Perceived Neighborhood Safety, Recovery Capital, and Successful Outcomes Among Mothers 10 years After Substance Abuse Treatment

Evans, Elizabeth; Li, Libo; Buoncristiani, Samantha H; Hser, Yih‐Ing

doi:10.3109/10826084.2014.913631

Cited by 15 publications

(10 citation statements)

References 107 publications

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“…We have already noted that environmental factors such as safety affect recovery paths. 6 , 9 Consequently, this unique information may be pertinent, but not in common with the general factor.…”

Section: Discussionmentioning

confidence: 99%

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Does the Assessment of Recovery Capital scale reflect a single or multiple domains?

Arndt¹,

Sahker²,

Hedden³

2017

SAR

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ObjectiveThe goal of this study was to determine whether the 50-item Assessment of Recovery Capital scale represents a single general measure or whether multiple domains might be psychometrically useful for research or clinical applications.MethodsData are from a cross-sectional de-identified existing program evaluation information data set with 1,138 clients entering substance use disorder treatment. Principal components and iterated factor analysis were used on the domain scores. Multiple group factor analysis provided a quasi-confirmatory factor analysis.ResultsThe solution accounted for 75.24% of the total variance, suggesting that 10 factors provide a reasonably good fit. However, Tucker’s congruence coefficients between the factor structure and defining weights (0.41–0.52) suggested a poor fit to the hypothesized 10-domain structure. Principal components of the 10-domain scores yielded one factor whose eigenvalue was greater than one (5.93), accounting for 75.8% of the common variance. A few domains had perceptible but small unique variance components suggesting that a few of the domains may warrant enrichment.ConclusionOur findings suggest that there is one general factor, with a caveat. Using the 10 measures inflates the chance for Type I errors. Using one general measure avoids this issue, is simple to interpret, and could reduce the number of items. However, those seeking to maximally predict later recovery success may need to use the full instrument and all 10 domains.

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Section: Discussionmentioning

confidence: 99%

“… 7 , 8 For example, perceived neighborhood safety is significantly related to successful outcomes of mothers 10 years after treatment. 9 In addition, reports suggest that recovery capital is not static and can increase during recovery. 7 , 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

Does the Assessment of Recovery Capital scale reflect a single or multiple domains?

Arndt¹,

Sahker²,

Hedden³

2017

SAR

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“…CalTOP recruited approximately 17,770 adults admitted to 43 SUD treatment programs in 13 California counties during 2000–2002 (Hser, Evans, Huang, & Anglin, 2004; Evans & Hser, 2004). A prospective study (Evans, Li, Pierce, & Hser, 2013; Evans, Li, Buoncristiani, & Hser, 2014; Hser, Evans, & Huang, 2011) obtained data in 2009 on mental health services utilized by 4,447 CalTOP women from the California Department of Mental Health (DMH), which tracks psychiatric diagnoses and services provided by public mental health facilities. Study procedures were approved by Institutional Review Boards at UCLA and the California Health and Human Services Agency.…”

Section: Methodsmentioning

confidence: 99%

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Evans¹,

Padwa²,

Li³

et al. 2015

Journal of Substance Abuse Treatment

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Objective To determine mental health service utilization patterns among women treated for substance use disorders (SUD) and identify factors associated with patterns of high mental health service use. Methods Data were provided by 4,447 women treated for SUD in California during 2000–2002 for whom mental health services utilization records were acquired. A latent class model was fitted to women’s high use of services (≥6 services/year over 8 years). Multinomial logistic regression was used to identify predisposing, enabling, and need factors associated with utilization patterns. Results In 8 years after initiating SUD treatment, 50% of women utilized mental health services. High use probability was consistently low for most women (76.9%); for others, however, it decreased immediately following SUD treatment and then increased over time (9.3%), increased immediately following SUD treatment and then decreased (8.7%), or remained consistently high (5.1%). Consistently high services use was negatively associated with marriage (OR 0.60, p<0.05) and employment (OR 0.53, p<0.05) and positively associated with older age (OR 1.04, p<0.001), homelessness (OR 1.68, p<0.05), public assistance (OR 1.76, p<0.01), outpatient SUD treatment (OR 3.69, p<0.01), longer SUD treatment retention (OR 1.00, p<0.01), treatment desire (ORs 1.46, p<0.001), and co-occurring disorder diagnosis (ORs 2.89–44.93, p<0.001). Up to 29% of women with co-occurring mental health disorders at SUD treatment entry did not receive any mental health treatment in the subsequent 8 years. Conclusions Mental health services utilization patterns among women treated for SUD are hetereogeneous and dynamic. Understanding factors related to women’s utilization patterns may aid efforts to optimize care and ensure appropriate use of mental health services.

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“…The few studies that have examined these associations for adult women’s outcomes have largely been smaller scale, focusing on specific areas or subsets of mothers, such as those recovering from substance use disorders (Clark et al 2008 ; DeSantis et al 2016 ; Evans et al 2011 ). An important exception to this is a study by Huang et al ( 2018 ) that examined the association between health outcomes and a dichotomous measure indicating whether mothers witnessed or were victimized by any type of violence, including shootings, attacks with other forms of weapons, and being hit.…”

Section: Introductionmentioning

confidence: 99%

Gun Violence Exposure and Experiences of Depression Among Mothers

2021

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Gun violence is a uniquely prevalent issue in the USA that disproportionately affects disadvantaged families already at risk of health disparities. Despite the traumatic nature of witnessing gun violence, we have little knowledge of whether exposure to local gun violence is associated with higher risks of depression among mothers, whose symptoms of depression are likely to have spillover effects for kin. We examined the association between exposure to gun violence in mothers' neighborhoods and their experiences of depression using longitudinal Fragile Families and Child Wellbeing Study data (n = 4587) in tandem with lagged outcome and fixed effect models. We find that mothers who witness at least one shooting in their neighborhoods or local communities exhibit more symptoms of depression and are 32-60% more likely to meet criteria for depression than mothers who do not witness a shooting. We also find that witnessing a shooting is associated with increases in parental aggravation, which is partially mediated by maternal depression. Given this and other previously documented spillover effects of mothers' mental health on children and family members, these findings have important implications for mothers' wellbeing and their kin. Further, we observe substantial racial and socioeconomic disparities in exposure to gun violence, suggesting that gun violence may heighten health disparities and drawing attention to the importance of providing mental health resources in communities that are most affected by gun violence.

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Perceived Neighborhood Safety, Recovery Capital, and Successful Outcomes Among Mothers 10 years After Substance Abuse Treatment

Cited by 15 publications

References 107 publications

Does the Assessment of Recovery Capital scale reflect a single or multiple domains?

Does the Assessment of Recovery Capital scale reflect a single or multiple domains?

Heterogeneity of Mental Health Service Utilization and High Mental Health Service Use Among Women Eight Years After Initiating Substance Use Disorder Treatment

Gun Violence Exposure and Experiences of Depression Among Mothers

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