Access to substance abuse treatment for homeless women of reproductive age

Journal of Psychoactive Drugs

Volumn 28, Issue 1, 1996, Pages 17-30

  Wenzel, Suzanne L ^a,b   Koegel, Paul ^a   Gelberg, Lillian ^b  

^a RAND CORPORATION   (United States)

^b UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

Homelessness; Substance abuse; Treatment access; Women

Indexed keywords

FEMALE; HEALTH CARE ACCESS; HEALTH CARE UTILIZATION; HOMELESSNESS; HUMAN; REVIEW; SOCIAL ASPECT; SUBSTANCE ABUSE; THEORY;

EID: 0029947396     PISSN: 02791072     EISSN: 21599777     Source Type: Journal    
DOI: 10.1080/02791072.1996.10471711     Document Type: Article

References (111)

1. Aday, L.A.; Andersen, R. & Fleming, G.V. 1980. Health Care in the U.S.: Equitable for Whom? Beverly Hills, California: Sage.
2. Andersen, R.J. & Anderson, O.W. 1975. Equity in Health Services: Empirical Analysis in Public Policy. Cambridge, Massachusetts: Ballinger.
3. Andersen, R. & Newman, J.F. 1973. Societal and individual determinants of medical care utilization in the United States. Milbank Quarterly51:95-124.
4. Anglin, M.D.; Hser, Y.I. & Booth, M.W. 1987. Sex differences in addict careers. 4. Treatment. American Journal of Alcohol and Drug Abuse13:253-80.
5. Bassuk, E.L. & Rosenberg, L. 1988. Why does family homelessness occur? A case-control study. American Journal of Public Health78:783-88.
6. Beckman, L.J. 1980. Perceived antecedents: Effects of alcohol consumption in women. Journal of Studies on Alcohol41:518-30.
7. Beckman, L.J. 1978. Self-esteem of women alcoholics. Journal of Studies on Alcohol39:491-98.
8. Beckman, L.J. & Amaro, H. 1986. Personal and social difficulties faced by women and men entering alcoholism treatment. Journal of Studies on Alcohol47:135-45.
9. Beckman, L.J. & Kocel, K. 1982. The treatment delivery system and alcohol abuse in women: Social policy implications. Journal of Social Issues38:139-51.
10. Belcher, J.R.; Scholler, J.A. & Drummond, M. 1991. Three stages of homelessness: A conceptual model for social workers in health care. Health and Social Work16:87-93.
11. Benda, B.B. & Dattalo, P. 1990. Homeless women and men: Their problems and use of services. Affilia5:50-82.
12. Blume, S.B. 1986. Women and alcohol: A review. Journal of the American Medical Association256:1467-470.
13. Brady, J.V. 1993. Enhancing drug abuse treatment by mobile health service. In: J.A. Inciardi, F.M. Tims & B.W. Fletcher (Eds.)Innovative Approaches in the Treatment of Drug Abuse.Westport, Connecticut: Greenwood.
14. Breakey, W.R. 1987. Treating the homeless. Alcohol Health and Research World11:42-47, 90.
15. Breakey, W.R.; Fischer, P.J.; Kramer, M.; Nestadt, G.; Romanoski, R.; Ross, A.; Royall, R. & Stine, O.C. 1989. Health and mental health problems of homeless men and women in Baltimore. Journal of the American Medical Association262:1352-357.
16. Brown, E.R. 1992. Program and staff characteristics in successful treatment. In: M.M. Kilbey & K. Asghar (Eds.)Methodological Issues in Epidemiological, Prevention, and Treatment Research on Drug-Exposed Women and Their Children. NIDA Research Monograph 117. Rockville, Maryland: National Institute on Drug Abuse.
17. Center for Substance Abuse Treatment (CSAT). 1994. Practical Approaches in the Treatment of Women Who Abuse Alcohol and Other Drugs. Rockville, Maryland: Department of Health and Human Services, Public Health Service.
18. Chavkin, W.; Kristal, A.; Seabron, C. & Guigli, P.E. 1987. The reproductive experience of women living in hotels for the homeless in New York City. New York Journal of Medicine87:10-13.
