Journal of Substance Abuse Treatment
Volume 27, Issue 4 , Pages 289-300, December 2004

Gender differences in the impact of comprehensive services in substance abuse treatment

  • Jeanne C. Marsh, Ph.D.

      Affiliations

    • School of Social Service Administration, University of Chicago, Chicago, IL 60637, USA
    • Corresponding Author InformationCorresponding author. School of Social Administration, University of Chicago, 969 E. 60th St., Chicago, IL 60637, USA. Tel.: +1-773-702-1144; fax: +1-773-702-0874
    • ,
  • Dingcai Cao, Ph.D.

      Affiliations

    • Departments of Health Studies and Psychology, University of Chicago, Chicago, IL 60637, USA
    • ,
  • Thomas D’Aunno, Ph.D.

      Affiliations

    • INSEAD, Paris, France

Received 13 August 2003; received in revised form 15 March 2004; accepted 12 August 2004.

Abstract 

This study examines the impact of comprehensive services on treatment outcomes for women and men. The study uses data collected from 1992 to 1997 for the National Treatment Improvement Evaluation Study, a prospective, cohort study of substance abuse treatment programs and their clients. The analytic sample consists of 3,142 clients (1,123 women and 2,019 men) from 59 treatment facilities.

The results show that substance abuse treatment benefits both women and men. Further, both women and men benefit from comprehensive services provided as part of substance abuse treatment: specifically, the receipt of educational, housing and income support services is related to reduced post-treatment substance abuse for both women and men. Gender differences are revealed by the fact that, overall, greater proportions of women receive services and, when individual, service, and treatment organizational characteristics are controlled, women show greater reductions in post-treatment substance use. Further, women and men differ in their responsiveness to organizational characteristics: the availability of on-site services and the frequency of counseling significantly predict reduced post-treatment substance use for men but not for women.

Keywords: Substance abuse, Treatment services, Women, Comprehensive services

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PII: S0740-5472(04)00094-7

doi:10.1016/j.jsat.2004.08.004

Journal of Substance Abuse Treatment
Volume 27, Issue 4 , Pages 289-300, December 2004

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