuse Treatment

Grella

2008

Journal of Psychoactive Drugs

183

177

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In the past three decades, there has been increased recognition of the role of gender in influencing the course of substance use and treatment utilization. Concurrently, a substantial body of research on gender-related issues and substance abuse and its treatment has developed. This article reviews (I) policy initiatives that led to the growth of "specialized" treatment programs and services for women and recent policy changes that influence the provision of substance abuse treatment to women;(2) gender differences in the pre valence of substance use disorders and admissions to treatment; (3) gender differences in treatment needs, utilization, and outcomes, including long-term outcomes following treatment; ( 4) organizational characteristics of substance abuse treatment providers for women and the types of services provided in these programs; (5) treatment outcomes in gender-specific programs for women; and (6) the effectiveness of evidence-based treatment practices that have either been modified, or have the potential to be adapted, to address the treatment needs of women. This body of research is viewed within the context of a series of paradigm shifts from a generic treatment approach to a focus on gender differe nces and gender specificity and, most recently, to an emergent focus on gender responsiveness.

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Section: Treatment Outcomes In Gender-specific Programs For Womenmentioning

confidence: 99%

From Generic to Gender-Responsive Treatment: Changes in Social Policies, Treatment Services, and Outcomes of Women in Substance Abuse Treatment

Grella

2008

Journal of Psychoactive Drugs

183

177

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“…To understand what affects the retention of females in treatment, Sun (2006) analyzed recent empirical studies focused exclusively on women's alcohol and other drug treatment success. He accessed 35 studies through six databases and focused on five types of substance abuse studies.…”

Section: Retention In Substance Abuse Servicesmentioning

confidence: 99%

Double Jeopardy: A Review of Women Offenders' Mental Health and Substance Abuse Characteristics

Sarteschi

Vaughn

2010

Victims & Offenders

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Studies of women offenders with respect to the continuing salience of two co-occurring and pernicious characteristics-mental health (including traumatic experiences) and substance abuse (including HIV)-were reviewed. Findings indicated that research on these interrelated phenomena bears directly on a population that has been historically understudied and poorly serviced. As findings on women offenders are inadequately integrated and lack conceptual direction, a biosocial dynamic framework is introduced as a potentially useful organizing tool for future research and practice. The authors conclude that as the correctional system continues to be a repository for persons afflicted with mental health and substance use disorders, sound empirical knowledge is particularly needed with respect to future service allocation for women offenders.

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“…Research also needs to be expanded to cover additional populations such as adolescent and correctional populations. Some recent research has started to investigate international cross-cultural applicability of these instruments (Rampazzo, De Angeli, Serpelloni, Simpson, & Flynn, 2006;Rowan-Szal, Joe, Bartholomew, Greener, & Simpson;2006), which adds evidence for generalizability. The role of climate strength is another area that deserves to be examined to determine whether the degree of agreement within treatment units moderates the relationships between the ORC scores and client outcomes.…”

Section: Summary and Future Researchmentioning

confidence: 99%

“…However, most of the focus has been on structural factors such as program type, ownership, treatment setting, counselor education and training, and the characteristics of the clients being served (D'Aunno & Vaughn, 1995;Etheridge, Hubbard, Anderson, Craddock, & Flynn, 1997;Friedmann, Alexander, & D'Aunno, 1999;Heinrich & Lynn, 2002;Roman & Johnson, 2002;Sun, 2006). Although Moos (2003) noted the general lack of research on the effects of organizational climate factors in the substance abuse treatment field, Moos and Moos (1998) previously reported that a supportive and goal directed climate was related to improved client treatment participation, greater satisfaction with treatment and better treatment outcomes at discharge.…”

Section: Introductionmentioning

confidence: 99%

Influence of organizational functioning on client engagement in treatment

Greener¹,

Joe²,

Simpson³

et al. 2007

Journal of Substance Abuse Treatment

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The present study focused on the relationship between organizational functioning factors measured in a staff survey using the TCU Organizational Readiness for Change (ORC) assessment and clientlevel engagement measured by the TCU Client Evaluation of Self and Treatment (CEST) in drug treatment programs. The sample consisted of 531 clinical and counseling staff and 3475 clients from 163 substance abuse treatment programs located in 9 states from three regional Addiction Technology Transfer Centers (ATTC). Measures of client engagement in treatment (rapport, satisfaction, and participation) were shown to be higher in programs with more positive staff ratings of organizational functioning. In particular, these programs had fewer agency needs and more favorable ratings for their resources, staff attributes, and climate. These findings help establish the importance of addressing organizational factors as part of an overall strategy for improving treatment effectiveness.

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Program factors related to women's substance abuse treatment retention and other outcomes: A review and critique

Cited by 40 publications

References 45 publications

From Generic to Gender-Responsive Treatment: Changes in Social Policies, Treatment Services, and Outcomes of Women in Substance Abuse Treatment

From Generic to Gender-Responsive Treatment: Changes in Social Policies, Treatment Services, and Outcomes of Women in Substance Abuse Treatment

Double Jeopardy: A Review of Women Offenders' Mental Health and Substance Abuse Characteristics

Influence of organizational functioning on client engagement in treatment

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