A.1 Readiness of the Workforce To Offer Gender-Specific
Services
This workshop focuses on how better to prepare the workforce
to train staff and implement state-of-knowledge services for
women. Speakers discuss what is needed to provide effective
treatment for women, in the context of the skills, composition,
concerns, and needs of treatment agencies and their staff. Issues
discussed include recruitment and retention of qualified people,
crucial to delivering gender-specific treatment, and challenges
that the treatment workforce faces (e.g., different types of
treatment settings, diverse client groups, varying credential
requirements, staff with varying disciplines and backgrounds).
Presenters:
Karen Mooney,
LCSW, CAC III
Alcohol and Drug Abuse Division, Colorado Department of Human
Services
Denver, CO
Nancy Roget,
M.S.
Mountain West Addiction Technology Transfer Center (ATTC)
Reno, NV
View
Mooney/Roget PowerPoint Presentation
A.2 Residential Women’s Treatment: Cost-Benefit and
Outcome Findings From a CSAT Cross-Site Evaluation
In this workshop, the presenter discusses findings from
a cross-site, longitudinal evaluation of CSAT’s residential
women and children and pregnant and postpartum women programs.
The presentation focuses on findings relating to the costs and
benefits of this treatment approach—overall and for subpopulation
groups of particular policy interest. Outcome findings on various
topic areas also are discussed.
Presenter:
Kenneth Burgdorf,
Ph.D.
Independent Consultant/Evaluator
Derwood, MD
View
Burgdorf PowerPoint Presentation
View
Cost Benefits Findings
View
Cost Benefits Methodologies
A.3 Engaging Male Partners and Families in Recovery
This workshop provides participants with a better understanding
of the importance of relationships in women’s lives and
in their addiction and recovery, explores strategies for helping
women understand the connection between intimacy and substance
use or abuse, and presents strategies for safely engaging partners
in women’s recovery. Presenters highlight two effective
programs that not only help the client develop models for healthy
relationships, but also attempt to involve women’s partners
and their families in the recovery process. Presenters discuss
the strength of partners, family members, and community residents
as vital to sustaining healthy recovery in women, while also
addressing the challenges (e.g., lack of resources) in implementing
such approaches.
Presenters:
Carl Goodman
Multnomah County Department of Adult Community Justice
Portland, OR
Barbara Kappos,
M.S.W.
Bienvenidos Family Services
Los Angeles, CA
View
Goodman/Kappos PowerPoint Presentation
A.4 Intergenerational Substance Abuse and Resiliency
In this workshop, the presenters identify and address challenges,
strengths, and realities associated with families experiencing
alcohol and drug abuse. They discuss strategies for developing
resiliency skills for children and youth living in families
with substance abuse problems and explain why all high-risk
children are not the same. In addition, the presenters highlight
selected programs that have been identified and included in
SAMHSA’s National Registry of Effective Programs as appropriate
for this population.
Presenters:
Gale A. Held,
M.P.A.
SAMHSA Model Programs Dissemination Project
Rockville, MD
Naomi Weinstein,
M.P.H.
Children of Alcoholics Foundation
New York, NY
View
Held PowerPoint Presentation
View
Weinstein PowerPoint Presentation
A.5 Reentry Programs and Postincarceration Issues
This workshop explores some of the unique treatment needs
of women reentering mainstream society after being incarcerated.
The presenters discuss how community-based treatment programs
can maximize continuity for women transitioning from an in-custody
treatment program. They address how treatment supports women
in their efforts to deal with reentry issues, such as reestablishing
day-to-day relationships with minor children and securing employment
after incarceration. This session also describes trauma-based
interventions from a clinical and correctional perspective.
Presenters:
Joan B. Gillece,
Ph.D.
Maryland Department of Health and Mental Hygiene
Jessup, MD
Steven R.
Williams
Dorchester County Department of Corrections
Cambridge, MD
View
Gillece/Williams PowerPoint Presentation
A.6 Medication-Assisted Treatment Issues for Women
This session discusses the evidence supporting medication-assisted
treatment (MAT) approaches and how to create MAT programs that
are focused on the unique needs of women, particularly pregnant
women and women with young children. The presenter addresses
such challenging issues as increasing women’s accessibility
to MAT programs, combining MAT with other therapeutic interventions,
and reducing the stigma that many women experience as a result
of using MAT.
