Effects of integrated trauma treatment on outcomes in a Racially/Ethnically diverse sample of women in urban community-based substance abuse treatment

被引:62
|
作者
Amaro, Hortensia [1 ]
Dai, Jianyu
Arevalo, Sandra
Acevedo, Andrea
Matsumoto, Atsushi
Nieves, Rita
Prado, Guillermo
机构
[1] Northeastern Univ, Bouve Coll Hlth Sci, Inst Urban Hlth Res, Boston, MA 02115 USA
[2] Boston Publ Hlth Commiss, Boston, MA USA
[3] Florida Int Univ, Stempel Sch Publ Hlth, Miami, FL 33199 USA
关键词
co-occurring disorders; race/ethnic differences; substance abuse treatment; trauma; women;
D O I
10.1007/s11524-007-9160-z
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:508 / 522
页数:15
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