Retaining cocaine-abusing women in a therapeutic community: the effect of a child live-in program.

Hughes, Patrick H.; Coletti, Shirley D.; Neri, Robert L.; Urmann, Catherine F.; Stahl, Sidney M.; D, Sicilian; Anthony, James C.

doi:10.2105/ajph.85.8_pt_1.1149

Cited by 104 publications

(58 citation statements)

References 14 publications

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“…This project found that the women were significantly more likely to complete the women-focused intensive day program than those who attended a residential program for women and their children or a traditional residential program (Roberts and Nishimoto, 1996). Within residential programs, however, policies allowing children to accompany their mothers in treatment have been demonstrated to have a positive impact on treatment retention (Hughes et al, 1995;Szuster et al, 1996). A randomized trial of female cocaine-abusing patients assigned women to the experimental condition, in which one or two of the children joined the woman in residential treatment, or the control condition of placing the children with a caregiver outside the therapeutic community (Hughes et al, 1995).…”

Section: Program-related Characteristics Associated With Treatment Rementioning

confidence: 99%

“…While mixed-gender samples allow for examination of gender-specific predictors of retention, a number of studies have examined predictors of retention among women-only samples (Brown et al, 1995;Davis, 1994;Hughes et al, 1995;Huselid et al, 1999;Haller and Miles, 2004;Kelly et al, 2001;Knight et al, 1999;Loneck et al, 1997;Stahler et al, 2005;Szuster et al, 1996). Research using women-only samples has found associations between certain patient characteristics (e.g., psychological function, personal stability and social support, levels of anger, treatment beliefs, and referral source) and rates of retention and completion.…”

Section: Individual Characteristics Associated With Treatment Retentimentioning

confidence: 99%

“…Within residential programs, however, policies allowing children to accompany their mothers in treatment have been demonstrated to have a positive impact on treatment retention (Hughes et al, 1995;Szuster et al, 1996). A randomized trial of female cocaine-abusing patients assigned women to the experimental condition, in which one or two of the children joined the woman in residential treatment, or the control condition of placing the children with a caregiver outside the therapeutic community (Hughes et al, 1995). The results showed that the women who retained their children remained in residential treatment significantly longer than the other women.…”

Section: Program-related Characteristics Associated With Treatment Rementioning

confidence: 99%

“…Females with substance use disorders differ significantly from males with substance use disorders in terms of the risk factors for, and natural history of, substance use problems, reasons for relapse, presenting problems, and motivations for treatment (Davis, 1994;Hodgins et al, 1997;Hughes et al, 1995;Pelissier et al, 2003;Saunders et al, 1993). As a result, it is generally asserted that substance abuse treatment for women, particularly pregnant women and women with dependent children, must differentially address these complex psychosocial issues (Jansson et al, 1996;Knight et al, 1999;Nelson-Zlupko et al, 1995;SAMHSA, 1993;Volpicelli et al, 2000).…”

Section: Rationale For Gender-specific Treatment For Womenmentioning

confidence: 99%

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Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

882

782

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This paper reviews the literature examining characteristics associated with treatment outcome in women with substance use disorders. A search of the English language literature from 1975 to 2005 using Medline and PsycInfo databases found 280 relevant articles. Ninety percent of the studies investigating gender differences in substance abuse treatment outcomes were published since 1990, and of those, over 40% were published since the year 2000. Only 11.8% of these studies were randomized clinical trials. A convergence of evidence suggests that women with substance use disorders are less likely, over the lifetime, to enter treatment compared to their male counterparts. Once in treatment, however, gender is not a significant predictor of treatment retention, completion, or outcome. Gender-specific predictors of outcome do exist, however, and individual characteristics and treatment approaches can differentially affect outcomes by gender. While women-only treatment is not necessarily more effective than mixed-gender treatment, some greater effectiveness has been demonstrated by treatments that address problems more common to substance-abusing women or that are designed for specific subgroups of this population. There is a need to develop and test effective treatments for specific subgroups such as older women with substance use disorders, as well as those with co-occurring substance use and psychiatric disorders such as eating disorders. Future research on effectiveness and cost-effectiveness of gender-specific versus standard treatments, as well as identification of the characteristics of women and men who can benefit from mixed-gender versus single-gender treatments, would advance the field.