19. Closser, M.H. & Blow, F.C. 1993. Special populations: Women, ethnic minorities, and the elderly. Psychiatric Clinics of North America16:199-209.
20. Cohen, M B. 1989. Social work practice with homeless mentally ill people: Engaging the client. Social Work34:505-8.
21. Colletti, S.D.; Highes, P.H.; Landress, H.J.; Neri, R.L.; Sicilian, D.M.; Williams, K.M.; Urmann, C.F. & Anthony, J.C. 1992. PAR Village: Specialized intervention for cocaine abusing women and their children. Journal of the Florida Medical Association79:7015.
22. Copeland, J. & Hall, W. 1992. A comparison of predictors of treatment drop-out of women seeking drug and alcohol treatment in a specialist women’s and two traditional mixed-sex treatment services. British Journal of Addiction87:883-90.
23. Copeland, J.; Hall, W.; Didcott, P. & Biggs, V. 1993. A comparison of a specialist women’s alcohol and other drug treatment services with two traditional mixed-sex services: Client characteristics and treatment outcomes. Drug and Alcohol Dependence32:81-92.
24. Dail, P.W. & Koshes, R.J. 1992. Treatment issues and treatment configurations for mentally ill homeless women. Social Work in Health Care17:27-44.
25. D’Ercole, A. 1988. Single mothers: Stress, coping, and social support. Journal of Community Psychology16:41-54.
26. D’Ercole, A. & Struening, E. 1990. Victimization among homeless women: Implications for service delivery. Journal of Community Psychology18:141-52.
27. Deren, S. 1988. Parenting and drug abuse: Issues and services. In: Drug Abuse Series, Drug Abuse Information and Monitoring Project. Sacramento, California: Department of Alcohol and Drug Programs.
28. Drake, R.E., Osher, F.C. & Wallach, M.A. 1991. Homelessness and dual diagnosis. American Psychologist46:1149-158.
29. Ebener, P.A. & Greenwood, P.W. 1993. Substance Abuse Problems and Programs in Newark. Santa Monica, California: RAND Corporation.
30. Erickson, K.P. & Trocki, K.F. 1992. Behavioral risk factors for sexually transmitted diseases in American households. Social Science and Medicine34:843-53.
31. Finkelstein, N. 1993. Treatment programming for alcohol and drug-dependent pregnant women. International Journal of the Addictions28:1275-309.
32. Gelberg, L. 1992. Health of the homeless: Definition of the problem. In: D. Wood (Ed.)Delivering Health Care to Homeless Persons.New York: Springer.
33. Gelberg, L.; Andersen, R. & Browner, C. 1995. Access to Care for Homeless Women of Reproductive Age. Agency for Health Care Policy and Research-sponsored study (grant RO1HS08323), Rockville, Maryland.
34. Gelberg, L.; Linn, L.S. & Leake, B.D. 1988. Mental health, alcohol and drug use, and criminal history among homeless adults. American Journal of Psychiatry145:191-96.
35. Gidycz, C.A.; Coble, C.N.; Latham, L. & Layman, M.J. 1993. Sexual assault experience in adulthood and prior victimization experiences: A prospective analysis. Psychology of Women Quarterly17:151-68.
36. Goodman, L.; Saxe, L. & Harvey, M. 1991. Homelessness as psychological trauma: Broadening perspectives. American Psychologist46:1219-225.
37. Griffin, M.L.; Weiss, R.D.; Mirin, S.M. & Lange, U. 1989. A comparison of male and female cocaine abusers. Archives of General Psychiatry46:122-26.
38. Hagan, T.A.; Finnegan, L.P. & Nelson-Zlupko, L. 1994. Impediments to comprehensive treatment models for substance-dependent women: Treatment and research questions. Journal of Psychoactive Drugs26 (2): 163-71.
