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Services provided during methadone treatment. A gender comparison
G A Rowan-Szal1, L R Chatham, G W Joe
1Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA. ibr@tcu.edu
Journal of Substance Abuse Treatment
|June 27, 2000
Summary
This study on methadone treatment found women need more psychological support and counseling for risky behaviors. Tailoring services to gender differences in needs, like for women
Area of Science:
- Addiction Medicine
- Clinical Psychology
- Public Health
Background:
- Treatment outcomes improve when services are tailored to individual client needs.
- Understanding gender-specific needs in addiction treatment is crucial for effective care.
- Methadone treatment programs serve diverse client populations with varying needs.
Purpose of the Study:
- To examine gender differences in service needs and provision during the initial 3 months of community-based methadone treatment.
- To identify specific areas where male and female clients differ in their requirements for addiction services.
- To inform the development of gender-responsive treatment protocols in methadone programs.
Main Methods:
- Analysis of data from 635 clients (199 females, 436 males) in three community-based methadone treatment programs.
- Comparison of client characteristics and services received during the first 3 months of treatment.
- Assessment of gender-based differences in psychological symptoms, risky behaviors, motivation, and counselor interventions.
Main Results:
- Women presented with more psychological symptoms and AIDS/HIV-risky behaviors compared to men.
- Men showed higher levels of criminal activity and alcohol use upon entering treatment.
- Counselors provided more psychological support and crisis intervention for women, with better reported rapport.
Conclusions:
- Gender-tailored interventions in methadone treatment are essential for addressing specific client needs.
- Addressing psychological and crisis issues more frequently for women can improve treatment engagement.
- Further attention is needed for employment and HIV/AIDS sexual-risk behaviors, particularly for women, despite current service delivery.
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