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"This is the only book that systematically examines transgender sex work in the United States and globally. Bringing together perspectives from a rich range of disciplines and experiences, it is an invaluable resource on issues related to commercial sex in the transgender community and in the lives of trans sex workers, including mental health, substance use, relationship dynamics, encounters with the criminal justice system, and opportunities and challenges in the realm of public health. The volume covers trans sex workers' interactions with health, social service, and mental-health agencies, featuring more than forty contributors from across the globe. Synthesizing introductions by the editor help organize and put into context a vast and scattered research and empirical literature. The book is essential for researchers, health practitioners, and policy analysts in the areas of sex-work research, HIV/AIDS, and LGBTQ/gender studies."--Provided by publisher

Under the assumption that the treatment of substance abuse begins well before substance abusers actually enroll in treatment, this paper conceptualizes the process of recruitment into treatment, and investigates attrition of treatment seeking clients during the treatment recruitment stage. The paper identifies two stages prior to treatment enrollment, treatment exploration and treatment recruitment, and presents the results of a study of 1,924 homeless, mentally ill, chemical abusing men who looked for community-based treatment in New York City between 1991 and 1996. Only 326 of these men actually entered treatment. The rest were lost either prior to or during the recruitment stage. The paper focuses on the 823 men who reached the treatment recruitment stage, and attempts to correlate their sociodemographic, psychological, and substance abuse characteristics with the different types of attrition during treatment recruitment. The results show that certain client characteristics predict rejection and certain other characteristics predict acceptance by the treatment programs.

We examined patterns of changes in psychiatric symptoms among mentally ill chemical abusers (MICAs) in long-term residential treatment. Clients were evaluated with various measures of psychopathology, referred to a therapeutic community (TC) or community residence, and reassessed after 2, 6, and 12 months of treatment with regard to anxiety, depressive symptoms, and psychotic ideation. Reductions in mean values of psychopathology were found only for anxiety and depressive symptoms at the TC during the first 2 months of treatment. However, an examination of changing patterns of symptoms revealed a more complex set of findings. At both programs, a significant number of MICAs showed reductions in psychopathology during treatment, a significant minority exhibited no improvements in psychiatric symptoms, and a few reported new symptoms of anxiety, depression, and psychotic ideation. We conclude that the symptoms of the vast majority of MICAs are highly labile during treatment.