title: Consumer perceptions of integrated trauma-informed services among women with co-occurring disorders.
abstract: As part of a national, multi-site treatment outcome study, an instrument was designed to assess consumers' perceptions of key services integrating trauma, mental health, and substance abuse issues, the Consumer Perceptions of Care (CPC). This study evaluates the psychometric properties of this instrument and analyzes consumers' perceptions of the services they received. The results suggest that the measure has four factors: services integration, choice in services, trauma-informed assessment, and respect for cultural identity. These factors demonstrated adequate reliability, and the overall results suggested that the measure is a reliable, sensitive, and valid reflection of consumers' perceptions of their services and their providers for diverse racial and ethnic groups. Women in the intervention programs perceived their services as more highly integrated for trauma, mental health, and substance use than women in the services as usual or comparison programs, supporting its utility as a measure of programs designed to provide integrated services.
authors.affiliation: Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL 33612, USA. cclark@fmhi.usf.edu
authors.forename: Colleen
authors.initials: C
authors.lastname: Clark
authors.forename: M Scott
authors.initials: MS
authors.lastname: Young
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Jackson
authors.forename: Carla
authors.initials: C
authors.lastname: Graeber
authors.forename: Ruta
authors.initials: R
authors.lastname: Mazelis
authors.forename: Nina
authors.initials: N
authors.lastname: Kammerer
authors.forename: Nicholas
authors.initials: N
authors.lastname: Huntington
mesh_terms: D000328:Adult; D015897:Comorbidity; D003258:Consumer Behavior / Q000706:statistics & numerical data; D019033:Delivery of Health Care, Integrated; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000175:diagnosis; D008605:Mental Health Services / Q000458:organization & administration*; D011594:Psychometrics; D019966:Substance-Related Disorders; D011795:Surveys and Questionnaires / Q000592:standards; D014481:United States; D014947:Wounds and Injuries / Q000628:therapy