Therapeutic Components and Differential Treatment Outcomes Among Clients of Israeli Services for Substance Abusers

Abstract

Objective: This study is the first in a comprehensive examination of therapeutic components and outcome of interventions in a public, nonresidential service for drug addicts in Jerusalem (SHALEM). Method: Data were gathered from 153 clients (35 women, 128 men; 35 Arabs, 118 Jews; median age = 39) using clinical data mining. Results: Men who had been child victims of physical abuse (60%) showed less progress in treatment than men reporting no abuse. Arabs showed greater improvement in reducing violent acts. Only four therapeutic components were significant predictors of a client’s treatment outcomes. Conclusion: Processing of trauma history must become a major therapeutic component, and differential treatment plans for women and men and different ethnic groups should be developed.

Physiological and Psychological Responses to 911 Emergency Tapes

“…later behavioral problems such as substance abuse (Hoven et. Al., 2002;Koplewica et al, 2002;Laufer & Solomon, 2003;Schiff et al, 2007), and that this relationship is not always unidirectional. In fact, some individuals report fewer symptoms even though they were subjected to more trauma related media.…”