During the 1970s, several activities were initiated in response to concern about the quality of treatment services available to drug-abusing women. A comparison of services needed by women with services actually available to women found that special treatment services for drug-abusing women were needed in the areas of medical treatment,…

Examines the socioeconomic medium for the increasing incidence of pediatric Human Immunodeficiency Virus (HIV). Discusses the genesis, composition, and mission of Project WIN, a Boston-based, transagency, case management service delivery system designed to provide a holistic response to families' children at risk for or diagnosed with HIV…

Medical students performed less well on examinations about drug abuse problems and patient management than on traditional medical board examinations. The best knowledge was of pharmacology of drug abuse, Alcoholics Anonymous, and treatment of delirium tremens. Students knew less about metabolic and biochemical areas, emergency-room treatment, and…

This guide provides a detailed look at the biological basis of drug addiction, examining how the brain and its reward system work and how drug abuse can cause fundamental changes in the way the brain works. It is a resource for clinicians and practitioners. The first section of the guide provides an outline of the following basic concepts…

This TIP on the best practice guidelines for treatment of substance abuse aims to help teach treatment providers about the latest information available to design and deliver better services to adolescent clients with substance use disorders. This publication represents advances in the understanding of the immediate and long-term physiologic,…

A study examining substance use problems in the Asian American community surveyed 87 Indian, Vietnamese, and Chinese American youths and young adults. Findings indicated more awareness of drinking problems than drug use problems. Although respondents showed positive attitudes toward treatment, behaviors suggested a tendency to utilize personal…

Evaluation of an innovative substance abuse treatment program designed for rural areas involved 45 clients, 10 clinicians, and 2 program directors from three sites. Most clients felt the program was beneficial, but stressful. Clinicians found the program demanding to learn and adopt. Program directors liked the rural-specific design and the…

Explores the following policy approaches to drug use by pregnant women: (1) criminal prosecution of the mother; (2) allegations of child neglect against the mother with interruption of custody; and (3) drug treatment. Discusses whether each reduces drug use during pregnancy or improves maternal and infant health and well-being. (JS)

A stratified probability sample of 4,745 adults in Colorado was surveyed to determine the need for alcohol, drug abuse, and mental health services. Findings that variation in need prevalence across 48 subareas of the state substantially challenge the assumptions of a uniform rate of need in a state. (SLD)

Describes a program for older adolescents exhibiting substance use problems. After initial assessment and referral, most patients enter outpatient treatment groups. Groups fulfill three purposes: (1) Staff monitors clients; (2) Help clients recognize the promise of recovery; and (3) Change behavior. Difficulties of working with multiple community…

Considers alcohol and other drug abuse among homeless women and the impact of public policy decisions on this group, their dependent children, and the family unit. Examines barriers to treatment including legal rights conflicts (women's versus children's), criminalization, and treatment approaches. (JB)

Explored how drug and alcohol aftercare case management service for adolescents (n=18) contributed to maintenance of drug- and alcohol-free behavior, adherence to aftercare plans, and participation of schools and families in aftercare plans. Found different patterns of outcome results for each of four identified groups of adolescents. Results…

Investigated the effects of counselor gender and drinking status on 93 mandated clients' perceptions of counselor trustworthiness, expertness and attractiveness, and confidence in the counselor. Results revealed no differences between ratings of recovering alcoholic, nonalcoholic, or no-statement counselors on any of the dependent measures.…

The Yakima First Steps Mobilization Project for Pregnant Substance Abusers, known as First Steps PLUS, is a demonstration project. The project seeks to improve the health outcomes of pregnant substance abusing women and their infants by enhancing existing perinatal services provided through Washington's First Steps Maternity Care Program and by…

This booklet outlines a holistic approach for counseling those with addictive disorders. The program is based on the idea that any activity, whether physical, mental, or spiritual, contributes to the tendency toward addiction, and that counseling should help an individual for a lifetime. The primary goal is to implement reasonable, responsible,…