Search results for ‘Subject term:"mental health problems"’ Sort:
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Responding to physical and sexual abuse in women with alcohol and other drug and mental disorders
- Editors:
- VEYSEY Bonita M., CLARK Colleen, (eds.)
- Publisher:
- Haworth Press
- Publication year:
- 2004
- Pagination:
- 207p.
- Place of publication:
- Binghamton, NY
This book explores the efforts of the Women, Co-Occurring Disorders and Violence Study to address the significant lack of appropriate services for women trauma survivors with co-occurring mental health and substance use disorders. Experts describe the services integration programmeof nine participating sites that address the multiple needs of these women. In this guide, you will find useful strategies for integrating services that are responsive to the strengths and needs of the individual as well as the community. This resource examines how each site designed, implemented, and evaluated their interventions. It explains how each site developed their strategies for integrating services at both the clinical/individual level and at the services or systems level. The book also shows how trauma-informed, gender-specific, culturally competent care fosters treatment that is sensitive to related issues such as children and parenting, interpreting culture cues, and socioeconomic difficulties.
The impact of intimate partner violence, substance use, and HIV on depressive symptoms among abused low-income urban women
- Authors:
- ILLANGASEKARE Samantha L., et al
- Journal article citation:
- Journal of Interpersonal Violence, 28(14), 2013, pp.2831-2848.
- Publisher:
- Sage
Intimate partner violence (IPV), substance use, and HIV are often co-occuring health problems affecting low-income urban women, and have been described as connected epidemics making up a “syndemic.” Research suggests that each issue separately is associated with depressive symptoms, but no studies have examined the combined effect of IPV, substance use and HIV on women’s depression. Interviews were conducted with 96 women recruited from community health clinics serving low-income women in an urban U.S. city. All women were over 17, not pregnant, English-speaking, without private insurance and had experienced physical IPV in the past year. Women were primarily African American (82%) and 82% were receiving income assistance. Twenty seven percent were HIV-positive, and 27% had used heroin or cocaine in the past 6 months. Based on the Centers for Epidemiological Studies Depression Scale (CES-D ), 73% were depressed. Women who experienced severe IPV in the past 6 months were compared to women who experienced no IPV or psychological IPV only in the past 6 months; those who experienced severe IPV were 5.3 times more likely to be depressed, controlling for HIV status, drug use, age, and relationship status. Women who experienced severe IPV, were HIV-positive, and used drugs (7.3% of sample) were 7.98 times as likely to be depressed as women without these characteristics. These findings confirm that severe IPV is significantly associated with depression among urban abused women. Furthermore, this research suggests that the syndemic effect of IPV, substance use, and HIV could be even more detrimental to women’s mental health. Health practitioners and researchers should be aware of the combined impact of the IPV, substance use, and HIV syndemic and consider how they can address the mental health needs of urban women. (Publisher abstract)
Case management outcomes for women who use crack
- Authors:
- CORSI Karen F., et al
- Journal article citation:
- Journal of Evidence-Based Social Work, 7(1-2), January 2010, pp.30-40.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Women who use crack are at risk for HIV in addition to problems surrounding their drug use. In this study crack using women participated in a strengths-based case management (SBCM) intervention with a case manager for up to 5 months. The case manager worked on identifying and highlighting the participant’s strengths and translating those strengths across all life domains. Once a case management plan has been developed, the case manager connected the participants to needed resources by providing referrals, scheduling appointments, and serving as an advocate as needed. The women were also encouraged to attend the monthly Recovery Options group. The goal of this group was to increase knowledge and decrease barriers for substance abuse treatment entry. The study evaluates the results for the 149 participants who completed the baseline interview and the 6 month follow-up interview; these women were predominantly African-American and Hispanic and averaged 42 years old. At the follow-up interview, significant improvements were reported on drug and alcohol use, mental and emotional health, and employment. The results indicate that case management services are useful to help crack-using women improve their lives.
Personal and political?: exploring the feminization of the American homeless population
- Authors:
- RICHARDS Tara N., et al
- Journal article citation:
- Journal of Poverty, 14(1), January 2010, pp.97-115.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Women and children are said to be disproportionately affected by the root causes of homelessness. The authors examined self-reported differences between male and female homelessness from a feminist perspective. A convenience sample of homeless individuals in a mid-size southern city of the US was interviewed (n=105, 50.5% female, mean age 41.61 years). The data suggest that while some root causes of homelessness, such as poverty, lack of affordable housing, cut backs in the welfare system, mental illness, drug dependency, and lack of state support, are seen throughout the homeless population, domestic violence and sexual abuse disproportionately impacts women. The interviews reveal that women may be less likely to become homeless than their men but when they do they are more likely to report family and economic-related reasons for becoming homeless. Recent national statistics indicate that, of the 3.5 million people who are homeless, 17% are women and 39% are children. In the current research 60% of the women had at east one child under 18. The authors propose that it is the dual nature of victimisation (personal and political) that has resulted in the steadily increasing female homeless population.
For your own good
- Author:
- SIMS Jean
- Journal article citation:
- Care and Health Magazine, 64, 2004, pp.18-19.
