Co-Occurrence of and Recovery from Substance Abuse and Lifespan Victimization: A Qualitative Study of Female Residents in Trauma-Informed Sober Living Homes

Edwards, Katie M.; Murphy, Sharon B.; Palmer, K; Haynes, Ellen E.; Chapo, Sara; Ekdahl, Britta A.; Buel, Sara

doi:10.1080/02791072.2016.1273566

Cited by 15 publications

(24 citation statements)

References 30 publications

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“…A Level I controlled, randomized trial examined the effects of SUD and childhood maltreatment on altered limbic neurobiology, relapse severity in SUD, and reduced limbic gray matter volume using structured magnetic resonance (MRI) with the goal of finding neurobiological structural changes in the brain (Van Dam et al 2014). Clients presenting with a history of trauma had higher rates of relapse, in addition to having worse outcomes than those with SUD without a history of childhood maltreatment and PTSD (Choi et al, 2017;Edwards et al, 2017;Grupp, 2008;Hien et al, 2010;Hien, Cohen, Miele, Litt, & Capstick, 2004;Valerie, George, Vincent, & Robert, 2003).…”

Section: Resultsmentioning

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%

“…The major theme of a Level III meta-synthesis of the literature on TIC found that in spite of the extensive research on the effects of trauma on physical and mental health, there is limited research and implementation of TIC within diverse settings (Reevs, 2015). A Level III qualitative study on a unique TIC model for women in sober living housing demonstrated the significant role of incorporating TIC in the recovery process through provision of resources, and provision of tools to aid in daily living (Edwards et al, 2017).…”

Section: Theoretical Framework/evidence Based Practice Modelmentioning

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: Resultsmentioning

confidence: 99%

Section: Organizational "Gap" Analysis Of Project Sitementioning

confidence: 99%

Section: Theoretical Framework/evidence Based Practice Modelmentioning

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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“…Furthermore, racial/ethnic minority survivors report more recovery challenges in response to DSV than White survivors, and thus may have more opportunity for PTG (Sigurvinsdottir & Ullman, 2016). Moreover, research suggests that individuals with lower education levels have higher PTG (Elderton et al, 2017; Ullman, 2014). Research suggests that poverty predicts more deleterious outcomes among survivors of DSV (Bryant-Davis et al, 2010), which may provide more opportunity for PTG.…”

Section: Correlates Of Post-traumatic Growthmentioning

confidence: 99%

Post-traumatic Growth in Women With Histories of Addiction and Victimization Residing in a Sober Living Home

Edwards

Siller

Ullman

et al. 2021

J Interpers Violence

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Research consistently documents the deleterious sequelae of interpersonal trauma, including domestic and sexual violence (DSV). More recently, however, researchers and practitioners have focused on positive outcomes, such as post-traumatic growth (PTG), in survivors of DSV. Although research has begun to document the prevalence and correlates of PTG, no study to our knowledge has explored PTG in a sample of women with histories of addiction and victimization residing in a trauma-informed sober living home (SLH). The purpose of the current study was to examine this gap in the literature. Participants were 59 women (89.8% White; 86.4% heterosexual; mean age = 41.6) who completed a survey while residing in a SLH. Most women reported moderate to high levels of PTG. At the bivariate level PTG was related to less depression, post-traumatic stress disorder, and financial worries, and greater active coping, and sense of community. PTG was also related to the absence of past 6-month physical intimate partner violence. In regression analyses, PTG was related to less depression and greater sense of community. These data offer insights into modifiable factors such as fostering a sense of community while also promoting mental health treatment that could be the focus of interventions to increase PTG in women with histories of addiction and victimization residing in SLHs.

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“…This is important in the context of ACEs research where there is criticism of initiatives to introduce ACEs routine enquiry into trauma-informed care in ways that fail to distinguish between potential individual-level impacts (which create potential stigma) instead of group- or population-level application where changes at the level of structure are targeted ( 8 ). Training and skill development for staff in responding to historical and ongoing trauma experiences has also been found to be key ( 36 ), as well as greater insight in women's recovery pathways where multiple issues exist ( 37 ). Given this context, this study sought to (a) identify the level of ACEs for women accessing a domestic violence service; (b) consider and explore trauma-informed responses to women's childhood experiences and the inter-generational transmission of trauma; and (c) consider the role of ACEs routine enquiry and intervention in relation to a range of agencies the domestic violence service work with including those focused on infant mental health (IMH), a key area of work for childcare workers within domestic violence settings.…”

Section: Introductionmentioning

confidence: 99%

Adverse Childhood Experiences, Domestic Violence and Substance Misuse: An Action Research Study on Routine Enquiry and Practice Responses

Morton

Curran

O'Gorman³

2022

Front. Psychiatry

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The long-term impacts of Adverse Childhood Experiences (ACEs) are of increasing interest to researchers and practitioners, including the effectiveness of screening for ACEs to improve health and social outcomes. Despite a focus on implementing such practices, there has been little focus on ACEs experiences for women experiencing domestic violence and substance use, or consideration of practice responses around ACEs routine enquiry for domestic violence and related services. The Irish study discussed in this paper used an action research approach to implement ACEs routine enquiry within a domestic violence service for women accessing the service (n = 60), while also utilizing co-operative inquiry groups for practitioners both within the organization (n = 10) and with those working in associated fields of infant mental health, child protection, substance misuse and welfare and community support (n = 7). Of the 60 women who completed the ACEs routine enquiry in the study, over one-half (58 per cent) reported experiencing at least two ACEs in their childhood, including one-third of all respondents reporting experiencing four or more; service users reported significant levels of overlap between direct child maltreatment and adverse home environments. Reported parental substance misuse with the home environment was substantially higher than in general population studies. These findings offered early indications of both ACEs prevalence as well the types of ACEs that most define the experiences of the women presenting to a domestic violence service that supports women with substance misuse and other related issues. This paper discusses the ways in which the co-operative inquiry groups used this information and other processes to enhance practitioner, organizational, and inter-agency understanding and service responses. The practitioners felt that this form of ACEs routine enquiry, while not an end in itself, was a useful tool to engage women in conversations about trauma and intergenerational patterns and a basis for developing trauma-informed interventions. We conclude with discussion about: considerations of the risks of “individualizing” women's traumatic experiences; skills and supports for practitioners; and resource implications.

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Co-Occurrence of and Recovery from Substance Abuse and Lifespan Victimization: A Qualitative Study of Female Residents in Trauma-Informed Sober Living Homes

Cited by 15 publications

References 30 publications

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Post-traumatic Growth in Women With Histories of Addiction and Victimization Residing in a Sober Living Home

Adverse Childhood Experiences, Domestic Violence and Substance Misuse: An Action Research Study on Routine Enquiry and Practice Responses

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