Administration and Policy in Mental Health and Mental Health Services Research

, Volume 35, Issue 3, pp 147–158

Targeting Trauma-related Interventions and Improving Outcomes for Women with Co-occurring Disorders

  • Karen J. Cusack
  • Joseph P. Morrissey
  • Alan R. Ellis
Original Paper

DOI: 10.1007/s10488-007-0150-y

Cite this article as:
Cusack, K.J., Morrissey, J.P. & Ellis, A.R. Adm Policy Ment Health (2008) 35: 147. doi:10.1007/s10488-007-0150-y
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Abstract

National attention to the effects of interpersonal trauma has led mental health systems to adopt policies on trauma-related services; however, there is a lack of clarity regarding targeting of these services. Data from the Women, Co-occurring Disorders and Violence Study (WCDVS) were reanalyzed by grouping women on their baseline PTSD and substance abuse presentation and assessing the differential response to an integrated mental health/substance abuse intervention. Treatment effects were largest for subgroups characterized by high levels of PTSD, whereas the effects for those in the low symptom group were near zero. These findings underscore the need for clinicians to conduct careful assessments of trauma-related symptoms and to target the most intensive trauma-related interventions to individuals with PTSD symptoms.

Keywords

PTSDInterventionsSubstance abuse

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Karen J. Cusack
    • 1
  • Joseph P. Morrissey
    • 1
  • Alan R. Ellis
    • 1
  1. 1.Cecil G. Sheps Center for Health Services ResearchUniversity of North Carolina at Chapel HillChapel HillUSA