BARRIERS TO TREATMENT FOR COCAINE-DEPENDENT WOMEN

拟议研究的总体目标是更全面的 对犯罪中的障碍和治疗激励的理解-- 涉及依赖可卡因的妇女--一个特别不同的毒品群体 治疗方案，以获取和帮助。该项目的具体目标 目的是(1)开发和测试将街道和治疗相结合的措施 研究结果，可以形成稳健的多维尺度 假设检验，并可能用于药物治疗计划 在评估卷入犯罪/可卡因的妇女的需要时 生活方式；(2)通过检验假设和 女性之间相互作用的结构模型；S可卡因与犯罪 参与，他们接受治疗的意愿，他们的兼职生活 毒品使用和犯罪以外的问题，以及来自他们的支持和压力 社会网络；(3)政策替代建议、治疗 将增加治疗准入的倡议和支持服务， 涉及犯罪的可卡因依赖妇女的挽留和成功；以及 (4)对两个因素的进一步探讨，这两个因素特别少 存在涉及犯罪的可卡因依赖女性的经验信息： (A)从未参加过治疗的妇女对治疗的态度 待遇，以及(B)族裔/阶级文化差异对 治疗入口。 该方法需要一项为期4年的2个样本研究，将在 佛罗里达州迈阿密地区。样本1是900名与犯罪有关的可卡因依赖者 年龄在20-34岁之间的女性，将接受高度三级治疗的面试 亚样本，既有治疗经验又没有治疗经验的女性，两者 在与妇女接触的妇女中寻求治疗和抵抗治疗的人 街道，以及自愿和非自愿进入住宅的人 治疗。样本2是30名有可卡因病史的康复女性 依赖和参与犯罪，被视为“关键”接受采访 告密者“使用一种较长的开放式工具，面向 解释性洞察力和民族志细节；这些告密者中有一半 将是当地戒毒项目的顾问，其中一半将是 较新的治疗专业毕业生。密集的多变量分析 样本1的数据在样本2的见解的帮助下，将强调索引 构建和假设检验以实现研究的特定目标。

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.