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| Barriers to Treatment for Women with Children |
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Only a small percentage of addicted women ever enter a substance-abuse treatment program. The IOM Committee estimates that there are approximately 105,000 pregnant women each year who need drug treatment. Only 30,000 of these women receive any form of treatment, and very few of these are in programs with a primary focus on special services for pregnant women.
This unmet demand extends throughout the country. In 1985 Kumpfer found in Utah that only about 7.3% of all women abusing drugs and alcohol were receiving treatment. Women in urban areas were much more likely to receive treatment (17.8%) compared to women in rural, isolated areas (2.2%). Only 13.5% of the clients in treatment facilities were women (down from 28% in 1978).8 Furst and associates reported in 1981 for California that there were four times more men than women in publicly-funded treatment, and two and a half times more men in all treatment programs, public or private.
Three primary obstacles to treatment may explain why such a low percentage of women receive treatment:
The lack of alcohol and drug treatment facilities and specialized programs for women;
The lack of quality female-model (vs. male model) treatment approaches that are sensitive to women's needs; and
The fears and sense of isolation experienced by most drug-abusing, pregnant women.
Lack of Women's Treatment Facilities and Programs
Two thirds of major hospitals in 15 cities included in a 1989 survey commissioned by the House Select Committee on Children, Youth, and Families reported they had no place to refer drug-dependent, pregnant women for treatment.
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