39. Hanson, B. 1985. Drug treatment effectiveness: The case of racial and ethnic minorities in America-Some research questions and proposals. International Journal of the Addictions20:99-137.
40. Hardesty, L. & Greif, G.L. 1994. Common themes in a group for female IV drug users who are HIV positive. Journal of Psychoactive Drugs26 (3): 289-93.
41. Haskett, M.E.; Miller, J.W.; Whitworth, J.M. & Huffman, J.M. 1992. Intervention with cocaine-abusing mothers. Families in Society: The Journal of Contemporary Human Services73:451-61.
42. Hawk, M.A.N. 1994. How social policies make matters worse: The case of maternal substance abuse. Journal of Drug Issues24:517-26.
43. Hayward, P.; Peck, E. & Smith, E. 1993. Qualitative and quantitative approaches to needs assessment in mental health: Creating a common currrency. Journal of Mental Health2:287-94.
44. Homeless Health Care Los Angeles. 1991. Barriers in Access to Substance Abuse Treatment Services for Homeless and Other Low Income Individuals in Los Angeles County.Los Angeles: Homeless Health Care Los Angeles.
45. Morgan, C.; Rosenbach, M.; Ostby, E. & Butricia, B. 1991. Targeting special populations with drug abuse problems: Pregnant women. In: Drug Abuse Services Research Series: Background Papers on Drug Abuse Financing and Services Research.Rockville, Maryland: U.S. Department of Health and Human Services.
46. User, Y.I., Anglin, M.D. & Booth, M.W. 1987. Sex differences in addict careers. 3. Addiction. American Journal of Drug and Alcohol Abuse13:231-51.
47. Institute of Medicine. 1985. Preventing Low Birthweight. Washington, D.C.: National Academy Press.
48. Institute of Medicine. 1990. Treating Drug Problems, Vol.7. Washington, D.C.: National Academy Press.
49. Judkins, D.; Mosher, W. & Botman, S. 1991. National Survey of Family Growth, Cycle IV: Design, Estimation and Inference. Vital and Health Statistics, Series 2, No. 109. Hyattsville, Maryland: Public Health Service, Centers for Disease Control, National Center for Health Statistics.
50. Kasslar, W.J. & Cates, W. 1992. The epidemiology and prevention of sexually transmitted diseases. Urologic Clinics of North America19:1-12.
51. King, PA. 1991. Helping women helping children: Drug policy and future generations. Milbank Memorial Fund Quarterly69:595-621.
52. Kline, A. & Strickler, J. 1993. Perceptions of risk for AIDS among women in drug treatment. Health Psychology12:313-23.
53. Koegel, P. & Bumam, M.A. 1991. Course of Homelessness among the Seriously Mentally 111. National Institute for Mental Health-sponsored study (grant R01MH64121), Rockville, Maryland.
54. Koegel, P. & Bumam, M.A. 1987. The Epidemiology of Alcohol Abuse and Dependence among the Homeless: Findings from the Inner City of Los Angeles. Rockville, Maryland: National Institute on Alcohol Abuse and Alcoholism.
55. Koegel, P. & Gelberg, L. 1992. Patient-oriented approach to providing care to homeless persons. In: D. Wood (Ed.)Delivering Health Care to Homeless Persons.New York: Springer.
56. Koegel, P.; Sullivan, J.G.; Bumam, A.; Morton, S. & Wenzel, S. 1995. Utilization of mental health and substance abuse services among homeless adults. Unpublished paper.
57. Leda, C.; Rosenheck, R.; Corwell, L. & Olson, R. 1993. The Fourth Progress Report on the Department of Veterans Affairs Domiciliary Care for Homeless Veterans Program. West Haven, Connecticut: Northeast Program Evaluation Center, West Haven Veterans Affairs Medical Center.
