Consumer Perceptions of Integrated Trauma-Informed Services Among Women with Co-Occurring Disorders

Abstract

As part of a national, multi-site treatment outcome study, an instrument was designed to assess consumers' perceptions of key services integrating trauma, mental health, and substance abuse issues, the Consumer Perceptions of Care (CPC). This study evaluates the psychometric properties of this instrument and analyzes consumers' perceptions of the services they received. The results suggest that the measure has four factors: services integration, choice in services, trauma-informed assessment, and respect for cultural identity. These factors demonstrated adequate reliability, and the overall results suggested that the measure is a reliable, sensitive, and valid reflection of consumers' perceptions of their services and their providers for diverse racial and ethnic groups. Women in the intervention programs perceived their services as more highly integrated for trauma, mental health, and substance use than women in the services as usual or comparison programs, supporting its utility as a measure of programs designed to provide integrated services.

Dual diagnosis clients' treatment satisfaction - a systematic review

“…Two studies described most participants as polydrug users [37,38]. Seven studies did not include details about clients' primary substance [32,34,35,41,43,46,53]. …”

“…While variability of satisfaction scores was low in most studies, greater differences in ratings between clients were found in the three UK-based studies, which additionally used the Treatment Perceptions Questionnaire [28,29,52] (see Table 1). In another study where greater variability in the overall mean satisfaction score was also shown, the scale that was used covered several aspects beyond treatment satisfaction, which complicates the interpretation of the score range [41] (see Table 1 and Additional File 2). Turning to the stability of client ratings over time, those studies that assessed satisfaction at multiple treatment stages (n = 10, see Additional File 2) reported no significant changes in ratings across assessment points.…”

Satisfaction measurement instruments for healthcare service users: a systematic review

“…Even though patient satisfaction has been widely studied in healthcare, no gold standard instrument or even a validated instrument was found for many different contexts 20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56 . The option to develop new instruments by the healthcare organizations can reflect the specificity of each culture or health settings, but, at the same time, this phenomenon can show a gap in state-of-the-art approaches in this area.…”

Action steps using ACEs and trauma-informed care: a resilience model

“…Studies assessing outcomes of TIC have also been lacking. A search of the literature for evaluation studies of TIC found one (Clark et al 2008) that was a comparison of “consumer” attitudes toward social services that used a TIC orientation in the design of space and service delivery (called the “integrated condition”) and clients receiving care as usual. The analysis found that clients who received the “integrated condition” were more likely to report that services were trauma informed and that relationships with the service providers were more positive and characterized by respect for cultural identity.…”