Characterization of gender-focused support strategies in intensive outpatient alcohol and/or drugs programs from the team perspective

Abstract

Introduction: This paper presents the results of one of the components of a research project funded by FONIS, awarded to researchers from the University of Santiago, Chile (2023-2024). This study builds upon two previous investigations conducted in the Santiago Metropolitan Region (RM) on gender-based strategies that promote adherence and successful therapeutic discharge in intensive outpatient alcohol and/or drug treatment programs specifically for pregnant and/or postpartum women (PAI-M). Objective: To characterize gender-focused support strategies that promote adherence and therapeutic discharge based on the intersubjective experiences of three technical-professional teams from PAI-M programs in the regions of RM, Valparaíso, and Bío. Method: A qualitative study using a phenomenological design and semi-structured interviews with interdisciplinary PAI-M teams. Four dimensions were explored: local context, team functioning, perception of the problem, and gender-based adherence strategies. Results: The teams are influenced by local contexts. Women face social judgment, transgenerational harm, and gender-based violence at family, social, and institutional levels. The strategies implemented from the initial contact with the women aim to build a committed bond, question gender mandates, and work with family and community networks to address these issues. Conclusions: Gender-focused support strategies are essential to promote adherence and successful therapeutic discharge in PAI-M.