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Section: Program-related Characteristics Associated With Treatment Rementioning

confidence: 99%

Section: Individual Characteristics Associated With Treatment Retentimentioning

confidence: 99%

Section: Program-related Characteristics Associated With Treatment Rementioning

confidence: 99%

Section: Rationale For Gender-specific Treatment For Womenmentioning

confidence: 99%

See 2 more Smart Citations

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Greenfield

Brooks

Gordon

et al. 2007

Drug and Alcohol Dependence

882

782

View full text Add to dashboard Cite

show abstract

“…The study used a nondirectional hypothesis since this was an exploratory study. While most studies indicate that women who have their children with them in treatment were likely to complete treatment (Hughes, Coletti, Neri, Urmann, 1995;Knight, Logan, & Simpson, 2001;Nishimoto & Roberts, 2001;Stahl, Sicillian, & Anthony, 1995;Szuster, Rich, Chung, & Bisconer; Strantz, & Welch, 1995), at least one study suggests that women who had custody of their children and who had significant child care responsibilities were less likely to complete treatment (Knight, Logan, & Simpson, 1999). Further, much of the relevant TANF research is descriptive, and there is little research that assesses the impact of receiving TANF cash benefits on women's drug treatment outcomes (Gutman, Ketterling & McLellan 2003;Keesee & Williams, 1997;Montoya, Atkinson & Struse, 2001).…”

mentioning

confidence: 99%

The impact of foster care and Temporary Assistance for Needy Families (TANF) on women's drug treatment outcomes

Lewandowski

Hill

2008

Children and Youth Services Review

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This study assesses the impact of having a child in foster care and receiving cash benefits through Temporary Assistance for Needy Families (TANF) on women's completion of a residential drug treatment program. The study's hypothesis was that drug treatment completion rates for women who had children in foster care and/or who were receiving TANF would differ from women who did not receive these services. The sample included 117 women age 19 to 54, in a Midwestern state. Findings suggest that women with a child or children in foster care were less likely to complete treatment. Women receiving cash benefits were also somewhat less likely to complete treatment than women not receiving these services. Women with children in foster care had similar levels of psychological, employment, and drug and alcohol concerns as other women, as measured by the Addiction Severity Index. Future research should focus on identifying strategies that enhance retention rates of these vulnerable women. Implications for improving treatment retention are discussed in light of the Adoption and Safe Families Act of 1997 and the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. TextThe purpose of this study was to assess how having a child in foster care, and/or receiving cash benefits through Temporary Assistance for Needy Families (TANF) impacted women's residential drug treatment completion rates. The study took place at a women's residential drug treatment center in the Midwest where drug treatment, child welfare, and TANF are provided through three different agencies who work independently of each other, and where there is little, if any, interagency collaboration.Examining the impact of foster care and welfare on women's drug treatment completion rates seems especially relevant in light of the passage of the Adoption and Safe Families Act of 1997 (ASFA) and the Personal Work and Responsibility Act of 1996 (PRWORA). As service delivery systems, child welfare, TANF, and substance abuse services have separate goals, philosophies, legal mandates, and timelines. With the new ASFA timelines, low-income women in recovery are expected to completely overcome their addiction in a relatively short period of time (Azzi-Lessing & Olsen, 1996). While not empirically tested, these various 518-591-8784. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptChild Youth Serv Rev. Author manuscript; available in PMC 2009 January 1. Published in final edited form as:Child Youth Serv Rev. 2008 ; 30(8): 942-954. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscr...

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Effects of prenatal cocaine exposure and postnatal environment on child development

2000

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Studies on the long‐term developmental effects of in utero cocaine exposure are few and the small number of studies published do not consider the postnatal environment. The present investigation was conducted to quantify the role that postnatal environment played compared to prenatal exposure. Four groups of 25 infants, each assessed at 12 months of age, were included in the study design: 1) noncocaine‐exposed children residing with their biological parents in low socioeconomic environments, 2) cocaine‐exposed children living with their biological parents in low socioeconomic environments, 3) noncocaine‐exposed children adopted at birth in middle to upper‐middle socioeconomic environments, and 4) cocaine‐exposed children adopted at birth. Infants were assessed by the Uzgiris‐Hunt Ordinal Scales of Infant Psychological Development, the Fagan Test of Infant Intelligence, and the Infant Monitoring Questionnaire. Height and head circumference were measured. Gender and ethnicity were controlled statistically. Significant differences were found in cognitive functioning, in fine motor development, and in physical growth between control and prenatally cocaine‐exposed children. Adoption enhanced cognitive functioning and fine motor skills among infants not exposed to cocaine prenatally, but had no apparent effect on infants prenatally exposed to cocaine. Am. J. Hum. Biol. 12:417–428, 2000. © 2000 Wiley‐Liss, Inc.

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Retaining cocaine-abusing women in a therapeutic community: the effect of a child live-in program.

Cited by 104 publications

References 14 publications

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

Substance abuse treatment entry, retention, and outcome in women: A review of the literature

The impact of foster care and Temporary Assistance for Needy Families (TANF) on women's drug treatment outcomes

Effects of prenatal cocaine exposure and postnatal environment on child development

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