Experiences Associated with Intervening with Homeless, Substance-abusing Mothers: The Importance of Success

Slesnick, Natasha; Glassman, Michael; Katafiasz, Heather; Collins, Jennifer C.

doi:10.1093/sw/sws025

Cited by 13 publications

(8 citation statements)

References 20 publications

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“…Ideally, targeted treatment and harm minimisation practices are context specific. That is, they should be located close to areas of highest need, acceptable to the age, sex and cultural background of potential clients; and deliver a comprehensive service that does not isolate drug use from a person’s other concerns or needs [8, 9]. For rural populations, interventions should be specific to the unique circumstances of rural settings [4].…”

Section: Introductionmentioning

confidence: 99%

Increased demand for amphetamine treatment in rural Australia

Allan¹,

Kemp

et al. 2019

Addict Sci Clin Pract

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Background A substantial increase in substance treatment episodes for methamphetamine problems suggests characteristics of the treatment population could have changed and that targeted treatment programs are required. To determine who methamphetamine treatment should be designed for this study has two aims. First, to empirically describe changes in amphetamine treatment presentations to a rural NSW drug and alcohol treatment agency over time. Second, to examine how these characteristics may affect the likelihood of being treated for amphetamines compared to other drugs. Method The Australian Alcohol and Other Drug Treatment Services National Minimum Data Set (AODTS-NMDS) containing closed treatment episodes from a single agency from three time periods was used. Characteristics of people receiving amphetamine treatments in these three periods were compared and the effects of these characteristics on the odds of being treated for amphetamine were estimated using a logistic regression model. The characteristics utilised in the analysis include age, sex, Indigenous status, usual accommodation, living arrangement, source of referral and source of income. Results The proportion of amphetamine treatment episodes doubled from 2006/2007 to 2015/2016 and overtook alcohol as the most commonly treated principal drug of concern. The estimated proportion of amphetamine treatments showed an increment across all ages and for men and women. It was found that younger people, women, people in temporary accommodation or homeless, people who were self-referred and people whose main source of income was not through employment are more likely to be treated for amphetamine use. Conclusion Significant changes over time in the age, sex and Indigenous status of people receiving treatment for amphetamine as the principal drug of concern requires service delivery to match demand from younger people, particularly women; and Indigenous people. The needs and preferences for treatment of younger women who use amphetamine will be important factors in treatment planning service providers who are more used to providing treatment for young men who use cannabis and older men who use alcohol. Further research on women’s experiences in treatment and outcomes would be useful for informing treatment practices. Electronic supplementary material The online version of this article (10.1186/s13722-019-0144-6) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Increased demand for amphetamine treatment in rural Australia

Allan¹,

Kemp

et al. 2019

Addict Sci Clin Pract

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“…Specifically, mothers received an average of 10.57 (SD=3.31) CRA sessions and 12.53 (SD=5.84) case management sessions. More information on the integrative intervention can be found elsewhere (Slesnick et al, 2012; Slesnick & Erdem, 2012). …”

Section: Methodsmentioning

confidence: 99%

“…The first phase of the project included data gathering on the treatment needs of the homeless mothers (Dashora, Slesnick, & Erdem, 2012; Sznajder-Murray & Slesnick, 2011), followed by the development and pilot testing of Ecologically-Based Treatment in a small sample (Slesnick et al, 2012; Slesnick & Erdem, 2012). The current paper presents the primary outcomes from the randomized controlled trial, testing the efficacy of Ecologically-Based Treatment among homeless mothers on housing and substance use.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of ecologically-based treatment with substance-abusing homeless mothers: Substance use and housing outcomes

Slesnick

Erdem

2013

Journal of Substance Abuse Treatment

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This randomized pilot study tested the efficacy of an integrative treatment targeting homeless substance abusing mothers with young children in their care. Sixty mothers with 2–6 year old children were recruited from a local family shelter. The mothers were randomly assigned to Ecologically-Based Treatment (n = 30) or treatment as usual (n = 30). The intervention group received 3 months of rental and utility assistance up to $600 per month, case management services, and substance abuse counseling (referred to as supportive services). The treatment as usual group received housing and services through the family shelter and community housing programs. All participants completed follow-up assessments at 3, 6, and 9 months post-baseline. Mothers receiving Ecologically-Based Treatment showed a quicker decline in alcohol frequency and a quicker increase in housing stability. Furthermore, with supportive services, two-thirds of women were successful in maintaining their apartments 6 months after rental assistance ended.

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“…Treatment drop-out may also be considered a symptom of common psychological resistances, which can present therapeutic opportunities if responded to in an appropriate professional manner (Slesnick et al 2012). Such subtle and complex dynamics may be difficult to capture through quantitative measures, both on the level of processes and outcomes.…”

Section: Theoretical and Empirical Conceptualisations Of Engagementmentioning

confidence: 99%

Service Engagement in Interventions for Street-Connected Children and Young People: A Summary of Evidence Supplementing a Recent Cochrane–Campbell Review

Hossain

Coren

2014

Child Youth Care Forum

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BACKGROUND: This paper builds on a Cochrane-Campbell systematic review of interventions that reduce harms and promote reintegration in street-connected children and young people focusing on intervention outcomes. The aim of the present analysis is to explore questions raised in the systematic review over the potential role of service engagement in mediating outcomes of relevant interventions.OBJECTIVE: The paper summarises engagement-related findings from quantitative intervention evaluations with street-connected populations of children and young people, as reported by study authors. It seeks to contribute to theoretical and methodological understandings of service engagement with street-connected youth populations and to highlight gaps in current knowledge.METHODS: Drawing on the original search for the Cochrane-Campbell review, we re-screened search results in our database and included quantitative findings if relevant to our current research questions, regardless of study design. Additionally, we sought new study publications from authors whose work was included in the original systematic review. The discussion explores relevant data from five studies included in the original systematic review, ten studies excluded from the review, and two studies published after the completion of the review.RESULTS: The measures of service engagement in the included studies focused on treatment attendance, 'level of engagement', and service satisfaction. Evidence on the impact of service engagement on other outcomes in interventions for street-connected children and young people was limited. Available data on the predictors and impact of service engagement were mixed and appear not to provide robust support for common hypotheses in the relevant context.

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Experiences Associated with Intervening with Homeless, Substance-abusing Mothers: The Importance of Success

Cited by 13 publications

References 20 publications

Increased demand for amphetamine treatment in rural Australia

Increased demand for amphetamine treatment in rural Australia

Efficacy of ecologically-based treatment with substance-abusing homeless mothers: Substance use and housing outcomes

Service Engagement in Interventions for Street-Connected Children and Young People: A Summary of Evidence Supplementing a Recent Cochrane–Campbell Review

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