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Consumer Perceptions of Integrated Trauma-Informed Services Among Women with Co-Occurring Disorders

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Abstract

As part of a national, multi-site treatment outcome study, an instrument was designed to assess consumers’ perceptions of key services integrating trauma, mental health, and substance abuse issues, the Consumer Perceptions of Care (CPC). This study evaluates the psychometric properties of this instrument and analyzes consumers’ perceptions of the services they received. The results suggest that the measure has four factors: services integration, choice in services, trauma-informed assessment, and respect for cultural identity. These factors demonstrated adequate reliability, and the overall results suggested that the measure is a reliable, sensitive, and valid reflection of consumers’ perceptions of their services and their providers for diverse racial and ethnic groups. Women in the intervention programs perceived their services as more highly integrated for trauma, mental health, and substance use than women in the services as usual or comparison programs, supporting its utility as a measure of programs designed to provide integrated services.

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Acknowledgements

This study was funded under Guidance for Applicants (GFA) no. TI 00-003 entitled Cooperative Agreement to Study Women with Alcohol, Drug Abuse and Mental Health (ADM) Disorders who Have Histories of Violence: Phase II from the Department of Health and Human Services, Public Health Service, Substance Abuse and Mental Health Services Administration’s three centers: Center for Substance Abuse Treatment, Center for Mental Health Services and Center for Substance Abuse Prevention (March 2000).

The authors would also like to acknowledge the assistance of Wendy Vogel and Laura Morris of Policy Research Associates, Inc., for assistance in the analysis, Luz Lopez, Paula Bjelajac, and Karen Lowe for comments on an earlier version of the manuscript, the steering committee of the Women and Violence Study—especially the evaluation subcommittee and the consumers/survivors/recovering persons—for their contributions.

Author information

Authors and Affiliations

  1. Louis de la Parte Florida Mental Health Institute, University of South Florida, 13301 Bruce B. Downs Blvd., Tampa, FL, 33612, USA

    Colleen Clark PhD & M. Scott Young PhD

  2. 2230 The Circle, Raleigh, NC, 27608, USA

    Elizabeth Jackson PhD

  3. Arapahoe House, Inc., 1618 S. Pennsylvania St., Denver, CO, 80210, USA

    Carla Graeber BA

  4. Cutting Edge Newsletter, 6196 VoAsh Dr. SW, Carrollton, OH, 44615, USA

    Ruta Mazelis BS

  5. Department of Anthropology, Mailstop 006, Brandeis University, PO Box 549110, Waltham, MA, 02454-9110, USA

    Nina Kammerer MPH, PhD

  6. National Center on Family Homelessness, 181 Wells Ave., Newton Centre, MA, 02459, USA

    Nicholas Huntington MA, PhD

Authors
  1. Colleen Clark PhD
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  2. M. Scott Young PhD
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  3. Elizabeth Jackson PhD
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  4. Carla Graeber BA
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  6. Nina Kammerer MPH, PhD
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  7. Nicholas Huntington MA, PhD
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Corresponding author

Correspondence to Colleen Clark PhD.

Appendix

Appendix

Consumer perceptions of care measure

Table 8  
Full size table

In this section, I am going to read some statements which describe different experiences and reactions women may have to the substance abuse, mental health, sexual abuse or domestic violence services that they receive. Using the scale on this card [Hand Response Scale], please tell me how much you agree or disagree with each statement, as it relates to your own service experiences, during the past three months.

SAY TO RESPONDENT: Also, in some of these statements I will be using the words ‘trauma’ and ‘service provider’. When I use the word ‘trauma’, I am referring to any physical or sexual abuse you may have experienced at any point in your life. When I say ‘service provider’, I am referring to the person delivering services, NOT myself.

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Clark, C., Young, M.S., Jackson, E. et al. Consumer Perceptions of Integrated Trauma-Informed Services Among Women with Co-Occurring Disorders. J Behav Health Serv Res 35, 71–90 (2008). https://doi.org/10.1007/s11414-007-9076-0

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  • DOI: https://doi.org/10.1007/s11414-007-9076-0

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