Exploring the self-reported sexual problems and concerns of drug-dependent males and females in modified, therapeutic community treatment

The importance of sexual trauma and sexual problems in the treatment of chemically dependent persons has long been recognized by clinicians working with this population. This study was undertaken to describe the degree of self-reported sexual problems and concerns for 163 males admitted into a Philadelphia- or New York City-based modified therapeutic community (TC) program and 100 females admitted to the same New York City program. Results indicated that the majority of men and women identified some sexual problems and concerns shortly after being admitted, with females in the New York City sample endorsing sexual problems more often than males in the Philadelphia or New York City samples. These findings are considered in view of the fact that these clients' sexual problems were usually not addressed on their Master Treatment Plans. The implications of addressing or not addressing these sexual problems are considered.