Top

Published in:

Open Access 01-10-2009 | Original Paper

Changes in Treatment Content of Services During Trauma-informed Integrated Services for Women with Co-occurring Disorders

Authors: Sukyung Chung, Marisa Elena Domino, Joseph P. Morrissey

Published in: Community Mental Health Journal | Issue 5/2009

Abstract

The experience of trauma is highly prevalent in the lives of women with mental health and substance abuse problems. We examined how an intervention targeted to provide trauma-informed integrated services in the treatment of co-occurring disorders has changed the content of services reported by clients. We found that the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioral health histories.

Available only for authorised users

Bachrach, L. L. (1993). Continuity of care and approaches to case management for long-term mentally ill patients. Hospital & Community Psychiatry, 44(5), 465–468.

Bickman, L. (1996). Implications of a children’s mental health managed care demonstration evaluation. Journal of Mental Health Administration, 23(1), 107–117. doi:10.1007/BF02518647.PubMedCrossRef

Bickman, L., Noser, K., & Summerfelt, W. T. (1999). Long-term effects of a system of care on children and adolescents. The Journal of Behavioral Health Services & Research, 26(2), 185–202. doi:10.1007/BF02287490.CrossRef

Bogwald, K. P. (2001). Do patients and their therapists agree on the content of treatments? The Journal of Nervous and Mental Disease, 189(12), 830–837. doi:10.1097/00005053-200112000-00004.PubMedCrossRef

Booth, B. M., Kirchner, J. E., Fortney, S. M., Han, X., Thrush, C. R., & French, M. T. (2006). Measuring use of health services for at-risk drinkers: How brief can you get? The Journal of Behavioral Health Services & Research, 33, 254–264. doi:10.1007/s11414-006-9010-x.CrossRef

Briere, J., & Zaidi, L. Y. (1989). Sexual abuse histories and sequelae in female psychiatric emergency room patients. The American Journal of Psychiatry, 146, 1603–1606.

Brown, P. J. (2000). Outcome in female patients with both substance use and posttraumatic stress disorders. Alcoholism Treatment Quarterly, 18(3), 127–139. doi:10.1300/J020v18n03_11.CrossRef

Brunette, M., & Drake, R. E. (1998). Gender differences in homeless persons with schizophrenia and substance abuse. Community Mental Health Journal, 34(6), 627–642. doi:10.1023/A:1018719203165.PubMedCrossRef

Cascardi, M., Mueser, K. T., DeGiralomo, J., & Murrin, M. (1996). Physical aggression against psychiatric inpatients by family members and partners: A descriptive study. Psychiatric Services (Washington, D.C.), 47, 531–533.

Chung, S., Jackson, E., Domino, M. E., & Morrissey, J. P. (2008). Reliability of self-reported behavioral health services utilization and implications for economic evaluations. The Journal of Behavioral Health Services & Research, 35(3), 265–278. doi:10.1007/s11414-007-9105-z.CrossRef

Clark, C., & Fearday, F. (Eds.). (2003). Triad women’s project: Group facilitator’s manual. Tampa, FL: Louis de la Parte Florida Mental Health Institute, University of South Florida.

Cocozza, J. J., Jackson, E. W., Hennigan, K., Morrissey, J. P., Reed, B. G., Fallot, R., et al. (2005). Outcomes for women with co-occurring disorders and trauma: Program-level effects. Journal of Substance Abuse Treatment, 28, 109–119. doi:10.1016/j.jsat.2004.08.010.PubMedCrossRef

Cusack, K. J., Morrissey, J. P., & Ellis, A. R. (2008). Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders. Administration & Policy in Mental Health and Mental Health Services Research (in press).

Dalton, K., Domino, M. E., Nadlicki, T., Stewart, S., & Morrissey, J. P. (2003). Developing capacity for integrated trauma-related behavioral health services for women: Start-up costs from five community sites. Women & Health, 38(4), 111–126. doi:10.1300/J013v38n04_07.CrossRef

De Leon, G., Sacks, S., Staines, G., & McKendrick, K. (2000). Modified therapeutic community for homeless mentally ill chemical abusers: Treatment outcomes. The American Journal of Drug and Alcohol Abuse, 26, 461–480. doi:10.1081/ADA-100100256.PubMedCrossRef

Domino, M. E., Morrissey, J. P., Nadlicki-Patterson, T., & Chung, S. (2005a). Service costs for women with co-occurring disorders and trauma. Journal of Substance Abuse Treatment, 28(2), 135–143. doi:10.1016/j.jsat.2004.08.011.PubMedCrossRef

Domino, M. E., Morrissey, J. P., Chung, S., Huntington, N., Larson, M. J., & Russell, L. (2005b). Service use and costs for women with co-occurring mental and substance use disorders and a history of violence. Psychiatric Services (Washington, D.C.), 56, 1223–1232. doi:10.1176/appi.ps.56.10.1223.

