Clinical studies have documented that up to 75 percent of women in substance abuse treatment have a history of physical and/or sexual abuse (Ouimette et al. 2000; Teusch 1997). Earlier studies have shown that women who abuse substances are estimated to have a 30- to 59-percent rate of current PTSD (Najavits et al. 1998), which is higher than the rate in men who abuse substances (CSAT 2005a). See also TIP 36 Substance Abuse Treatment for Persons With Child Abuse and Neglect Issues (CSAT 2000b). Female survivors of sexual trauma were found, in one study, to be dependent on more substances, to have had more hospital stays and emergency department visits, and to be less able to care for their children than women who had not been sexually abused (Young and Boyd 2000). Girls who suffer physical and sexual abuse by dating partners are more likely to engage in risky behaviors such as smoking, binge drinking, and cocaine use (Silverman et al. 2001). In another study, adverse childhood circumstances predicted binge drinking among adult women (Timko 2008).
Treatment Interventions for Women With Alcohol Use Disorder
Women’s drug rehab facilities have trained professionals to address all these issues. The challenges identified in the countries where egalitarianism in terms of access to treatment and equal rights for women struggling with drug abuse problems seem to be both relevant and, unfortunately, a much-neglected social norm. As it turns out, the challenges are still education about health needs, both in terms of medical help for this group and in terms of introducing appropriate preventive interventions, bringing in empathetic, non-stigmatizing providers willing to fully commit to helping this group [24]. At the same time, therapists’ high level of training and egalitarianism are advocated, especially by African-American women suffering from addiction [25]. In addition, for women living in poorer neighborhoods, an indicated challenge is the so-called “domino effect,” i.e., despite the favorable completion of therapy, recurring difficulties in returning to fulfilling social roles related to past experiences [23]. Statistical data on the use of various psychoactive substances indicate a narrowing of previous differences in substance use between men and women.
Helping Women Suffering from Drug Addiction: Needs, Barriers, and Challenges
Elements of the eating disorder take the place of relapsing to the drug of choice (Ross 1993). Cognitive–behavioral therapies (CBT) are effective treatments for anxiety disorders (Hofmann and Smits 2008) including, but not limited to, stress inoculation and other anxiety management strategies, desensitization processes, and imaginal and in-vivo (live reenactments) exposure therapies. Nonetheless, other types of therapy that address the underlying stress-producing events may be required (Frank et al. 1998). Clinical experience indicates that women with anxiety disorders and substance use problems may benefit from alternative therapies as an adjunct to CBT, including acupuncture, exercise, and mindfulness meditation. One study indicated that socially phobic female outpatients being treated for alcohol dependence had better outcomes with CBT than with 12-Step facilitation therapy (Thevos et al. 2000).
Is the Sinclair Method Right for You?
In addition, other general retention studies have highlighted the importance of the therapist’s prognosis of client retention; thus the counselor’s confidence may be as significant to retention as the client’s confidence (Cournoyer et al. 2007). Further gender-specific retention research is needed to address the role of self-confidence and confidence in the treatment process. Single-gender treatment services seem appealing because they have the potential to provide an environment in which women may feel more comfortable sharing emotional and personal information. For instance, it is possible that among women who have a history of trauma or abuse from men, single-gender treatment might be preferable because of the possibility that participation in a mixed-gender program could trigger trauma-related symptoms.
Associated Data
Given the sample size we do however expect these potential differences to even out. The Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions (FRAME) [58] will be utilized to facilitate a better understanding of local adaptations to the 15-method and differences in the implementation processes in the practices. The analysis of FRAME components will be informed by the CFIR cross-case analyses described above. The CFIR guide (cfirguide.org) supplies a pre-populated coding template that will be utilized for coding.
Managing eligibility criteria, holding a place on wait list and maintaining contact with services were all impacted by issues related to housing instability. Once admitted to treatment, participants had to navigate appointments and maintain contact with services all within the context of their socio-cultural barriers. Women were invited to participate in a focus group, which was held online (by Zoom) due to COVID-19 related lockdown restrictions.
- The primary need was identified as the introduction of appropriate drug policies, and the challenges, unfortunately, are the still-reported gender inequalities.
- For healthcare professionals, the 15-method addresses a traditionally challenging topic [11, 14] by equipping them with concrete tools, communication training, and clear treatment directives.
- Many women who are dependent on alcohol or drugs experience difficulty in recovery and relapse if violence and abuse issues are not addressed in treatment.
- Moreover, most aspects of the 15-method are already familiar to HCPs, as they are accustomed to concepts such as MI, patient homework assignments, and opportunistic symptom-based screening.
