Twelve-month outcomes of trauma-informed interventions for women with co-occurring disorders.

Content Provider	Semantic Scholar
Author	Morrissey, Joseph P. Jackson, Elizabeth W. Ellis, Alan R. Amaro, Hortensia Brown, Vivian Barnett Najavits, Lisa M.
Copyright Year	2005
Abstract	OBJECTIVE Women with co-occurring mental health and substance use disorders frequently have a history of interpersonal violence, and past research has suggested that they are not served effectively by the current service system. The goal of the Women, Co-occurring Disorders, and Violence Study was to develop and test the effectiveness of new service approaches specifically designed for these women. METHODS A quasi-experimental treatment outcome study was conducted from 2001 to 2003 at nine sites. Although intervention specifics such as treatment length and modality varied across sites, each site used a comprehensive, integrated, trauma-informed, and consumer-involved approach to treatment. Substance use problem severity, mental health symptoms, and trauma symptoms were measured at baseline, and follow-up data were analyzed with prospective meta-analysis and hierarchical linear modeling. RESULTS A total of 2,026 women had data at the 12-month follow-up: 1,018 in the intervention group and 1,008 in the usual-care group. For substance use outcomes, no effect was found. The meta-analysis demonstrated small but statistically significant overall improvement in women's trauma and mental health symptoms in the intervention relative to the usual-care comparison condition. Analysis of key program elements demonstrated that integrating substance abuse, mental health, and trauma-related issues into counseling yielded greater improvement, whereas the delivery of numerous core services yielded less improvement relative to the comparison group. A few person-level characteristics were associated with increases or decreases in the intervention effect. These neither moderated nor supplanted the effects of integrated counseling. CONCLUSIONS Outcomes for women with co-occurring disorders and a history of violence and trauma may improve with integrated treatment.
File Format	PDF HTM / HTML
DOI	10.1176/appi.ps.56.10.1213
PubMed reference number	16215186
Journal	Medline
Volume Number	56
Issue Number	10
Alternate Webpage(s)	https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_18464_1
Alternate Webpage(s)	https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_18464_3
Alternate Webpage(s)	https://www.treatment-innovations.org/uploads/2/5/5/5/25555853/2005_12_mo_wcdvs_oco.pdf
Alternate Webpage(s)	https://doi.org/10.1176/appi.ps.56.10.1213
Journal	Psychiatric services
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article