A randomized experimental study of gender-responsive substance abuse treatment for women in prison

Messina, Nena; Grella, Christine E.; Cartier, Jerry; Torres, Stephanie

doi:10.1016/j.jsat.2009.09.004

Cited by 165 publications

(154 citation statements)

References 29 publications

Supporting

Mentioning

133

Contrasting

Unclassified

Order By: Relevance

“…29,30 This study suggests that TM may be a viable alternative treatment for reducing trauma symptoms in incarcerated women. Prior studies indicate that practice of the TM program reduces psychological and physiologic response to stress factors, including decreased sympathetic nervous system and hypothalamic-pituitary-adrenal axis, and reductions in elevated cortisol (stress hormone) levels.…”

Section: Discussionmentioning

confidence: 82%

Transcendental Meditation and Reduced Trauma Symptoms in Female Inmates: A Randomized Controlled Study

Nidich

Seng

Compton

et al. 2017

TPJ

View full text Add to dashboard Cite

Context: Compared with the general population, trauma experiences are higher among incarcerated women.Objective: To evaluate the effects of Transcendental Meditation (TM) on trauma symptoms in female offenders.Design: Twenty-two inmates at the Coffee Creek Correctional Facility in Wilsonville, OR, with at least 4 months left of incarceration were enrolled in this randomized controlled pilot study. Subjects were randomly assigned to either the TM group (n = 11) or a wait-list control group (n = 11).Main Outcome Measures: Subjects were measured at baseline and 4-month posttest using the Posttraumatic Stress Disorder Checklist-Civilian version (PCL-C; primary outcome) with intrusive thoughts, avoidance, and hyperarousal subscales (secondary outcomes). Twenty of the subjects (10 in each group) took part in their treatment assignment and completed posttesting.Results: Significant reductions were found on total trauma (p < 0.036), intrusive thoughts (p < 0.026), and hyperarousal (p < 0.043) on the PCL-C. Effect sizes ranged from 0.65 to 0.99 for all variables. Eighty-one percent of the TM subjects were compliant with their program. Conclusion:The results of this study indicate feasibility of the TM program in a female prison population and suggest that TM may be an effective tool for decreasing trauma symptoms. Future large-scale research is warranted.

show abstract

Section: Discussionmentioning

confidence: 82%

Transcendental Meditation and Reduced Trauma Symptoms in Female Inmates: A Randomized Controlled Study

Nidich

Seng

Compton

et al. 2017

TPJ

View full text Add to dashboard Cite

show abstract

“…Se incluyó cinco publicaciones de cuatro ensayos controlados aleatorizados (Tabla 2), que se describen a continuación: (15) realizaron un estudio con mujeres en prisión con historia de uso o abuso de sustancias y que participaron en un programa de tratamiento por aproximadamente seis meses previos a su liberación. Las participantes fueron asignadas de forma aleatoria a un programa estándar de CT de prisión o al GenderResponsive Treatment program (GRT).…”

Section: Resultsunclassified

“…En el estudio de Messina et al, (15), de las 115 participantes incluidas se logró entrevistar a 85 (76%) a los doce meses de su liberación. Sacks et al, (18) pudieron entrevistar al 83% para el seguimiento a los doce meses de la evaluación inicial (85% para el grupo experimental y 80% para el control).…”

Section: Seguimientounclassified

Eficacia de las comunidades terapéuticas en el tratamiento de problemas por uso de sustancias psicoactivas: una revisión sistemática