Presenter:
Susan F. Neshin,
M.D.
JSAS Healthcare, Inc.
Asbury Park, NJ
View
Neshin PowerPoint Presentation
B.1 Building a Circle of Support for Families Affected by Addictions
and Fetal Alcohol Spectrum Disorders
Addressing fetal alcohol spectrum disorders (FASD) is not
as simple as diagnosing a child or telling a woman not to drink.
It requires a complex understanding of the strengths and needs
of the parent, the child (of any age), and the community. Services
and supports for these high-risk families must be multifaceted
and pay attention to the needs of all involved. To optimize
success, we need to take a holistic approach to the entire family.
This workshop examines FASD from the point of view of the child
and the parent, with particular attention to the specialized
needs of Native Americans. A mother’s experiences with
addiction, recovery, and the effects of substance use on the
family are explored, as well as how FASD affects everyday life.
Presenters examine practice models to address the issues raised.
Presenters:
Daniel Dubovsky,
M.S.W., LSW
SAMHSA FASD Center for Excellence
Rockville, MD
Kathy Jones,
Ph.D., RSW
West Region Child and Family Services
Winnipeg, Manitoba
Kathleen
T. Mitchell, M.H.S., LCADC
National Organization on Fetal Alcohol Syndrome (NOFAS)
Washington, DC
View
Dubovsky PowerPoint Presentation
View
Jones PowerPoint Presentation
View
Jones Handout
View
Mitchell PowerPoint Presentation
B.2 Integrated Service Delivery for Women in Treatment With
Children
In this workshop, participants learn about effective strategies
and best practices their treatment agency or organization can
use to respond to the special needs of women with children.
The presenter first provides a brief overview of the landscape
of women with children treatment programs (e.g., how we define
them, their diversity), with a focus on issues concerning children.
She touches on child, family, and parent risk factors and how
to address them. The main emphasis of this session is a detailed
discussion about how to create a service plan for the children
that is integrated with the parent’s service plan so that
the family as a whole is treated.
Presenter:
Valera Jackson,
M.S.
The Village
Miami, FL
View
Jackson PowerPoint Presentation
B.3 Outreach for Linking Women With Multiple Vulnerabilities
to Substance Abuse, Mental Health, and HIV Services
In this workshop, the presenter discusses a targeted outreach
model, the PROTOTYPES Outreach Model, for
women with multiple vulnerabilities who abuse substances. This
model is designed to increase access to care and ensure linkages
to needed services, such as HIV/AIDS prevention; substance abuse
treatment; domestic violence services; support groups; and referrals
to HIV, sexually transmitted diseases, tuberculosis, and hepatitis
testing and screening. Innovative strategies for meeting each
woman at her own level of readiness for behavior change is presented.
Also discussed are findings from an ongoing independent evaluation
of PROTOTYPES’ outreach programs on client outcomes and
the kinds of services women are linked to and the implications
of these findings for treatment providers.
Presenter:
Ruth Slaughter
PROTOTYPES
Culver City, CA
View
Slaughter PowerPoint Presentation
B.4 Gendered Justice—Women in the Criminal Justice System
There is both a need and an opportunity to bring knowledge
from the fields of substance abuse, mental health, and trauma
to the management and programming of women in the criminal justice
system. Because of the increased number of women in the system
over the past decade, gender-appropriate services have become
a critical issue in many jurisdictions. After giving a descriptive
profile, the presenter focuses on the challenges encountered
by women in the criminal justice system and those who work with
them. Findings and recommendations from the 3-year National
Institute of Corrections Gender-Responsive Strategies Project
are presented. The presenter outlines guiding principles (as
well as a treatment model) for those interested in developing
gender-responsive policy and practice. She also addresses several
key legal considerations for women.
Presenter:
Stephanie
S. Covington, Ph.D., LCSW
Institute for Relational Development and Center for Gender and
Justice
La Jolla, CA
View
Covington PowerPoint Presentation
View
Convington Handout
B.5 Enhancing Recovery: Addressing Nicotine Addiction in Treatment
Programs
This workshop discusses the importance of addressing nicotine
addiction in the course of managing other addictions. Presenters
highlight and discuss implications of findings from recent studies
on the benefits of addressing nicotine addiction in substance
abuse treatment programs and among women in recovery. They review
promising approaches, interventions, and lessons learned from
systemic and program-based efforts in Massachusetts and Louisiana.
