What do women with substance use disorders want?

Grella, Christine E.

doi:10.1111/add.14206

Cited by 5 publications

(5 citation statements)

References 17 publications

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“…For example, information on trauma histories, economic dependence, gender-based violence experiences, social support networks, and other services utilization (i.e., primary care services and hospitalizations) are relevant factors that may influence treatment success and readmission risk. Women's preferences regarding SUD treatment and how the construct of "gender" held within treatment centers may affect women's recovery process have been pointed out as critical dimensions that remain necessary to address (Grella, 2018;Neale et al, 2018). Qualitative research may be a better methodological approach to address these and other dimensions.…”

Section: Discussionmentioning

confidence: 99%

Treatment outcome and readmission risk among women in women-only versus mixed-gender drug treatment programs in Chile

Olivari

Cruz

Mauro

et al. 2022

Journal of Substance Abuse Treatment

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Introduction: Traditional treatment programs for substance use disorder (SUD) tend to be male-dominated environments, which can negatively affect women's access to treatment and related outcomes. Women's specific treatment needs have led some providers to develop women-only SUD treatment programs in several countries. In Chile, women-only programs were only fully implemented in 2010. We compared treatment outcomes and readmission risk for adult women admitted to state-funded women-only versus mixed-gender SUD treatment programs in Chile. Methods: We used a registry-based retrospective cohort design of adult women in women-only (N = 8200) and mixed-gender (N = 13,178) SUD treatment programs from 2010 to 2019. The study obtained data from the National Drug and Alcohol Service from Chile. We used a multistate model to estimate the probabilities of experiencing treatment completion, discharge without completion (i.e., patient-initiated discharge and administrative discharge), or readmission, as well as the likelihood of being readmitted, conditioned on prior treatment outcome. We adjusted models for multiple baseline characteristics (e.g., substance use, socioeconomic). Results: Overall, 24% of women completed treatment and 54% dropped out of treatment. The proportion of patient-initiated discharges within the first three month was larger in women-only than in mixed-gender programs (19% vs. 12%). In both programs, women who completed treatment were more likely to experience readmission at three months, and one and three years. In the long term, women in the women-only programs were more likely to complete treatment than women in mixed-gender programs (34% vs. 23%, respectively). The readmission probability was higher among women who previously completed treatment than those who had a discharge without completion (40% vs 21% among women in women-only programs; 38% vs. 19% among women in mixed-gender programs, respectively); no differences occurred in the risk of readmission between women-only and mixed-gender programs. Conclusions: In terms of treatment outcomes and readmission risk, women-only programs had similar results to mixed-gender programs in Chile. The added value of these specialized programs should be addressed in further research.

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Section: Discussionmentioning

confidence: 99%

Treatment outcome and readmission risk among women in women-only versus mixed-gender drug treatment programs in Chile

Olivari

Cruz

Mauro

et al. 2022

Journal of Substance Abuse Treatment

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“…Furthermore the complexity of needs presented by some women necessitates a nuanced understanding, particularly when substance use is associated with other comorbidities (Grella, Greenwell, Mays & Cochran, 2009). However, Grella (2018) cautions that there is still a paucity of knowledge regarding how gender shapes choices for treatment services. Therefore in this paper we explore gender based choices made for online recovery methods.…”

Section: Gender Differences In Recoverymentioning

confidence: 99%

Participation with online recovery specific groups - findings from the UK Life in Recovery survey 2015

Graham

Irving

Cano

et al. 2018

Alcoholism Treatment Quarterly

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As the concept of recovery has expanded, and become embedded in drug and alcohol policy, so too has the proliferation of online recovery support. This paper explores data from the UK Life in Recovery survey (Best et al., 2015), focusing on online recovery methods categorised as: Online Groups, Websites, and Smartphone Applications. While 301 people (39.30%) reported involvement with at least one online recovery method, chi-square tests reveal significant associations between people in stable recovery (five years or more) and the use of recovery applications (Cramer's V= 0.114), as well as between people in full-time employment and the use of online recovery websites or recovery applications. Having dependent children was not associated with use of any online recovery method, yet gender was (Cramer's V= 0.088). This study extends the relatively limited literature and knowledge base of online recovery methods. While the evidence points to higher engagement of recovery websites and apps for people in stable recovery, encouraging online recovery methods for individuals in early recovery may support recovery efforts when the risk of returning to substance misuse and active using social networks remains high. Further research should investigate the mechanisms of recovery change, with a focus on gender differences.

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“…Women may (or may not) choose women‐only treatment for countless personal, social, relational, economic, geographic or service‐related reasons. Equally, they may only have partial knowledge of what is best for them, even though they are confident that they know what they want . Both what is best for any individual woman and what she wants will depend upon myriad interacting factors (in addition to gender).…”

mentioning

confidence: 98%

“…We would like to thank Professors Elizabeth Ettorre , Christine Grella and Jeanne Marsh for their thoughtful commentaries on our Addiction Debate article . The question we posed (‘Do women with complex alcohol and other drug use histories want women‐only residential treatment?’) was phrased in a deliberately provocative and challenging way.…”

mentioning

confidence: 99%

“…As Marsh argues, this points to the need for integrated service provision that helps people holistically . Consistent with both Ettorre and Grella , we also agree that there is a need for more theoretically nuanced research in order to better understand the gendered and embodied nature of treatment. Understanding the inter‐relationship between gender and treatment is important for everyone, and thus for health equity more broadly.…”

mentioning

confidence: 99%

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