58. Leipman, M.R.; Wolper, B. & Vasquez, J. 1982. An ecological approach for motivating women to accept treatment for drug dependency. In: B.G. Reed, G.M. Beschner & J. Mondanaro (Eds.)Treatment Services for Drug Dependent Women, Vol. 2.Rockville, Maryland: National Institute on Drug Abuse.
59. Lex, B.W. 1990. Prevention of substance abuse problems in women. In: R.R. Watson (Ed.)Drug and Alcohol Abuse Prevention.Clifton, New Jersey: Humana Press.
60. Lia-Hoagberg, B.; Knoll, K.; Swaney, S.; Carlson, G. & Mullett, S. 1988. Relationship of street dmg use, hospitalization, and psychosocial factors to low birthweight among low-income women. Birth15:8-13.
61. Longshore, D.; Hsieh, S. & Anglin, M.D. 1993. Ethnic and gender differences in drug users’ perceived need for treatment. International Journal of the Addictions28:539-58.
62. Longshore, D.; Hsieh, S.; Anglin, M.D. & Annon, T.A. 1992. Ethnic patterns in dmg abuse treatment utilization. Journal of Mental Health Administration19:268-77.
63. McCarty, D.; Argeriou, M.; Huebner, R.B. & Lubran, B. 1991. Alcoholism, dmg abuse, and the homeless. American Psychologist46:1139-148.
64. Mendelson, J.H.; Weiss, R.; Griffin, M.; Mirin, S.M.; Teoh, S.K.; Mello, N.K. & Lex, B.W. 1991. Some special considerations for treatment of dmg abuse and dependence in women. In: R.W. Pickens, C.G. Leukefield & C.R. Schuster (Eds.)Improving Drug Abuse Treatment. NIDA Research Monograph 106. Rockville, Maryland: National Institute on Dmg Abuse.
65. Mitchell, J.L. 1988. Women, AIDS and public policy. AIDS Public Policy Journal3:50-52.
66. National Association of State Alcohol and Drug Abuse Directors (NAS AD AD). 1993. Preliminary Results of the NAS AD AD Survey on Set Asides and Unfunded Mandates. Washington, D.C.: NASADAD.
67. National Institute on Drug Abuse (NIDA). 1994. Policy Report: AIDS and Drug Abuse Research and Technology Transfer in Hispanic Communities. Rockville, Maryland: U.S. Department of Health and Human Services.
68. National Institute on Drug Abuse (NIDA). 1991. National Household Survey on Drug Abuse: Highlights 1990. Rockville, Maryland: U.S. Department of Health and Human Services.
69. North, C.S. & Smith, E.M. 1993. A systematic study of mental health services utilization by homeless men and women. Social Psychiatry and Epidemiology28:77-83.
70. Nyamathi, A.M.; Flaskerud, J.; Bennett, C.; Leake, B. & Lewis, C. 1994. Evaluation of two AIDS education programs for impoverished Latina women. AIDS Education and Prevention6:296-309.
71. Nyamathi, A.M. & Vasquez, R. 1989. Impact of poverty, homelessness, and drugs on Hispanic women at risk for HIV infection. Hispanic Journal of Behavioral Sciences11:299-314.
72. Orwin, R.G.; Goldman, H.H.; Sonnefeld, L.J.; Smith, N.G.; Ridgely, M.S.; Garrison-Mogren, R.; O’Neill, E.; Lucchese, J.; Sherman, A. & O’Connell, M.E. 1992. Community Demonstration Grant Projects for Alcohol and Drug Abuse Treatment of Homeless Individuals: Final Evaluation Report. Rockville, Maryland: U.S. Department of Health and Human Services.
73. Padgett, D.K. & Struening, E.L. 1992. Victimization and traumatic injuries among the homeless: Associations with alcohol, drug, and mental problems. American Journal of Orthopsychiatry62:525-34.
74. Padgett, D.; Struening, E.L. & Andrews, H. 1990. Factors affecting the use of medical, mental health, alcohol, and drug treatment services by homeless adults. Medical Care28:805-21.
75. Peterson, K.A.; Swindle, R.W.; Moos, R.H.; Finney, J.W. & Suchinsky, R.T. 1992. New directions in substance abuse services: Programmatic innovations in the Veterans Administration. Journal of Mental Health Administration19:41-52.
