Women with Co-Occurring Substance Abuse Disorders and PTSD: How Women Understand their Illness

Grupp, Kitty

doi:10.1080/10884600802111697

Cited by 7 publications

(15 citation statements)

References 7 publications

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“…Numerous studies have linked women with a history of childhood abuse and neglect with poor outcomes and higher rates of SUD's and comorbidities (Banducci et al, 2014;Cohen et al, 2013;Grupp, 2008;Hien et al, 2010;Hien et al, 2004;Najavits & Johnson, 2014;van Dam et al 2010). In a study from participants recruited from a residential treatment program in Washington D. C., a significant association between childhood abuse and the presence of SUD and DSM-IV-R disorders (p=<.001) was found (Banducci et al, 2014).…”

Section: Resultsmentioning

confidence: 99%

“…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%

“…The lack of trauma-informed practitioners precludes identification of a trauma history among individuals presenting for SUD treatment because of the entrenched belief that mental health issues are separate from substance abuse and should be addressed separately (Grupp, 2008;Kalmakis, Chandler, Roberts, & Leung, 2016). Thus, screening and referral for treatment opportunities are missed.…”

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

“…Knowledge concerning the prolonged effects of ACE on the physical, emotional, and psychological long-term functioning is lacking. Education on the underlying pathology contributing to physical and mental illness throughout the lifespan in individuals with a history of ACE is needed within the SUD treatment community (Blakey & Bowers, 2014;Cohen et al, 2013;Grupp, 2008;Mandavia, Robinson, Bradley, Ressler, & Powers, 2016;Strine et al, 2012). Although women are particularly vulnerable, implementation of a trauma-informed care (TIC) model is essential for all individuals with a history of ACE,…”

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

“…As the prevailing beliefs continue to focus on separation of trauma and SUD treatment, creating an environment inclusive of clients with a trauma history could facilitate the recovery process, with additional supports provided (Grupp, 2008;Kezelman & Stavropoulos, 2012). Increasing awareness of the current research on ACE and recovery could readily assist with early identification through screening and subsequent referral as deemed necessary.…”

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: Resultsmentioning

confidence: 99%

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

Section: Screening and Brief Intervention For Adverse Childhood Expermentioning

confidence: 99%

Section: Theoretical Framework/evidence Based Practice Modelmentioning

confidence: 99%

See 3 more Smart Citations

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Chandler

Kalmakis²,

Murtha³

2018

UJAN

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The Effectiveness of Seeking Safety on Reducing PTSD Symptoms in Clients Receiving Substance Dependence Treatment

Searcy

Lipps

2012

Alcoholism Treatment Quarterly

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An evaluation of the Seeking Safety (SS) program was conducted in a 28-day substance abuse treatment facility. The evaluation included 12 male and 28 female participants with a mean age of 33 years. The Trauma Symptom Checklist-40 was utilized as an outcome measure to statistically compare posttest to pretest group means. Results showed significant decreases, from pretest to posttest, on the total score and on several subscales of the measure. Effect sizes were large (d < 0.80) across all scales with the exception of Male Sexual Problems (d D .46). Overall, results suggest that incorporating SS as an adjunct to treatment as usual can help lower trauma symptoms in those receiving substance dependence treatment.Studies find that large percentages of men and women in substance abuse

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A review of the complexities of working effectively with people being prescribed both antipsychotic medications and opioid substitution therapy

McCabe

Parrish

2017

Drugs: Education, Prevention and Policy

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Women with Co-Occurring Substance Abuse Disorders and PTSD: How Women Understand their Illness

Cited by 7 publications

References 7 publications

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

Screening Adults With Substance Use Disorder for Adverse Childhood Experiences

The Effectiveness of Seeking Safety on Reducing PTSD Symptoms in Clients Receiving Substance Dependence Treatment

A review of the complexities of working effectively with people being prescribed both antipsychotic medications and opioid substitution therapy

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