Barriers to Integrated Treatment of Substance Abuse and Trauma Among Women

Blakey, Joan M.; Bowers, Pamela H.

doi:10.1080/1533256x.2014.933731

Cited by 17 publications

(16 citation statements)

References 48 publications

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“…These beliefs are not grounded in current research that recommends the simultaneous treatment of both SUD and trauma for optimal recovery outcomes for individuals with a history of trauma (Blakey & Bowers, 2014;Najavits & Johnson, 2014;Najavits, Lande, Gragnani, Isenstein, & Schmitz, 2016;SAMHSA, 2014).…”

Section: Organizational "Gap" Analysis Of Project Sitementioning

confidence: 99%

“…Many substance abuse treatment communities continue to adhere to philosophies and guidelines without regards to current research pertaining to simultaneously treating SUD and mental health disorders (Destefano et al, 2015;Hien, Campbell, Ruglass, Hu, & Killeen, 2010). The separation of SUD and mental health treatment is entrenched within both the recovery and mental health community (Blakey & Bowers, 2014). This separation has been shown to impact recovery from both disorders, primarily due to different treatment philosophies and funding resources.…”

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

“…Because individuals are not routinely screened upon admission for substance abuse treatment, no additional resources or services are offered. Subsequently, individuals do not receive treatment tailored to their specific needs, resulting in higher rates of relapse from SUD's (Blakey & Bowers, 2014;Edwards et al, 2017;López-Castro, Hu, Papini, Ruglass, & Hien, 2015).…”

Section: Organizational "Gap" Analysis Of Project Sitementioning

confidence: 99%

“…This separation has been shown to impact recovery from both disorders, primarily due to different treatment philosophies and funding resources. Negative outcomes have been associated with inability to manage trauma symptoms once the primary coping mechanism of substance abuse has been removed (Blakey & Bowers, 2014).…”

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

“…Knowledge concerning the prolonged effects of ACE on the physical, emotional, and psychological long-term functioning is lacking. Education on the underlying pathology contributing to physical and mental illness throughout the lifespan in individuals with a history of ACE is needed within the SUD treatment community (Blakey & Bowers, 2014;Cohen et al, 2013;Grupp, 2008;Mandavia, Robinson, Bradley, Ressler, & Powers, 2016;Strine et al, 2012). Although women are particularly vulnerable, implementation of a trauma-informed care (TIC) model is essential for all individuals with a history of ACE,…”

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

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Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Chandler

Kalmakis²,

Murtha³

2018

UJAN

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Objective: The purpose of this study was to assess the incidence of adverse childhood experiences (ACEs) and the efficacy and feasibility of a trauma-informed screening for ACEs among individuals in a substance use disorder recovery program. Method: Individual interviews, questionnaires, and postinterview survey and reflections were used in this cross-sectional clinical translation project. Descriptive statistics were used to analyze demographics, ACE scores, protective childhood experiences, self-reported diagnoses, and postintervention survey data. Postinterview reflections were reviewed and grouped into common ideas as shared by participants, as well as interesting impressions, insights, and responses to the interviews. Results: Thirty clients participated in the interview process. Among the 29 participants who completed the questionnaires, all reported at least one ACE, and 82.8% reported six or more ACEs. In addition, 96.6% reported experiencing more than four protective factors. Twelve (40%) clients were referred for further mental health counseling after the interviews. Notable findings from the interviews were the general lack of awareness of the relationship between ACEs and current substance use disorder among participants. Gaining knowledge about the impact of ACEs on their recovery seemed to provide a sense of relief and a feeling that they were “normal.” Conclusions: The trauma-informed care approach is intended to promote mindfulness regarding the effect of ACEs on substance abuse in this population. Screening for ACEs is necessary if effective interventions are to be provided, with the goal of improving client outcomes.

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Section: Organizational "Gap" Analysis Of Project Sitementioning

confidence: 99%

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

Section: Organizational "Gap" Analysis Of Project Sitementioning

confidence: 99%

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

See 3 more Smart Citations

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Chandler

Kalmakis²,

Murtha³

2018

UJAN

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Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence

Moloi

Daniels

Brooke-Sumner

et al. 2023

Cochrane Database of Systematic Reviews

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Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence

Moloi

Daniels

Brooke-Sumner

et al. 2023

Cochrane Database of Systematic Reviews

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Background Primary healthcare (PHC) integration has been promoted globally as a tool for health sector reform and universal health coverage (UHC), especially in low‐resource settings. However, for a range of reasons, implementation and impact remain variable. PHC integration, at its simplest, can be considered a way of delivering PHC services together that sometimes have been delivered as a series of separate or 'vertical' health programmes. Healthcare workers are known to shape the success of implementing reform interventions. Understanding healthcare worker perceptions and experiences of PHC integration can therefore provide insights into the role healthcare workers play in shaping implementation efforts and the impact of PHC integration. However, the heterogeneity of the evidence base complicates our understanding of their role in shaping the implementation, delivery, and impact of PHC integration, and the role of contextual factors influencing their responses. Objectives To map the qualitative literature on healthcare workers' perceptions and experiences of PHC integration to characterise the evidence base, with a view to better inform future syntheses on the topic. Search methods We used standard, extensive Cochrane search methods. The latest search date was 28 July 2020. We did not search for grey literature due to the many published records identified. Selection criteria We included studies with qualitative and mixed methods designs that reported on healthcare worker perceptions and experiences of PHC integration from any country. We excluded settings other than PHC and community‐based health care, participants other than healthcare workers, and interventions broader than healthcare services. We used translation support from colleagues and Google Translate software to screen non‐English records. Where translation was not feasible we categorised these records as studies awaiting classification. Data collection and analysis For data extraction, we used a customised data extraction form containing items developed using inductive and deductive approaches. We performed independent extraction in duplicate for a sample on 10% of studies allowed for sufficient agreement to be reached between review authors. We analysed extracted data quantitatively by counting the number of studies per indicator and converting these into proportions with additional qualitative descriptive information. Indicators included descriptions of study methods, country setting, intervention type, scope and strategies, implementing healthcare workers, and client target population. Main results The review included 184 studies for analysis based on 191 included papers. Most studies were published in the last 12 years, with a sharp increase in the last five years. Studies mostly employed methods with cross‐sectional qualitative design (mainly interviews and focus gro...

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Barriers to Integrated Treatment of Substance Abuse and Trauma Among Women

Cited by 17 publications

References 48 publications

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence

Healthcare workers' perceptions and experiences of primary healthcare integration: a scoping review of qualitative evidence

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