TY - JOUR
T1 - Comprehensive women-centered treatment for substance use disorders in Georgia
T2 - Current status and future directions
AU - Otiashvili, David
AU - Kirtadze, Irma
AU - Ogrady, Kevin E.
AU - Zule, William
AU - Krupitsky, Evgeny
AU - Wechsberg, Wendee M.
AU - Jones, Hendrée E.
N1 - Funding Information:
The IMEDI study, parent study to this article, was supported by the National Institute on Drug Abuse (NIDA). NIDA played no role in the (1) study design, (2) collection, analysis and interpretation of data (3) writing of the report or (4) decision to submit or where to submit the paper for publication. This research was supported by NIDA grant R01 DA029880 (Hendrée E. Jones, PI).
Publisher Copyright:
© 2015 Taylor & Francis Group, LLC.
PY - 2015/9/3
Y1 - 2015/9/3
N2 - This article examines the current status of women-centered substance use disorder treatment in Georgia. Four major issues are identified that adversely impact the delivery of effective services for women with substance use disorders: Policy Issues, Sociocultural Issues, Programmatic/Structural Issues and Personal/Interpersonal Issues. These four issues are seen to form a complex, dynamic system that serves to maintain the current ineffective service delivery system and suppresses movement toward an effective service delivery for this highly marginalized and at-risk population. How these issues, and their interplay, present continuing barriers to the development and implementation of effective treatment for this population are outlined and discussed. In order to overcome these barriers, solutions must be sought in four areas: Policy reform, Public health campaigns, Development and implementation of comprehensive women-specific confidential treatment models and Empowering women. Specific goals in each of these areas that would achieve a positive impact on various aspects of the functioning of the current service delivery system for women with substance use disorders are suggested. Simultaneously seeking solutions in all four of these areas would improve the service delivery system and benefits women with substance use disorders.
AB - This article examines the current status of women-centered substance use disorder treatment in Georgia. Four major issues are identified that adversely impact the delivery of effective services for women with substance use disorders: Policy Issues, Sociocultural Issues, Programmatic/Structural Issues and Personal/Interpersonal Issues. These four issues are seen to form a complex, dynamic system that serves to maintain the current ineffective service delivery system and suppresses movement toward an effective service delivery for this highly marginalized and at-risk population. How these issues, and their interplay, present continuing barriers to the development and implementation of effective treatment for this population are outlined and discussed. In order to overcome these barriers, solutions must be sought in four areas: Policy reform, Public health campaigns, Development and implementation of comprehensive women-specific confidential treatment models and Empowering women. Specific goals in each of these areas that would achieve a positive impact on various aspects of the functioning of the current service delivery system for women with substance use disorders are suggested. Simultaneously seeking solutions in all four of these areas would improve the service delivery system and benefits women with substance use disorders.
KW - Policy
KW - substance use treatment
KW - women
UR - http://www.scopus.com/inward/record.url?scp=84940199068&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84940199068&partnerID=8YFLogxK
U2 - 10.3109/14659891.2014.923052
DO - 10.3109/14659891.2014.923052
M3 - Review article
AN - SCOPUS:84940199068
SN - 1465-9891
VL - 20
SP - 367
EP - 374
JO - Journal of Substance Use
JF - Journal of Substance Use
IS - 5
ER -