- The MEDLINE database includes publications from more than 5200 journals from more than 80 countries.
- We may be paid a fee for marketing or advertising by organizations that can assist with treating people with substance use disorders.
Double coding will be conducted on a sub-set of data for reliability measures and discrepancies or disagreements will be discussed within the research team. Practices will be created as cases based on their characteristics and CFIR constructs will be rated across cases. Cases will then be analyzed across CFIR constructs using Nvivo framework matrices and case classification supplied by hierarchy charts. The research team will discuss data saturation [98] and information power [99] to ensure adequate levels of collected data. The initial month of step one will serve as a pilot phase (see Fig. 2) and focus on evaluating the implementation strategy and address any major unforeseen challenges.
In addition, given the broader literature on the relative interactional dominance of men in mixed-gender groups, women may have more opportunities to participate when in women-only groups.38 However, research on women’s treatment preferences yields a more nuanced picture. The truth is that gender plays a significant role in determining whether addiction treatment will be successful. Substance abuse counselors and mental health professionals have difficulty detecting the dangers of drinking after work eating disorders because clients minimize or deny their symptoms and fail to seek treatment out of shame or fear of gaining weight. Counselors should be alert to symptoms of eating disorders that may be serious but do not meet full criteria for an eating disorder diagnosis. Disordered eating behaviors can pose serious health issues and lead to full-blown disorders. In addition, counselors should be aware that eating disorders occur in women from diverse backgrounds.
Further, as the questionnaire is distributed four times during the study period, we anticipate some patients will choose not to answer the subsequent questionnaires. The overall process follows the Medical Research Council (MRC) framework for developing and evaluating complex interventions [31]. The feasibility study found that HCPs and patients consider the 15-method useful, and that the 15-method can be implemented in Danish general practice. The study also found that the 15-method needed contextual adjustments which have been completed and will be reported elsewhere.
Due to the high number of women with a history of sexual abuse or body image issues, gender specific options such as housing, peer support groups, or same-sex provider and care teams may help facilitate a safe environment for the patient to focus on treatment and recovery. Compared to men, a higher percentage of women with substance use disorder have been the victims of physical, sexual, or verbal abuse. It is estimated that between 55% and hallucinogens effects, addiction potential and treatment options 99% of women in addiction treatment have had traumatic experiences. Eating disorders need to be viewed in a biopsychosocial context that addresses biological or organic factors, a social component (influence of media and other cultural images enforcing standards of slimness for women), and psychological issues. Eating disorders are correlated with growing up in dysfunctional families where substance abuse occurs (van Wormer and Askew 1997).
Each female-only women’s rehab program will be designed according to each woman’s unique needs. Treatment services included in the program will be determined based on an initial 16 ways to stop drinking alcohol clinical assessment. For these and other reasons, it’s important to have gender-specific rehab programs that meet the needs of each woman who enters addiction treatment.
First, the interviews conducted via the CFIR interview guide include assessment of the implementation process and use of the intervention. Second, the HCP will be offered feedback on their conversational skills via audio recordings. If the HCP choose to, they can record consultations for upload to a secure server on which the conversations will be coded by KHV who is an experienced Motivational Interviewing Treatment Integrity (MITI) [59] coder and a member of the Motivational Interviewing Network of Trainers (MINT). The HCP will then receive feedback on the conversation and the collected data can be used as complementary fidelity assessment. Third, assessment of the use of the intervention will be evaluated through an electronic patient questionnaire on tablets in a small subset of randomly selected practices.
Although it may be difficult to determine whether the depression or substance use disorder is primary, both need to be identified and treated concurrently to minimize relapse and improve a client’s quality of life. If a woman’s depression is life threatening, the depression must be treated immediately. In general, the disorder with the higher crisis potential needs to be addressed first—but neither should be neglected. Withdrawal symptoms sometimes include depression, and withdrawal symptoms sometimes mask depression.
Counselors can help children realize that their mother’s behavior was unintentional and, as she regains control of her life, she will likely become more available. In addition, Alateen; psychoeducational curricula, such as the National Association for Children of Alcoholics “Celebrating Families™;” and onsite individual and group therapy can provide further support to children. For some time, it has been assumed that women are more likely to leave treatment, but some literature counters this view (Joe et al. 1999). This is a difficult question to answer because treatment retention often involves the contribution and interaction of numerous variables. Studies have begun to identify these variables and how they relate to each other to influence treatment retention rates among women (see Ashley et al. 2004), but further research is needed to understand the complexity and interactions of these variables. In fact, most rehab facilities recognize that a full continuum of care for addiction recovery includes a combination of residential and outpatient services.