Best Practices
Treatment and Rehabilitation for Women with Substance Use Problems

2001
ISBN 0-662-29772-5
Cat. No. H49-153/2001E

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(567K)

Table of Contents

Report Overview
Section I: Project Background and Description

1. Introduction and Organization
   • 1.1 Introduction and Background
   • 1.2 Organization
2. Project Goals and Objectives
3. Sources of Information
   • Key Expert Interviews
     • 3.1.1 Identification and Characteristics of Key Experts
     • 3.1.2 Key Expert Interviews: Methodology
     • 3.1.3 Interview Length and Process
   • 3.2 Literature Review
     • 3.2.1 Parameters
     • 3.2.2 Initial Literature Sources
4. Project Parameters and Definitions
   • 4.1 Groups with Special Needs
   • 4.2 Project Definitions: Treatment and Best Practice
     • 4.2.1 Treatment
     • 4.2.2 Best Practice
   • 4.3 Definition of Consensus Response

Section II: Results

5. Women’s Substance Use and Misuse: Overview
   • 5.1 Historical Background
   • 5.2 Use Patterns
   • 5.3 Impacts of Substance Use on Women
6. General Barriers to Treatment
   • 6.1 Introduction
   • 6.2 General Barriers to Treatment: Key Expert Perspectives.
     • 6.2.1 Personal Barriers
     • 6.2.2 Interpersonal Barriers
     • 6.2.3 Community/Social Barriers
     • 6.2.4 Structural/Program Barriers
   • 6.3 Barriers Experienced by Specific Groups: Key Expert Perspectives
     • 6.3.1 Pregnant and Parenting Women
     • 6.3.2 Aboriginal Women
     • 6.3.3 Ethno-cultural Minority Women
     • 6.3.4 Women who Inject Drugs
     • 6.3.5 Women Living with HIV/AIDS and Hepatitis C
     • 6.3.6 Women with Concurrent Substance Use and Mental Health Disorders
     • 6.3.7 Women in Prison or Involved with the Criminal Justice System
     • 6.3.8 Marginalized/Homeless Women
     • 6.3.9 Women Living in Rural Communities
   • 6.4 General Barriers to Treatment Access: Literature Review
     • 6.4.1 Personal Barriers
     • 6.4.2 Interpersonal Barriers
     • 6.4.3 Structural Program Barriers
   • 6.5 Barriers of Specific Groups: Literature Review
     • 6.5.1 Pregnant and Parenting Women
     • 6.5.2 Women with Concurrent Substance Use and Mental Health Disorders
     • 6.5.3 Aboriginal Women
     • 6.5.4 Ethno-cultural minority Women
     • 6.5.5 Women Living in Rural Communities
     • 6.5.6 Women in Prison
     • 6.5.7 Street Involved Homeless Women
7. Client Outreach, Contact and Engagement
   • 7.1 Client Outreach, Contact and Engagement: Key Expert Perspectives
   • 7.2 Treatment Outreach, Contact and Engagement: Literature Review
8. Treatment Principles and Values
   • 8.1 Treatment Principles and Values: Key Expert Perspectives
   • 8.2 Treatment Values and Philosophy: Literature Review
9. Treatment Approaches and Methods
   • 9.1 Treatment Approaches and Methods: Key Expert Perspectives
     • 9.1.1 Treatment Approaches to Address Physical Health Issues
     • 9.1.2 Treatment Approaches to Address Personal (Including Mental Health) Issues
     • 9.1.3 Treatment Approaches and Methods to Address Interpersonal Issues (Peer and Family Relationships)
     • 9.1.4 Treatment Approaches to Address Relapse Prevention/Management
   • 9.2 Treatment Approaches and Methods: Literature Review
     • 9.2.1 General Themes
     • 9.2.2 Specific Treatment Approaches and Methods Identified in the Literature
10. Client Retention In Treatment
    • 10.1 Summary of Key Expert Perspectives
11. Treatment Organization and Duration
    • 11.1 Treatment Organization and Duration: Key Expert Perspectives
      • 11.1.1 Treatment Organization
      • 11.1.2 Treatment Duration
    • 11.2 Treatment Organization and Duration: Literature Review
      • 11.2.1 Treatment Organization
      • 11.2.2 Treatment Duration
12. Critical Adjunctive Services Required By Women In Treatment
    • 12.1 Critical Adjunctive Services: Key Expert Perspectives
    • 12.2 Optimum Methods of Providing Adjunctive Services: Key Expert Perspectives
13. Measuring Treatment Effectiveness
    • 13.1 Measuring Treatment Effectiveness: Key Expert Perspectives
    • 13.2 Measuring Treatment Effectiveness: Literature Review
14. Summary of Model Program Elements
15. Selected Bibliography

List of Tables

Table 1: Geographical Distribution of Key Experts
Table 2: Role of Key Experts: Women’s Best Practice Study
Table 3: Types of Organizations Represented: Women’s Best Practice Study
Table 4: General Barriers to Women’s Treatment: Key Expert Perspectives
Table 5: Barriers Associated with Specific Groups
Table 6: Elements of an Effective Program Publicity Strategy
Table 7: Client, Outreach, Contact and Engagement
Table 8: Overall Principles and Values of Treatment: Key Expert Perspectives
Table 9: Optimum Treatment Approaches: Key Expert Perspectives
Table 10: Summary of Core Elements of Effective Treatment for Women
Table 11: Best Practices to Support Treatment Retention: Summary of Key Expert Perspectives
Table 12: Critical Services Identified by Key Experts
Table 13: Defining Effective Drug Use Treatment
Table 14: Model Program Elements