The prevalence of illicit-drug or alcohol use during pregnancy and discrepancies in mandatory reporting in Pinellas County, Florida

The Administration for Children, Youth and Families

In the past three decades, there has been increased recognition of the role of gender in influencing the course of substance use and treatment utilization. Concurrently, a substantial body of research on gender-related issues and substance abuse and its treatment has developed. This article reviews (1) policy initiatives that led to the growth of "specialized" treatment programs and services for women and recent policy changes that influence the provision of substance abuse treatment to women; (2) gender differences in the prevalence of substance use disorders and admissions to treatment; (3) gender differences in treatment needs,utilization, and outcomes, including long-term outcomes following treatment; (4) organizational characteristics of substance abuse treatment providers for women and the types of services provided in these programs; (5) treatment outcomes in gender-specific programs for women; and (6) the effectiveness of evidence-based treatment practices that have either been modified, or have the potential to be adapted, to address the treatment needs of women. This body of research is viewed within the context of a series of paradigm shifts from a generic treatment approach to a focus on gender differences and gender specificity and, most recently, to an emergent focus on gender responsiveness.

From generic to gender-responsive treatment: changes in social policies, treatment services, and outcomes of women in substance abuse treatment.

Do drug treatment services predict reunification outcomes of mothers and their children in child welfare

The role of inter-agency collaboration in facilitating receipt of behavioral health services for youth involved with child welfare and juvenile justice

There are relatively few empirically sound studies or nationally representative data on the number of children in Child Welfare Services (CWS) who are affected by their parents' substance abuse or dependence. The two systems that could systematically monitor this population, CWS and substance abuse treatment, are not required to capture the data elements that would identify families in both systems. The studies that are based on CWS populations or parents in treatment indicate that there is a substantial overlap in client populations. This review provides a summary of the available data; provides estimates of the overlap between populations, including the number of infants born each year with prenatal substance exposure; and suggests important opportunities to close the data gap between the systems. The findings underscore both the need for obtaining accurate data within the systems and the opportunities for states to improve their cross-system data efforts as part of their outcome monitoring.

Parental substance use disorders and child maltreatment: overlap, gaps, and opportunities.

The contents of this report are solely the responsibility of the authors and do not necessarily represent the official views of this agency and the collaborating Departments and agencies.

/pdf/methamphetamine-addiction-treatment-and-outcomes-27bvk0vwut.pdf

Cathleen Otero

Papers

Parental substance use disorders and child maltreatment: overlap, gaps, and opportunities.

Methamphetamine Addiction, Treatment, and Outcomes: Implications for Child Welfare Workers

Data on California's Women and Families with Substance Use Disorders: (589672010-001)