Substance abuse treatment: Critical issues and challenges in the treatment of Latina women

This article presents data on the profile and history of childhood abuse from a study of 66 Latinas enrolled in a residential substance abuse treatment program. Data were gathered through interviews conducted at program entry. A significant majority reported a childhood history of abuse (80%) and past year diagnosis of mental health problems (76%) and health (68%)problems. Compared to those with no reported history of childhood abuse, women with a history of abuse were more likely to be predominantly Spanish speakers (p = .01), report significantly higher levels of health problems (p = .01), have had children removed from their custody (p = .008), and drop out in the early stages of treatment (p = .01). These findings have important implications for the course of treatment, how history of abuse is handled in residential treatment, and support services needed by clients. The authors discuss challenges and approaches to providing needed services.