Effects of integrated trauma treatment on outcomes in a racially/ethnically diverse sample of women in urban community-based substance abuse treatment.

Full Abstract

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.

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Author information

Author/s: Amaro, Hortensia (H); Dai, Jianyu (J); Arévalo, Sandra (S); Acevedo, Andrea (A); Matsumoto, Atsushi (A); Nieves, Rita (R); Prado, Guillermo (G);

Affiliation: Institute on Urban Health Research, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA. h.amaro(-atsign-)neu.edu

Journal and publication information

Publication Type: Evaluation Studies; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.

Journal: Journal of urban health : bulletin of the New York Academy of Medicine (J Urban Health), published in United States. (Language: eng)

Reference: 2007-Jul; vol 84 (issue 4) : pp 508-22

Dates: Created 2007/07/16; Completed 2007/10/23; Revised 2008/11/20;

PMID: 17356904, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
African Americans
Battered Women - psychology
Boston
Case-Control Studies
Cognitive Therapy - methods
Community Mental Health Services - organization & administration
Delivery of Health Care, Integrated
Diagnosis, Dual (Psychiatry)
European Continental Ancestry Group
Female

Female
Hispanic Americans
Humans
Middle Aged
Sex Offenses - psychology
Stress Disorders, Post-Traumatic - psychology; therapy
Substance Abuse Treatment Centers
Substance-Related Disorders - complications; ethnology; psychology; therapy
Treatment Outcome
Urban Population
Wounds and Injuries - complications; psychology

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