This study compared compositional, social support, and structural characteristics of personal networks among women in residential (RT) and intensive outpatient (IOP) substance abuse treatment.
The study sample included 377 women from inner-city substance use disorder treatment facilities. Respondents were asked about 25 personal network members known within the past 6 months, characteristics of each (relationship, substance use, types of support), and relationships between each network member.
Differences between RT women and IOP women in personal network characteristics were identified using Chi-square and t-tests. Compared to IOP women, RT women had more substance users in their networks, more network members with whom they had used substances and fewer network members who provided social support.
These findings suggest that women in residential treatment have specific network characteristics, not experienced by women in IOP, which may make them more vulnerable to relapse; they may therefore require interventions that target these specific network characteristics in order to reduce their vulnerability to relapse...
Upon treatment entry, women report child related concerns, psychosocial difficulties, physical/sexual abuse, health issues and mental health problems to a far greater degree than their male counterparts (Wechsberg et al., 1998). These complex problems present difficulties for women in accessing social support and developing supportive personal network relationships (Tracy & Martin, 2007), thereby compromising their recovery (Warren, Stein, & Grella, 2007; Wenzel, Tucker, Golinelli, Green, & Zhou, 2010). Although different clinical profiles have been identified between women in residential and outpatient substance abuse treatment, no previous studies have examined or identified differences in personal network characteristics between these two groups of women. The purpose of this study was to identify differences in personal network characteristics between women entering residential substance abuse treatment and those entering intensive outpatient treatment. A deeper understanding of these differences may add an important dimension to substance abuse treatment planning, and may be utilized to inform treatment interventions for women in residential and outpatient treatment settings.
|Residential (n = 119)||Outpatient (n = 258)||χ2 or t||p|
|Substance use disorder (SUD)|
|Marijuana||44 (37.9)||105 (41.0)||0.32||0.574|
|Amphetamine||3 (2.6)||1 (0.4)||3.62||0.092†|
|Sedatives||5 (4.3)||14 (5.5)||0.22||0.638|
|Cocaine||78 (67.2)||135 (52.7)||6.87||0.009|
|Opiates||35 (30.2)||51 (19.9)||4.72||0.030|
|Hallucinogens||0 (0.0)||9 (3.5)||4.18||0.062†|
|Inhalants||0 (0.0)||1 (0.4)||0.45||>0.999†|
|Phencyclidine||3 (2.6)||9 (3.5)||0.22||0.761†|
|Alcohol||63 (54.3)||112 (43.8)||3.57||0.059|
|Multiple SUD (yes)||74 (63.8)||132 (51.8)||4.67||0.031|
|Mental health disorder|
|Generalized anxiety||21 (17.6)||68 (26.5)||3.50||0.062|
|Posttraumatic||39 (32.8)||108 (42.0)||2.92||0.087|
|Major depressive episode||68 (57.1)||149 (58.0)||0.02||0.879|
|Dysthymia||5 (4.2)||7 (2.7)||0.57||0.531†|
|Manic episode||27 (22.7)||91 (35.4)||6.11||0.013|
|Hypomanic episode||9 (7.6)||31 (12.1)||1.73||0.188|
|Dual diagnosis||89 (74.8)||186 (72.7)||0.19||0.664|
|Previous treatment||90 (75.6)||185 (72.3)||0.47||0.493|
|HIV test result (positive)||1 (0.9)||5 (2.0)||0.66||0.669†|
|Multiple chronic health condition (2 or more)||26 (22.0)||65 (25.2)||0.44||0.507|
|Trauma symptom checklist, M(SD)||49.40 (20.94)||42.51 (21.29)||2.93||0.004|
†Fisher’s Exact Test.
Full article at: http://goo.gl/lxtcy6
By: HyunSoo Kim,1 Elizabeth Tracy,2 Suzanne Brown,3 MinKyoung Jun,4 Hyunyong Park,2 Meeyoung Min,2 and Chris McCarty5
1Department of Social Welfare, Dongguk University, Gyeongju-si, Republic of Korea
2The Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA
3School of Social Work, Wayne State University, Detroit, MI, USA
4Gyeonggido Family & Women’s Research Institute, Gyeonggido, Suwon, Republic of Korea
5Survey Research Center, University of Florida, Gainsville, FL, USA
Correspondence: Dr Elizabeth Tracy, The Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, 11235 Bellflower Road, Cleveland 44106, OH
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