Domino, M. E., Morrissey, J. P., Chung, S., & Nadlicki, T. (2006). Changes in service use during a trauma-informed intervention for women. Women & Health, 44(3), 105–122. doi:10.1300/J013v44n03_06.CrossRef

Drake, R. E., Mercer-McFadden, C., Mueser, K. T., McHugo, G. J., & Bond, G. R. (1998). Review of integrated mental health and substance abuse treatment for patients with dual disorders. Schizophrenia Bulletin, 24, 589–608.PubMed

Druss, B. G., Rohrbaugh, R. M., Levinson, C. M., & Rosenheck, R. A. (2001). Integrated medical care for patients with serious psychiatric illness: A randomized trial. Archives of General Psychiatry, 58, 861–868. doi:10.1001/archpsyc.58.9.861.PubMedCrossRef

Fallot, R. D., & Harris, M. (2002). The trauma recovery and empowerment model (TREM), conceptual and practical issues in a group intervention for women. Community Mental Health Journal, 38, 475–485. doi:10.1023/A:1020880101769.PubMedCrossRef

Goldman, H. H., Thelander, S., & Westrin, C. G. (2000). Organizing mental health services: An evidence-based approach. The Journal of Mental Health Policy and Economics, 3(2), 69–75. doi:10.1002/1099-176X(200006)3:2<69::AID-MHP76>3.0.CO;2-1.PubMedCrossRef

Goodman, L. A., Dutton, M. A., & Harris, M. (1995). Episodically homeless women with serious mental illness: Prevalence of physical and sexual assault. The American Journal of Orthopsychiatry, 65(4), 468–478. doi:10.1037/h0079669.PubMedCrossRef

Harris, M. (1996). Treating sexual abuse trauma with dually diagnosed women. Community Mental Health Journal, 32(4), 371–385. doi:10.1007/BF02249455.PubMedCrossRef

Harris, M. (1998). Trauma recovery and empowerment: A clinician’s guide for working with women in groups. New York: Free Press.

Harris, M., & Fallot, R. D. (2001). Designing trauma-informed additions services. New Directions for Mental Health Services, 89, 57–73. doi:10.1002/yd.23320018907.PubMedCrossRef

Hien, D. A., Cohen, L. R., Miele, G. M., Litt, L. C., & Capstick, C. (2004). Promising treatments for women with comorbid PTSD and substance use disorders. The American Journal of Psychiatry, 161(8), 1426–1432. doi:10.1176/appi.ajp.161.8.1426.PubMedCrossRef

Katon, W., Von Korff, M., Lin, E., Simon, G., Walker, E., Unutzer, J., et al. (1999). Stepped collaborative care for primary care patients with persistent symptoms of depression: A randomized trial. Archives of General Psychiatry, 56, 1109–1115. doi:10.1001/archpsyc.56.12.1109.PubMedCrossRef

Lloyd-Evans, B., Johnson, S., Slade, M. (2007). Assessing the content of mental health services: A review of measures. Social Psychiatry and Psychiatric Epidemiology, 42(8), 673–682.

MacMillan, H. L., Fleming, J. E., Streiner, D. L., Lin, E., Boyle, M. H., Jamieson, E., et al. (2001). Childhood abuse and lifetime psychopathology in a community sample. The American Journal of Psychiatry, 158(11), 1878–1883. doi:10.1176/appi.ajp.158.11.1878.PubMedCrossRef

McHugo, G. J., Kammerer, N., Jackson, E. W., Markoff, L. S., Gatz, M., Larson, M. J., et al. (2005). Women, co-occurring disorders, and violence study: Evaluation design and study population. Journal of Substance Abuse Treatment, 28(2), 91–107. doi:10.1016/j.jsat.2004.08.009.PubMedCrossRef

Miller, D., & Guidry, L. (2001). Addiction and trauma recovery: Healing the body, mind, and spirit. New York: W. W. Norton.

