3.1 Análisis y determinación del tráfico en campus universitarios
3.1.7 Análisis y determinación del tráfico total
complex mental health issues and experiences of trauma
The prevalence of mental health symptoms and the enduring, negative effects of trauma on women seeking drug and alcohol treatment are high. The issue of increasing complexity in the presentation of women to treatment services was a hallmark of the consultations conducted for the needs analysis. Women also indicated that they needed a safe place to deal with the ongoing effects of traumatic experiences. Workers require training and ongoing workforce development opportunities in the areas of mental health and trauma.
How could this be achieved? Expected benefits
3. The practice guidelines to be developed by NADA in 2014 will include evidence-based approaches to caring for women with complex mental health and trauma issues. Training for frontline workers in implementing the guidelines will assist in the translation of these guidelines to practice.
4. Establish a ‘community of practice’ with membership drawn from services across NSW to share information and best-practice strategies for complex
presentations.
5. Identify a small team of specialists from within the sector who are willing to act as mentors for other workers and provide secondary consultation and supervision via telephone or in person.
The workforce has greater knowledge of these important issues, sustained by mentoring and regular knowledge transfer, resulting in the sector having increased capacity to respond
effectively to women with complex presentations.
67 | P a g e 6. Ensure topics on mental health and trauma are
included in the annual Women’s Drug and Alcohol Treatment Symposium (as per recommendation 1). 7. Fund workers to attend specialised training in this
68 | P a g e
References
1. Australian Bureau of Statistics (ABS), National Survey of Mental Health and Wellbeing:
summary of results, Australia, 2007. 2008, ABS: Canberra.
2. Australian Institute of Health and Welfare (AIHW), Alcohol and other drug treatment services
in Australia 2011-12 in Drug treatment series 21. Cat. no. HSE139. 2013, AIHW: Canberra.
3. Ashley, O.S., M.E. Marsden, and T.M. Brady, Effectiveness of substance abuse treatment
programming for women: a review. Am J Drug Alcohol Abuse, 2003. 29(1): p. 19-53.
4. Copeland, J., A qualitative study of barriers to formal treatment among women who self-
managed change in addictive behaviours. Journal of Substance Abuse Treatment, 1997.
14(2): p. 183-190.
5. Greenfield, S.F., et al., Substance abuse treatment entry, retention, and outcome in women:
a review of the literature. Drug Alcohol Depend, 2007. 86(1): p. 1-21.
6. Taylor, O., Barriers to Treatment for Women With Substance Use Disorders. Journal of Human Behavior in the Social Environment, 2010. 20(3): p. 393-409.
7. Tuchman, E., Women and addiction: the importance of gender issues in substance abuse
research. J Addict Dis, 2010. 29(2): p. 127-38.
8. Grella, C.E., Treatment seeking and utilization among women with substance use disorders, in Women & Addiction: A comprehensive handbook, K.T. Brady, S. Back, E., and S.F.
Greenfield, Editors. 2009, Guilford Press; US: New York, NY. p. 307-322.
9. Kay, A., et al., Substance use and women's health. Journal of Addictive Diseases, 2010. 29(2): p. 139-163.
10. Greenfield, S.F., et al., Gender research in the National Institute on Drug Abuse National
Treatment Clinical Trials Network: a summary of findings. Am J Drug Alcohol Abuse, 2011.
37(5): p. 301-12.
11. Grella, C.E., et al., Gender similarities and differences in the treatment, relapse, and recovery
cycle. Eval Rev, 2008. 32(1): p. 113-37.
12. Greenfield, S.F. and S. Pirard, Gender-specific treatment for women with substance use
disorders, in Women and addiction: A comprehensive handbook. 2009, Guilford Press; US:
New York, NY. p. 289-306.
13. Storbjörk, J., Gender differences in substance use, problems, social situation and treatment
experiences among clients entering addiction treatment in Stockholm. Nordic Studies on
Alcohol and Drugs, 2011. 28(3): p. 185-209.
14. Keegan, J., et al., Addiction in pregnancy. J Addict Dis, 2010. 29(2): p. 175-91.
15. Staton-Tindall, M., et al., Caregiver substance misuse and child outcomes: a systematic
review. Journal of Social Work Practice in the Addictions: Special Issue on Caregiver
69 | P a g e 16. McCabe, J.E. and S. Arndt, Demographic and substance abuse trends among pregnant and
non-pregnant women: eleven years of treatment admission data. Matern Child Health J,
2012. 16(8): p. 1696-702.
17. Yeom, H.S., Gender differences in treatment outcomes among participants in a mixed-gender
substance abuse aftercare program. Social Work in Public Health, 2011. 26(6): p. 557-576.
