نبذة مختصرة : This study assessed trends in provision of trauma-specific services, defined as dedicated programming for persons with a history of trauma, in US Substance Use Disorder (SUD) and other Mental Health (MH) facilities. Facility level data from the National Survey of Substance Abuse Treatment Services and the National Mental Health Services Survey (2015-2019) were used to examine trends in provision of trauma specific-services. Trauma specific service provision trended up significantly between 2015 and 2019. In 2019, they were more commonly offered at MH facilities (49.9%) than SUD facilities (42.7%). Licensing by state SUD authorities were associated with provision of trauma-specific services at both MH (Adjusted Odds Ratio (AOR) = 1.23, 95% Confidence interval (CI) = 1.18-1.47, p < .001) and SUD (AOR = 1.19, 95% CI = 1.04-1.37, p = .012) facilities. The proportions of facilities that offer trauma-specific services were correlated within states (Pearson's r = .44, p = .001). State policies to implement trauma screening at public facilities were associated with higher odds of offering trauma-specific services in MH (AOR = 1.31, 95% CI = 1.04-1.64, p = .021) and SUD (AOR 1.51, 95% CI = 1.19-1.12, p = .001) facilities; whereas, state implementation of trauma-specific CBT at public facilities was associated with higher odds of this outcome only in MH facilities (AOR = 1.23, 95% CI = 1.01-1.51, p = .043). Although trauma-specific services trended up significantly, fewer than half of treatment facilities offer such services nationally. Certain facility characteristics, such SUD authority certification, are associated with trauma-specific services. Variability among states in these services is linked to state policy. Increased efforts by states may be an effective point of intervention to further disseminate trauma-specific services.
(© 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
References: Flitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experience (ACE) study. Am J Prev Med. 1998;14:245–58. (PMID: 10.1016/S0749-3797(98)00017-8)
Chu DA, Williams LM, Harris AW, Bryant RA, Gatt JM. Early life trauma predicts self-reported levels of depressive and anxiety symptoms in nonclinical community adults: relative contributions of early life stressor types and adult trauma exposure. J Psychiatr Res. 2013;47(1):23–32. (PMID: 10.1016/j.jpsychires.2012.08.006)
Report of the Special Representative and Co-ordinator for Combating Trafficking in Human Beings, Organization for Security and Cooperation in Europe. Human Trafficking for Labour Exploitation/Forced and Bonded Labour: Identification—Prevention—Prosecution. Human Trafficking for Labour Exploitation/Forced and Bonded Labour: Prosecution of Offenders, Justice for Victims.
Lipschitz DS, Kaplan ML, Sorkenn JB, Faedda GL, Chorney P. Asnis, GM Prevalence and characteristics of physical an dsexual abuse among psychiatric outpatients. Psychiatr Serv. 1996;47(2):189–91. (PMID: 10.1176/ps.47.2.189)
Tsutsume A, Izutsu T, Poudyal AL, Kato S, Murui E. Mental health of female survivors of human trafficking in Nepal. Soc Sci Med. 2008;66(8):1841–7. (PMID: 10.1016/j.socscimed.2007.12.025)
Bremner JD, Southwick SM, Darnell A. Charney, DS Chronic PTSD in Vietnam combat veterans: course of illness and substance abuse. Am J Psychiatry. 1996;153:369–75. (PMID: 10.1176/ajp.153.12.1658)
Glaser D. Emotional abuse and neglect (psychological maltreatment): a conceptual framework. Child Abuse Negl. 2002;26:697714. (PMID: 10.1016/S0145-2134(02)00342-3)
About Human Trafficking. Retrieved from https://www.state.gov/humantrafficking-about-human-trafficking/ . 10/2020.
