title: Effects of integrated trauma treatment on outcomes in a racially/ethnically diverse sample of women in urban community-based substance abuse treatment.
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.
authors.affiliation: Institute on Urban Health Research, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA. h.amaro@neu.edu
authors.forename: Hortensia
authors.initials: H
authors.lastname: Amaro
authors.forename: Jianyu
authors.initials: J
authors.lastname: Dai
authors.forename: Sandra
authors.initials: S
authors.lastname: Arévalo
authors.forename: Andrea
authors.initials: A
authors.lastname: Acevedo
authors.forename: Atsushi
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Rita
authors.initials: R
authors.lastname: Nieves
authors.forename: Guillermo
authors.initials: G
authors.lastname: Prado
mesh_terms: D000328:Adult; D001741:Black or African American; D018585:Battered Women / Q000523:psychology; D001900:Boston; D016022:Case-Control Studies; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003156:Community Mental Health Services / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D012742:Sex Offenses / Q000523:psychology; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology / Q000628:therapy*; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000150:complications / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome; D014505:Urban Population; D044465:White People; D014947:Wounds and Injuries / Q000150:complications / Q000523:psychology