76. Quinby, P.M. & Graham, A.V. 1993. Substance abuse among women. Primary Care20:131-40.
77. Rahdert, E.R. 1992. Case management systems represented in the NIDA-supported “Perinatal-20” treatment research demonstration projects. In: R. Sager Asherif (Ed.)Progress and Issues inCase Management. NIDA Research Monograph 127. Rockville, Maryland: National Institute on Drug Abuse.
78. Reed, B.G. 1987. Developing women-sensitive drug dependence treatment services: Why so difficult?Journal of Psychoactive Drugs19 (2): 151-64.
79. Reed, B.G. 1985. Drug misuse and dependency in women: The meaning and implications of being considered a special population or minority group. International Journal of the Addictions201:13-62.
80. Reed, B.G. & Moise, R. 1979. Implications for treatment and future research. In: Addicted Women: Family Dynamics, Self-Perceptions, and Support Systems. Rockville, Maryland: U.S. Department of Health, Education, and Welfare.
81. Regier, D.A.; Farmer, M.E.; Rae, D.S.; Myers, J.K.; Kramer, M.; Robins, L.N.; George, L.K.; Kamo, M. & Locke, B.Z. 1990. Comorbidity of mental disorders with alcohol and other drug use: Results from the Epidemiologic Catchment Area (ECA). Journal of the American Medical Association264:2511-518.
82. Ridlen, S.; Asamoah, Y.; Edwards, H.G. & Zimmer, R. 1990. Outreach and engagement for homeless women at risk of alcoholism. Alcoholism Treatment Quarterly7:99-109.
83. Robertson, M.J. 1991. Homeless women with children. American Psychologist46:1198-204.
84. Robertson, M.J. & Greenblatt, M. 1992. Homelessness: A national perspective. In: M.J. Robertson & M. Greenblatt (Eds.)Homelessness: A National Perspective.New York: Plenum.
85. Robins, L.N.; Helzer, J.E.; Weismann, M.M.; Orvaschel, H.; Gruenberg, E.; Burke, J.D. & Regier, D. A. 1984. Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry41:949-58.
86. Rosenheck, R.; Gallup, P. & Leda, C. 1988. Reaching Out: The Second Progress Report on the Veterans Administration Homeless Chronically Mentally III Veterans Program. West Haven, Connecticut: V.A. Medical Center, Northeast Program Evaluation Center.
87. Shandler, I. 1992. Family treatment for homeless alcohol- and drug-addicted women and their preschool children. In: P. Shane, M.S. Ridgely, A. Sherman, E. O’Neill, H.H. Goldman, F. Witt man &. N.G. Smith (Eds.)Community Demonstration Grant Projects for Alcohol and Drug Abuse Treatment of Homeless Individuals, Vol. 2: Case Studies of Nine Community Demonstration Grants. Rockville, Maryland: U.S. Department of Health and Human Services.
88. Sheehan, M.F. 1993. Dual diagnosis. Psychiatric Quarterly64:107-34.
89. Shuler, P.; Gelberg, L. & Davis, J.E. 1995. Characteristics associated with the risk for unintended pregnancy among urban homeless women. Journal of the American Academy of Nurse Practitioners7:13-22.
90. Smith, L. 1992. Help seeking in alcohol-dependent females. Alcohol and Alcoholism27:2-9.
91. Smith, I.E.; Dent, D.Z. & Cloes, C.D. 1992. A comparison study of treated and untreated pregnant and postpartum cocaine-abusing women. Journal of Substance Abuse Treatment9:343-48.
92. Smith, E.M.; North, C.S. & Spitznagel, E.L. 1993. Alcohol, drugs, and psychiatric comorbidity among homeless women: An epidemiologic study. Journal of Clinical Psychiatry54:82-87.
93. Soler, E.G. & Dammann, G. 1980. Women in crisis: Drug use and abuse. Focus on Women: Journal of Addictions and Health1:227-41.