Fiestas¹,

Ponce²

2012

Rev Peru Med Exp Salud Publica

View full text Add to dashboard Cite

Objetivos. Extender la revisión hecha por Smith et al. el 2006 y resumir la evidencia disponible actualmente respecto a la eficacia de las comunidades terapéuticas (CT) en disminuir el consumo de sustancias o sus consecuencias en personas con trastornos por uso de sustancias. Materiales y métodos. Se consultaron las bases de MEDLINE, EMBASE, Web of Science, Scielo, LILACS, y otras, buscando estudios experimentales controlados aleatorizados con grupos paralelos, publicados entre marzo de 2004 a mayo de 2011. Resultados. Se ubicaron cinco publicaciones de cuatro ensayos controlados. Todos los estudios tuvieron serias limitaciones metodológicas de acuerdo al CONSORT. La heterogeneidad de los estudios no permitió agrupamientos en el análisis. En los análisis primarios, modelos específicos de CT en prisión mostraron superioridad marginal frente a otros tipos de tratamiento respecto a niveles de consumo de alcohol, días de encarcelamiento y tasa de rencarcelamiento. Respecto al modelo de CT ambulatorio basado en la comunidad, no hubo evidencia de superioridad de este frente a otro tratamiento ambulatorio, tanto en reducir el nivel de consumo de sustancias, como en la ocurrencia de crimen y desempleo a los doce meses de seguimiento. Conclusiones. No hay suficiente evidencia científica que apoye una superioridad de la metodología de CT respecto a otras formas de tratamiento menos costosos. Sin embargo, en el contexto carcelario, las comunidades terapéuticas podrían ser más beneficiosas que otros modelos. Son necesarios ensayos clínicos con metodología rigurosa para resolver las controversias respecto a la eficacia de este tipo de tratamiento de trastornos por uso de drogas. Palabras clave: Comunidad terapéutica; Trastornos relacionados con el uso de sustancias psicoactivas; Abuso de drogas (fuente: DeCS BIREME). EFFICACY OF THE THERAPEUTIC COMMUNITY MODEL IN THE TREATMENT OF DRUG USE-RELATED PROBLEMS: A SYSTEMATIC REVIEW ABSTRACTObjective: To summarize the scientific evidence about the efficacy of therapeutic communities (TC) to reduce substance use and related problems among people with substance use disorders. Methods: This systematic review builds from the work performed by Smith et al. (2006). We searched MEDLINE, EMBASE, Web of Science, Scielo, and LILACS for randomized trials that compare a TC with no treatment, a different type of treatment or another type of TC published from March 2004 to May 2011. Results: 5 publications from 4 randomized trials were identified. All the studies had serious methodological limitations according to the CONSORT. The heterogeneity among studies did not allow for metaanalytic analysis to calculate pooled estimates. The primary analysis showed that, in prison, certain models of TC might be marginally superior to other types of treatments regarding levels of alcohol use, days in prison and re-incarceration rates. Also, evidence from a community setting (i.e., not in-prison) suggests that a community-based TC is not superior to an outpatient treatment model regarding levels of substanc...

show abstract

“…Proactive engagement services result in individuals remaining engaged through the treatment process [112,113]. High drop-out rates come with a high cost to society in terms of increased prevalence, rise in crime and spread of HIV [4] and causing a great deal of pain to loved ones [65].…”

Section: Positive Outcomesmentioning

confidence: 99%

Review on Treatment of Substance Use Disorders

Njoroge¹

2017

J Addict Res Ther

View full text Add to dashboard Cite

Services for mental and substance use disorders have typically been neglected, and in many countries segregated from mainstream health care with resources allocated not commensurate with the burden. The attention given to mental and substance use disorders cannot be compared to other diseases such as HIV/AIDS, Malaria, Cancer, and Diabetes among others. Mental and substance use disorders account to about 7.4% of disease burden worldwide. These disorders are responsible for more of the global burden than HIV/AIDS and tuberculosis, diabetes, or transport injuries.The increasing number of cases of SUDs globally presents a public health challenge that requires effective evidence based interventions. One of the major challenges is inadequate treatment for SUDs which mostly plague developing countries. It may be difficult to measure the efficacy of treatment as a result of unique patient characteristics that contribute to person's treatment experience. Care factors such as duration of treatment and length of stay have been studied as having influence on the outcome of treatment. Others include patient and environmental factors.Globally, poor treatment outcomes mostly reported include dropout rates as high as 90%; relapse rates as high as 91% and high after treatment mortality rates. Research findings have identified many evidence-based treatment strategies for managing substance use disorders, nevertheless there is a gap that continues to exist, that of a lack of success of effective interventions to be spread and implemented so as to improve the lives of those affected. Other studies have also reported these differences in the outcomes and effectiveness of treatment of substance use disorders.There is need for enhanced interventional research that aims at providing an overview of conceptual issues relating to factors that influence treatment outcomes and identifying gaps and directions for improving treatment and treatment outcomes. The fundamental objective of enhanced research in substance use treatment is to reduce the increasing prevalence rates of substance use disorders.

show abstract

A randomized experimental study of gender-responsive substance abuse treatment for women in prison

Cited by 165 publications

References 29 publications

Transcendental Meditation and Reduced Trauma Symptoms in Female Inmates: A Randomized Controlled Study

Transcendental Meditation and Reduced Trauma Symptoms in Female Inmates: A Randomized Controlled Study

Eficacia de las comunidades terapéuticas en el tratamiento de problemas por uso de sustancias psicoactivas: una revisión sistemática

Review on Treatment of Substance Use Disorders

Contact Info

Product

Resources

About