BARRIERS TO TREATMENT FOR COCAINE-DEPENDENT WOMEN

所提出的研究的总体目标是一个更全面的 了解犯罪者在治疗方面的障碍和激励因素， 涉及可卡因依赖妇女-一个特别不同的吸毒群体， 治疗方案，以获取和帮助。 项目的具体目标 （1）制定和测试将街道和治疗相结合的措施 研究结果，可以形成强大的多维尺度， 假设检验，并可能用于药物治疗计划 在评估卷入犯罪/可卡因的妇女的需求时， 生活方式;（2）文件，通过测试的假设和 结构模型，妇女的可卡因和犯罪之间的相互作用 参与，他们愿意接受治疗，他们的同时生活 毒品使用和犯罪以外的问题，以及他们的支持和压力， 社交网络;（3）政策选择建议，治疗 倡议和支持服务，将增加治疗的进入， 对涉及犯罪的可卡因依赖妇女的保留和成功;以及 (4)进一步探讨两个因素， 关于涉及犯罪的可卡因依赖妇女的经验信息如下： (a)对治疗的态度在那些从未在 （B）种族/阶级文化差异对 治疗入口 该方法需要在美国进行为期4年的2个样本研究， 迈阿密，佛罗里达地区。 样本1是900名可卡因依赖性犯罪参与者 年龄在20-34岁之间的女性，接受采访时使用高度三个治疗 子样本，既往和无既往治疗经验的女性， 在接受治疗的妇女中， 自愿和非自愿进入住宅区的人 治疗 样本2是30名有可卡因史的女性 依赖性和犯罪参与，将被采访为“关键 一个更长的，开放式的工具， 解释性的洞察力和人种学的细节;一半的受访者 将成为当地药物治疗项目的顾问，一半将成为 最近的治疗毕业生。 多变量分析 样本1的数据，在样本2的帮助下，将强调索引 构建和假设检验，以实现研究的具体目标。

The overall goal of the proposed research is a more comprehensive understanding of barriers and incentives to treatment among crime- involved cocaine-dependent women- a particularly different group for drug treatment programs to access and help. The specific aims of the project are to (1) develop and test measures that integrate street and treatment research findings, can forms robust multidimensional scales for hypothesis testing, and are of potential use to drug treatment programs in assessing the needs of women who are enmeshed in crime/cocaine lifestyles; (2) documentation, through testing of hypothesis and a structural model, of the interplay between women;s cocaine and crime involvement, their willingness to enter treatment, their concurrent life problems beyond drug use and crime, and supports and pressures from their social networks; (3) recommendation of policy alternatives, treatment initiatives, and support services that will increase treatment entry, retention, and success for crime-involved cocaine-dependent women; and (4) further exploration of two factors about which particularly little empirical information exists for crime-involved cocaine-dependent women: (a) attitudes toward treatment among women who have never been in treatment, and (b) the impact of ethnic/class-cultural differences on treatment entry. The methodology entails a 4-year 2 sample study to be conducted in the Miami, Florida area. Sample 1 is 900 crime-involved cocaine-dependent women ages 20-34, to be interviewed using a highly three treatment subsamples, women with both prior and no prior treatment experience, both treatment seekers and treatment resisters among women contacted on the street, and both voluntary and involuntary entrants to residential treatment. Sample 2 is 30 recovering women with a history of cocaine dependency and criminal involvement, to be interviewed as "key informants" with a longer, open-ended instrument oriented toward explanatory insight and ethnographic detail; half of these informants will be counselors in local drug treatment programs, and half will be more recent treatment graduates. Intensive multivariate analysis of the Sample 1 data, aided by insights from Sample 2, will emphasize index construction and hypothesis testing to achieve the study's specific aims.