94. Stewart, D.W. & Shamdasini, P.N. 1991. Focus Groups: Theory and Practice. Newbury Park, California: Sage.
95. Thom, B. 1987. Sex differences in help seeking for alcohol problems; 2. Entry into treatment. British Journal of Addiction82:989-97.
96. U.S. Bureau of the Census. 1991. Poverty in the United States: 1990(Current Population Reports, Series P-60, No. 175). Washington, D C.: U.S. GPO.
97. U.S. Congress. 1992. ADAMHA Reorganization Act. U.S. Public Law 102-321. Washington, D.C.: U.S. GPO.
98. U.S. General Accounting Office (GAO). 1991. ADMS Block Grant: Women’s Set-Aside Does Not Assure Drug Treatment for Pregnant Women. Washington, D.C.: U.S. GAO.
99. Van der Kolk, B.A. 1987. The psychological consequences of overwhelming life experiences. In: B.A. Van der Kolk (Ed.)Psychological Trauma.Washington, D.C.: American Psychological Association.
100. Weber, E.M. 1992. Alcohol-and drug-dependent pregnant women: Laws and public policies that promote and inhibit research and the delivery of services. In: M.M. Kilbey & K. Asghar (Eds.)Methodological Issues in Epidemiological, Prevention, and Treatment Research on Drug-Exposed Women and Their Children. NIDA Research Monograph 117. Rockville, Maryland: National Institute on Drug Abuse.
101. Weinberg, D. & Koegel, P. 1995. Impediments to recovery in treaUnent programs for dually diagnosed homeless adults. Contemporary Drug Problems Summer: 193-236.
102. Weisner, C. & Schmidt, L. 1992. Gender disparities in treatment for alcohol problems. Journal of the American Medical Association268:1872-876.
103. Wellisch, J.; Anglin, M.D. & Prendergast, M.L. 1993. Numbers and characteristics of drug-using women in the criminal justice system: Implications for treatment. Journal of Drug Issues23:7-30.
104. Wells, D.V.B. & Jackson, J.F. 1992. HIV and chemically dependent women: Recommendations for appropriate health care and drug treatment services. International Journal of the Addict ions27:57185.
105. Wenzel, S.L.; Gelberg, L.; Bakhtiar, L.; Caskey, N.H.; Hardie, E.; Redford, N. & Sadler, N. 1995. Homeless veterans’ utilization of medical, psychiatric, and substance abuse services. Medical Care33:1132-144.
106. Wenzel, S.L.; Gelberg, L.; Bakhtiar, L.; Caskey, N.H.; Hardie, E.; Redford, C. & Sadler, N. 1993. Indicators of chronic homelessness among veterans. Hospital and Community Psychiatry44:1172-176.
107. Will, J. 1993. The dimensions of poverty: Public perceptions of the deserving poor. Social Science Research22:312-32.
108. Wiseman, J.P. 1987. Studying the problem of alcoholism in today’s homeless [Summary]. In: J. Baumohl (Ed.). The Homeless with Alcohol Problems: Proceedings of an NlAAA-Sponsored Research Conference.Rockville, Maryland: National Institute on Alcohol Abuse and Alcoholism.
109. Woody, G.E.; McLellan, A.T.; O’Brien, C.P. & Luborsky, L. 1991. Addressing psychiatric comorbidity. In: R.W. Pickens, C.G. Leukefield & C.R. Schuster (Eds.) Improving Drug Abuse Treatment. N1DA Research Monograph 106. Rockville, Maryland: National Institute on Drug Abuse.
110. Wynne, J. 1984. Homeless Women in San Diego: A New Perspective on Poverty and Despair in America's Finest City. San Diego: Alcohol Program, County of San Diego Department of Health Services.
111. Zimmer, R. 1992. Outreach and engagement for homeless alcoholic women. In: P. Shane (Ed.)Community and Demonstration Grant Projects for Alcohol and Drug Treatment of Homeless Individuals. Vol. 2.Rockville, Maryland: U.S. Department of Health and Human Services.