The 130th Annual Meeting of APHA

4090.0: Tuesday, November 12, 2002 - Board 2

Abstract #43771

Effect of social support on substance abuse among women in a residential treatment setting

Bruce Ellis, MS1, Tiffiny Bernichon1, Ping Yu, PhD1, Kenneth Burgdorf, PhD2, Jim Herrell, PhD, MPH3, and Tracy Roberts, MPA2. (1) Centers for Public Health Research and Evaluation, Battelle Memorial Institute, 2101 Wilson Boulevard, Suite 800, Arlington, VA 22201-3008, 703-875-2965,, (2) Caliber Associates, 10530 Rosehaven Street, Suite 400, Fairfax, VA 22030, (3) Center for Substance Abuse Treatment, Substance Abuse & Mental Health Services Administration (SAMHSA), SAMHSA, CSAT, 5600 Fishers Lane, Rockwall II, Ste. 640, Rockville, MD 20857

This study looked at the influence of family functioning, activities of friends, and substance abuse by spouses on women’s substance abuse relapse within six months following treatment. It used data from the Center for Substance Abuse Treatment’s National Cross-site Evaluation of six-month residential treatment programs for women with children and postpartum women. A cohort of 1,758 former RWC/PPW clients were interviewed at treatment admission, and 1,181 were followed-up 6-months after discharge from treatment. An index was constructed to indicate whether clients’ families primarily fought and argued or got along and helped each other, during the twelve months prior to admission and during the six-month post-discharge period. A similar index was constructed to indicate whether all or most of the client’s friends were involved in fighting, drinking, using drugs, drug dealing, other crimes, arrests, and gang activities. Logistic regression was used to evaluate their effect on client relapse, defined as any use of alcohol or drugs other than nicotine during the six-month post-discharge period. Activities like families getting along and helping each other during the post-discharge period were significantly associated with decreased likelihood of relapse, while negative activities like family fights and drug use or criminal activity by friends were associated with increased likelihood of relapse. Also, the study looked at AOD abuse by spouses or significant others for a subset of clients who had lived with spouses prior to admission, and found that spousal AOD abuse during the post-discharge period was significantly associated with increased likelihood of client relapse.

Learning Objectives:

Keywords: Women, Substance Abuse Treatment

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Improving Treatment Services to At-Risk Populations Poster Session

The 130th Annual Meeting of APHA