18. Australian Psychological Society (APS), Evidence-based Psychological Interventions: A
Literature Review (Third Edition). 2010, The Australian Psychological Society Ltd.: Melbourne.
19. National Institute on Drug Abuse (NIDA), Principles of Drug Addiction Treatment: A Research
Based Guide (Second Edition), National Institute on Drug Abuse, U.S. Department of Health
and Human Services 2009, National Institutes of Health.
20. Kennare, R., Heard, A. and Chan, A. , Substance use during pregnancy: risk factors and
obstetric and perinatal outcomes in South Australia. Australian and New Zealand Journal of
Obstetrics and Gynaecology, 2005. 45: p. 220-225.
21. Taylor, L., et al., Clinical features and correlates of outcomes for high-risk, marginalized
mothers and newborn infants engaged with a specialist perinatal and family drug health service. Obstet Gynecol Int, 2012. 2012: p. 867265.
22. Taylor, L., et al., Clinical features and correlates of outcomes for high-risk, marginalized
mothers and newborn infants engaged with a specialist perinatal and family drug health service. Obstet Gynecol Int, 2012. 867265.
23. Burns, L. and C. Breen, It’s time to have the conversation: Understanding the treatment
needs of women who are pregnant and alcohol dependent. 2013, FARE: National Drug and
Alcohol Research Centre, University of New South Wales.
24. Fraser, J.G., et al., Emotional availability and psychosocial correlates among mothers in
substance-abuse treatment and their young infants. Infant Mental Health Journal, 2010.
31(1): p. 1-15.
25. Osterling, K.L. and M.J. Austin, Substance abuse interventions for parents involved in the
child welfare system: evidence and implications. J Evid Based Soc Work, 2008. 5(1-2): p. 157-
89.
26. Pajulo, M., et al., Substance-Abusing Mothers in Residential Treatment with Their Babies:
Importance of Pre- and Postnatal Maternal Reflective Functioning. Infant Ment Health J,
2012. 33(1): p. 70-81.
27. Suchman, N.E., et al., The Mothers and Toddlers program, an attachment-based parenting
intervention for substance-using women: Results at 6-week follow-up in a randomized clinical pilot. Infant Mental Health Journal, 2011. 32(4): p. 427-449.
28. Young, J.L. and P.R. Martin, Treatment of opioid dependence in the setting of pregnancy. Psychiatr Clin North Am, 2012. 35(2): p. 441-60.
29. Minozzi, S., et al., Maintenance agonist treatments for opiate dependent pregnant women. Cochrane Database Syst Rev, 2008(2): p. CD006318.
70 | P a g e 30. Jones, H.E., Finnegan, L.P and Kaltenbach, K., Methadone and Buprenorphine for the
Management of Opioid Dependence in Pregnancy. Drugs & Alcohol Today, 2012. 72(6): p.
747-757.
31. Brady, T.M., & Ashley, O. S. (Eds.). , Women in substance abuse treatment: Results from the
Alcohol and Drug Services Study (ADSS) in (DHHS Publication No. SMA 04-3968, Analytic Series A-26). 2005, Substance Abuse and Mental Health Services Administration, Office of
Applied Studies: Rockville, MD.
32. Klein, A.A. and V.J. Slaymaker, 12-Step Involvement and Treatment Outcomes Among Young
Women With Substance Use Disorders. Alcoholism Treatment Quarterly, 2011. 29(3): p. 204-
218.
33. Briton, J., Young people's specialist substance misuse treatment: Exploring the evidence. 2009, National Treatment Agency for Substance Misuse (NTA): London.
34. Al-Otaiba, Z., et al., Age-based differences in treatment outcome among alcohol-dependent
women. Psychol Addict Behav, 2012. 26(3): p. 423-31.
35. Burns, L., Randall, D., Hall, W.D., Law, M., Butler, T. et al. , Opioid agonist pharmacotherapy
in New South Wales from 1985 to 2006: patient characteristics and patterns and predictors of treatment retention. Addiction, 2009. 104: p. 1363-1372.
36. Center for Substance Abuse Treatment, Addressing the Spe-cific Needs of Women, in
Treatment Improvement Protocol (TIP) Series 51. 2009, Substance Abuse and Mental Health
Services Administra-tion: Rockville, MD.
37. Psychiatrists, R.C.o., Our Invisible Addicts: First Report of the Older Person’s Substance
Misuse Working Group of the Royal College of Pyschiatrists, in College Report CR165. 2011,
Royal College of Pyschiatrists: London. p. 62.
38. DoHA, Australian National Drugs Strategy 2010-2015: A framework for action on alcohol,
tobacco and other drugs, M.C.o.D. Strategy, Editor. 2011, Commonwealth of Australia:
Canberra.
