Women and Addiction: A Trauma-Informed Approach

Center for Gender and Justice, Institute for Relational Development, La Jolla, CA 92037, USA.
Journal of psychoactive drugs (Impact Factor: 1.1). 12/2008; Suppl 5(sup5):377-85. DOI: 10.1080/02791072.2008.10400665
Source: PubMed


Historically, substance abuse treatment has developed as a single-focused intervention based on the needs of addicted men. Counselors focused only on the addiction and assumed that other issues would either resolve themselves through recovery or would be dealt with by another helping professional at a later time. However, treatment for women's addictions is apt to be ineffective unless it acknowledges the realities of women's lives, which include the high prevalence of violence and other types of abuse. A history of being abused increases the likelihood that a woman will abuse alcohol and other drugs. This article presents the definition of and principles for gender-responsive services and the Women's Integrated Treatment (WIT) model. This model is based on three foundational theories: relational-cultural theory, addiction theory, and trauma theory. It also recommends gender-responsive, trauma-informed curricula to use for women's and girls' treatment services.

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    • "The lack of cohesion and heightened stress of treatment coupled with the myriad of personal needs experienced by many women likely resulted in notably higher levels of selfdischarge than men in the Lodge. It is important to note that this phenomenon is not unique to Coolmine Therapeutic Community and there exists an abundance of literature on identifying and addressing the needs of women in alcohol and drug PATHWAYS THROUGH TREATMENT 94 treatment (Covington 2002Covington , 2008Grella, 2008;Nelson-Zlupko et al, 1995). However, it is vital to highlight the occurrence of divergent residential treatment experiences between Ashleigh House and the Lodge as CTC, and other therapeutic communities, work to improve and expand their services for all clients. "
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    DESCRIPTION: This report documents the key findings from a mixed-methods, longitudinal study of service users at Coolmine Therapeutic Community (CTC), a drug and alcohol treatment centre in Dublin. The main report is structured as follows: Chapter 1 provides an introduction to Coolmine Therapeutic Community and the therapeutic community (TC) treatment model. Here, an overview of TC outcomes is reviewed, along with the literature on treatment entry and treatment processes. Chapter 2 outlines the research design, methodology, and administration procedures. Quantitative and qualitative approaches are discussed and the participant profiles of both streams are presented. Chapters 3, 4, and 5 present the key quantitative and qualitative findings in three sections: pathways into treatment, the treatment process, and life after treatment. Chapter 6 concludes the report by discussing the key findings, placing them in the broader context of national and international drug and alcohol treatment outcomes, and summarises key messages for therapeutic communities.
    Full-text · Research · Jan 2016
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    • "As econd and related theme was delinquent peer involvement in youth.I n9of the 20 victims,extensive drug involvement (often accompanied by truancy) emergedasrelevant in shaping their nightlife trajectories. Priorscholarship suggests emotional disconnections in youth such as those noted above often contribute to identification with drug-based subculturalg roups (Anderson 1998;Covington 2008).N otably,e xtensive drug involvementi na dolescence was reported by all those who experienced the involuntary incapacitation assault type, but not for thoser eporting the other two types. Drug-based subcultural identification often directly preceded their nightlife involvement. "

    Full-text · Article · Nov 2015 · Journal of Crime and Justice
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    • "Parents who have experienced trauma often have more difficulty in their relationships with their children, increasing the need to use parent training programs that address these issues (CSAT, 2009). Cultural-relational theory and relational models, which recognize the disconnections clients may have experienced in their relationships, can also inform our work (Covington, 2008). Parenting interventions that stress parentchild attachment and relationships are grounded in these theoretical frameworks (Moore & Finkelstein, 2001). "
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    ABSTRACT: Using an in-home services program model, Project Connect works collaboratively with the child welfare system, substance abuse treatment providers, the courts, and other community agencies to support parental recovery, enhance safety and permanency, and strengthen family relationships. Results from the most recent evaluation of the program, which used a dosage level design to examine project outcomes for 415 families, are presented here. Data indicate that the program was particularly helpful in strengthening parenting capacity. Child safety and permanency were also positively correlated with program participation.
    Full-text · Article · Oct 2015 · Journal of Public Child Welfare
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