Women-Centered Drug Treatment Services and Need in the United States, 2002-2009.

Abstract

We examined options and need for women-centered substance use disorder treatment in the United States between 2002 and 2009. We obtained characteristics of facilities from the National Survey of Substance Abuse Treatment Services and treatment need data from the National Survey on Drug Use and Health. We also examined differences in provision of women-centered programs by urbanization level in data from the National Center for Health Statistics 2006 Rural-Urban County Continuum. Of the 13 000 facilities surveyed annually, the proportion offering women-centered services declined from 43% in 2002 to 40% in 2009 (P < .001). Urban location, state population size, and Medicaid payment predicted provision of such services as trauma-related and domestic violence counseling, child care, and housing assistance (all, P < .001). Prevalence of women with unmet need ranged from 81% to 95% across states. Change in availability of women-centered drug treatment services was minimal from 2002 to 2009, even though need for treatment was high in all states.