Ellsberg M, Jansen HAFM, Heise L, et al. Intimate partner violence and women’s physical and mental health in the WHO multi-country study on women’s health and domestic violence: an observational study. Lancet. 2008;371(9619):1165–72. (PMID: 10.1016/S0140-6736(08)60522-X)
Protocol to prevent, suppress, and punish trafficking in persons, especially women and children, supplementing the United Nations convention against transnational organized crime. United Nations Convention Against Transnational Organized Crime and the Protocols TheretoNew York, United Nations. 2004:41–52.
Berliner L, Kolko DJ. Trauma informed care: a commentary and critique. Child Maltreat. 2016;21(2):168–72. (PMID: 10.1177/1077559516643785)
Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS): 2018. Data on Substance Abuse Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2019.
Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14–4884. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2014.
Harris M, Fallot RD. Envisioning a Trauma-informed service system: a vital paradigm shift. New Dir Ment Health Serv. 2001;89:3–22. (PMID: 10.1002/yd.23320018903)
Bradley R, Greene G, Russ E, Dutra L, Westen D. A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatry. 2005;162:214–227.
Friedman MJ. A guide to the literature on pharmacotherapy for PTSD. Res Q. 2000;11:1–8.
McChesney GC, Adamson G, Sheylin M. Service use patterns and mental health symptoms among adolescents exposed to multiple types of trauma. J Adolesc. 2015;40:1–10. (PMID: 10.1016/j.adolescence.2015.01.003)
Kantor V, Knefel M, Lueger-Schuster B. Perceived barriers and facilitators of mental health service utilization in adult trauma survivors. Clin Psychol Rev. 2017;52:52–68. (PMID: 10.1016/j.cpr.2016.12.001)
Rosenberg L. Addressing Trauma in Mental Health and Substance Use Treatment. J Beh Health Serv Res. 2011;38:428. (PMID: 10.1007/s11414-011-9256-9)
National Center for Posttraumatic Stress Disorder. https://www.ptsd.va.gov/understand/common/common_adults.asp . Retrieved 31 Mar 2022.
Havassy BE, Alvidrez J, Owen KK. Comparisons of patients with comorbid psychiatric and substance use disorders: Implications for treatment and service delivery. Am J Psychiatry. 2004;161(1):139–45. (PMID: 10.1176/appi.ajp.161.1.139)
Substance Abuse and Mental Health Services Administration, National Survey of Substance Abuse Treatment Services (N-SSATS): 2019. Data on Substance Abuse Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2019.
Substance Abuse and Mental Health Services Administration, National Mental Health Services Survey (N-MHSS). Data on Mental Health Treatment Facilities. Rockville, MD: Substance Abuse and Mental Health Services Administration. 2019.
NRI/Substance Abuse and Mental Health Services Administration, State profiling system. Available from https://www.nri-inc.org/our-work/projects/state-profiling-system/ . Retrieved 9 Dec 2020.
Newey WK, West KD. A simple, positive semi-definite, heteroskedasticity and autocorrelation consistent covariance matrix. Econometrica. 1987;1987(55):703–8. (PMID: 10.2307/1913610)
Lampe A, Mitmansgruber H, Gast U, Schüssler G, Reddemann L. Treatment outcome of psychodynamic trauma therapy in an inpatient setting. Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater. 2008;22(3):189–97.
Young M, Nosek MA, Howland D, Chanpong G, Rintala DH. Prevalence of abuse of women with physical disabilities. Arch Phys Med Rehabil. 1997;78:34. (PMID: 10.1016/S0003-9993(97)90219-7)
Rosen CS, Matthieu MM, Sitman Wiltsey S, Cook JM, Landes S, Bernadry NC, Chard LM, Crowley J, Eftekhari A, Filney EP, Hamblen JL, Harik JM, Keghe-Forbes SM, Meis LA, Osei-Bonsu PE, Rodriguez AL, Ruggiero KJ, Ruzek JI, Smith BN, Trent L. Watts BV. A review of studies on the system-wide implementation of evidence-based psychotherapies for posttraumatic stress disorder in the veterans health administration. Admin Policy Menthealth. 2016;43:957–977.
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