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Evaluation of an Evidence-Based Substance Use Disorder Treatment Program for Urban High-Risk Females

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Abstract

Racial and ethnic disparities affect access to prevention and treatment of substance use disorders (SUDs). Traumatic events can present additional hardship for women with SUD. The participants included 180 low-income African American and Hispanic/Latina women with a history of incarceration, homelessness, commercial sex work, substance use or co-occurring substance use and mental disorders living with or at risk for HIV/AIDS and hepatitis-C, and experiencing multiple barriers to accessing SUD treatment services. Statistically significant decreases in alcohol-binge drinking, illegal drug use, and same-day alcohol and drug use were observed when comparing the baseline and 6-month follow-up interviews. Participants reported improvement in psychosocial functioning, substance use, and self-sufficiency. This study provides evidence for the effectiveness of an integrated, trauma-informed program and expands our understanding of barriers faced by minority women with substance use disorders.

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References

  • Acevedo, A., Garnick, D. W., Dunigan, R., Horgan, C. M., Ritter, G. A., Lee, M. T., Panas, L., Campbell, K., Haberlin, K., Lambert-Wacey, D., Leeper, T., Reynolds, M., & Wright, D. (2015). Performance measures and racial/ethnic disparities in the treatment of substance use disorders. Journal of Studies on Alcohol and Drugs, 76(1), 57–67.

    Article  PubMed  PubMed Central  Google Scholar 

  • Armstrong, K., Ravenell, K. L., McMurphy, S., & Putt, M. (2007). Racial/ethnic differences in physician distrust in the United States. American Journal of Public Health, 97(7), 1283–1289.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bailey, K., Trevillion, K., & Gilchrist, G. (2019). What works for whom and why: A narrative systematic review of interventions for reducing post-traumatic stress disorder and problematic substance use among women with experiences of interpersonal violence. Journal of Substance Abuse Treatment, 99, 88–103. https://doi.org/10.1016/j.jsat.2018.12.007

    Article  PubMed  Google Scholar 

  • Begun, A. L., Early, T. J., & Hodge, A. (2016). Mental health and substance abuse service engagement by men and women during community reentry following incarceration. Administration and Policy in Mental Health and Mental Health Services Research, 43(2), 207–218.

    Article  PubMed  Google Scholar 

  • Bell, J., & Strang, J. (2020). Medication treatment of opioid use disorder. Biological Psychiatry, 87(1), 82–88.

    Article  CAS  PubMed  Google Scholar 

  • Brown, J. D., Vartivarian, S., & Alderks, C. E. (2011). Child care in outpatient substance abuse treatment facilities for women: Findings from the 2008 National Survey of Substance Abuse Treatment Services. The Journal of Behavioral Health Services & Research, 38(4), 478–487.

    Article  Google Scholar 

  • Choi, S., Adams, S., Morse, S. A., & MacMaster, S. A. (2015). Gender differences in treatment retention among individuals with co-occurring substance abuse and mental health disorders. Substance Use and Misuse, 50(5), 653–663. https://doi.org/10.3109/10826084.2014.997828

  • Clark, N., Dolan, K., & Farabee, D. (2017). Public health alternatives to incarceration for drug offenders. Eastern Mediterranean Health Journal, 23(3), 222–230. https://doi.org/10.26719/2017.23.3.222

  • Creedon, T. B., & Cook, B. L. (2016). Access to mental health care increased but not for substance use, while disparities remain. Health Affairs, 35(6), 1017–1021.

    Article  PubMed  Google Scholar 

  • Darby, K., & Kinnevy, S. C. (2010). GPRA and the development of performance measures. Journal of Evidence-Based Social Work, 7(1–2), 5–14.

    Article  PubMed  Google Scholar 

  • El-Bassel, N., Witte, S. S., Gilbert, L., Wu, E., Chang, M., Hill, J., & Steinglass, P. (2003). The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. American Journal of Public Health, 93(6), 963–969.

    Article  PubMed  PubMed Central  Google Scholar 

  • German, D., & Latkin, C. A. (2012). Social stability and HIV risk behavior: Evaluating the role of accumulated vulnerability. AIDS and Behavior, 16(1), 168–178.

    Article  PubMed  PubMed Central  Google Scholar 

  • Greenfield, S. F., & Grella, C. E. (2009). Alcohol & drug abuse: What is" women-focused" treatment for substance use disorders? Psychiatric Services, 60(7), 880–882.

    Article  PubMed  Google Scholar 

  • Houston Health Department HIV Surveillance Program. (2015). HIV infection in Houston: An epidemiologic profile 2010–2014. Retrieved from http://www.houstontx.gov/health/HIV-STD/HI_%20Epi_Profile_20160506_this.pdf

  • Joe, G. W., Simpson, D. D., & Broome, K. M. (1998). Effects of readiness for drug abuse treatment on client retention and assessment of process. Addiction, 93, 1177–1190.

    Article  CAS  PubMed  Google Scholar 

  • Knox, J., Hasin, D. S., Larson, F. R., & Kranzler, H. R. (2019). Prevention, screening, and treatment for heavy drinking and alcohol use disorder. The Lancet Psychiatry, 6(12), 1054–1067.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lagisetty, P. A., Ross, R., Bohnert, A., Clay, M., & Maust, D. T. (2019). Buprenorphine Treatment divide by race/ethnicity and payment. JAMA Psychiatry, 76(9), 979–981. https://doi.org/10.1001/jamapsychiatry.2019.0876

    Article  PubMed  PubMed Central  Google Scholar 

  • Lenz, A. S., Henesy, R., & Callender, K. (2016). Effectiveness of seeking safety for co-occurring posttraumatic stress disorder and substance use. Journal of Counseling & Development, 94(1), 51–61.

