A Model for Changing Alcohol and Other Drug, Mental Health, and Trauma Services Practice

Prevalence of Psychiatric and Substance Use Disorders Among Single Mothers Nearing Lifetime Welfare Eligibility Limits

“…34 Moreover, our results regarding the high rate of co-occurrence of mood, anxiety, and substance use disorders also have important policy implications regarding the need for concurrent mental health and addiction treatment. 35 Thus, our results underscore the need for policies supporting: (1) confidential, voluntary, and culturally sensitive screening and referral to programs offering both mental health and substance use services 28 ; (2) easier access to behavioral health services, particularly for employed women with greater work effort 36 ; and (3) psychoeducational interventions to reduce stigma and inform women about causes and treatments of these disorders. 37 Our finding regarding early onset of many disorders during the teenage years points to the need for primary prevention efforts directed toward women and their children.…”

Using system differences to orchestrate change: a systems‐guides intervention model

“…Others have described systems changes as occurring in the planning of and provision of services , in the inclusion of representatives from an external agency in a security command and control center (Richter et al 2005), and in the incorporation of components in substance abuse treatment networks as mandated by the federal funding agency (Townsend 2004). Focusing on a broader context, Brown et al (2004) define systems change as ''developing or significantly improving programs that integrate mental health, AOD, trauma, health and HIV/AIDS'' (p. 82). Systems change can be conceptualized as a process, a modification of existing system practices, procedures, relationships, to enhance the functioning of the involved systems, rather than to produce a specific desired outcome.…”