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

Amaro, Hortensia ; Dai, Jianyu ; Arévalo, Sandra ; Acevedo, Andrea ; Matsumoto, Atsushi ; Nieves, Rita ; Prado, Guillermo

Journal of urban health, 2007-07, Vol.84 (4), p.508-522 [Peer Reviewed Journal]

New York: Kluwer Academic Publishers-Plenum Publishers

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Title:
Effects of Integrated Trauma Treatment on Outcomes in a Racially/Ethnically Diverse Sample of Women in Urban Community-based Substance Abuse Treatment
Author/Creator: Amaro, Hortensia ; Dai, Jianyu ; Arévalo, Sandra ; Acevedo, Andrea ; Matsumoto, Atsushi ; Nieves, Rita ; Prado, Guillermo
Publisher: New York: Kluwer Academic Publishers-Plenum Publishers
Language: English
Subjects: Women ; Substance abuse treatment ; Medicine & Public Health ; Co-occurring disorders ; Race/Ethnic differences ; Health Informatics ; Public Health/Gesundheitswesen ; Epidemiology ; Trauma ; Substance-Related Disorders - ethnology ; Delivery of Health Care, Integrated ; Humans ; Middle Aged ; Hispanic Americans ; African Americans ; Urban Population ; Case-Control Studies ; Stress Disorders, Post-Traumatic - therapy ; Adult ; Female ; Boston ; Substance Abuse Treatment Centers ; Community Mental Health Services - organization & administration ; Cognitive Therapy - methods ; Battered Women - psychology ; Wounds and Injuries - complications ; Wounds and Injuries - psychology ; European Continental Ancestry Group ; Treatment Outcome ; Stress Disorders, Post-Traumatic - psychology ; Substance-Related Disorders - therapy ; Substance-Related Disorders - complications ; Substance-Related Disorders - psychology ; Sex Offenses - psychology ; Diagnosis, Dual (Psychiatry) ; Behavioral health care ; Care and treatment ; Substance abuse ; Analysis ; Ethnic differences ; Race
Is Part Of: Journal of urban health, 2007-07, Vol.84 (4), p.508-522
Description: This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology.
Identifier: ISSN: 1099-3460
EISSN: 1468-2869
DOI: 10.1007/s11524-007-9160-z
PMID: 17356904

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