Although the number of females served in United States treatment programs for substance use has increased over the last decade, women continue to be underrepresented. This suggests that the prevalent treatment models, which tend to be male-oriented, may not provide appropriate strategies to meet women's needs. Substance use problems in women appear to be multideterminded phenomena in which genetics, familial history, psychosocial issues, and other environmental factors play contributing roles. Working from a relational theoretical model of female psychosocial development, a continuum of expanded services addressing the entire context of women's lives is discussed.
Women involved in public assistance and child welfare systems often must overcome multiple barriers to self-sufficiency and family stability or face sanctions or loss of benefits. Kentucky's targeted assessment Program (taP) is an innovative model for assisting these women by placing human services professionals in public assistance and child welfare offices to provide support services and promote integrated service delivery.this article discusses taP program data for years 2005 through 2008, as well as initial 6-month follow-up data. these data suggest that taP is effective in reducing the burden of barriers faced by participants. taP strategies are discussed for their utility in informing practice models of human services agencies to proactively promote participant success in overcoming barriers.imPliCations FoR PRaCtiCe• the UK targeted assessment Program serves as a model to human services professionals for effectively assessing and addressing multiple barriers to self-sufficiency and family stability among lowincome mothers.
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