Need-Service Matching Predicts Drug Use Outcomes in Comprehensive Treatment for Mothers with Substance Use Disorder in the Child Protection System.
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| Title: | Need-Service Matching Predicts Drug Use Outcomes in Comprehensive Treatment for Mothers with Substance Use Disorder in the Child Protection System. |
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| Authors: | Rynes, Kristina N. (AUTHOR), McCrady, Barbara S. (AUTHOR), Morgan, Thomas (AUTHOR), Violette, Nancy (AUTHOR), Pandina, Robert (AUTHOR) |
| Source: | Substance Use & Misuse. 2026, Vol. 61 Issue 7, p1008-1020. 13p. |
| Subjects: | Substance abuse, Child welfare, Health services accessibility, Dual diagnosis, Patient compliance, T-test (Statistics), Data analysis, Prediction models, Research funding, Questionnaires, Medical case management, Treatment effectiveness, Descriptive statistics, Chi-squared test, Family relations, Longitudinal method, Pre-tests & post-tests, Need (Psychology), Patient-centered care, Psychology of mothers, Statistics, Women's health services, Medical needs assessment, Comparative studies, Data analysis software, Length of stay in hospitals, Needs assessment, Regression analysis, Employment |
| Geographic Terms: | New Jersey |
| Abstract: | Background: Treatments tailored to client-specific needs are effective for treating substance use disorder (SUD), but studies of women in the child protection system are limited. Methods: A single group pre-post evaluation of comprehensive SUD treatment programs for 246 women with dependent children evaluated whether SUD outcomes were improved 6 months post-treatment by adding women-specific interventions and addressing women's family, employment, and psychiatric needs. The Addiction Severity Index measured women's treatment needs and outcomes. Results: Zero-inflated Poisson regressions of substance use at follow-up indicated that: (a) Abstinence rates were not predicted by the amount of SUD treatment-as-usual (TAU) or by women-specific services; (b) for women continuing to use drugs, length of TAU did not predict drug use days but number of women-specific services received predicted more drug use days; (c) for women continuing to use drugs, receiving more treatment meeting their family, employment, and psychiatric needs predicted a lower number of drug use days; and (d) for women with low psychiatric problems at baseline, greater use of psychiatric services was associated with a significantly higher number of drug use days. Conclusions: Matching services to clients' needs may improve substance use outcomes for women with dependent children in SUD treatment. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Background: Treatments tailored to client-specific needs are effective for treating substance use disorder (SUD), but studies of women in the child protection system are limited. Methods: A single group pre-post evaluation of comprehensive SUD treatment programs for 246 women with dependent children evaluated whether SUD outcomes were improved 6 months post-treatment by adding women-specific interventions and addressing women's family, employment, and psychiatric needs. The Addiction Severity Index measured women's treatment needs and outcomes. Results: Zero-inflated Poisson regressions of substance use at follow-up indicated that: (a) Abstinence rates were not predicted by the amount of SUD treatment-as-usual (TAU) or by women-specific services; (b) for women continuing to use drugs, length of TAU did not predict drug use days but number of women-specific services received predicted more drug use days; (c) for women continuing to use drugs, receiving more treatment meeting their family, employment, and psychiatric needs predicted a lower number of drug use days; and (d) for women with low psychiatric problems at baseline, greater use of psychiatric services was associated with a significantly higher number of drug use days. Conclusions: Matching services to clients' needs may improve substance use outcomes for women with dependent children in SUD treatment. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 10826084 |
| DOI: | 10.1080/10826084.2025.2588685 |
