Does integrated trauma‐informed substance abuse treatment increase treatment retention?

Amaro, Hortensia; Chernoff, Miriam; Brown, Vivian B.; Arévalo, Sandra; Gatz, Margaret

doi:10.1002/jcop.20185

Cited by 65 publications

(51 citation statements)

References 56 publications

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“…Recent findings from the multisite Women, Co-Occurring Disorders and Violence Study~WCDVS!, sponsored by the Substance Abuse and Mental Health Services Administration~SAMHSA!, have demonstrated that integrated services for women with co-occurring substance abuse and mental health disorders and a history of trauma increase treatment retention~Amaro, Chernoff, Brown, Arévalo, &Gatz, 2007! andimprove treatment outcomes~Amaro, Dai, Arévalo, Acevedo, Matsumoto, &Nieves, 2007;Cocozza et al, 2005;Finkelstein, Mazelis, Brown, Jackson, & Banks, 2005;Morrissey, Jackson, et al, 2005!.…”

mentioning

confidence: 99%

Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment

Amaro

Larson

Zhang

et al. 2007

Journal Community Psychology

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confidence: 99%

Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment

Amaro

Larson

Zhang

et al. 2007

Journal Community Psychology

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“…With high dropout rates among trauma survivors (Odenwald & Semrau, 2013), these wraparound services may be especially benefi cial, and trauma survivors may be more likely to stay in treatment if they receive interventions that specifi cally address trauma. Past research suggests that trauma-focused SUD treatment is associated with improved substance-related and mental health symptoms and increased treatment duration (Amaro et al, 2007). Thus, trauma survivors may fare better in environments where comprehensive treatment approaches, including mental health care, are available.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment dropout rates tend to be higher for trauma survivors (Odenwald & Semrau, 2013), specifi cally for individuals with a history of physical or sexual abuse (Claus & Kindleberger, 2002;Kang et al, 2002), compared with clients who have not experienced traumatic events. Nonetheless, interventions that specifi cally address trauma are associated with increased treatment retention (Amaro et al, 2007;Ouimette et al, 2003). A comprehensive treatment approach that incorporates mental health services, child care, and other services is particularly recommended for trauma survivors (Amaro et al, 2007).…”

Section: Client Characteristicsmentioning

confidence: 99%

“…Nonetheless, interventions that specifi cally address trauma are associated with increased treatment retention (Amaro et al, 2007;Ouimette et al, 2003). A comprehensive treatment approach that incorporates mental health services, child care, and other services is particularly recommended for trauma survivors (Amaro et al, 2007). In addition to mental health services and child care, trauma survivors may be in particular need of housing assistance and fi nancial counseling to separate themselves from an abusive environment.…”

Section: Client Characteristicsmentioning

confidence: 99%

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The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

Paino

Aletraris

Roman

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The National Institute on Drug Abuse (NIDA) recommends a comprehensive treatment program for individuals with substance use disorder (SUD) in order to treat needs they often have in addition to their SUD. Specifi cally, NIDA suggests providing services related to the following issues: medical care, mental health care, HIV/ AIDS, child care, educational, vocational, family counseling, housing, transportation, fi nancial, and legal. By providing a comprehensive model that combines core and wraparound services, treatment centers can deliver a higher quality of treatment. In this article, we assessed the relationship between client characteristics and the availability of wraparound services in SUD treatment centers. Method: We combined two nationally representative samples of treatment centers and used a negative binomial regression and a series of logistic regressions to analyze the relationship between client characteristics and wraparound services. Results: On average, centers offered fewer than half of the wraparound services endorsed by NIDA. Our results indicated that client characteristics were signifi cantly related to the provision of wraparound services. Most notably, the proportion of adolescent clients was positively related to educational services, the proportion of female clients was positively related to child care, but the proportion of clients referred from the criminal justice system was negatively associated with the provision of multiple wraparound services. Conclusions: Our fi ndings have important implications for SUD clients and suggest that, although centers are somewhat responsive to their clients' ancillary needs, most centers do not offer the majority of wraparound services. (J. Stud. Alcohol Drugs, 77, 160-169, 2016)

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“…For example, the Women, Co-Occurring Disorders and Violence Study (WCDVS), a quasi-experimental, ninesite, longitudinal study examined the prevalence of trauma among over two-thousand women with co-occurring disorders, as well as outcomes when treatment was integrated (McHugo, Krammerer et al, 2005). Results from the WCDVS found the trauma-informed framework to be a helpful paradigm, not only for understanding the complex issues facing women with cooccurring disorders, but also for improving outcomes (Amaro, Chernoff, Brown, Arévalo & Gatz, 2007;Becker et al, 2005;McHugo, Caspi et al, 2005;Savage et al, 2007). Although many of the consumers in the WCDVS study were involved in child welfare systems, extension of trauma-informed services and systems change into dependency court contexts were not explored in this body of research.…”

Section: Introductionmentioning

confidence: 99%

Advancing Trauma-Informed Systems Change in a Family Drug Treatment Court Context

Drabble

Jones

Brown

2013

Journal of Social Work Practice in the Addictions

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Abstract:A growing body of literature documents the importance of trauma-informed and trauma-specific services and systems change in both addiction treatment and child welfare fields. The overall aim of this qualitative study was to explore barriers, benefits, and facilitating factors associated with a trauma-informed systems assessment and improvement initiative conducted in the context of a family drug treatment court (FDTC). Semi-structured in-depth interviews with 12 key informants and historical analyses of project documents over a 4-year time span were conducted.Results underscore the relevance of trauma-informed systems change in collaborative contexts designed to address the complex needs of children and families.

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Does integrated trauma‐informed substance abuse treatment increase treatment retention?

Cited by 65 publications

References 56 publications

Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment

Effects of trauma intervention on HIV sexual risk behaviors among women with co‐occurring disorders in substance abuse treatment

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

Advancing Trauma-Informed Systems Change in a Family Drug Treatment Court Context

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