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A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders.

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Title: A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders.
Authors: Johnstone, Samantha (AUTHOR), Dela Cruz, Gil Angela (AUTHOR), Kalb, Natalie (AUTHOR), Tyagi, Smita Vir (AUTHOR), Potenza, Marc N. (AUTHOR), George, Tony P. (AUTHOR), Castle, David J. (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. 2023, Vol. 49 Issue 1, p21-42. 22p.
Subjects: Substance abuse, Treatment programs, Cognitive therapy, Women's mental health, Mental illness
Abstract: Background: Integrated and gender-responsive interventions, designed to target co-occurring substance use and psychiatric disorders in women, may be effective in addressing gender-specific challenges. Objectives: This systematic review aims to identify integrated gender-responsive substance use disorder treatments for women, summarize evaluations of these treatments, and address gaps in the literature. Methods: We searched PsycINFO, PubMed, and MEDLINE on September 24, 2021, and March 10, 2022. Included articles were randomized-controlled trials, secondary analyses of naturalistic studies, or open-label studies of integrated and gender-responsive treatments from any year that assessed both substance use and mental health/trauma outcomes. Results: We identified N = 24 studies (participants = 3,396; 100% women) examining Seeking Safety, Helping Women Recover and Beyond Trauma, A Woman's Path to Recovery, Modified Trauma Recovery and Empowerment Model (TREM), Breaking the Cycle, VOICES, Understanding and Overcoming Substance Misuse, Women's Recovery Group, Female Specific Cognitive Behavioral Therapy, and Moment by Moment in Women's Recovery. Across treatments there were significant improvements over time; Seeking Safety, Helping Women Recover, and TREM were associated with significantly better substance use and mental health outcomes relative to the comparison groups. Conclusions: Integrated gender-responsive treatments are a promising approach to treating women with co-occurring substance use and mental health concerns, and broad clinical implementation stands to benefit women. However, there remains a lack of studies evaluating substance use treatments in women with severe mental illness (e.g., psychotic-spectrum disorders) who differ in their needs and capacity. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders.
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  Data: <searchLink fieldCode="AR" term="%22Johnstone%2C+Samantha%22">Johnstone, Samantha</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Dela+Cruz%2C+Gil+Angela%22">Dela Cruz, Gil Angela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kalb%2C+Natalie%22">Kalb, Natalie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tyagi%2C+Smita+Vir%22">Tyagi, Smita Vir</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Potenza%2C+Marc+N%2E%22">Potenza, Marc N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22George%2C+Tony+P%2E%22">George, Tony P.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Castle%2C+David+J%2E%22">Castle, David J.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. 2023, Vol. 49 Issue 1, p21-42. 22p.
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  Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+programs%22">Treatment programs</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+mental+health%22">Women's mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink>
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  Label: Abstract
  Group: Ab
  Data: Background: Integrated and gender-responsive interventions, designed to target co-occurring substance use and psychiatric disorders in women, may be effective in addressing gender-specific challenges. Objectives: This systematic review aims to identify integrated gender-responsive substance use disorder treatments for women, summarize evaluations of these treatments, and address gaps in the literature. Methods: We searched PsycINFO, PubMed, and MEDLINE on September 24, 2021, and March 10, 2022. Included articles were randomized-controlled trials, secondary analyses of naturalistic studies, or open-label studies of integrated and gender-responsive treatments from any year that assessed both substance use and mental health/trauma outcomes. Results: We identified N = 24 studies (participants = 3,396; 100% women) examining Seeking Safety, Helping Women Recover and Beyond Trauma, A Woman's Path to Recovery, Modified Trauma Recovery and Empowerment Model (TREM), Breaking the Cycle, VOICES, Understanding and Overcoming Substance Misuse, Women's Recovery Group, Female Specific Cognitive Behavioral Therapy, and Moment by Moment in Women's Recovery. Across treatments there were significant improvements over time; Seeking Safety, Helping Women Recover, and TREM were associated with significantly better substance use and mental health outcomes relative to the comparison groups. Conclusions: Integrated gender-responsive treatments are a promising approach to treating women with co-occurring substance use and mental health concerns, and broad clinical implementation stands to benefit women. However, there remains a lack of studies evaluating substance use treatments in women with severe mental illness (e.g., psychotic-spectrum disorders) who differ in their needs and capacity. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: 2023
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