Treatment barriers among individuals with co-occurring substance use and mental health problems: Examining gender differences

Agterberg, Silvana; Schubert, Nicholas; Overington, Louise; Corace, Kimberly

doi:10.1016/j.jsat.2020.01.005

Cited by 36 publications

(42 citation statements)

References 34 publications

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“…The present study also helps to address the literature gap on women with substance use disorders [2,61]. It is well established that gender plays a role in patterns of substance use and dependence [62].…”

Section: Discussionmentioning

confidence: 72%

“…It is well established that gender plays a role in patterns of substance use and dependence [62]. Women differ from men in their progression to dependence, medical consequence, comorbid mental health issues, history of abuse, trauma and violence and patterns of use [2,61]. They also face unique challenges in accessing and entering treatment programs, where women are under-represented [2,63].…”

Section: Discussionmentioning

confidence: 99%

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Polysubstance use classes and health outcomes among women attending specialist substance use treatment services

Rodriguez

Robinson

Kelly

et al. 2021

Drug and Alcohol Review

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Introduction. Substance use is increasingly prevalent among women. Little research examines subgroups of women with substance use issues to identify their characteristics and thus enable treatment recommendations. The present study used latent class analysis to identify subgroups of substance use among women in substance-use treatment based on use in the 30 days prior to intake and examined changes in mental health and treatment outcomes following 60 days of treatment. Methods. Participants were women (N = 493) attending specialist non-government substance use treatment services in New South Wales, Australia. Results. Four distinct classes of substance users were identified: (i) Amphetamine Type Stimulants (ATS) Polysubstance (40.6%, n = 200); (ii) Alcohol Only (33.1%, n = 163); (iii) Cannabis and Alcohol (17.0%, n = 84) and (iv) Other Polysubstance (9.3%, n = 46). Women in the ATS Polysubstance class were the youngest and those in the Alcohol Only class were the oldest. Discussion and Conclusions. Findings show that classes with high polysubstance use (ATS Polysubstance) differed from the single-substance use class (Alcohol Only). The ATS Polysubstance class had significantly greater improvements in health outcomes after 60 days compared to the Alcohol Only class. These findings suggest that although women with polysubstance use can benefit from substance use treatment, younger women (ATS Polysubstance) may benefit even more than older women (Alcohol Only). Future research should utilise a longitudinal design and examine additional psychosocial characteristics to extend on current findings. [Rodriguez AS, Robinson LD, Kelly PJ, Hudson S. Polysubstance use classes and health outcomes among women attending specialist substance use treatment services.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Polysubstance use classes and health outcomes among women attending specialist substance use treatment services

Rodriguez

Robinson

Kelly

et al. 2021

Drug and Alcohol Review

View full text Add to dashboard Cite

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“…Stigma is a well-recognized challenge in SUDs, and is a barrier to both treatment and long-term recovery (Cernasev et al 2021; Agterberg et al 2020). Our results suggest that stigma and shame may be present in, but not a barrier to, DBS trials in SUDs.…”

Section: Discussionmentioning

confidence: 99%

DBS for substance use disorders? An exploratory qualitative study of perspectives of people currently in treatment

Versalovic

Klein

Goering

et al. 2022

Preprint

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Background and AimsDeep brain stimulation (DBS) has shown promise as a treatment option for substance use disorders (SUDs), but may have unique ethical risks due to stigma and other factors. Previous studies have elicited researcher and clinician opinions on those risks, but none have studied perspectives of people living with SUDs.MethodsParticipants were recruited through a national inpatient treatment network employing purposive sampling for representation of minoritized groups and diversity of substances. Participants viewed a short video introducing DBS, followed by a 1.5 hour semi-structured interview on their experiences with SUDs and their perspectives on DBS as a future treatment option. Interviews were analyzed by multiple coders who iteratively identified salient themes.ResultsWe interviewed 20 people in 12-step based, inpatient treatment programs (10 [50%] white/Caucasian, 7 Black/African American [35%], 2 Asian [10%], 1 Hispanic/Latino [5%], and 1 [5%] Alaska Native/American Indian; 11 [45%] women). Interviewees described a variety of barriers they currently faced through the course of their disease that mirrored barriers often associated with DBS (stigma, invasiveness, maintenance burdens, privacy risks). The majority of respondents expressed interest in DBS as a future treatment option, emphasizing the importance of exploring novel treatment options and keeping individual treatment goals as key guiding considerations.ConclusionsThe perspectives of people with lived experience of SUDs contrasted with previous surveys of provider attitudes on DBS for SUDs. Individuals with SUDs gave relatively less weight to surgical risks and clinical burdens associated with DBS. These differences derived largely from their experiences living with an often-fatal disease, encountering limitations of current treatment options, and their familiarity with 12-step treatment paradigms that prioritize having multiple therapeutic “tools.” These findings support the study of DBS as a treatment option for SUDs, with extensive input from people with SUDs and advocates.

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“…Pregnancy, childbirth, and motherhood are regularly reported as factors preventing women from accessing AOD treatment ( 35 – 38 ). Women are also at an elevated risk of experiencing co-occurring mental health or personality disorders in comparison to men ( 39 – 42 ). Furthermore, shame, stigma, and fear of legal, and social repercussions (e.g., child protection involvement) have also been identified as barriers which can impact upon women seeking AOD treatment ( 38 ).…”

Section: Introductionmentioning

confidence: 99%

Barriers to Accessing Addiction Treatment for Women at Risk of Homelessness

Rizzo

Cotroneo

et al. 2022

Front. Glob. Womens Health

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Women remain under-represented in addiction treatment, comprising less than a third of clients in treatment services. Shame, stigma, and fear of legal and social repercussions (e.g., child protection involvement) are major barriers impacting on treatment-seeking for women. This is compounded for women at risk of homelessness, with practical and logistical reasons for not engaging in treatment. We conducted a qualitative study with both clinicians and service-providers, and women with lived experience of addiction and at risk of homelessness, to identify barriers to access and help-seeking within this vulnerable population. Adult women with lived experience of homelessness and addiction were invited to participate in an online focus group. Interviews were transcribed and analyzed using framework analysis. Analysis resulted in the identification of barriers to access in three areas. These were system-related, socio-cultural, and emotional barriers. We also present findings from the focus group recorded in real-time, using the novel method of digital illustration. This study highlights key factors impacting on help-seeking and access to treatment for addiction faced by women at risk of homelessness. The findings of this study highlight important areas of consideration for clinicians and service-providers working with women who experience addiction, as well as informing future research directions for this priority population. Findings are discussed in the context of exigent literature.

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Treatment barriers among individuals with co-occurring substance use and mental health problems: Examining gender differences

Cited by 36 publications

References 34 publications

Polysubstance use classes and health outcomes among women attending specialist substance use treatment services

Polysubstance use classes and health outcomes among women attending specialist substance use treatment services

DBS for substance use disorders? An exploratory qualitative study of perspectives of people currently in treatment

Barriers to Accessing Addiction Treatment for Women at Risk of Homelessness

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