Twelve-Month Outcomes of Trauma-Informed Interventions for Women With Co-occurring Disorders

Abstract

Outcomes for women with co-occurring disorders and a history of violence and trauma may improve with integrated treatment.

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

“…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.…”

“…[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.…”

An Association Between Implementing Trauma-Informed Care and Staff Satisfaction

“…In regards to the second stream of research investigating the effects of implementing TIC on substance use and psychiatric outcomes, the Women, Co-occurring Disorders, and Violence Study (WCDVS) is the singular example (described in Morrissey et al, 2005). The WCDVS assessed the impact of core trauma-informed services (including collaboration between service providers and recipients in treatment planning and goal development, resource coordination, staff training on trauma, and crisis intervention) and integrated substance use, trauma and mental health counseling on substance use, mental health, and trauma symptom outcomes (Morrisey et al, 2005).…”

“…Note that people as opposed to clients or service-users are referred to throughout this discussion because, contrary to research emphases in the literature, trauma-informed approaches are designed to have a positive influence on the staff of service organizations as well as clients. Nevertheless, the limited evidence that exists on implementing TIC approaches has focused primarily in its influence on clients (e.g., Morrissey et al, 2005).…”

Intimate partner violence: treating abuser and abused

“…Successful treatment of alcohol misuse and dependence with couples therapy also reduces such violence (O'Farrell et al, 2004). No studies have examined whether intimate partner violence is reduced as a consequence of treat ing comorbid psychiatric illnesses such as depressive disorders or posttraumatic stress disorder, although one study suggests that an integrated approach to the treatment of trauma and comorbid disorders may be helpful for women victims (Morrissey et al, 2005).…”