A research study published on 5 October 2023 by the Centre for Justice Innovation and Staffordshire University has uncovered evidence that women are at risk of being targeted by abusers in “chaotic, intimidating or unsafe” drug and alcohol treatment services.
The research calls for a new specialist approach to treatment for women, which keeps them safe and recognises the strong link between their substance misuse and traumatic experiences like childhood sexual abuse or domestic abuse.
Women who seek treatment for drugs and alcohol face different needs from their male counterparts, including high incidence of trauma and abusive relationships, a greater burden of stigma around substance use and more common childcare responsibilities. Yet the research found that women’s needs were not being met within the treatment system, where they can struggle to achieve recovery in a system where they are outnumbered two to one by men.
The report (‘Exploring women’s experience of drug and alcohol treatment in the West Midlands’) found that some women were forced to attend mixed-gender treatment groups, which made it difficult for some to talk about traumatic experiences that might be linked to their substance use, such as sexual violence. Mixed gender treatment spaces were also found to be putting the women at risk, with some women describing that they felt vulnerable to ‘predatory males’. One treatment worker likened mixed groups to ‘a hunting ground‘ for men, while others described women being groomed into sex work after being targeted by male service users.
Women also described how the way that services were set up meant that it was difficult to manage treatment alongside childcare responsibilities. Barriers to accessing treatment were seen as particularly pronounced for members of some minority communities, including women of South Asian or Eastern European backgrounds.
To enable women to have the best chance of achieving recovery, the report recommends providing access to gender-specific support and treatment in ‘safe, appropriate spaces’, suitable for those with children, and providing gender-specific care which can help safely explore drivers of addiction such as trauma and abuse.
These findings come at a pivotal time, as the welcome restoration of treatment funding through the Government’s 2021 drugs strategy, From Harm to Hope, offers a vital opportunity to ensure that treatment services can meet women’s needs.
The research findings are based on interviews conducted at three community drug treatment services, across three local authorities in the West Midlands, with the help of Expert Citizens CIC.
The research has been widely welcomed, including by the West Midlands Police and Crime Commissioner (who co-funded the research, along with the JABBS Foundation), and the Nelson Trust, a charity providing specialist treatment services to women in the South-West.
- A copy of the research is available here.
About the research
- The research findings are based on interviews conducted at three drug community drug treatment centres and one women’s centre, across three local authorities in the West Midlands.
- Participants included 28 women currently in treatment, and 20 practitioners. All had experience of both women-only and mixed-sex provision.
- Only two of the three centres in the study guaranteed women the choice of a female key worker (page 28); one treatment service and the women’s centre were the only providers of women-only spaces, and this was limited to a small number of women with complex needs (page 26); one of the three centres offered mixed-sex group sessions only (page 29).
- The research was carried out by Stephen Whitehead and Hannah Jeffery, from the Centre for Justice Innovation; Sarah Page, Fiona McCormack, and Sophie Oldfield from Staffordshire University; Sophia Fedorowicz and Tracy Knight from Expert Citizens CIC; and Russell Webster. It was funded by West Midlands Police and Crime Commissioner, and the Jabbs Foundation.
- The research was ethically approved by Staffordshire University.
Part of a longer press release at https://justiceinnovation.org/articles/research-shows-women-are-being-failed-drug-and-alcohol-treatment-services
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