title: Changes in treatment content of services during trauma-informed integrated services for women with co-occurring disorders.
abstract: The experience of trauma is highly prevalent in the lives of women with mental health and substance abuse problems. We examined how an intervention targeted to provide trauma-informed integrated services in the treatment of co-occurring disorders has changed the content of services reported by clients. We found that the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioral health histories.
authors.affiliation: Palo Alto Medical Foundation Research Institute, 795 El Camino Real, Palo Alto, CA 94301, USA. chungs@pamfri.org
authors.forename: Sukyung
authors.initials: S
authors.lastname: Chung
authors.forename: Marisa Elena
authors.initials: ME
authors.lastname: Domino
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Morrissey
mesh_terms: D000328:Adult; D015897:Comorbidity; D019033:Delivery of Health Care, Integrated; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders; D008875:Middle Aged; D019966:Substance-Related Disorders; D014932:Women's Health Services / Q000458:organization & administration*; D014947:Wounds and Injuries / Q000628:therapy*; D055815:Young Adult