The ABCs of developing a client-centered tobacco program based
on motivational interviewing principles are highlighted, as
well as programmatic issues such as policy development and implementation
and creating an environment that supports tobacco intervention.
Resources, relevant Web sites, and tips for getting started
are shared.
Presenters:
Janet Smeltz,
M.Ed., CADAC
Institute for Health and Recovery
Cambridge, MA
Melanie Thornton,
M.S.W., GSW
Jefferson Addictive Disorders Clinic
Metairie, LA
View
Smeltz/Thornton PowerPoint Presentation
View
Smeltz/Thornton Handout
B.6 Women Involved in Multiple Systems and the Clinical Implications
for Substance Abuse Treatment: Using a Single Coordinated Care
Plan
Meta House for Women and Children is a residential treatment
program that participated in a cross-system collaborative effort
to develop an integrated service network for women in recovery
who are involved in the substance abuse treatment, child welfare,
and Temporary Assistance to Needy Families systems. The presenters
focus their discussion on the development and implementation
of the Single Coordinated Care Plan, a client- and family-centered
approach that is gender and culturally specific, strength-based,
built on natural and community supports, and designed to address
primary barriers experienced by women involved in multiple systems.
The presenters discuss the treatment and clinical issues and
effective means of addressing those issues that may require
multiple services and strategies.
Presenters:
Francine Feinberg,
Psy.D., ACSW, LCSW
Meta House, Inc.
Milwaukee, WI
Patricia
A. Aniakudo, M.S., LPC
Meta House, Inc.
Milwaukee, WI
View
Feinberg/Aniakudo PowerPoint Presentation
View
Feinberg/Aniakudo Handout #1
View
Feinberg/Aniakudo Handout #2
View
Feinberg/Aniakudo Handout #3
View
Feinberg/Aniakudo Handout #4
C.1 Choosing the Right Model of Trauma-Specific Services for
Your Clients and Organization: Discussion With the Experts
This workshop follows immediately after and builds on the
plenary session, Expert Panel on Trauma-Informed Services, and
is intended to provide an overview of the different trauma treatment
models available. Each of the four speakers provides a brief
introduction and overview of a model. Participants then have
an opportunity to ask more indepth questions about the specific
models and which to use with certain types of clients. The panel
provides participants with practical advice on how to decide
which model is the best fit for their treatment setting and
how they can take steps to implement it into their organization.
Presenters:
Stephanie
S. Covington, Ph.D., LCSW
Institute for Relational Development & Center for Gender
and Justice
La Jolla, CA
Maxine Harris,
Ph.D.
Community Connections
Washington, DC
Dusty Miller,
Ed.D.
ATRIUM Institute
Northampton, MA
Lisa Najavits,
Ph.D.
McLean Hospital
Cambridge, MA
View
Covington PowerPoint Presentation
View
Harris PowerPoint Presentation
View
Miller PowerPoint Presentation
View
Najavits Handout
C.2 Strategies for Engaging Women Clients
The fact that women’s substance abuse experiences
are different from men’s has important implications for
the planning and delivery of treatment programs. This session
discusses culturally sensitive best practices and effective
treatment strategies that service providers can employ to increase
their success in attracting and engaging women with co-occurring
substance use, mental, and trauma disorders. It discusses strategies
along the treatment continuum—from outreach to assessment
to treatment to transitional and aftercare—and addresses
issues such as family-centered treatment, child care, and wraparound
services.
Presenter:
Elke Rechberger,
Ph.D.
PROTOTYPES
Culver City, CA
View
Rechberger PowerPoint Presentation
C.3 Housing Models for Substance Abuse Treatment Clients
This workshop presents nontraditional models of treatment
and housing for women with substance use disorders and their
families. Two models discussed in detail include (1) Amethyst,
Inc., a private, nonprofit agency in Columbus, Ohio, that provides
long-term substance abuse treatment, blended with transitional
and permanent supportive housing and (2) SHIELDS for Families’
EXODUS Program in Los Angeles, California, which is an 86-unit
apartment complex where women with substance use disorders and
their children live in individual apartments with an onsite
treatment program, child development center, youth program,
and vocational services center. The workshop examines the characteristics
and service needs of these families, the successes in and challenges
to providing housing in combination with treatment, and financially
feasible and viable strategies for a successful transition to
community living. Presenters also discuss funding resources
available to implement housing models.
