Specific Needs of Women and Primary Caregivers in Co-Occurring Disorders Treatment SAMHSA TIP 51

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18 Jul 2021

SUBSCRIBE and click the BELL to get notified when new videos are uploaded Unlimited CEUs 59 based on these videos at allceus com for social work counseling marriage and family therapy addiction counseling case management pastoral counseling and more Chat with me at a https 3A 2F 2Fmembers docsnipes com 2F a For 10 month where you get access to my tips for health and wellness and you can text chat with me privately 7 days a week cheapceus SAMHSA counselingskills dawnelisesnipes TIP 51 Specific Needs of Women Instructor Dr Dawn-Elise Snipes PhD LPC-MHSP Executive Director AllCEUs Objectives - Identify how the needs of men and women may differ - Discuss conditions that are more typically diagnosed in women - Highlight changes that can be made to increase access engagement and retention of women in treatment Introduction - 6 2 females over 12 in the US have a substance use disorder - AN was only associated with oppositional defiant disorder not other psychiatric diagnoses - Eating disorders among adolescents was often associated with functional impairment and suicidality - BN and BED were associated with suicide attempts Define the Problem - Women have different physical responses to substances impacted by smaller quantity - Women with substance use disorder have greater susceptibility to as well as earlier onset of serious medical problems and disorders problems doses time - Pregnancy is a significant concern - Women who abuse substances are more likely than other women to have co-occurring disorders - Women who have substance use disorders are more likely to have been physically or sexually traumatized and subjected to interpersonal violence Influence of Relationships - Significant relationships and family history play an integral role in the initiation pattern of use and continuation of substance abuse for women - From a sociocultural perspective women more than men tend to define themselves in terms of their webs of social relationships - Women are more likely to be introduced to and initiate alcohol and drug use through significant relationships including partners and family members - Significant relationships and other adult family members may substantially influence and impact women s behavior associated with treatment seeking support for recovery and relapse - Women may have less support from family partners than do men for seeking treatment - For women pregnancy parenting and childcare influence alcohol and drug consumption and increase the likelihood of entering and completing substance abuse treatment Sources of Stress - Overall women report more interpersonal related stress in relation to negative affect whereas men report more legal and work-related stressful life events Statistics - Being Single or Divorced Approximately 11 percent of divorced or separated women and 16 percent of women who have never married in age range of 18 to 49 years abuse or are dependent on alcohol or an illicit drug compared to only 4 percent of married women SAMHSA 2004 - Partner who uses substances Drugs of Choice - Women are significantly more likely to use and abuse prescription medications including anxiolytics antianxiety medications and narcotic analgesics pain medications than are men Conditions More Common in Women - Pregnancy - PMDD - Polycystic Ovarian Syndrome - Menopause - Migraines 18 3 - Hypertension after age 50 - Rheumatoid Arthritis - Irritable Bowel - Restless Legs - Lupus - Fibromyalgia 90 10 It is a neurochemical disease says Yunus who points out that people with fibromyalgia show a higher than average amount of substance P a neurotransmitter that signals pain and a lower than average amount of serotonin a neurotransmitter that inhibits pain Overview of What Can Be Done - Acknowledge the importance and role of socioeconomic issues and differences among women - Promote cultural competence specific to women - Recognize the role and significance of relationships in women s lives - Address women s unique health concerns - Endorse a developmental perspective - Attend to the relevance and influence of various caregiver roles that women often assume throughout the course - Recognize that ascribed roles and gender expectations across cultures affect societal attitudes toward women who abuse substances - Adopt a trauma-informed perspective - Utilize a strengths-based model for women s treatment Summary - Everyone needs to have basic needs safety and social support needs met - Women face some unique challenges based upon Sociocultural expectations esp caregiving Medical and mental health conditions more common in women