How do women’s substance use problems, needs and outcomes differ from those of men? To mark International Women’s Day 2020, a collection of interventions that further our understanding of how sex and gender can influence the course of addiction and treatment, with a particular focus on women starting with the analyses most recently added or updated, totalling today 70 documents.
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STUDY 2007 HTM file
Preventing alcohol-exposed pregnancies: a randomized controlled trial
Foetal exposure to alcohol is a leading cause of birth defects and developmental disabilities. Targeting interventions at women before they become pregnant – as with Project CHOICES – could shift the focus in clinical practice from treatment of substance-exposed pregnancies to prevention of a major (and costly) public health concern.
Study set in Canada and the United States finds more than enough financial justification for expanding prevention of foetal alcohol spectrum disorders. But what does ‘expansion’ mean – universal prevention, or focusing resources on those most at risk?
A study spotlights antenatal care in Scotland – one of three priority settings in a national programme to deliver screening and brief interventions. Implementation leaders discussed midwives’ roles in facilitating disclosures about drinking in pregnancy, and what happens when their professional opinions deviate from guidance.
STUDY 2019 HTM file
“We have to put the fire out first before we start rebuilding the house”: practitioners’ experiences of supporting women with histories of substance use, interpersonal abuse and symptoms of post-traumatic stress disorder
Within treatment systems that have tended to underestimate or overlook the importance of ‘trauma-informed’ practice, this study explores how practitioners in England respond to the needs of women with substance use problems, histories of abuse, and symptoms of post-traumatic stress disorder.
How can infertility specialists integrate screening, brief intervention, and referral to treatment into their everyday practice?
REVIEW 2018 HTM file
Effectiveness of brief alcohol interventions in primary care populations
Update of a key document forming the basis of claims that brief interventions work in ‘real-world’ settings. Combined findings from randomised trials confirm that brief advice in primary care can reduce drinking, but will those reductions be realised in contemporary routine practice?
How do drug recovery wings in women’s prisons compare with best practice in Baroness Corston’s 2007 report to the Home Office?
In this US study a substance use prevention programme for adolescent girls accessed over the internet from home had effects comparable to school-based drug education, yet occupied no classroom or teacher time and could inexpensively be replicated across the internet-linked population. Also described are later reports from similar studies.
REVIEW 2016 HTM file
Buprenorphine versus methadone for opioid dependence in pregnancy
Among pregnant women, substitute prescribing is preferable to continued illicit opioid use and supervised withdrawal. Buprenorphine has different properties to the dominant treatment option methadone, but both stand to improve pregnancy and infant outcomes.
Part review, part ‘call to action’, the featured paper highlights the lack of awareness of evidence-based interventions for transgender people, and advocates for ‘culturally-sensitive’ approaches embedded in both general and specialised substance use programmes.
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