title: Continuing Care and Trauma in Women Offenders' Substance Use, Psychiatric Status, and Self-Efficacy Outcomes.
abstract: Using secondary data analysis of 3 separate trauma-informed treatment programs for women offenders, we examine outcomes between those who received both prison and community-based substance abuse treatment (i.e., continuing care;n= 85) and those who receivedeitherprison or community aftercare treatment (n= 108). We further account for differences in trauma exposure to examine whether continuing care moderates this effect on substance use, psychiatric severity, and self-efficacy outcomes at follow-up. The main effect models of continuing care showed a significant association with high psychiatric status and did not yield significant associations with substance use or self-efficacy. However, the interaction between trauma history and continuing care showed significant effects on all 3 outcomes. Findings support the importance of a continuing care treatment model for women offenders exposed to multiple forms of traumatic events, and provide evidence of the effectiveness of integrating trauma-informed treatment into women's substance abuse treatment.
authors.affiliation: RAND Corporation, Santa Monica, California, USA & College of the Canyons, Santa Clarita, California, USA.
authors.forename: Preeta
authors.initials: P
authors.lastname: Saxena
authors.affiliation: UCLA Integrated Substance Abuse Programs, Los Angeles, California, USA.
authors.forename: Christine E
authors.initials: CE
authors.lastname: Grella
authors.affiliation: UCLA Integrated Substance Abuse Programs, Los Angeles, California, USA.
authors.forename: Nena P
authors.initials: NP
authors.lastname: Messina
keywords: continuing care; self-efficacy; substance-use; trauma; women offenders