Group Approaches in Substance Abuse Treatment

Kominars, Kathryn D.; Dornheim, Liane

doi:10.4135/9781452229683.n40

Cited by 5 publications

(4 citation statements)

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“…However, women in community treatment programs often use multiple substances, have various co-occurring psychiatric disorders, are of different ages and may or may not be pregnant or parenting (Greenfield et al, 2007a; SAMHSA, 2012). Although SUD treatment is most frequently offered in groups (Hodgins et al, 1997; Kominars and Dornheim, 2004; Morgan-Lopez and Fals-Stewart, 2006; Stinchfield et al, 1994), there has been no manual-based, empirically-tested group therapy designed for this heterogeneous population of treatment-seeking women with SUDs.…”

Section: Introductionmentioning

confidence: 99%

Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Greenfield¹,

Sugarman²,

Freid³

et al. 2014

Drug and Alcohol Dependence

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Background This Stage II trial builds on a Stage I trial comparing the single-gender Women’s Recovery Group (WRG) to mixed-gender Group Drug Counseling (GDC) that demonstrated preliminary support for the WRG in treating women with substance use disorders. The Stage II trial aims were to (1) investigate effectiveness of the WRG relative to GDC in a sample of women heterogeneous with respect to substance of abuse and co-occurring psychiatric disorders, and (2) demonstrate the feasibility of implementing WRG in an open-enrollment group format at two sites. Method In this randomized clinical trial, participants were included if they were substance dependent and had used substances within the past 60 days (n = 158). Women were randomized to WRG (n = 52) or GDC (n = 48); men were assigned to GDC (n = 58). Substance use outcomes were assessed at months 1–6 and 9. Results Women in both the WRG and GDC had reductions in mean number of substance use days during treatment (12.7 vs 13.7 day reductions for WRG and GDC, respectively) and 6 months post-treatment (10.3 vs 12.7 day reductions); however, there were no significant differences between groups. Conclusions The WRG demonstrated comparable effectiveness to standard mixed-gender treatment (i.e., GDC) and is feasibly delivered in an open-group format typical of community treatment. It provides a manual-based group therapy with women-focused content that can be implemented in a variety of clinical settings for women who are heterogeneous with respect to their substance of abuse, other co-occurring psychiatric disorders, and life-stage.

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Section: Introductionmentioning

confidence: 99%

Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Greenfield¹,

Sugarman²,

Freid³

et al. 2014

Drug and Alcohol Dependence

View full text Add to dashboard Cite

show abstract

“…Little is known about the effects of such heterogeneity on clinical processes or outcomes in general and more specifically with respect to women in treatment. Group therapy is the standard format most commonly used in substance abuse treatment programs (Kominars et al, 2004), yet there is a dearth of research assessing effectiveness of group therapy of SUDs, especially with regard to a heterogeneous group of patients with SUDs. Research is needed to elucidate the clinical processes of these treatments in order to help guide clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Group Process in the Single-Gender Women's Recovery Group Compared With Mixed-Gender Group Drug Counseling

Greenfield

Kuper

Cummings

et al. 2013

Journal of Groups in Addiction & Recovery

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Enhanced affiliation among members is thought to provide increased support for women in single-gender compared with mixed-gender group therapy for substance use disorders (SUDs) and to provide a potential mechanism of action for its efficacy. In a Stage I trial of single-gender versus mixed-gender group therapy for SUDs we examined affiliative statements made by members in two group treatments, single-gender Women's Recovery Group (WRG) and mixed-gender Group Drug Counseling (GDC). Twenty-eight WRG and 17 GDC group therapy tapes were coded and compared for five types of affiliative statements. Three types of affiliative statements (agreement, supportive, and completing a thought) were highly correlated and were more frequent in WRG than GDC (D=0.882, p=0.27). In GDC, women were more likely to provide an affiliative statement to a male group member than any other combination of directionality (p<0.01). Compared with mixed-gender, single-gender group therapy for SUDs may enhance support through greater frequency of affiliative statements.

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“…Substance abuse treatment in the community is most often delivered in group therapy format (Kominars & Dornheim, 2004). Single gender group therapy for women provides the opportunity to discuss gender-specific recovery issues and a treatment environment that feels safe and comfortable compared with a mixed-gender setting (Greenfield et al, 2007a; Greenfield & Grella, 2009; Kauffman, Dore, & Nelson-Zlupko, 1995; Sun, 2007).…”

mentioning

confidence: 99%

A Qualitative Analysis of Women's Experiences in Single-Gender Versus Mixed-Gender Substance Abuse Group Therapy

Greenfield¹,

Cummings

Kuper

et al. 2013

Substance Use & Misuse

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The present study of women with substance use disorders used grounded theory to examine women’s experiences in both the Women’s Recovery Group (WRG) and a mixed-gender Group Drug Counseling (GDC). Semi-structured interviews were completed in 2005 by twenty-eight women in a U.S. metropolitan area. Compared to GDC, women in WRG more frequently endorsed feeling safe, embracing all aspects of one’s self, having their needs met, feeling intimacy, empathy, and honesty. Additionally, group cohesion and support allowed women to focus on gender-relevant topics supporting their recovery. These advantages of single gender group therapy can increase treatment satisfaction and improve treatment outcomes.

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Group Approaches in Substance Abuse Treatment

Cited by 5 publications

References 0 publications

Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Group therapy for women with substance use disorders: Results from the Women's Recovery Group Study

Group Process in the Single-Gender Women's Recovery Group Compared With Mixed-Gender Group Drug Counseling

A Qualitative Analysis of Women's Experiences in Single-Gender Versus Mixed-Gender Substance Abuse Group Therapy

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