    Article  Google Scholar 

  • Machtinger, E., Haberer, J., Wilson, T., & Weiss, D. (2012). Recent trauma is associated with antiretroviral failure and HIV transmission risk behavior among HIV-positive women and female-identified transgenders. AIDS and Behavior, 16(8), 2160–2170.

    Article  CAS  PubMed  Google Scholar 

  • McHugo, G. J., Kammerer, N., Jackson, E. W., Markoff, L. S., Gatz, M., Larson, M. J., . . . Hennigan, K. (2005). Women, co-occurring disorders, and violence study: Evaluation design and study population. J Subst Abuse Treat, 28(2), 91-107

  • McLellan, A. T., Alterman, A. I., Cacciola, J., Metzger, D., & O’Brien, C. P. (1992). A new measure of substance abuse treatment. Initial studies of the treatment services review. Journal of Nervous and Mental Disease, 180, 101–111.

    Article  CAS  PubMed  Google Scholar 

  • McLellan, A. T., Luborsky, L., Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease, 168, 26–33.

    Article  CAS  PubMed  Google Scholar 

  • Miller, W. R., & Rollnick, S. (2012). Motivational interviewing: Helping people change, 3rd edn. Guilford press.

  • Morrissey, J. P., Ellis, A. R., Gatz, M., Amaro, H., Reed, B. G., Savage, A., . . . Jackson, E. W. (2005). Outcomes for women with co-occurring disorders and trauma: Program and person-level effects. J Subst Abuse Treat, 28(2), 121-133.

  • National Institute on Drug Abuse. (1991). Drug Abuse and Drug Abuse Research: The Third Triennial Report to Congress from the Secretary, Department of Health and Human Services. Department of Health and Human Services, Public Health Service, Alcohol, Drug Abuse, and Mental Health Administration, National Institute on Drug Abuse.

  • Pinedo, M., Zemore, S., Beltrán-Girón, J., Gilbert, P., & Castro, Y. (2020). Women’s barriers to specialty substance abuse treatment: A qualitative exploration of racial/ethnic differences. Journal of Immigrant and Minority Health, 22(4), 653–660.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Podrasky, L. A., & Benton, A. (2005). Evaluation lessons learned from a federal grant program that transcend funding agency. Evaluation and Program Planning, 28, 355–357.

    Article  Google Scholar 

  • Roman, P. M., Abraham, A. J., & Knudsen, H. K. (2011). Using medication-assisted treatment for substance use disorders: Evidence of barriers and facilitators of implementation. Addictive Behaviors, 36(6), 584–589.

    Article  PubMed  PubMed Central  Google Scholar 

  • Substance Abuse and Mental Health Services Administration, & Office of the Surgeon General (US). (2016). U.S. Department of Health and Human Services (HHS), Office of the Surgeon General, Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs, and Health. HHS, November 2016.

  • Tavakoli Ghouchani, H., Armat, M. R., Akbari, H., Hojjat, S. K., Lashkardoost, H., Asghari, D., ... & Saadati, H. (2021). Perceived barriers to addiction treatment: An inductive qualitative content analysis. Journal of Substance Use, 1–6.

  • Teitelbaum, J. B., & Hoffman, L. G. (2012). Health reform and correctional health care: How the Affordable Care Act can improve the health of ex-offenders and their communities. Fordham Urban Law Journal, 40, 1323.

    Google Scholar 

  • Testa, M., Livingston, J. A., & Leonard, K. E. (2003). Women’s substance use and experiences of intimate partner violence: A longitudinal investigation among a community sample. Addictive Behaviors, 28(9), 1649–1664.

    Article  PubMed  Google Scholar 

  • Weir, B. W., Bard, R. S., O’Brien, K., Casciato, C. J., & Stark, M. J. (2007). Uncovering patterns of HIV risk through multiple housing measures. AIDS and Behavior, 11(2), 31–44.

    Article  PubMed  Google Scholar 

  • Wingood, G., DiClemente, R., Mikhail, I., Lang, D., Hubbard-McCree, D., & Davies, S. (2004). A randomized controlled trial to reduce HIV transmission risk behaviors and STDs among women living with HIV: The WiLLOW program. Journal of Acquired Immune Deficiency Syndromes, 37(Supp 2), S58–S67.

    Article  PubMed  Google Scholar 

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Funding

This publication was supported by the Substance Abuse and Mental Health Services Administration (SAMSHA #TI026186, PI: Roger Zoorob, MD, MPH).

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Correspondence to Roger Zoorob.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.

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The authors declare no competing interests.

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Zoorob, R., Gonzalez, S.J., Kowalchuk, A. et al. Evaluation of an Evidence-Based Substance Use Disorder Treatment Program for Urban High-Risk Females. Int J Ment Health Addiction 22, 332–343 (2024). https://doi.org/10.1007/s11469-022-00875-1

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  • DOI: https://doi.org/10.1007/s11469-022-00875-1

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