title: Women-Centered Drug Treatment Services and Need in the United States, 2002-2009.
abstract: OBJECTIVE
  We examined options and need for women-centered substance use disorder treatment in the United States between 2002 and 2009.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Mishka Terplan and Nyaradzo Longinaker are with the Department of Epidemiology and Public Health and Lindsay Appel is with the Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Maryland, Baltimore. Mishka Terplan is also with Behavioral Health System, Baltimore.
authors.forename: Mishka
authors.initials: M
authors.lastname: Terplan
authors.affiliation: Mishka Terplan and Nyaradzo Longinaker are with the Department of Epidemiology and Public Health and Lindsay Appel is with the Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Maryland, Baltimore. Mishka Terplan is also with Behavioral Health System, Baltimore.
authors.forename: Nyaradzo
authors.initials: N
authors.lastname: Longinaker
authors.affiliation: Mishka Terplan and Nyaradzo Longinaker are with the Department of Epidemiology and Public Health and Lindsay Appel is with the Department of Obstetrics, Gynecology, and Reproductive Sciences, School of Medicine, University of Maryland, Baltimore. Mishka Terplan is also with Behavioral Health System, Baltimore.
authors.forename: Lindsay
authors.initials: L
authors.lastname: Appel
mesh_terms: D002648:Child; D002654:Child Care / Q000458:organization & administration; D005196:Family Therapy / Q000458:organization & administration; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D006801:Humans; D008484:Medicaid; D008605:Mental Health Services / Q000458:organization & administration; D012111:Residence Characteristics; D013179:Spouse Abuse / Q000628:therapy; D016320:Substance Abuse Treatment Centers / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data*; D019966:Substance-Related Disorders / Q000191:economics / Q000628:therapy*; D014186:Transportation; D014481:United States; D016387:Women's Health