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Severity of victimization and co-occurring mental health disorders among substance using adolescents
- Author:
- SABRI Bushra
- Journal article citation:
- Child and Youth Care Forum, 41(1), February 2012, pp.37-55.
- Publisher:
- Springer
This study evaluates whether severe victimization experiences were shared risk factors for internalizing only, externalizing only, and co-occurring internalizing and externalizing disorders among victimized substance-using adolescents. Adolescents, ages 11–18, participated in a comprehensive screening program for substance abuse at 106 Substance Abuse and Mental Health Services Administration sites in the United States. Longer duration/frequent victimization, more than one type of victimization, and recent victimization were related to co-occurring internalizing and externalizing disorders. Victimization by a trusted person, however, was only related to internalizing disorders. The findings suggest that practitioners in substance abuse treatment must thoroughly assess for severe victimization experiences among adolescents presenting with co-occurring mental health issues. Treatment planning and interventions may focus on helping adolescents cope effectively with their victimization experiences and addressing their MH needs.
The trauma recovery and empowerment model: a quasi-experimental effectiveness study
- Authors:
- FALLOT Roger D., et al
- Journal article citation:
- Journal of Dual Diagnosis, 7(1-2), January 2011, pp.74-89.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Trauma Recovery and Empowerment Model (TREM) groups are designed to be responsive to the complex needs of women with histories physical and/or sexual abuse and co-occurring serious mental illnesses and substance use disorders. This study investigated the effectiveness of the Trauma Recovery and Empowerment Model (TREM) for 153 women from two community mental health agencies in Washington, compared to 98 receiving normal services at two agencies in Baltimore. Findings revealed that TREM participants showed greater reductions in alcohol and drug abuse severity, anxiety symptoms, and current stressful events. They also showed greater increases in perceived personal safety. There were no group differences in change for posttraumatic stress disorder and overall mental health symptoms, physical and mental health–related quality of life, and exposure to interpersonal abuse. The authors concluded that the study provided evidence for the effectiveness of the TREM intervention for women trauma survivors with co-occurring mental health disorders.
Service utilization patterns as predictors of response to trauma-informed integrated treatment for women with co-occurring disorders
- Authors:
- GILBERT Allison R., MORRISSEY Joseph P., DOMINO Marisa E.
- Journal article citation:
- Journal of Dual Diagnosis, 7(3), July 2011, pp.117-129.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Women with substance use disorders and with mental health disorders are at high risk for physical and sexual abuse. The aim of this study was to examine whether clinical responses to an integrated treatment intervention among women with co-occurring disorders and histories of abuse varied according to their service use patterns prior to study entry. The study was the Women’s Co-occurring Disorder and Violence Study conducted 1998 to 2003. Analyses for this paper included 999 study participants assigned to the integrated treatment group. The findings showed that participants with high levels of psychotropic medication and medical care use at baseline had significantly lower odds than low-intensity service users of having a good response to integrated treatment at 12 months on mental health, alcohol addiction, and posttraumatic stress measures. A majority of women in this group had serious medical problems and were more likely than their counterparts with other service use patterns to have used homeless or domestic violence shelters. The article concludes that women who used high levels of medication and medical services appear to face especially difficult barriers in responding well to integrated treatment. This information can also be used to target integrated treatment to women who are likely to respond positively and achieve meaningful improvements in their functioning.
Designing, implementing, and managing treatment services for individuals with co-occurring mental health and substance use disorders: blueprints for action
- Author:
- HENDRICKSON Edward L.
- Publisher:
- Haworth
- Publication year:
- 2006
- Pagination:
- 234p., bibliog.
- Place of publication:
- Binghamton
Practitioner Hendrickson noted already by the early 1990s that he and his colleagues were encountering more and more cases in which clients were dealing with both substance abuse and mental health disorders. Here he provides a broad overview for mental health professionals so they can begin to ask and answer questions about their program's mission, resource utilization, staff expertise, design, management, funding and effectiveness. He describe the grown of this combined need for treatment, including essential qualities of an effective treatment program, means of getting started, including identifying a target population, planning, and implementing a program, and conducting day-to-day management, including hiring and training clinical staff and clinical supervisors, program management, operating within a larger system, and ensuring service survival.