Guidance Document for Supporting Women in Co-ed …

RECOVERY

TREATMENT

Guidance Document for

Supporting Women in Co-ed Settings

Behavioral Health is Essential to Health ? Prevention Works ? Treatment is Effective ? People Recover

Guidance Document for Supporting Women in Co-ed Settings

U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment

Acknowledgements This report was prepared for the Substance Abuse and Mental Health Services Administration (SAMHSA) by Advocates for Human Potential, Inc. (AHP), under contract number 283-07-3807, with SAMHSA, U.S. Department of Health and Human Services (HHS). Sharon Amatetti, M.P.H., within SAMHSA's Center for Substance Abuse Treatment (CSAT), served as the Government Project Officer.

Disclaimer The views, opinions, and content of this publication are those of the authors and contributors and do not necessarily reflect the views, opinions, or policies of SAMHSA or HHS. Resources listed in this document are not all inclusive; inclusion as a resource does not constitute an endorsement by SAMHSA or HHS. This document is intended for information purposes only.

The people in the photographs that appear on the cover of this document are models and used for illustrative purposes only.

Public Domain Notice All material appearing in this document is in the public domain and may be reproduced or copied without permission from SAMHSA or HHS. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, HHS.

Electronic Access and Copies This publication may be downloaded or ordered at . Or call SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa?ol).

Recommended Citation Substance Abuse and Mental Health Services Administration, Guidance Document for Supporting Women in Co-ed Settings. HHS Publication No. (SMA) 16-4979. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2016.

Originating Office Division of Systems Improvement, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, 5600 Fishers Lane, Rockville, MD 20857. HHS Publication No. (SMA) 16-4979. Printed 2016.

HHS Publication Number (SMA) 16-4979

Printed 2016

Contents

I. INTRODUCTION AND BACKGROUND .............................. 1

Development of this Document .......................................................2 Sex and Gender Differences ............................................................3

II. GUIDANCE STATEMENTS ................................................ 5

Introduction .......................................................................................5 A. Addressing Women's Unique Needs and Experiences ...............5 B. Gender Dynamics .......................................................................6 C. Trauma........................................................................................7 D. Physical Health ...........................................................................7 E. Mental Health ..............................................................................8 F. Relationships ...............................................................................8

III. PRACTICES AND STRATEGIES .................................... 10

A. Staffing Issues ..........................................................................10 B. Environment/Facilities ...............................................................13 C. Assessment and Treatment/Recovery Planning ......................15 D. Interventions and Groups..........................................................22 E. Recovery Support Services.......................................................28

IV. CONCLUSION................................................................. 33

REFERENCES AND RESOURCES....................................... 34

APPENDIX 1: EXPERT PANEL ............................................. 39

APPENDIX 2: ADDITIONAL STAKEHOLDER INPUT ........... 40

APPENDIX 3: ASSESSMENT TOOL..................................... 41

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