title: Turning the Tides: Coping with Trauma and Addiction through Residential Adolescent Group Therapy.
abstract: Evidence-based group therapy in an inpatient setting that provides an integrated treatment approach for both trauma and addiction in female adolescents.
  
  
  
  The purpose of this evidence-based practice (EBP) project was to implement and assess the impact of an integrated group therapy approach for both posttraumatic stress disorder (PTSD) and substance use disorder (SUD) in adolescent females as part of a residential treatment program.
  
  
  
  The Iowa Model of EBP guided this EBP project. Judith Herman's three-stage model of trauma recovery and the Skills Training in Affective and Interpersonal Regulation (STAIR) model served as the theoretical framework for the group therapy curriculum. Two programs, Seeking Safety, by Lisa Najavits and VOICES, by Stephanie Covington, provided a guide for group topics and activities.
  
  
  
  Patients that participated in Turning the Tides© group therapy curriculum reported a decrease in overall PTSD symptoms and decreased functional impairment scores, based on the Child PTSD Symptoms Scale. However, there was a statistically significant increase in the use of as needed medications following the completion of group therapy. Postgroup evaluations from patients indicated a genuine desire to engage in the group therapy as well as an increased sense of trust with facilitators. Implications for psychiatric nursing include the delivery of safe, quality patient care as evidenced by positive improvement in patient outcomes.
authors.affiliation: Registered Nurse at The Queen's Medical Center, Honolulu, Hawaii, USA.|1301 Punchbowl Street, Honolulu, Hawaii, USA.
authors.forename: Katherine Gardner
authors.initials: KG
authors.lastname: Bougard
authors.affiliation: Registered Nurse Clinical Coordinator at The Queen's Medical Center, Honolulu, Hawaii, USA.
authors.forename: Tina Marie Truncellito
authors.initials: TM
authors.lastname: Laupola
authors.affiliation: Interim Nurse Manager of Adolescent and Adult Trauma PTSD/ECT at Kahi Mohala, Ewa Beach, Hawaii, USA.
authors.forename: Joan
authors.initials: J
authors.lastname: Parker-Dias
authors.affiliation: Registered Nurse at The Queen's Medical Center in, Honolulu, Hawaii, USA.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Creekmore
authors.affiliation: Registered Nurse at The Queen's Medical Center in, Honolulu, Hawaii, USA.
authors.forename: Stacey
authors.initials: S
authors.lastname: Stangland
mesh_terms: D000293:Adolescent; D055317:Evidence-Based Practice / Q000379:methods*; D005260:Female; D006801:Humans; D011615:Psychotherapy, Group / Q000379:methods*; D012114:Residential Treatment / Q000379:methods*; D013313:Stress Disorders, Post-Traumatic / Q000628:therapy*; D019966:Substance-Related Disorders / Q000628:therapy*
keywords: Addiction; PTSD; adolescent; group therapy; substance abuse; trauma