Presenters:
Virginia O’Keeffe,
Ph.D.
Amethyst, Inc.
Columbus, OH
Kathyrn
Icenhower, Ph.D., LCSW
SHIELDS for Families, Inc.
Los Angeles, CA
View
O'Keeffe PowerPoint Presentation
View
Icenhower PowerPoint Presentation
C.4 Two Key Allies: Recovering Women as Partners in Treatment
Organizations and Recovery Community Organizations as Advocates
This session discusses the important role that recovering
individuals play as partners in treatment organizations by helping
inform appropriate treatment approaches and providing mentoring
and support to other women in recovery. It also addresses the
role that recovery community organizations play in advancing
larger advocacy, program, policy, and research efforts. A framework
is presented that captures the benefits and challenges of integrating
recovering women’s knowledge, experiences, and insights
into treatment systems; highlights gender-specific and culturally
sensitive approaches that lead to successful involvement of
recovering women in the design and delivery of services; and
provides recommendations to facilitate the development of organizational
policy and practices that enhance opportunities to involve women
in recovery. Also discussed are best and promising practices
and approaches for how recovery community organizations can
be effective advocates in advancing women’s treatment
by mobilizing diverse populations, forging strategic alliances,
educating policymakers and opinion leaders, and providing input
to treatment systems.
Presenters:
Rene Andersen,
M.Ed.
Western Massachusetts Training Consortium
Holyoke, MA
Patricia
Henderson, NCRS
WINR: Women in New Recovery
Mesa, AZ
Gloria Grijalva
Gonzales, CSAC
San Joaquin County Office of Substance Abuse and Mental Health
Stockton, CA
View
Gonzales PowerPoint Presentation
C.5 Perinatal Issues and Issues During Pregnancy
This workshop addresses a variety of critical issues affecting
pregnant women who are using alcohol and drugs. Outreach and
treatment models that are tailored to the needs of pregnant
women are discussed, as well as the appropriate standard of
care for this population. A critical issue that addressed is
the ongoing controversy and debate about the use of medications
for pregnant women.
Presenter:
Janet Mitchell,
M.D., M.P.H., FACOG
Mack & Associates
Brooklyn, NY
View
Mitchell PowerPoint Presentation
C.6 Methamphetamine: The Equal Opportunity Drug
This workshop focuses on the application of evidenced-based
strategies in methamphetamine treatment with women. An effective,
evaluated treatment model is presented, along with a discussion
of factors affecting treatment entry, participation, and completion
as they relate specifically to women. Attention is given to
criminal justice as well as children’s issues.
Presenter:
Richard Rawson,
Ph.D.
UCLA Integrated Substance Abuse Programs
Los Angeles, CA
View
Rawson PowerPoint Presentation
D.1 Motivational Interviewing: Increasing Behavior Change With
Women Clients
The workshop informs participants of the motivational interviewing
(MI) principles and interventions that engage clients in successful
behavior change. The presenter discusses how service providers
can collaborate, negotiate, and share with clients decisionmaking
strategies that can increase the likelihood of client change
across a continuum of care. The workshop includes a demonstration
of a motivational interview that addresses the client’s
readiness for change.
Presenter:
Kathyleen Tomlin,
M.S., LPC, CADC III
Kaiser Permanente Addiction Medicine Department
Portland, OR
View
Tomlin PowerPoint Presentation
View
Tomlin Handout
D.2 Clients’ Children: How Can We Support Them?
This workshop provides an overview of the cluster-based
planning and outcomes management system that is used to identify
subgroups of children whose mothers can be served in women’s
treatment and recovery programs. The speakers describe eight
clusters of children who have been identified and then discuss
clinical strategies to meet the needs of these children. These
strategies are based on a developmental perspective, recognizing
the changing needs of children over time, and include interventions
with the child, the parent-child dyad, the extended family,
and the broad community.
