How do women’s substance use problems, needs and outcomes differ from those of men? To mark International Women’s Day 2019, 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 66 documents.
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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.
REVIEW 2008 HTM file
Substance abuse treatment for women offenders: a research review
A major contributing factor to women being incarcerated and a critical factor in women’s reoffending, this review addresses the substance use treatment needs of female offenders and gender-specific interventions.
With an ‘alarmingly scarce’ evidence base to go on, the researchers draw parallels with the broader alcohol treatment literature, finding some support for interventions with motivational components among cohorts of gay and bisexual men, for whom heavy drinking is associated with more severe and chronic consequences.
Compared to brief advice, the CHOICES Plus intervention significantly lowered the risk of alcohol- and tobacco-exposed pregnancies among women in a low-income primary care population. This US-based trial illustrates the efficacy of a bundle of ‘pre-conception’ services for risky drinking, smoking, and ineffective contraception.
Strongest support for ‘therapeutic community’ approach to incarceration-based drug treatment according to robust review of evidence – with consistent reductions found in both drug relapse and recidivism.
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