Transcript Alcohol and other Drug Services for Women in California

Alcohol and other Drug
Services for Women in
California
Women’s Health Conference
San Francisco
May 14, 2009
California Demographics
• In 2006, 76,204 women were admitted to
publicly funded treatment for substance use
disorders.
• The majority of women (66%) admitted in 2006
received outpatient treatment services while
21 percent received residential treatment.
California Demographics (continued)
• Of the women discharged during 2006,
34 percent completed their treatment and
recovery plan and achieved their goals.
• Forty-six percent did not complete
treatment but made satisfactory progress.
Days In Treatment
0%
Less than 8 days
5%
10%
15%
20%
25%
17.0%
8 - 29 days
21.6%
30 - 89 days
26.9%
90 - 179 days
180 days or more
30%
21.1%
13.4%
• The number of days women were in treatment is shown
in this chart.
*excludes detoxification services that are normally less than eight days in duration.
California Demographics (continued)
• Of the 76,204 women admitted to treatment during
2006, 4,507 (6%) indicated that they were pregnant at
the time of admission.
• Among pregnant women admitted to treatment in
California, methamphetamine was the primary drug of
abuse at 59 percent followed by marijuana at 14 percent,
alcohol at 9 percent, and heroin at 8 percent.
• In 2004, the California Maternal and Infant Health
Assessment estimated that 100,000 infants are born
prenatally exposed to alcohol, and an estimated 20,000
to 60,000 are born prenatally exposed to illicit drugs.
Comparing Women and Men
in Treatment
• Women comprised 36 percent of the treatment
population, while 64 percent of the individuals
in treatment were men.
• A higher proportion of women were
methamphetamine users compared to men.
Methamphetamine was the most common drug
for 44 percent of women and 32 percent
of men.
Comparing Women and Men
in Treatment
• Alcohol was the second most commonly
reported drug of choice at admission among
both men and women. Alcohol was the most
common drug of abuse for 17 percent of
women and 20 percent of men.
• A slightly higher percentage of men (38%)
completed treatment, i.e. completed their
treatment plan, than women (34%).
Core Competencies for Programs
that Serve Women
• Subject Matter Experts met in 12/07.
• Developed Seven Core Competencies:
• Safety (environment)
• Trauma-Informed
• Culturally Competent
• Women-Specific Curricula
• Case Management
• Clinical Supervision
• Health and Wellness
Core Competencies
Dissemination Plan
• Online survey taken by counties and treatment providers
to determine Technical Assistance needs.
• Stephanie Covington trainings and TA.
• Future regional trainings.
• To access the Women’s Treatment Guidelines-Core
Competencies for All Programs Serving Women:
http://www.adp.ca.gov/Perinatal/pdf/Core_Competencies_Wm_Tx.pdf
NASADAD GUIDELINES
TO STATES
• OWPS participated in development as member of the
Women’s Services Network.
• OWPS developed questionnaire based on guidelines
and recruited volunteers to participate in in-depth onsite review.
• Purpose: determine if NASADAD guidelines are
appropriate for California programs. Access to
Guidance to States: Treatment Standards for Women
With Substance Use Disorders:
http://www.nasadad.org/index.php?doc_id=1379
State Interagency Team
• The State Interagency Team (SIT) for Children and
Youth was established in 2003 to coordinate policy,
services and strategies for children, youth, and families
in California.
• Comprised of deputy directors from 10 state agencies provides leadership and guidance to facilitate local
system improvements.
• State agencies represented on the SIT include the
Departments of Social Services, Education, Health
Services, Mental Health, Alcohol and Drug Programs,
Developmental Services, and Employment
Development, as well as the Attorney General’s Office,
the California Children and Families Commission, and
the Workforce Investment Board.
State Interagency Team
Sub-Committee on Fetal Alcohol
Spectrum Disorders (FASD)
• The SIT FASD multi-agency work group, is
exploring approaches to reduce the incidence
of prenatal alcohol use.
• An additional goal is to improve access to
treatment for families impacted by FASD.
Technical Assistance Available
Trauma-informed Services to Women and Girls
For free technical assistance and training specific to
Trauma-informed services to women and girls, please
contact:
• California Association of Addiction Recovery
Resources (CAARR)
P.O. Box 214127
Sacramento, CA 95821
• Contact: Patricia Patterson, Program Director
Phone: (916) 338-9460
FAX: (916) 338-9468/ TTY: (916) 473-0836
Email: [email protected]