Morrissey, J. P., Ellis, A. R., Gatz, M., Amaro, H., Glover, B., Savage, A., et al. (2005a). Outcomes for women with co-occurring disorders and trauma: Person-level effects. Journal of Substance Abuse Treatment, 28, 121–133. doi:10.1016/j.jsat.2004.08.012.PubMedCrossRef

Morrissey, J. P., Jackson, E. W., Ellis, A. R., Amaro, H., Brown, V. B., & Najavits, L. M. (2005b). Twelve-month outcomes of trauma-informed interventions for women with co-occurring disorders. Psychiatric Services (Washington, D.C.), 56(10), 1213–1222. doi:10.1176/appi.ps.56.10.1213.

Mueser, K. T., Drake, R. E., Bond, G. R., & Resnick, S. G. (1998). Models of community care for severe mental illness: A review of research on case management. Schizophrenia Bulletin, 24, 37–74.PubMed

Najavits, L. M. (2001). Seeking safety: A treatment manual for PTSD and substance abuse. New York: Guilford Press.

Najavits, L. M., Schmitz, M., Gotthardt, S., & Weiss, R. D. (2005). Seeking safety plus exposure therapy: An outcome study on dual diagnosis men. Journal of Psychoactive Drugs, 37(4), 425–435.PubMed

Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women. A research review. The American Journal on Addictions, 6(4), 273–283.PubMedCrossRef

Nuttbrock, L. A., Rahav, M., Rivera, J. J., Ny-Mak, D. S., & Link, B. G. (1998). Outcomes of homeless mentally ill chemical abusers in community residences and a therapeutic community. Psychiatric Services (Washington, D.C.), 49, 68–76.

Ridgely, M. S., & Jerrell, J. M. (1996). Analysis of three interventions for substance abuse treatment of severely mentally ill people. Community Mental Health Journal, 32(6), 561–572. doi:10.1007/BF02251066.PubMedCrossRef

Rosenberg, S. D., Drake, R. E., & Mueser, K. (1996). New directions for treatment research on sequelae of sexual abuse in persons with severe mental illness. Community Mental Health Journal, 32(4), 387–400. doi:10.1007/BF02249456.PubMedCrossRef

Rosenheck, R. A., Lam, J., Morrissey, J. P., Calloway, M. O., Stolar, M., & Randolph, F. (2002). The ACCESS national evaluation team, service systems integration and outcomes for mentally ill homeless persons in the ACCESS program. Psychiatric Services (Washington, D.C.), 53, 958–966. doi:10.1176/appi.ps.53.8.958.

Rozario, P. A., Morrow-Howell, N., & Proctor, E. (2004). Comparing the congruency of self-report and provider records of depressed elder’s service use by provider type. Medical Care, 42, 952–959. doi:10.1097/00005650-200410000-00003.PubMedCrossRef

Triffleman, E., Carroll, K., & Kellogg, S. (1999). Substance dependence posttraumatic stress disorder therapy. An integrated cognitive-behavioral approach. Journal of Substance Abuse Treatment, 17(1–2), 3–14. doi:10.1016/S0740-5472(98)00067-1.PubMedCrossRef

Title: Changes in Treatment Content of Services During Trauma-informed Integrated Services for Women with Co-occurring Disorders
Authors: Sukyung Chung
Marisa Elena Domino
Joseph P. Morrissey
Publication date: 01-10-2009
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 5/2009
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-009-9192-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Changes in Treatment Content of Services During Trauma-informed Integrated Services for Women with Co-occurring Disorders

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2009

Oil and Water or Oil and Vinegar? Evidence-Based Medicine Meets Recovery

What Lessons do Coming Out as Gay Men or Lesbians have for People Stigmatized by Mental Illness?

From Prototype to Product: Development of a Primary Care/Internet Based Depression Prevention Intervention for Adolescents (CATCH-IT)

Examining Latino Differences in Mental Healthcare Use: The Roles of Acculturation and Attitudes Towards Healthcare

Beliefs about Causes of Schizophrenia among Police Officers Before and After Crisis Intervention Team Training

Antidepressant Adequacy and Work Status Among Medicaid Enrollees with Disabilities: A Restriction-based, Propensity Score-adjusted Analysis