Gender Responsive Substance Abuse Training for Women

1. Gender Responsive Substance Abuse Training for Women Creating a Balance between Separateness & Connectedness Victoria Nitcher-Sherman, LMFT Licensed Marriage & Family Therapist, Professional Trainer & Consultant Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

2. Gender Responsive Substance Abuse Treatment for Women Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

3. At the conclusion of the training, you the learner: • Will be able to discuss why it is important to take gender into consideration when developing substance abuse treatment strategies and programs; • Will be able to explain how traditional substance abuse treatment is primarilytailored to meet the needs of the male client; • Will be able to explain the importance of integrating gender and trauma in improving care for both men and women; Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

4. At the conclusion of the training, you the learner will: • Will be able to explain The basic concepts of Relational- Cultural Theory • Will be able to explain Priority Access and Interim Services for Pregnant Women; • Will be able to utilize The Gender Responsive Program Self-Assessment Tool; • Will be able to list The Seven Core Gender Responsive Treatment Guidelines developed by WSPIC Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

5. Gender Differences Physical Differences PsychologicalDifferences Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

6. Physical Differences in Drug and Alcohol Use Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

7. Women Use for Different Psychological Reasons Prostitution Relationships Rape To Cope neglect Childhood Sexual Abuse DOMESTIC VIOLENCE Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

8. Men Use for Different Psychological Reasons Intoxication Trauma Celebrate Party Social Outings Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

9. Men and Women have Different Treatment Needs Historically, most treatment programs were designed for men and women were expected to fit into the same program model. This has not worked well because the specific needs of women were not well attended to as a result. Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

10. Traditional Behavioral Health Treatment • Traditional Treatment does not offer child care services. • Traditional Treatment occurs in mixed gender group settings • Traditional Treatment does not address the issues of trauma, domestic violence and abuse. • Traditional Treatment does not allow you to bring a child into treatment Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

11. ConnectionsRelational-Cultural Theory No [wo]man is an island, entire of itself; every [wo]man is a piece of the continent. John Donne Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

12. Relational-Cultural Theory Three Major Concepts of the Theory: • Cultural Context • Relationships • Pathways to Growth Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

13. 1. Cultural Context Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

14. 2. Relationships It's so Natural Sharing Secrets Playing Ball Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

15. 3. Pathways to Growth Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

16. “When clinicians are trying to help women change, grow and heal from addictions, they need to create environments in which women can experience mutual, empathic, healthy relationships with their counselors and with one another” Covington, 2007 Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

17. Understanding the Unique Needs of Women 2004 United Nations Research Study • The United Nations developed a monograph on the treatment of drug-addicted women around the world. The general consensus was the following: Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

18. Personal Issues Fear of Losing Children Domestic Violence Shame & Embarrassment Partner’s Disapproval Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

19. Treatment Issues Long Wait Lists Could you choose? On-Site Daycare Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

20. Systemic Issues Coordinating Treatment Services Inadequate Housing Education & Employment Family Planning Transportation Issues Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

21. Women's Services Practice Improvement Collaborative Designed to enhance Connecticut’s current Behavioral Health Service System for Women Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

22. The Process: Becoming More Gender Responsive Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

23. Priority Access to Treatment Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

24. Interim Services for Pregnant Women Education Referrals Treatment Prenatal Care Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

25. Education about Human Immunodeficiency Virus (HIV) Proper treatment during pregnancy, delivery and the newborn period can reduce the risk of transmission to less than 1% Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

26. Education aboutTuberculosis (TB) Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

27. Education about Alcohol and Drug use on the fetus Alcohol or Drugs Cross the Placenta through the Placenta Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

28. Education about the risk of needle-sharing, if applicable Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

29. A Referral for Prenatal Care Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

30. A referral to the next higher level of care Partial Hospitalization Residential Treatment Intensive Outpatient Hospitalization Outpatient Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

31. Continuing the Process. . . Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

32. GuidingPrinciplesforGenderResponsiveTreatmentGuidelines Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

33. Core Women’s Program Guidelines • Assessment & Engagement • Recovery Planning • Clinical Treatment Program Design • Recovery Supports • General Program Environmental Features • Staff Competencies and Training • Program Evaluation Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

34. Module 1: Assessment & Engagement Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

35. Healthcare Needs & Including Children Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

36. Important Elements to Include in the Assessment Connecticut Sexual Assault Crisis Services, Inc. Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

37. Module 2: Recovery Planning Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

38. Recovery Planning Client Name: Jane Doe Date: 11/10/10 • Objectives: Behavior Based & Concrete • Client self-identifies issues & with support of staff, develops corresponding coping strategies. • Promotes Self Reliance • Strengths-Based • Reviewed & Revised every 90 Days Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

39. Recovery Planning Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

40. Module 3: Clinical Treatment Program Design Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

41. Clinical Treatment Program Design Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

42. Clinical Treatment Program Design Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

43. Module 4: Recovery Supports Stepping Stones Making Connections Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

44. Recovery Supports NEEDS SUPPORTS Mental Health Issues Medication Management Mental Health Treatment Partial Hospitalization Intensive Outpatient Outpatient Treatment Services for the Family Al Anon Family Therapy NAMI AA/NA Women for Sobriety Substance Abuse Treatment Substance Abuse Issues Methadone Maintenance Partial Hospitalization Intensive Outpatient Outpatient Local Recovery Centers CCAR Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

45. Recovery Supports NEEDS SUPPORTS Domestic Violence (DV) Local DV Program CT Coalition Against DV Educational TrainingCT Works Vocational Training Bureau of Rehabilitation Services Community Colleges Technical Schools Local Adult Education Programs TraumaTrauma Directory Local Sexual Assault Programs CT Sexual Assault Crisis Services Childcare Head Start Care 4 Kids 211 Info Line Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

46. Recovery Supports versus Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

47. Module 5: General Program Environmental Features Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

48. General Program Environmental Features Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

49. General Program Environmental Features Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant

50. Module 6: Staff Competencies & Training Victoria Nitcher-Sherman, LMFT - Therapist, Trainer, Consultant