Tailoring of Outpatient Substance Abuse Treatment to Women, 1995–2005

Bibliographic Data

ID9102701
AuthorsCynthia I Campbell (0000-0003-1019-5852, Kaiser Permanente, corresponding author), Rebecca Wells (0000-0002-1526-3263, University of North Carolina at Chapel Hill), Jeffrey A Alexander (0000-0003-0872-7936, University of Michigan), Lan Jiang (0000-0002-4097-1341, Providence VA Medical Center), Tammie A Nahra (University of Michigan), Christy Harris Lemak (University of Florida)
Year2007
Volume45
Issue8
Pages775-780
Publication date2007-08-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31806518c0
PMID17667312
OpenAlexW1964845536
LanguageEN
Citations received5
References cited31

BACKGROUND: Tailoring substance abuse treatment to women often leads to better outcomes. Previous evidence, however, suggests limited availability of such options. OBJECTIVES: This investigation sought to depict recent changes in outpatient substance abuse treatment (OSAT) tailoring to women and to identify unit and contextual factors associated with these practices. RESEARCH DESIGN: Data were from 2 waves of a national OSAT unit survey (N = 618 in 1995, N = 566 in 2005). Comparisons of weighted means between waves indicate which practices changed over time. Multiple logistic regressions with generalized estimating equations test associations between unit and contextual attributes and tailoring to women. MEASURES: Tailoring to women was measured as availability of prenatal care, child care, single sex therapy, and same sex therapists, and the percentage of staff trained to meet female clients' needs. RESULTS: Two measures of tailoring to women declined significantly between 1995 and 2005: availability of single sex therapy (from 66% to 44% of units) and percent of staff trained to work with women (from 42% to 32% of units). No aspect of tailoring to women became more common. Proportion of female clients, total number of clients, methadone status, and private and government managed care were associated with higher odds of tailoring to women. For-profit facilities, which became more prevalent during the study period, had lower odds than other units of tailoring treatment to women. CONCLUSIONS: Some key aspects of OSAT tailoring to women decreased significantly in the last decade. Managed care contracts may offer 1 mechanism for counteracting these trends

Psychiatry · Substance abuse · Substance abuse treatment · Medicine · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects · Substance Abuse Treatment and Outcomes

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