Trauma-Informed Care Groups With Incarcerated Women: An Alternative Treatment Design Comparing Seeking Safety and STAIR

Background: Current guidelines recommend phase-based approaches such as Skills Training in Affective and Interpersonal Regulation/ Narrative Therapy (STAIR/NT) for the treatment of posttraumatic stress disorder (PTSD) following complex traumatization. However, to date there is no systematic review on the efficacy of STAIR as initial treatment phase and STAIR/NT. Methods: Searching various databases, we conducted a systematic review on studies with and without control condition investigating the efficacy of STAIR, STAIR/NT, and their adaptations. Results: Overall, k = 10 studies (including 5 studies with control condition) on STAIR/-adaptations and k = 5 studies (including 4 studies with control condition) on STAIR/NT/-adaptations were identified. In 7 studies on STAIR/- and 4 studies on STAIR/NT/-adaptations, samples consisted of at-risk groups for complex traumatization. Both STAIR/- and STAIR/NT/-adaptations revealed positive effects on posttraumatic stress, affective dysregulation, and interpersonal problems. When compared to passive and active control conditions, STAIR/- and STAIR/NT/-adaptations were equally or more effective. Discussion: Findings on the efficacy of STAIR/- and STAIR/NT/-adaptations are mixed. Evidence is limited by the small number of studies, heterogeneous adaptations, often uncontrolled study designs, subclinical samples, and small sample sizes. Future studies should investigate the efficacy of STAIR/NT among patients with complex PTSD.

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Behavioral Health Interventions for Incarcerated Adults With Histories of Trauma: A Scoping Review

Grady,

Tripodi,

Herod

et al. 2023

Research on Social Work Practice

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Purpose: The majority of incarcerated individuals have experienced traumatic events in their lifetime, contributing to related behavioral health issues, including post-traumatic stress, mood, anxiety, and substance use disorders. The purpose of this article is to understand the existing state of the literature through a scoping review on correctional-based programs that address both trauma and behavioral health. Methods: Proquest and EBSCO databases were searched to identify studies focused on trauma and behavioral health that focused on incarcerated adults in the United States. Results: A total of 25 studies evaluating correctional-based programming on trauma and behavioral health problems. Most included studies reported improvement of behavioral health symptoms as a result of the intervention. Discussion: The findings indicated a need for additional research on behavioral health interventions for incarcerated adults with a history of trauma. Specifically, future research should focus on increasing the methodological rigor of intervention studies and expanding the diversity of included samples.

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Trauma-Informed Care Groups With Incarcerated Women: An Alternative Treatment Design Comparing Seeking Safety and STAIR

Cited by 3 publications

References 47 publications

Seeking Safety for women in incarceration: a systematic review

Seeking Safety for women in incarceration: a systematic review

STAIR and STAIR/NT as a Treatment for Posttraumatic Stress: A Systematic Review

Behavioral Health Interventions for Incarcerated Adults With Histories of Trauma: A Scoping Review

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