AOD Use and Mental Health Disparities during Pregnancy and Postpartum Victoria H. Coleman, Ph.D. & Michael L. Dennis, Ph.D. Chestnut Health Systems, Bloomington, IL. Introduction . Definitions. Results.
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Victoria H. Coleman, Ph.D. & Michael L. Dennis, Ph.D.
Chestnut Health Systems, Bloomington, IL
The figures below display significant disparity in substance abuse treatment received when comparing a minority group with the majority group, after weighting. Specifically, pregnant African-American and Mixed females were significantly more likely to have had no substance abuse treatment received in the past 90 days, despite having a need for treatment. No other disparity in the areas of mental health treatment received or legal intervention were found with these two groups, and no disparity was found with the Hispanic group for any substance, mental, or legal treatment received.
Figure 1: Substance Abuse Treatment Disparity (AA, White)
intake data from treatment clients at 10 sites during a one-
on-one interview. Individual sites sent data to a central data
management system at Chestnut Health Systems.
differences. To help control for spurious results, White
females’ responses were weighted via propensity scores
predicting membership in the minority race groups, thus
producing 3 paired groups with equal sample sizes.
victimization, past year substance use-related problems,
past year internalizing mental distress, past year
externalizing behavior problems, and the pattern of multi-
Figure 2: Substance Abuse Treatment Disparity (Mixed, White)
Purpose of the Study
Weighted by race
Data Set Used
status was available.
When analyzing by age, there is significant difference in need, with adolescents needing treatment more than adults. Though need is greater, no disparity was apparent in treatment received by age.
GAIN Instruments & Scales
Unweighted by age
Summary and Implications
The GAIN is a collection of comprehensive biopsychosocial assessments used in substance abuse treatment.
and Mixed women are not receiving the substance abuse treatment that they
need, as compared with pregnant White women.
disparity in treatment received was not observed.
Measures at Intake: Substance Problems Scale (SPSy),
Internal Mental Distress Scale (IMDS), Behavioral Complexity
Scale (BCS), General Crime Scale (GCS), General Victimization
Due to the significant difference by age in substance severity, mental distress, and pattern of multi-morbidity, weighting could not be utilized in age analyses.
Acknowledgement - Analysis of the GAIN data reported in this presentation was supported by Substance Abuse and Mental Health Services Administration's (SAMHSA's) Center for Substance Abuse Treatment (CSAT) under Contracts 207-98-7047, 277-00-6500, 270-03-00006, and 270-07-0191 using data provided by 10 grantees. The opinions expressed here belong to the author and are not official positions of the government. For more information, please contact Victoria H. Coleman, Ph.D. * Chestnut Health Systems * 448 Wylie Drive * Normal, IL 61761 * 309-451-7797 [email protected]