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Home > Substance abuse treatment: addressing the specific needs of women. Treatment Improvement Protocol (TIP) series 51.

Center for Substance Abuse Treatment. [SAMHSA, US] (2009) Substance abuse treatment: addressing the specific needs of women. Treatment Improvement Protocol (TIP) series 51. Rockville, MD: Substance Abuse and Mental Health Services Administration. 300 p. SMA09-4426

PDF (Treatment Improvement Protocol 51) - Published Version


The primary goal of this TIP, Substance Abuse Treatment: Addressing the Specific Needs of Women, is to assist substance abuse treatment providers in offering effective, up-to-date treatment to adult women with substance use disorders. This TIP reviews gender-specific research and best practices beginning with the common patterns of initiation of substance use among women and extending to specific treatment issues and strategies across substance abuse treatment services. In the last 15 years, women-specific substance abuse research and gender-responsive treatment strategies have dramatically increased, thus providing this TIP with a wealth of women-specific resources to guide its development. This TIP provides clinical and administrative information to assist counselors, clinical supervisors, program administrators, and others working with female clients with substance use disorders on how they can best respond to the specific treatment needs of women. The TIP will provide researchers and clinicians with a guide to sources of information and topics for further inquiry.

Using a biopsychosocial framework and incorporating gender-responsive principles, this TIP emphasizes the importance of women’s unique developmental milestones, physiological makeup, and the sociocultural influences that can play a significant role in treatment needs and in determining effective treatment planning, counseling strategies, and services. To enhance its practical application for substance abuse treatment providers, this TIP features “Clinical Notes” that highlight relevant issues for counselors, “Clinical Activities” that provide counselors with clinical tools to use with clients, and “Advice to Counselors and Administrators” that present an overview of the main clinical and programmatic issues pertinent to a particular treatment issue for women.

• Executive Summary
• Chapter 1: Creating the Context
• Chapter 2: Patterns of Use: From Initiation to Treatment
• Chapter 3: Physiological Effects of Alcohol, Drugs, and Tobacco on Women
• Chapter 4: Screening and Assessment
• Chapter 5: Treatment Engagement, Placement, and Planning
• Chapter 6: Substance Abuse Among Specific Population Groups and Settings
• Chapter 7: Substance Abuse Treatment for Women
• Chapter 8: Recovery Management and Administrative Considerations
• Appendix A: Bibliography
• Appendix B: CSAT’s Comprehensive Substance Abuse Treatment Model for Women and Their Children
• Appendix C: Screening and Assessment Instruments
• Appendix D: Allen Barriers to Treatment Instrument
• Appendix E: DSM-IV-TR Criteria for Posttraumatic Stress Disorder
• Appendix F: Integration Self-Assessment for Providers
• Appendix G: Resource Panel Members
• Appendix H: Cultural Competency and Diversity Network Participants
• Appendix I: Field Reviewers
• Appendix J: Acknowledgments

Item Type
Evidence resource
Publication Type
Drug Type
Alcohol or other drugs in general
Intervention Type
AOD disorder treatment method, Rehabilitation/Recovery, Screening
December 2009
300 p.
Substance Abuse and Mental Health Services Administration
Corporate Creators
Center for Substance Abuse Treatment
Place of Publication
Rockville, MD
The Treatment Improvement Protocol (TIP) Series are US best-practice guidelines for the treatment of substance abuse. CSAT's Division of Services Improvement draws on the experience and knowledge of clinical, research, and administrative experts to produce the TIP Series, which are distributed to a growing number of facilities and individuals across the country. These can be accessed through the publisher link
Accession Number
HRB (Not in collection)

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