Mujeres Viviendo en Balance

描述（由申请人提供）：拉丁裔成年人的药物滥用往往被忽视为国家公共卫生问题。针对这一问题以及国家药物滥用研究所提出的“开发、修改和测试新的或现有的团体治疗方法，特别是针对种族或少数民族人群”的要求，国际社会解决方案公司提议开发和评估“平衡妇女”（MVEB）。SBIR第一阶段提案的目的是制定MVEB，这是一项创新的、全面的心理教育方案，供咨询师用于符合滥用/依赖酒精或非法药物诊断标准的讲西班牙语的妇女。建议的产品将包括引导者指南和治疗参与材料。引导者的指南将包括项目的介绍、技能培训、动机增强技术、咨询师和参与者的材料，共12次。它将为辅导员和其他专业人员（治疗师，心理学家，案例管理人员）设计，用于各种治疗环境中的药物滥用服务。引导者指南是基于CBT和MET的12步手动治疗。这些会议将审查与文化和性别有关的习俗，如男子气概、尊重等，并涵盖与妇女有关的主题，如艾滋病毒风险。此外，该计划将包括在会议和家庭作业中使用的参与者材料。MVEB的目标如下：(1)作为一个以研究为基础，经实证检验的心理教育课程，有效并适合于有药物滥用问题的西班牙语妇女使用；(2)为成瘾专业人员（辅导员，社会工作者，治疗师，心理学家，病例管理人员）提供治疗，培训材料和外展材料，这些材料易于使用，并与现有的社区住宅和门诊药物滥用治疗设施相结合。MVEB将是唯一针对拉丁裔女性观众量身定制的西班牙语手工，全面的心理教育课程。鉴于只说西班牙语的美国居民（或说西班牙语最舒服的人）的比例不断增加，拟议的MVEB一揽子计划将满足对专门与讲西班牙语的妇女打交道的药物滥用顾问不断扩大的需求，并最终在缩小服务差距和调整英语和非英语客户之间的项目提供方面发挥重要作用。公共卫生相关性：2003年，大约有650万18岁或以上的妇女符合滥用或依赖酒精或非法药物的标准。这些女性中有4.4%是拉丁裔。在需要非法药物治疗的拉美人中，只有10%的人接受了治疗。此外，很少有治疗中心提供专门为女性设计的方案（Gerolamo, 2004; Brady & Ashley, 2005），甚至更少提供专门为拉丁裔设计的方法（Wells, Klap, Koike & Sherbourne, 2001）。研究表明，在制定适当的药物滥用治疗方案时，应考虑文化和性别因素（Trepper, Nelson, McCollum & McAvoy, 1997; Santiago-Rivera, 2003; Gerolamo, 2004; Brady & Ashley, 2005）。

DESCRIPTION (provided by applicant): Substance abuse among Latino adults is often overlooked as a national public health concern. In response to this issue and a request from the National Institute on Drug Abuse to "develop, modify, and test new or existing group therapy approaches, particularly for racial or ethnic minority populations," Social Solutions International, Inc. proposes to develop and evaluate Mujeres Viviendo en Balance (MVEB). The purpose of this Phase I SBIR proposal is to develop MVEB, an innovative, comprehensive, psychoeducational program for counselors to use with Spanish-speaking women who meet the diagnostic criteria for abuse/dependence on alcohol or illicit drugs. The proposed product will consist of a facilitator's guide and treatment engagement materials. The facilitator's guide will include an introduction to the program, skills training, motivational enhancement techniques, and counselor and participant materials for 12 sessions. It will be designed for counselors and other professionals (therapists, psychologists, case managers) to use for substance abuse services in diverse treatment settings. The facilitator's guide is a 12-step manualized treatment based on CBT and MET. The sessions will be designed to examine culturally and gender relevant mores, such as machismo, respecto, and others and cover topics relevant to women, such as HIV risk. Additionally, the program will include participant materials for use in the session and as homework. MVEB has the following objectives: (1) To serve as a research-based, empirically tested psychoeducational curriculum that is effective and appropriate for use with Spanish-speaking women with problems related to substance abuse and (2) To provide treatment, training materials, and outreach materials for addiction professionals (counselors, social workers, therapists, psychologists, case managers) that are easy to use and integrate into existing community residential and outpatient substance abuse treatment facilities. MVEB will be the only Spanish-language manualized, comprehensive, psychoeducational curriculum tailored to Latino female audiences. Given the growing proportion of U.S. residents who speak only Spanish (or who are most comfortable speaking Spanish), the proposed MVEB package will fill an expanding need among substance abuse counselors who work exclusively with Spanish-speaking women and will ultimately serve an important role in the efforts to close the service gap and align program offerings between English- and non-English-speaking clientele. PUBLIC HEALTH RELEVANCE: In 2003, approximately 6.5 million women aged 18 or older met criteria for abuse of or dependence on alcohol or an illicit drug. Of these women 4.4 percent were Latina. Only 10 percent of Latinos needing treatment for an illicit drug problem receive it. Further, few treatment centers offer programs specifically designed for women (Gerolamo, 2004; Brady & Ashley, 2005) and even fewer provide approaches designed specifically for Latinos (Wells, Klap, Koike & Sherbourne, 2001). Research has suggested that cultural and gender factors should be considered when developing appropriate substance abuse treatment programs (Trepper, Nelson, McCollum & McAvoy, 1997; Santiago-Rivera, 2003; Gerolamo, 2004; Brady & Ashley, 2005).