Association for Women in Psychology Conference. Presented at the:. “A Model of Integrated Treatment for Women with Co-Occurring Disorders who are at High Risk for HIV”. March 11, 2007 San Francisco, California By Donna L. Caldwell, PhD. Presentation Overview. The participants
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Presented at the:
“A Model of Integrated Treatment for
Women with Co-Occurring Disorders
who are at High Risk for HIV”
March 11, 2007
San Francisco, California
By Donna L. Caldwell, PhD
On TRaC is a SAMHSA CSAT funded program that provides treatment readiness case management to women, adolescents and men (men with a history of injection drug use).
The program provides expedited access to behavioral health and support services using a multi-disciplinary team approach. The data presented concerning women with co-occurring disorders (n = 54) are a subset of a larger study.
2% African American
93% White (Portuguese American 61%)
6% African American
78% White (includes significant Portuguese community)
2% Cape Verdean
Participant Demographic Data
Average Age: 34 (range 17-60)Ethnicity:
12 or GED
Education Level of Participants
Of the 351 cities and towns in MA ranked by
educational attainment level, Fall River ranks last.
37% of Fall River residents live below 200% of federal poverty level.
15% (approx 14,000 people) receive Medicaid benefits
35% report no income
The average income is $665. (Includes only participants with reported income.)
24% report no insurance at referral
69% receive Medicaid benefits at referralIncome Level of Participants
Primary Drug of Choice
Fall River residents are admitted at more than double (218%) the average “crude” rate for MA communities.
Of the Fall River Residents admitted to these programs, injection drug use is reported at more than 4 times the average among admissions from other communities in the state.
37% had been inpatient for substance treatment within 30 days of enrollment
36% reported a history of injection drug useDrug Treatment
HIV/AIDS: Fall River ranks among the top ten cities in Massachusetts where HIV infection is linked to injection drug use. Based on the CDC formula, there may be as many as 600 people living with HIV. Approximately one quarter to one third have not been tested. Injection drug users make up 49% of HIV/AIDS cases.
Unique to Fall River is the level of impact on women. With 28% of HIV/AIDS cases occurring among women in Massachusetts, Fall River holds the distinction of 57% women among those infected, almost twice the states experience. Of this 57%, 64% identify their own injecting drug use as the mode of transmission.
Hepatitis C: estimate as many as 2,400 are living with Hepatitis C
Hepatitis B: the area “crude rate” for Acute Hepatitis B is 10.8 per 100,000 persons, while the statewide average is 1.8. This represents a 600% higher than average incidence.
Intake and Assessment
Currently there is a 3-6 month wait for psychiatric care and several weeks for mental health counseling. These participants gain almost immediate access to these services.
Program Participant Income
at Enrollment and 6 months
Program Participant Drug Use
at Enrollment and 6 months*
Percent of Participants Reporting Serious Depression at Enrollment and 6 months*
Percent of Participants Reporting Serious Anxiety at Enrollment and 6 months*
Not at all
Percent of Participants
Bothered by Psychological Problems
at Enrollment and 6 months*
“When I first came to OnTrac I was very scattered, scared and still saw my life around using. Almost six months later I see a difference, feel a difference. Looking back I know that a lot of the growth would not have happened without the staff at SSTAR. It definitely helps me.”
“I would recommend the program to anyone. (Staff) treated me like an equal person, never did I feel or was I treated like an addict.”