Hispanic parenting women in women-only versus mixed-gender drug treatment: A 10-year prospective study (original) (raw)
Related papers
Substance Abuse Treatment: Critical Issues and Challenges in the Treatment of Latina Women
Hispanic Journal of Behavioral Sciences, 1999
This article presents data on the profile and history of childhood abuse from a study of 66 Latinas enrolled in a residential substance abuse treatment program. Data were gathered through interviews conducted at program entry. A significant majority reported a childhood history of abuse (80%) and past year diagnosis of mental health problems (76%) and health (68%) problems. Compared to those with no reported history of childhood abuse, women with a history of abuse were more likely to be predominantly Spanish speakers (p = .01), report significantly higher levels of health problems (p = .01), have had children removed from their custody (p = .008), and drop out in the early stages of treatment (p = .01). These findings have important implications for the course of treatment, how history of abuse is handled in residential treatment, and support services needed by clients. The authors discuss challenges and approaches to providing needed services.
Drug treatment disparities among Hispanic drug-using women in Puerto Rico and New York City
Health Policy, 2006
This paper reports findings on 334 out-of-treatment drug users in Puerto Rico and 617 in New York City, at the 6-month follow-up interview of a Longitudinal Survey. Main outcomes were health care and drug treatment utilization since baseline, assessed by asking participants if they had received physical or mental health services (including HIV medications), and if they had been in methadone maintenance, inpatient or outpatient drug treatment, or drug treatment while incarcerated. Chi-square tests were used to evaluate associations between gender and the various correlates. Logistic regression was used to calculate the contribution of each variable in predicting use of drug treatment.
Long-term outcomes among drug-dependent mothers treated in women-only versus mixed-gender programs
Journal of Substance Abuse Treatment, 2011
This study examined the long-term outcomes of women who were pregnant or parenting at admission to women-only (WO; n=500) versus mixed-gender (MG; a matched sample of 500) substance abuse treatment programs. Administrative records on arrests, incarcerations, mental health services utilization, and drug treatment participation were collected, covering 3 years preadmission and 8 years post-admission. Women treated in WO programs had lower levels of arrest, mental health services utilization rates, and drug treatment participation during the first year after drug treatment. No differences were found between the two groups in the long-term trajectories except that WO program participants had lower incarceration rates during the third year after treatment. The study findings suggest a positive short-term impact of WO versus MG programs with regard to arrest and mental health service utilization. Limited long-term gain is shown in the reductions in post-treatment incarceration. The study findings suggest the added value of specialized WO programs and begin to address the gap in knowledge regarding long-term outcomes for substance-abusing women.
Journal of substance abuse treatment, 2013
Specialized substance abuse treatment for parenting women is thought to improve outcomes, but long-term impacts and how they occur are poorly understood. Utilizing a sample of 789 California mothers followed for 10 years after admission to women-only (WO) or mixed-gender (MG) drug treatment, we examine the relationship between WO treatment and outcomes and whether it is mediated by post-treatment exposures to criminal justice and health services systems. At followup, 48% of mothers had a successful outcome (i.e., no use of illicit drugs, not involved with the criminal justice system, alive). Controlling for patient characteristics, WO (vs. MG) treatment increased the odds of successful outcome by 44%. In the structural equation model WO treatment was associated with fewer post-treatment arrests, which was associated with better outcomes. Women-only substance abuse treatment has long-term benefits for drug-dependent mothers, a relationship that may be partially explained by post-treatment exposure to the criminal justice system. Findings underscore additional leverage points for relapse prevention and recoverysupportive efforts for drug-dependent mothers.
THE USE OF INPATIENT MENTAL HEALTH SERVICES BY HISPANIC WOMEN
Psychology of Women Quarterly, 1987
Concern has been expressed about underrepresentation of Hispanics in mental health facilities, but little has been done to examine Hispanic gender differences in the use of such facilities. This descriptive study provides a broader and more detailed profile of Hispanic women's use of selected inpatient mental health facilities than is currently available. It presents gender differences in number, percent, and rate per 100,000 population for Hispanic and nonHispanic inpatient admissions with respect to age, marital status, and diagnosis. Results suggest that women use these inpatient facilities less than men, and this gender difference i s greater for Hispanics. This greater gender difference in admissions among Hispanics was found across age and marital status categories, but not in all diagnoses. Regardless of ethnicity, men had higher admission rates for schizophrenia and alcohol-related disorders, but not for affective disorders. Marital status was related to diagnosis differently for Hispanics and nonHispanics. The gender difference in favor of higher rates for men with schizophrenia was not found for married nonHispanics. The gender difference in favor of higher rates for women with affective disorders was
Journal of Community Psychology, 2005
Little attention has been given to racial0ethnic differences in studies of co-occurring disorders among women. In this article, we present findings from analyses conducted on the influence of racial0ethnic differences on the demographic and clinical profiles of 2,534 women in the Substance Abuse and Mental Health Services Administration-sponsored Women, Co-Occurring Disorders and Violence Study. Black and Hispanic women demonstrated more disadvantaged economic and social life conditions than White women. After controlling for socioeconomic differences, Hispanic women experienced more criminal justice involvement than others did, and both Black and Hispanic women were more likely to be exposed to community violence although they did not demonstrate more severe clinical symptoms than White women. In the design and delivery of services racial0ethnic differences should be considered, and research questions regarding underlying explanatory factors raised.
Heterogeneity among Latinas and Latinos entering substance abuse treatment
Journal of Substance Abuse Treatment, 2004
The current study examined differences in 30-day and lifetime substance use for a sample of Mexican American, Puerto Rican, and Cuban American men and women from the Drug Evaluation Network System, a national database on individuals seeking substance abuse treatment. There were significant gender and ethnic differences in recent and lifetime substance use after controlling for age, years of education, employment, medical, and psychological problems. Lifetime and 30-day substance use rates found in this study do not coincide with prevalence rates found in community samples of Latinas/os, indicating that the patterns of substance use may be different among individuals who seek substance abuse treatment than among those in the general population. The results of this study highlight the heterogeneity of Latinas/os who abuse substances. D 2004 Elsevier Inc. All rights reserved.
Substance Abuse Among Inner-City Hispanic Women: Exploring Resiliency
Journal of Obstetric, Gynecologic, <html_ent glyph="@amp;" ascii="&"/> Neonatal Nursing, 1994
tatistics show that use of harmful substances S among women of childbearing age, particularly low-income residents of large urban cities, is growing at an alarming rate. It is estimated that nationally 8-14% of women of childbearing age abuse some C
Improving drug treatment services for hispanics: Research gaps and scientific opportunities
Drug and Alcohol Dependence, 2006
Delivery of services to Hispanic drug users remains a great challenge, as shown by low service access and retention, and disproportionate negative consequences of drug abuse in the Hispanic population. This paper provides a critical analysis of current services research on Hispanics with drug abuse problems, identifies gaps in the knowledge, and offers recommendations for scientific opportunities to address these gaps, focusing on four central needs: (1) the need to understand the circumstances of Hispanics in their own communities (i.e., community context); (2) the need to develop and test service delivery models tailored to Hispanics' circumstances and special needs; (3) the need to remove client, provider, and system barriers to utilization; and (4) the need to establish links between drug abuse services, social services, and other service sectors to optimize treatment outcomes. The authors suggest an approach that begins with a focus on the local Hispanic community and builds understanding of the cultural context, inclusion of indigenous resources, recognition of barriers to enrollment and retention, and coordination of related services.