Stephanie S. Covington, PhD, LCSW, is an internationally recognized clinician, organizational consultant, and lecturer. For more than thirty-five years her work has focused on the creation of gender-responsive and trauma-informed services. Her extensive experience includes designing women's services at the Betty Ford Center, developing programs for women in criminal justice settings, and being the featured therapist on the Oprah Winfrey Network TV show entitled Breaking Down the Bars. She has also served as a consultant to the United Nations Office on Drugs and Crime (UNODC) in Vienna and was selected for SAMHSA's Advisory Committee for Women's Services (ACWS). Educated at Columbia University and the Union Institute, Dr. Covington has conducted seminars for behavioral health professionals, community organizations, criminal justice professionals, and recovery groups in the United States, Canada, United Kingdom, Mexico, Europe, Africa, Iceland, Brazil, and New Zealand. She has served on the faculties of the University of Southern California, San Diego State University, and the California School of Professional Psychology. She has published extensively, including ten gender-responsive, trauma-informed treatment curricula. Dr. Covington is based in La Jolla, California, where she is co-director of both the Institute for Relational Development and the Center for Gender & Justice.

• Preface vii Acknowledgments xiii1 Introduction to Addiction Treatment for Women 1Historical Background: Why a Woman’s Treatment Program? 1What We Have Learned 5Fundamentals of Gender-Responsive Services 12Integration 30 The Value of Twelve Step Programs and Other Mutual-Help Groups 31Research on Helping Women Recover 332 Facilitating the Program 37Organization and Content of the Program 38Principles of an Effective Treatment Program 44The Role of the Facilitator 50Module A: Self 571. Defining Self 632. Sense of Self 813. Self-Esteem 914. Sexism, Racism, and Stigma 101Module B: Relationships 1175. Family of Origin 1216. Mothers 1457. Mother Myths 1538. Interpersonal Violence 1679. Creating Healthy Relationships and Support Systems 18310. Sexuality and Addiction 205Module C: Sexuality 19911. Body Image 22712. Sexual Identity 24113. Sexual Abuse 25514. Fear of Sex While Clean and Sober 273Module D: Spirituality 28315. What Is Spirituality? 28716. Prayer and Meditation 29917. Creating a Vision 309Appendix: Additional Recovery Resources 319I. Five Primary Practices of the Oxford Group 320II. The Twelve Steps of Alcoholics Anonymous 321III. A.A. Slogans 322IV. A Letter from Carl Jung to Bill Wilson 323V. The Serenity Prayer 325VI. The Synanon Prayer 326VII. The Sixteen Steps for Discovery and Empowerment (Charlotte Kasl) 327VIII. A New Version of the Twelve Steps (David Berenson) 329IX. Thirteen Statements of Affirmation or Acceptance (Women For Sobriety) 330X. SMART Recovery® 331XI. Save Our Selves/(SOS) 332References 333Gender-Responsive Resource Materials 341The Author 345Index 347Feedback Form 357

Stephanie S. Covington, PhD, LCSW, is an internationally recognized clinician, organizational consultant, and lecturer. For more than thirty-five years her work has focused on the creation of gender-responsive and trauma-informed services. Her extensive experience includes designing women's services at the Betty Ford Center, developing programs for women in criminal justice settings, and being the featured therapist on the Oprah Winfrey Network TV show entitled Breaking Down the Bars. She has also served as a consultant to the United Nations Office on Drugs and Crime (UNODC) in Vienna and was selected for SAMHSA's Advisory Committee for Women's Services (ACWS). Educated at Columbia University and the Union Institute, Dr. Covington has conducted seminars for behavioral health professionals, community organizations, criminal justice professionals, and recovery groups in the United States, Canada, United Kingdom, Mexico, Europe, Africa, Iceland, Brazil, and New Zealand. She has served on the faculties of the University of Southern California, San Diego State University, and the California School of Professional Psychology. She has published extensively, including ten gender-responsive, trauma-informed treatment curricula. Dr. Covington is based in La Jolla, California, where she is co-director of both the Institute for Relational Development and the Center for Gender & Justice.

