TY - JOUR
KW - Adult
KW - Alcohol Drinking/epidemiology
KW - Case Management/statistics & numerical data
KW - Cohort Studies
KW - Female
KW - Humans
KW - Longitudinal Studies
KW - Marijuana Abuse/epidemiology
KW - Middle Aged
KW - New South Wales/epidemiology
KW - Opioid-Related Disorders/epidemiology
KW - Outcome and Process Assessment (Health Care)
KW - Patient Satisfaction/statistics & numerical data
KW - Pregnancy
KW - Pregnancy Complications/epidemiology/therapy
KW - Qualitative Research
KW - Quality of Life
KW - Rural Health Services/statistics & numerical data
KW - Self Concept
KW - Smoking/epidemiology
KW - Socioeconomic Factors
KW - Substance Abuse, Intravenous/epidemiology
KW - Substance-Related Disorders/epidemiology/therapy
AU - M. Passey
AU - M. Sheldrake
AU - K. Leitch
AU - V. Gilmore
A1 - 
AB - INTRODUCTION: It is widely accepted that women experience drug dependency in different ways from men, including a greater sense of social stigma, higher levels of shame and self-blame, and higher rates of psychological co-morbidity. There is also evidence that women's experience of substance dependency may be negatively affected by living in a rural area. Recognising the complex needs of rural drug dependent women, a community-based case management model (known as WRAP--women's referral and access program) was developed, which adopted a holistic approach and aimed to address the physical, social and psychological dimensions of women's lives. This article reports a study to determine if this model was effective in meeting the women's broader support needs; and specifically whether it improved women's quality of life, health and social circumstances. METHODS: Women were assessed at baseline, 3 and 6 months, using a semi-structured interview, the WHO Quality of Life brief version (WHOQoL-BREF), Rosenberg Self-Esteem Scale, and the Brief Treatment Outcome Measure (BTOM). RESULTS: Sixty-three women were recruited to case management. After 6 months, 62% of women recruited remained in case management, with older women and those with better self-reported health status at recruitment more likely to do so. Consistent with women's subjective experience, there were significant improvements in self-esteem; the psychological domain of the WHOQoL-BREF; severity of dependence, psychological wellbeing and social functioning (BTOM); with reductions in drug dependency and drug use. The model, linking women with services and some direct service provision, was generally well accepted by women. CONCLUSION: The WRAP case management model, with its holistic approach and focus on improving women's quality of life rather than on reducing drug use per se and/or trying to move women into drug treatment, was successful. The model is well suited to implementation within the constraints of a rural setting. There is strong evidence for improvement in many areas of women's lives over a 6 month period of case management, and a trend towards continued improvement beyond 3 months of case management in some areas. For women, the success of case management was a result of the consistency and continuity provided by having one person who provided much needed support and assistance.
BT - Rural and remote health
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 3
CY - Australia
IS - 3
JF - Rural and remote health
N2 - INTRODUCTION: It is widely accepted that women experience drug dependency in different ways from men, including a greater sense of social stigma, higher levels of shame and self-blame, and higher rates of psychological co-morbidity. There is also evidence that women's experience of substance dependency may be negatively affected by living in a rural area. Recognising the complex needs of rural drug dependent women, a community-based case management model (known as WRAP--women's referral and access program) was developed, which adopted a holistic approach and aimed to address the physical, social and psychological dimensions of women's lives. This article reports a study to determine if this model was effective in meeting the women's broader support needs; and specifically whether it improved women's quality of life, health and social circumstances. METHODS: Women were assessed at baseline, 3 and 6 months, using a semi-structured interview, the WHO Quality of Life brief version (WHOQoL-BREF), Rosenberg Self-Esteem Scale, and the Brief Treatment Outcome Measure (BTOM). RESULTS: Sixty-three women were recruited to case management. After 6 months, 62% of women recruited remained in case management, with older women and those with better self-reported health status at recruitment more likely to do so. Consistent with women's subjective experience, there were significant improvements in self-esteem; the psychological domain of the WHOQoL-BREF; severity of dependence, psychological wellbeing and social functioning (BTOM); with reductions in drug dependency and drug use. The model, linking women with services and some direct service provision, was generally well accepted by women. CONCLUSION: The WRAP case management model, with its holistic approach and focus on improving women's quality of life rather than on reducing drug use per se and/or trying to move women into drug treatment, was successful. The model is well suited to implementation within the constraints of a rural setting. There is strong evidence for improvement in many areas of women's lives over a 6 month period of case management, and a trend towards continued improvement beyond 3 months of case management in some areas. For women, the success of case management was a result of the consistency and continuity provided by having one person who provided much needed support and assistance.
PP - Australia
PY - 2007
SN - 1445-6354; 1445-6354
SP - 710
T1 - Impact of case management on rural women's quality of life and substance use
T2 - Rural and remote health
TI - Impact of case management on rural women's quality of life and substance use
U1 - Opioids & Substance Use; Healthcare Disparities
U2 - 17683243
VL - 7
VO - 1445-6354; 1445-6354
Y1 - 2007
ER -