TY - JOUR
AU - S. Johnstone
AU - G. A. Dela Cruz
AU - N. Kalb
AU - S. V. Tyagi
AU - M. N. Potenza
AU - T. P. George
AU - D. J. Castle
A1 - 
AB - 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.
AD - Addictions Division and Centre for Complex Interventions (CCI), Centre for Addiction and Mental Health (CAMH) and Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.; Departments of Psychiatry and Neuroscience and the Child Study Center, Yale University School of Medicine, New Haven, CT, USA.; Forensic Consultation and Assessment Team, CAMH, Toronto, Ontario, Canada.; Child Study Centre, Connecticut Mental Health Center, New Haven, CT, USA.; Women's Health Research, Yale University, New Haven, CT, USA.; Wu Tsai Institute, Yale University, New Haven, CT, USA.
AN - 36283062
BT - Am J Drug Alcohol Abuse
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 1
DA - Jan 2
DO - 10.1080/00952990.2022.2130348
DP - NLM
ET - 20221025
IS - 1
JF - Am J Drug Alcohol Abuse
LA - eng
N2 - 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.
PY - 2023
SN - 0095-2990
SP - 21
EP - 42+
ST - A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders
T1 - A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders
T2 - Am J Drug Alcohol Abuse
TI - A systematic review of gender-responsive and integrated substance use disorder treatment programs for women with co-occurring disorders
U1 - Opioids & Substance Use; Healthcare Disparities
U3 - 10.1080/00952990.2022.2130348
VL - 49
VO - 0095-2990
Y1 - 2023
ER -