39. European Monitoring Centre for Drugs and Drug Addiction, Treatment and Care for Older
Drug Users, in Selected Issue 2010. 2010, Publications Office of the European Union:
Luxembourg. p. 31.
40. Burnette, M.L., et al., Impact of substance-use disorder treatment on women involved in
prostitution: substance use, mental health, and prostitution one year after treatment. J Stud
Alcohol Drugs, 2009. 70(1): p. 32-40.
41. Resko, S.M. and N.S. Mendoza, Early Attrition From Treatment Among Women With
Cooccurring Substance Use Disorders and PTSD. Journal of Social Work Practice in the
Addictions, 2012. 12(4): p. 348-369.
42. Roarty, L. and S. Saggers, Evaluation of services to culturally and linguistically diverse (CALD)
women with comorbid mental health and drug and alcohol issues. 2009, NDRI: Perth.
43. Brown, Q.L., The impact of homelessness on recent sex trade among pregnant women in
drug treatment, in Journal of substance use, C.E.P.T.V.L.W.W. Cavanaugh, Editor. 2012. p.
71 | P a g e 44. Cavanaugh, C.E., Recent sex trade and injection drug use among opiate and cocaine-
dependent pregnant women in treatment : the significance of psychiatric comorbidity, in Addictive Disorders and Their Treatment, W.W. Latimer, Editor. 2010. p. 32-40.
45. Smith, I.E., Prevention and Intervention Programs for Pregnant Women Who Abuse
Substances, in Children of Substance-Abusing Parents: Dynamics and Treatment, S.L.A.
Straussner and C.H. Fewell, Editors. 2011, Springer Publishing Company: New York. p. 171- 192.
46. Brown, V.B. and L.A. Melchior, Women with co-occuring disorders (COD): Treatment settings
and service needs. Journal of Psychoactive Drugs, 2008. 5: p. 365-385.
47. Engstrom, M., et al., Age and HIV sexual risk among women in methadone treatment. AIDS Behav, 2011. 15(1): p. 103-13.
48. Chen, S. and B. Biswas, Behavioural correlates of dual diagnosis among women in treatment
for substance abuse. Mental Health and Substance Use, 2012. 5(3): p. 217-227.
49. Burnette ML, L.E., Ilgen M, Frayne SM, Mayo J, Weitlauf JC. , Prevalence and Health
Correlates of Prostitution Among Patients Entering Treatment for Substance Use Disorders.
Arch Gen Psychiatry, 2008. 65(3): p. 337-344.
50. Sallmann, J., “Going Hand-in-Hand”: Connections Between Women's Prostitution and
Substance Use. Journal of Social Work Practice in the Addictions, 2010. 10(2): p. 115-138.
51. Roxburgh, A., N. Drug, and A.R.C. . Mental health, drug use and risk among female street-
based sex workers in greater Sydney by Amanda Roxburgh ... [et al.], ed. L.L.B.C.J.
Degenhardt. 2005: Sydney National Drug and Alcohol Research Centre 2005.
52. Simpson, M. and J. McNulty, Different needs: women's drug use and treatment in the UK. Int J Drug Policy, 2008. 19(2): p. 169-75.
53. Seib, C., J. Fischer, and J.M. Najman, The health of female sex workers from three industry
sectors in Queensland, Australia. Social Science and Medicine, 2009. 68(3): p. 473-478.
54. Wechsberg, W.M., et al., Substance abuse, treatment needs and access among female sex
workers and non-sex workers in Pretoria, South Africa. Subst Abuse Treat Prev Policy, 2009.
4: p. 11.
55. Hopper, E., Bassuk, E., Olivet, J. , Shelter from the Storm: Trauma-Informed Care in
Homelessness Services Settings. The Open Health Services and Policy Journal, 2010. 3: p. 80-
100.
56. Meyers, R.J., Roozen, H. G., & Smith, J. E., The Community Reinforcement Approach: An
Update of the Evidence. Alcohol Research & Health, 2011. 33(4): p. 380-388.
57. Speirs, V., M. Johnson, and S. Jirojwong, A systematic review of interventions for homeless
women. J Clin Nurs, 2013. 22(7-8): p. 1080-93.
58. Magee, C. and E. Huriaux, Ladies’ night: Evaluating a drop-in programme for homeless and
marginally housed women in San Francisco's mission district. International Journal of Drug
72 | P a g e 59. Johnson, G., Parkinson, S. Tseng, Y., & Kuehnle, D., Long-term homelessness: Understanding
the challenge - 12 months outcomes from the Journey to Social Inclusion pilot program. 2011,
Sacred Heart Mission: St Kilda.
60. Easton, H. and R. Matthews, Evaluation of the Chrysalis Project: Providing accommodation
and support for women exiting prostitution. 2012, University of Kent.
