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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From the comprehensive treatment process data collected by a major national US study emerges the important lesson that retention in itself is not an active ingredient in post-treatment outcomes but reflects influences such having one's needs met (especially important for women) and developing a good relationship with the service and your key worker.
From Canada the first study to show that among long-term, severely opiate dependent patients who have not responded well to prior treatment, women as well as men benefit more from being prescribed injectable heroin than oral methadone.
Concern that sweetened alcoholic drinks ('alcopops') seduced adolescents to start drinking more and sooner led Germany to impose a tax rise nearly doubling their price. It dented their consumption among teenage drinkers, but switching to spirits and other products eroded the overall drop in alcohol consumption.
Can you get away with asking just a single question to identify risky drinkers and even dependent drinkers? When the thresholds are suitably adjusted, asking either about frequency of heavy drinking or maximum single-occasion consumption worked remarkably well in the US general population.
From the USA a rare randomised controlled trial of prison-based substance use treatment for women finds substantial benefits from replacing a standard prison therapeutic community programme with one based on extensive trauma-informed and gender-responsive elements delivered in an entirely woman-only environment.
At Philadelphia clinics seeing alcohol- (and often cocaine-) dependent patients, spending on average another nine minutes to offer counselling as well as progress checks during aftercare phone calls made the difference between a programme which did rather than did not consistently improve on usual arrangements, at least while it was operative.
REVIEW 2011 HTM file
The Good Behavior Game and the future of prevention and treatment
From the researchers involved in the trials, a practitioner-friendly account of research on the classroom management technique implemented in the first years of schooling which has led to remarkably strong and persistent impacts on substance use and other problems in later life.
In their first years at school, Baltimore pupils formed teams which could earn prizes and praise for good behaviour; 14 years later many fewer young lives were marred by substance-related problems, threatened by smoking, or on track to cause serious social problems.
In their prevention themes British drug strategies place considerable weight on early years parenting support; whatever else such efforts may achieve, this seminal US study did not find any long-term effects on substance use.
REVIEW 2011 HTM file
Universal school-based prevention programs for alcohol misuse in young people
This authoritative review says that school programmes which work best at preventing youth drinking problems are not specifically about alcohol at all, but instead target problem behaviour more generally.
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