- Publisher:
- Care and Health
The Home Office's new 'Women's Offending Reduction Programme Action Plan' to reduce offending reveals women with drugs misuse or mental health problems are sometimes sent to prison for 'their own safety' despite evidence that prison is not a healthy place to be.
Bridging a gap
- Author:
- BOND Heather
- Journal article citation:
- Community Care, 25.6.98, 1998, pp.28-29.
- Publisher:
- Reed Business Information
Describes a visit to CAST, a project working to ease transition back to the community for women leaving prison or rehabilitation centres.
What do female clients want from residential treatment? the relationship between expressed and assessed needs, psychosocial characteristics, and program outcome
- Authors:
- HOHMAN Melinda, LOUGHRAN Hilda
- Journal article citation:
- Journal of Dual Diagnosis, 9(1), 2013, pp.3-10.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective: Meeting the needs of clients receiving substance use services is related to programme engagement and retention. Using Bradshaw's (1972) classic taxonomy of needs as a framework, the purpose of this study was to determine the relationship between clients’ expressed needs for their treatment experiences as compared to their formally assessed or normative needs. How expressed needs are related to demographic and other characteristics and programme exit status was also explored. Methods: Secondary analysis of evaluation data gathered for other purposes was utilised. Data including demographic and drug use variables were obtained from client charts (N = 237) in a residential treatment agency serving women with co-occurring disorders who were homeless. Clients were administered the Addiction Severity Index-Multimedia Version (ASI-MV) to assess treatment or normative needs. They were also asked to complete the 69-item needs assessment questionnaire, “What I Want From Treatment” (Miller & Brown, 1994). Items that had the highest mean scores were submitted to a principal components analysis for data reduction to determine expressed needs. Bivariate analyses were used to determine the relationships between three expressed needs factors (alcohol/drug, psychological, and housing/employment) and ASI composite scores, demographic characteristics, and exit status. Results: There was no relationship between expressed needs and ASI scores except between the housing/employment factor and medical needs. Race, ethnicity, criminal justice status and drug of choice had no relationship to expressed needs. Those who were referred by a community agency had higher scores on the alcohol/drug factor as compared to those who were self-referred or referred by the criminal justice system. Clients receiving psychiatric medications were less likely to ask for help on psychological and housing/employment factors. There was no association between expressed needs at intake and programme exit status. Conclusions: Race and supervision status did not appear to be barriers to asking for help. Clients’ expressed needs were not related to the severity of their assessed problems, indicating that separate constructs were being measured. Including both expressed and assessed needs may be important in holistic treating planning and intervention. (Publisher abstract)
Multi-agency working in criminal justice: control and care in contemporary correctional practice
- Editors:
- PYCROFT Aaron, GOUGH Dennis, (eds.)
- Publisher:
- Policy Press
- Publication year:
- 2010
- Pagination:
- 272p.
- Place of publication:
- Bristol
This textbook brings together the theory, policy and skills relevant to working in a multi-agency setting within the criminal justice system. It is published at a particularly relevant time as the professional qualifying arrangements for probation officers are changing and a “mixed economy” of correctional practice is emerging. Wide-ranging chapters provide in-depth reviews and important insights into multi-agency work in this environment and acknowledge the challenges and tensions inherent in recent developments. The authors outline the legislative and policy framework in the criminal justice system and evaluate professional and organisational conflicts within multi agency contexts. They also highlight key offender groups and issues associated with desistance from crime. The book is expected to be a valuable resource for academics and students and key reading for policy makers, managers and practitioners involved in or studying correctional work, through the Probation or Prison services, or other agencies.
Period prevalence and types of psychosocial risk factors in pregnant women in an urban Swedish community
- Authors:
- SYDSJO Gunilla, WADSBY Marie
- Journal article citation:
- International Journal of Social Welfare, 12(4), October 2003, pp.302-306.
- Publisher:
- Wiley
During a three-year period a total population of pregnant women attending antenatal clinics in Linköping, Sweden was screened for being at psychosocial risk. The prevalence of different psychosocial risk factors was compared with the corresponding prevalence in women referred to and accepting or declining to take part in a specialised training programme at a parent-baby clinic. In general, the present study showed that there was a constant proportion of about 4-5% of pregnant women with psychosocial risk factors. Psychiatric problems and social problems of relevance for pregnancies/parenthood were about equally frequent (i.e. 44 and 45%), while drug-addiction problems were at 11%. Only one in three women with risk factors were eventually referred to the parent-baby clinic, and every second woman referred finally took part in the programme. With the knowledge that an early intervention in families with psychosocial risk factors may alleviate some adverse or disadvantageous developments in children, it is a challenge to identify and to motivate these women to enrol in various support and training programmes. There are still too few pregnant women at risk who are ready to accept the further support that they may need, and the rationale for their reluctance must be better known.
A tale of four cities
- Author:
- ADAMS Kate
- Journal article citation:
- Health Service Journal, 5.2.98, 1998, pp.26-27.
- Publisher:
- Emap Healthcare
Describes life for patients and staff at five inner-city general practitioners in Liverpool, Belfast, Glasgow and London.