61. Hall, M.T., et al., Designing Programming and Interventions for Women in the Criminal
Justice System. American Journal of Criminal Justice, 2012. 38(1): p. 27-50.
62. Colbert, A.M., et al., Health care needs of women immediately post-incarceration: a mixed
methods study. Public Health Nurs, 2013. 30(5): p. 409-19.
63. Terplan, M. and S. Lui, Psychosocial interventions for pregnant women in outpatient illicit
drug treatment programs compared to other interventions, in Cochrane Database of Systematic Reviews. 2007, John Wiley & Sons, Ltd.
64. Finfgeld-Connett, D. and E.D. Johnson, Therapeutic substance abuse treatment for
incarcerated women. Clin Nurs Res, 2011. 20(4): p. 462-81.
65. Finfgeld-Connett, D. and E.D. Johnson, Substance abuse treatment for women who are under
correctional supervision in the community: a systematic review of qualitative findings. Issues
Ment Health Nurs, 2011. 32(10): p. 640-8.
66. McMurran, M., et al., Interventions for alcohol-related offending by women: a systematic
review. Clin Psychol Rev, 2011. 31(6): p. 909-22.
67. Hser, Y.I., et al., Long-term outcomes among drug-dependent mothers treated in women-
only versus mixed-gender programs. J Subst Abuse Treat, 2011. 41(2): p. 115-23.
68. Grella, C.E. and L. Rodriguez, Motivation for treatment among women offenders in prison-
based treatment and longitudinal outcomes among those who participate in community aftercare. J Psychoactive Drugs, 2011. Suppl 7: p. 58-67.
69. Drabble, L. and M.J. Eliason, Substance Use Disorders Treatment for Sexual Minority Women. Journal of LGBT Issues in Counseling, 2012. 6(4): p. 274-292.
70. Green, K.E. and B.A. Feinstein, Substance use in lesbian, gay, and bisexual populations: an
update on empirical research and implications for treatment. Psychol Addict Behav, 2012.
26(2): p. 265-78.
71. McCabe, S.E., et al., Sexual orientation and substance abuse treatment utilization in the
United States: results from a national survey. J Subst Abuse Treat, 2013. 44(1): p. 4-12.
72. Senreich, E., A Comparison of Perceptions, Reported Abstinence, and Completion Rates of
Gay, Lesbian, Bisexual, and Heterosexual Clients in Substance Abuse Treatment. Journal of
Gay & Lesbian Mental Health, 2009. 13(3): p. 145-169.
73. Eliason, M.J., Dibble, S.L., DeJoseph, J., & Chinn, P. (2009). LGBTQ cultures: What health care
73 | P a g e 74. Centre for Substance Abuse Treatment, A provider’s introduction to substance abuse
treatment for lesbian, gay, bisexual, and transgender individuals, in DHHS 2001, Substance
Abuse and Mental Health Services Administration: Rockveill, MD.
75. Burns, J., C. Maling, and N. Thomson, Review of Indigenous female health, 2010. 2010, Australian Indigenous HealthInfoNet: Perth, WA.
76. Lee, K.S., A. Dawson, and K.M. Conigrave, The role of an Aboriginal women's group in
meeting the high needs of clients attending outpatient alcohol and other drug treatment.
Drug Alcohol Rev, 2013.
77. Niccols, A., C.A. Dell, and S. Clarke, Treatment Issues for Aboriginal Mothers with Substance
Use Problems and Their Children. International Journal of Mental Health and Addiction, 2009.
8(2): p. 320-335.
78. Allan, J. and M. Kemp, Aboriginal and non aboriginal women in New South Wales non
government organisation (NGO) drug and alcohol treatment and the implications for social work: Who starts, who finishes, and where do they come from? Australian Social Work, 2011.
64(1): p. 68-83.
79. Taylor, K., S. Thompson, and R. Davis, Delivering culturally appropriate residential
rehabilitation for urban Indigenous Australians: a review of the challenges and opportunities.
Australian and New Zealand Journal of Public Health, 2010. 34 Suppl 1: p. S36-40.
80. Calabria, B., et al., The acceptability to Aboriginal Australians of a family-based intervention
to reduce alcohol-related harms. Drug Alcohol Rev, 2013. 32(3): p. 328-32.
81. Browne, J., Renzaho, A., Prevention of alcohol and other drug problems in culturally and
linguistically diverse communities. Prevention Research Quarterly, 2010. 13.
82. Flaherty, I., et al., Finding the right help: Pathways for culturally diverse clients with cannabis
use and mental health issues. 2010, DAMEC & NCPIC: Sydney.
83. Witkiewitz, K., B.L. Greenfield, and S. Bowen, Mindfulness-based relapse prevention with