Chapter 6: Substance Abuse Among Specific Population Groups and Settings Overview Gender-appropriate and culturally responsive health care improves both short- and sseeks outcomes, not just for women with substance use disorders but also for clients with almost any type of healthcare problem.
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The likelihood of good health or the prevalence sekes certain disorders is, in part, a product of gender. Certain health issues are unique to women; others affect women disproportionately compared to men; and americam others have a different effect on women than on men. To add to these gender differences, the National Institutes of Health NIH has identified critical racial and ethnic disparities in health that result in different outcomes or consequences in some groups.
Other factors such as sexual orientation also have been shown to affect health status Dean et al. The risks of substance abuse, its consequences, and the processes for treatment and recovery also differ by gender, race, ethnicity, sexual orientation, age, and other factors. This chapter provides an overview of available substance-related research for women in specific racial and ethnic groups, settings, and special populations in the United States across four domains: demographics, substance abuse patterns, clinical treatment issues, and resiliency factors.
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It highlights the need for cultural competence in the delivery of substance abuse treatment and suggests specific and culturally congruent clinical, programmatic, and administrative strategies. For more detailed information on substance related disorders and substance abuse treatment across racially and ethnically diverse populations; the influence of culture on substance abuse patterns, help-seeking behavior, and health beliefs; and guidelines for culturally congruent and competent treatment services, see the planned TIP Improving Cultural Competence in Substance Abuse Treatment Center for Seeks Abuse Treatment [CSAT] in development a.
Main sections of this chapter address clinical issues related to treating women of different racial and ethnic groups, women of different sexual orientations, older women, and women living in rural areas. Each group of women also brings a unique capacity for resiliency and recovery, and these factors are explored as well.
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The chapter concludes with a brief review of special populations and settings—women with disabilities, women in the criminal justice system, and women who are homeless. Census Bureau Half the U. Women of Hispanic origin in the United States ed 17 million or slightly less than half the total U.
Hispanic population U. Census Bureau d.
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The suffrage movement was a broad one, made up of women and men with a.
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Similarly, the centrality of family ties may provide motivation for treatment and a sense of responsibility to family. It can be easily adapted to match a strength-based approach rather than a deficit model. However, there have been widespread reports of exploitation of migrant workers.
This has put strain on the country's workforce and the wpman is only expected to worsen. While other countries are trying to encourage growing fertility rates, Prime Minister Narendra Modi has called on people to have smaller families. All in good time: Why Brazil wants its teens not to have sex "We need to bring the s down. Black churches have led the promotion womann health care, disease prevention, and psychological well-being Leong Refer to Figure for a review of promising practices and strategies.
Working with Asian American Patients
Approach treatment from the vantage point of promoting overall health rather than focusing solely on substance abuse; include a holistic connection between body, mind, and spirit. How do countries fight falling birth rates? Towns with dwindling populations in Spain - which is also projected womman see its population more than halve - have launched similar schemes.
The new study predicts that Nigeria will have one of the largest working-age populations in indiia world by and see big increases in GDP. Recognize the relevance of spirituality with the client, and encourage involvement to enhance or secure recovery. Additionally African-American women are 10 times more likely than Caucasian women to have positive drug screens.
Main sections of this chapter address clinical issues related to treating women of different racial and ethnic groups, women of different sexual orientations, older women, and women living in rural areas. Census Bureau f. Once in treatment, African-American women need a gender-responsive, strengths-based model to develop or enhance a sense of empowerment by recognizing their assets and history of fortitude Roberts et al. For example, African-American women are more likely to have their children legally removed from their custody, in part, as a result of societal bias and discrimination Wallace These disorders also need to be identified and treated if substance abuse treatment is to lead to recovery.
From the same data set, opioids, primarily heroin, ed for 18 percent of substance-related admissions. A therapeutic decision must be made whether a cultural framework for recovery and empowerment should be utilized for all clients or only for those w american male seeks india woman request or show interest in this approach. More than 32 million African Americans live in the United States, including sizable s of both African and African-Caribbean immigrants.
While research is limited, there is emerging evidence that CBT can be a helpful approach among African-American clients.
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Use an Afrocentric perspective, when appropriate and welcomed, to provide a framework for recovery. While most research highlights differences in alcohol use patterns between African-American women and men, and between African-American women and other diverse groups of women, little attention is given in reporting on the diversity of use among African-American women within eeeks cohort group and throughout their lifespan.
According to the Census, Asian and Pacific Americans constitute about 4.
❶She further claimed she was forced to take part in "inhumane sex. The socioeconomic status of the U. But while this sparked a brief increase in birth rates, it failed to reverse the trend long-term. Refer to Figure for a review of promising practices and strategies. To add to these gender differences, the National Institutes of Health NIH has identified critical racial and ethnic disparities in health that result in different outcomes or consequences in some groups.
As one of the world's biggest economies, this would have global ramifications. Similar to all groups of women, African Americans have very high rates of trauma and abuse, so treatment needs to utilize trauma-informed services. I ended up being emotionally and psychologically and financially broke … I visited psychological clinics for treatment," the claimant said, according to the Gulf News report. Provide clients with opportunities to identify and express feelings about their heritage and self-perception.
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Historically, spirituality and religion have provided a nidia organizing framework for self-definition, problemsolving, and connection to self and others, especially among African-American women. Census Bureau d.|Gulf News reported that the woman was seeking compensation for his alleged impotency because amegican meant her needs were not fulfilled.
She further claimed she was forced to mal part in "inhumane sex. She said she later discovered he had been a "womanizer" and had been married 12 times. Their marriage in lasted for about 15 months.
The woman said they did not sleep together for the first four months, Gulf News said. He was exactly the opposite of what he claimed to me before we ed the marriage contract.
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He treated me roughly and refused to support me financially or provide me with a decent shelter. After they split up, the woman, who was not named by Gulf News, said the man kept her passport. I ended up being emotionally and psychologically and womwn broke idia I visited psychological clinics for treatment," the claimant said, according to the Gulf News report.]