1. BUILDING SKILLS AND STRATEGIES How services for women and families can change within a Recovery Oriented System of Care

2. WOMEN AND SUBSTANCE USE- WHAT IS UNIQUE?  Gender differences do exist in substance use disorders  Unique biopsychosocial and developmental issues create or intensify these differences  Understanding of these specific factors can assist in understanding and responding to the treatment needs of female clients

3. THREE AREAS TO EVALUATE  Biological and psychological  Social  Developmental

4. BIOLOGICAL AND PSYCHOLOGICAL CHARACTERISTICS  Physical responses to substances  Medical problems/disorders …Gynecological needs  Pregnancy …Prenatal substance exposure/FASD

5. BIOLOGICAL AND PSYCHOLOGICAL CHARACTERISTICS, CONT.  Increased incidence of co-occurring disorders  History of trauma

6. SOCIAL CHARACTERISTICS  Relationships and family history influence: …Patterns of use and continuation of use …Treatment seeking, support for recovery and relapse  Pregnancy, parenting and childcare  Obstacles across the continuum of care: …Caregiver roles …Gender expectations …Socioeconomic hardships

7. SOCIAL CHARACTERISTICS, CONT.  Engagement and attendance  Stressful life events  Paths to accessing treatment  Relational needs related to treatment  Stigma and substance abuse

8. DEVELOPMENTAL CHARACTERISTICS  Unique life-course issues …Identity and gender expectations …Educational, employment and career issues …Pregnancy, parenting and childcare issues …Menopause …Caring for parents and partners

9. SERVICE NEEDS OF WOMEN WITH FAMILIES  Medical  Psycho-education  Gender specific  Cultural and Language needs  Life skills  Comprehensive case management  Mental health  Disability services

10. TREATMENT ISSUES FOR WOMEN WITH FAMILIES  Relationships and the need for connection  The influence of the family  Partner relationships  Sexuality  Pregnancy and parenting  History of trauma  Co-occurring disorders

11. WOMEN’S COMMUNITY BASED SERVICES IN KENT COUNTY  Parent-Child Assistance Program (PCAP) …3 year case management/advocacy program serving women who have drank alcohol during current or recent pregnancy.  Family Engagement Therapy (FET) …Serve women with children who are at risk of family separation due to substance use.  Women’s Project Access …Provide care coordination, therapy and advocacy for women who are pregnant and/or are working towards reunification with their children.

12. STRATEGIES FOR SERVING WOMEN WITH SUBSTANCE USE DISORDERS  Trauma Informed  Motivational Interviewing  Community based  Engagement  Address basic needs  Long term services  Address cognitive needs

13. SPECIFIC TOOLS  Recovery  Goal Setting  Family  Mental health

14. TOOLS, CONT.  Advocacy  Relational work

15. FUTURE STRATEGIES  Acudetox-5 point  Building community relationships

16. REFERENCES AND RESOURCES TIP 51 Substance Abuse Treatment: Addressing the Specific Needs of Women www.samhsa.gov Seeking Safety Treatment Lisa Najavits, PhD www.seekingsafety.org Parent-Child Assistance Program http://depts.washington.edu/pcapuw/

17. CONTACT INFORMATION Cathy Worthem, LMSW CAADC Program Manager Community Based Recovery Services Arbor Circle Corporation 616-459-7215, ext. 1328 cworthem@arborcircle.org Terri Sprader, MA, LPC, SPADA, CAADC Clinical Supervisor Women’s Services Arbor Circle Corporation 616-459-7215, Ext. 1213 tsprader@arborcircle.org