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Building Skills and strategies

Building Skills and strategies. How services for women and families can change within a Recovery Oriented System of Care. Women and Substance use-What is unique?. Gender differences do exist in substance use disorders

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Building Skills and strategies

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  1. Building Skills and strategies How services for women and families can change within a Recovery Oriented System of Care

  2. Women and Substance use-What is unique? • Gender differences do exist in substance use disorders • Unique biopsychosocial and developmental issues create or intensify these differences • Understanding of these specific factors can assist in understanding and responding to the treatment needs of female clients

  3. Three areas to evaluate • Biological and psychological • Social • Developmental

  4. Biological and psychological characteristics • Physical responses to substances • Medical problems/disorders • Gynecological needs • Pregnancy • Prenatal substance exposure/FASD

  5. Biological and psychological characteristics, cont. • Increased incidence of co-occurring disorders • History of trauma

  6. Social Characteristics • Relationships and family history influence: • Patterns of use and continuation of use • Treatment seeking, support for recovery and relapse • Pregnancy, parenting and childcare • Obstacles across the continuum of care: • Caregiver roles • Gender expectations • Socioeconomic hardships

  7. Social characteristics, cont. • Engagement and attendance • Stressful life events • Paths to accessing treatment • Relational needs related to treatment • Stigma and substance abuse

  8. Developmental Characteristics • Unique life-course issues • Identity and gender expectations • Educational, employment and career issues • Pregnancy, parenting and childcare issues • Menopause • Caring for parents and partners

  9. Service needs of women with families • Medical • Psycho-education • Gender specific • Cultural and Language needs • Life skills • Comprehensive case management • Mental health • Disability services

  10. Treatment issues for women with families • Relationships and the need for connection • The influence of the family • Partner relationships • Sexuality • Pregnancy and parenting • History of trauma • Co-occurring disorders

  11. Women’s Community Based Services in Kent County • Parent-Child Assistance Program (PCAP) • 3 year case management/advocacy program serving women who have drank alcohol during current or recent pregnancy. • Family Engagement Therapy (FET) • Serve women with children who are at risk of family separation due to substance use. • Women’s Project Access • Provide care coordination, therapy and advocacy for women who are pregnant and/or are working towards reunification with their children.

  12. Strategies for serving women with substance use disorders • Trauma Informed • Motivational Interviewing • Community based • Engagement • Address basic needs • Long term services • Address cognitive needs

  13. Specific Tools • Recovery • Goal Setting • Family • Mental health

  14. Tools, cont. • Advocacy • Relational work

  15. Future Strategies • Acudetox-5 point • Building community relationships

  16. References and resources TIP 51 Substance Abuse Treatment: Addressing the Specific Needs of Women www.samhsa.gov Seeking Safety Treatment Lisa Najavits, PhD www.seekingsafety.org Parent-Child Assistance Program http://depts.washington.edu/pcapuw/

  17. Contact information Cathy Worthem, LMSW CAADC Program Manager Community Based Recovery Services Arbor Circle Corporation 616-459-7215, ext. 1328 cworthem@arborcircle.org Terri Sprader, MA, LPC, SPADA, CAADC Clinical Supervisor Women’s Services Arbor Circle Corporation 616-459-7215, Ext. 1213 tsprader@arborcircle.org

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