• Preface vii Acknowledgments xiii1 Introduction to Addiction Treatment for Women 1Historical Background: Why a Woman’s Treatment Program? 1What We Have Learned 5Fundamentals of Gender-Responsive Services 12Integration 30 The Value of Twelve Step Programs and Other Mutual-Help Groups 31Research on Helping Women Recover 332 Facilitating the Program 37Organization and Content of the Program 38Principles of an Effective Treatment Program 44The Role of the Facilitator 50Module A: Self 571. Defining Self 632. Sense of Self 813. Self-Esteem 914. Sexism, Racism, and Stigma 101Module B: Relationships 1175. Family of Origin 1216. Mothers 1457. Mother Myths 1538. Interpersonal Violence 1679. Creating Healthy Relationships and Support Systems 18310. Sexuality and Addiction 205Module C: Sexuality 19911. Body Image 22712. Sexual Identity 24113. Sexual Abuse 25514. Fear of Sex While Clean and Sober 273Module D: Spirituality 28315. What Is Spirituality? 28716. Prayer and Meditation 29917. Creating a Vision 309Appendix: Additional Recovery Resources 319I. Five Primary Practices of the Oxford Group 320II. The Twelve Steps of Alcoholics Anonymous 321III. A.A. Slogans 322IV. A Letter from Carl Jung to Bill Wilson 323V. The Serenity Prayer 325VI. The Synanon Prayer 326VII. The Sixteen Steps for Discovery and Empowerment (Charlotte Kasl) 327VIII. A New Version of the Twelve Steps (David Berenson) 329IX. Thirteen Statements of Affirmation or Acceptance (Women For Sobriety) 330X. SMART Recovery® 331XI. Save Our Selves/(SOS) 332References 333Gender-Responsive Resource Materials 341The Author 345Index 347Feedback Form 357

Stephanie S. Covington, PhD, LCSW, is an internationally recognized clinician, organizational consultant, and lecturer. For more than thirty-five years her work has focused on the creation of gender-responsive and trauma-informed services. Her extensive experience includes designing women's services at the Betty Ford Center, developing programs for women in criminal justice settings, and being the featured therapist on the Oprah Winfrey Network TV show entitled Breaking Down the Bars. She has also served as a consultant to the United Nations Office on Drugs and Crime (UNODC) in Vienna and was selected for SAMHSA's Advisory Committee for Women's Services (ACWS). Educated at Columbia University and the Union Institute, Dr. Covington has conducted seminars for behavioral health professionals, community organizations, criminal justice professionals, and recovery groups in the United States, Canada, United Kingdom, Mexico, Europe, Africa, Iceland, Brazil, and New Zealand. She has served on the faculties of the University of Southern California, San Diego State University, and the California School of Professional Psychology. She has published extensively, including ten gender-responsive, trauma-informed treatment curricula. Dr. Covington is based in La Jolla, California, where she is co-director of both the Institute for Relational Development and the Center for Gender & Justice.

• Preface vii Acknowledgments xiii1 Introduction to Addiction Treatment for Women 1Historical Background: Why a Woman’s Treatment Program? 1What We Have Learned 5Fundamentals of Gender-Responsive Services 12Integration 30 The Value of Twelve Step Programs and Other Mutual-Help Groups 31Research on Helping Women Recover 332 Facilitating the Program 37Organization and Content of the Program 38Principles of an Effective Treatment Program 44The Role of the Facilitator 50Module A: Self 571. Defining Self 632. Sense of Self 813. Self-Esteem 914. Sexism, Racism, and Stigma 101Module B: Relationships 1175. Family of Origin 1216. Mothers 1457. Mother Myths 1538. Interpersonal Violence 1679. Creating Healthy Relationships and Support Systems 18310. Sexuality and Addiction 205Module C: Sexuality 19911. Body Image 22712. Sexual Identity 24113. Sexual Abuse 25514. Fear of Sex While Clean and Sober 273Module D: Spirituality 28315. What Is Spirituality? 28716. Prayer and Meditation 29917. Creating a Vision 309Appendix: Additional Recovery Resources 319I. Five Primary Practices of the Oxford Group 320II. The Twelve Steps of Alcoholics Anonymous 321III. A.A. Slogans 322IV. A Letter from Carl Jung to Bill Wilson 323V. The Serenity Prayer 325VI. The Synanon Prayer 326VII. The Sixteen Steps for Discovery and Empowerment (Charlotte Kasl) 327VIII. A New Version of the Twelve Steps (David Berenson) 329IX. Thirteen Statements of Affirmation or Acceptance (Women For Sobriety) 330X. SMART Recovery® 331XI. Save Our Selves/(SOS) 332References 333Gender-Responsive Resource Materials 341The Author 345Index 347Feedback Form 357