In many cultures, approximately one third of people with drug dependence are women of child-bearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and…

This first national estimate suggests that the economic cost of methamphetamine (meth) use in the United States reached $23.4 billion in 2005. Given the uncertainty in estimating the costs of meth use, this book provides a lower-bound estimate of $16.2 billion and an upper-bound estimate of $48.3 billion. The analysis considers a wide range of…

Objective: This study is the first in a comprehensive examination of therapeutic components and outcome of interventions in a public, nonresidential service for drug addicts in Jerusalem (SHALEM). Method: Data were gathered from 153 clients (35 women, 128 men; 35 Arabs, 118 Jews; median age = 39) using clinical data mining. Results: Men who had…

This document contains seven papers from the ninth World Conference of Therapeutic Communities (TCs) that deal with adolescent clients and TCs. Papers include: (1) Preliminary Consideration on "Adolescence and the TC" (David Deitch); (2) "Daytop's Full Service Adolescent Treatment Program" (Charles Devlin and Lois Morris); (3)…

Describes the development, implementation, and replication of a group-based parenting program for families affected by substance abuse, called the Nurturing Program for Families in Substance Abuse Treatment and Recovery in Massachusetts. Highlights early evaluation results showing that the program improves parenting and enhances parents'…

This study reports on the effects of having a history of childhood sexual abuse (CSA) on treatment outcomes among substance abusing men and women (N = 2,434) in a national, multisite study of drug treatment outcomes. A history of CSA was reported by 27.2% of the women and 9.2% of the men. Controlling for gender, compared to patients without CSA,…

Compares data collected over seven years concerning the emotional, behavioral and psychological problems of maltreated and nonmaltreated adolescents in a drug treatment program. Results indicated that females had significantly more emotional and psychological problems than did males, and that maltreated females had significantly higher levels of…

Drug courts have been recognized and empirically supported as an effective means of reducing recidivism and use of substances for both juveniles and adults. The paper reports the results of an outcome evaluation of a juvenile drug court in the Upper Cumberland area of Middle Tennessee. As with previous studies, the program showed impressive…

Reviews recent actions by state legislatures and courts in response to the problems of drug-exposed newborns. Also discusses civil and criminal court decisions regarding women who use drugs during pregnancy. State policy responses cannot be developed without a detailed assessment of the state's resources. (SLD)

Addresses the issue of drug-exposed infants from the perspective of a reproductive rights attorney. States genuinely interested in promoting healthy children will stop ignoring women or treating them as potential child abusers and will change the current punitive legal focus to a focus on treatment. (SLD)

This book examines the growing epidemic of children born to mothers who use cocaine, particularly the highly addictive version known as "crack," focusing on the health and educational needs of such children. Nine chapters address: (1) the origins of cocaine use in the United States, as well as the chemical properties and physiological…

The use of crack during pregnancy is producing tens of thousands of blameless children each year who, by biology and environment, are impaired. Describes the effects of crack on children and what can be done for crack-smoking mothers-to-be. Offers suggestions to school boards for providing a structured supportive learning environment for these…

Asserting that children who are abused or neglected are at risk of becoming future violent criminals, this report argues that this cycle of violence can be prevented by investing in recently confirmed abuse prevention and intervention strategies. The report presents information on the number of deaths each year due to abuse and neglect and calls…

The Interagency Committee for Children was formed by three Maryland government agencies: the Department of Human Resources, Department of Health and Mental Hygiene, and Department of Education. Committee goals are to develop services for children and families and provide a more coordinated service system for special needs children and youth. This…