Presenters:
William Rubin,
M.A.
Synthesis, Inc.
Columbus, OH
Virginia O’Keeffe,
Ph.D.
Amethyst, Inc.
Columbus, OH
Arthur
Krzyzanowski, Psy.D.
Children’s Research Triangle
Chicago, IL
View
Rubin PowerPoint Presentation
View
Krzyzanowski PowerPoint Presentation
D.3 Treatment for Women With HIV/AIDS and Other Infectious Diseases
Professionals in the various health care delivery systems
need to understand the connections between infectious diseases
and substance abuse to recognize and assess these often concurrent
conditions. This workshop addresses the medical issues surrounding
infectious diseases and discusses how to expand or enhance the
core capabilities of substance abuse treatment programs to provide
effective services for their clients and families with specific
needs attributed to HIV/AIDS, sexually transmitted diseases,
tuberculosis, or hepatitis B and C. It also looks at how treatment
providers can work with other community partner agencies to
provide a more comprehensive array of health services for women
with substance use disorders and their children.
Presenter:
Janet Mitchell,
M.D., M.P.H., FACOG
Mack & Associates
Brooklyn, NY
View
Mitchell PowerPoint Presentation
D.4 The Unique Treatment Needs of Adolescent Girls: As Seen
Through the Lens of the Juvenile Justice System
Like their adult female counterparts, girls often are arrested
for nonviolent crimes that are drug related and are entering
the system with serious mental health and medical issues associated
with substance abuse, high-risk sexual behavior, and violence.
These adolescent girls, however, have treatment needs that often
are different from those of adult women in similar circumstances.
This workshop discusses the unique needs of adolescent girls
and uses information related to their experiences in the juvenile
justice system to focus on those needs. The presenters discuss
information such as prevalence rates of adolescent girls with
co-occurring disorders in the juvenile justice system, recent
advances and future challenges in assessment, early intervention,
gender-specific programming, and cross-system collaboration.
Presenters:
Frank Scafidi,
Ph.D.
The Village
Miami, FL
Kara S. Riehman,
Ph.D.
RTI International
Research Triangle Park, NC
View
Riehman PowerPoint Presentation
D.5 Faith-Based Treatment and Spirituality in Women’s
Treatment
Presenters in this workshop discuss the concept of blending
spirituality and faith with treatment to provide the best recovery
outcomes. The specific issues and needs unique to women in their
recovery are addressed. Participants learn through a “whole”-istic
approach how to assist their clients in managing all aspects
of their substance abuse and life issues. Using successful strategies
from current programs, presenters give participants specific
tools (e.g., program overview, curriculum, case studies) and
resources (e.g., books, tapes and videos) necessary to integrate
a faith-based approach into all areas of their work with women
in recovery. Also included is a first-hand experience on the
barriers and rewards of becoming a licensed, fully faith-based
treatment program. In addition, presenters explore with participants
the critical step of understanding one’s own faith and
spirituality as it relates to one’s clients’ recovery.
Presenters:
Susan Farah,
R.N., RADT II
Second Chances
Statesboro, GA
Geneva Berns,
M.A.T.
Sisters of St. Francis Congregational Leadership Team
Rochester, MN
View
Farah PDF
D.6 Clinical Treatment Among Culturally Diverse Populations:
Roundtable Discussion
This 2-hour roundtable discussion focuses on identifying
and fostering effective and culturally appropriate substance
abuse treatment programs and systems of care that adequately
support the unique and diverse needs of four racial and ethnic
groups: Hispanic, African-American, Asian, and Native American.
After a brief introduction and overview of the prominent issues
and challenges that both cut across and are particular to the
groups, the four panelists answer participants’ specific
questions about best practices and how to implement culturally
competent models in their own treatment settings.
Presenters:
Jacqueline Butler,
M.S.W., LISW, CCDC
University of Cincinnati
Cincinnati, OH
Constance
Falleaf
White Bison
Colorado Springs, CO
Barbara Kappos,
M.S.W.
Bienvenidos Family Services
Los Angeles, CA
Ann S. Yabusaki,
Ph.D.
Coalition for a Drug-Free Hawaii
Kaneohe, HI
View
Butler PowerPoint Presentation
View
Yabusaki PowerPoint Presentation