Outcomes for women with co-occurring disorders and trauma: Program and person-level effects

Morrissey, J; Ellis, Alan R.; Gatz, Margaret; Amaro, Hortensia; Reed, Beth Glover; Savage, Andrea; Finkelstein, Norma; Mazelis, Ruta; Brown, Vivian B.; Jackson, Elizabeth; Banks, Steven M.

doi:10.1016/j.jsat.2004.08.012

Cited by 91 publications

(85 citation statements)

References 32 publications

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“…These findings suggest the long-term positive effect of the integrated services on both mental health and PTSD symptoms. These results are consistent with previous studies [44][45][46][47][48][49] that have documented the importance of addressing trauma and substance abuse in an integrated manner to obtain significant positive outcomes among women with cooccurring disorders. The results also reflect strong associations among severity of substance use, mental health problems, and PTSD symptoms.…”

Section: Discussionsupporting

confidence: 92%

“…[44][45][46] Intervention Effect in Each Racial/Ethnic Group and Across Groups In addition to the effectiveness of the trauma-informed integrated services, we evaluated the outcomes of black, Hispanic, and white women in the intervention and comparison groups to examine whether integrated services are equally beneficial for women from different racial/ethnic groups. Our results from the mixed models showed that the intervention effects in reducing drug addiction severity, mental health symptoms, and PTSD symptomatology were not different for women in each racial/ethnic group.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

et al. 2007

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“…For all diagnostic groups, the TC, as modified for female offenders, was significantly more effective than the control cognitive behavioral program overall, and on measures of mental health symptoms and HIV sexual risk. Recent studies of women receiving community-based programming found that counseling with an integrated focus on substance abuse, trauma, and mental health issues had promising substance abuse and mental health outcomes (Cocozza et al, 2005;Morrissey et al, 2005). The TC prison treatment that proved effective for the participants in this study was adapted to suit female offenders in several ways; programming was trauma informed and trauma sensitive by virtue of ensuring staff training regarding the functional impacts of historic exposure to trauma/abuse; screening/assessment and treatment planning for co-occurring serious mental illness and substance use disorders for all entering inmates was assured; timely access to psychopharmacology and mental health counseling was integrated within the program; and the program incorporated components for dual recovery and to impart the emotional and behavioral coping skills needed to prevent relapse and recidivism.…”

Section: Six-month Post-prison Outcomes: E Versus Cmentioning

confidence: 99%

Treatment outcomes for female offenders: Relationship to number of Axis I diagnoses

Sacks

McKendrick²,

Hamilton³

et al. 2008

Behavioral Sci & The Law

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This article describes a study that examined the relationship between multiple Axis I mental health diagnoses and treatment outcomes for female offenders in prison substance abuse treatment programs. Preliminary findings of the effectiveness of therapeutic community (TC) treatment, modified for female offenders, relative to a control cognitive behavioral treatment condition, are presented. The hypothesis--that participants who fit into multiple diagnostic categories have more dysfunctional symptoms and behaviors at baseline--was confirmed; however, a hypothesized relationship between the number of Axis I diagnoses and 6 month treatment outcomes across five domains (mental health, trauma exposure, substance use, HIV needle risk behaviors, and HIV sexual risk) was not supported. Across all Axis I mental health groups, TC treatment was significantly more effective than the control condition overall, as well as on measures of mental health symptoms and HIV sexual risk. These findings suggest that this TC treatment program, as modified, is an effective model for women with varied diagnoses and diagnostic complexities.

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“…Several studies have reported that interventions that target women with co-occurring substance use and mental health disorders and that include traumarelated counseling have demonstrated treatment improvements (e.g., reduced mental health symptoms and improved substance use behaviors; Brown and Melchior, 2008;Morrissey et al, 2005aMorrissey et al, , 2005b. The development and testing of comprehensive programs for parents with co-occurring disorders is warranted.…”

Section: Discussionmentioning

confidence: 99%

“…Another recent study found associations among maternal trauma (e.g., childhood sexual abuse), substance use disorders, depressive symptoms, and maternal abuse potential (Cohen et al, 2008), thus highlighting the important role of co-morbidities in relation to parenting behaviors. Indeed, Morrissey et al (2005a) reported that the majority of women with co-occurring mental health and substance use disorders who participated in the Women, Co-occurring Disorders and Violence Study had histories of trauma, including physical and sexual abuse in childhood and adulthood.…”

mentioning

confidence: 99%

Methamphetamine-Using Parents: The Relationship Between Parental Role Strain and Depressive Symptoms

Semple¹,

Strathdee²,

Zians

et al. 2011

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The methamphetamine epidemic in the UnitedStates involves a large number of men and women with dependent-age children. However, we know little about the parenting strains experienced by methamphetamine-using mothers and fathers and the relationship of these parenting strains to mental health outcomes, specifi cally depressive symptoms. Method: The primary goal of this study was to examine fi ve dimensions of parental role strain in relation to depressive symptoms in a sample of 180 methamphetamine-using parents of dependent-age children in San Diego, CA. Dimensions of parental role strain included child emotional and behavioral problems, child physical health problems, child-related fi nancial strain, interpersonal confl ict involving children, and intrapsychic strain related to children. Results: Methamphetamineusing mothers reported signifi cantly more child-related emotional and behavioral problems compared with methamphetamine-using fathers (7.9 vs. 6.8; t = 2.5, p < .05). In multiple regression analysis, higher Beck depression scores were associated with being a mother (β = .186, p < .05), having more children younger than 18 years old (β = .165, p < .05), less emotional support (β = -.230, p < .01), and higher scores on intrapsychic parental role strain related to children (β = .288, p < .01). Conclusions: These fi ndings suggest the importance of considering the multidimensional nature of parenting strain in the development of drug treatment and counseling programs for methamphetamine-using parents. (J. Stud. Alcohol Drugs, 72, 954-964, 2011)

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Outcomes for women with co-occurring disorders and trauma: Program and person-level effects

Cited by 91 publications

References 32 publications

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment

Treatment outcomes for female offenders: Relationship to number of Axis I diagnoses

Methamphetamine-Using Parents: The Relationship Between Parental Role Strain and Depressive Symptoms

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