nach oben

06.12.2024 | Original Paper

A Systematic Review of Trauma Informed Care in Substance Use Settings

verfasst von: Daryl Mahon

Erschienen in: Community Mental Health Journal

Einloggen, um Zugang zu erhalten

Abstract

Trauma-informed care as an organisational intervention has gained increasing attention in recent years. Substance use settings may be overrepresented with service users who have experienced trauma and adversity. This systematic review will examine the effectiveness of trauma -informed care as an organisational intervention from an implementation perspective. The preferred reporting items for systematic review and meta-analyses (PRISMA) guidelines were followed. Three databases were searched; Academic Search Complete, Embase, and Scopus, supplemented with a Google Scholar search. Articles were included if they were peer reviewed in the English language from inception to February 2024 and reported on trauma- informed care in substance use settings with an implementation context. Quality appraisal was conducted with the Mixed Method Appraisal Tool. This systematic review of trauma-informed care with implementation domains in substance use settings included (N = 15) studies of varying quality; studies were classified as low quality in (n = 5), moderate in (n = 1) and high in (n = 6). Studies reported positive findings on reductions in substance use, and reductions on mental health and trauma symptoms, and treatment retention across community and residential settings. While satisfaction with services provided was also highlighted as an outcome for service users and employees. The results further highlight the importance of the role of leadership across implementation domains, and the possibility of using the 10 trauma informed implementation domains in different treatment contexts as a framework to support implementation. Findings in this review are mapped onto these 10-trauma- informed care implementation domains and reported as a narrative synthesis. Trauma- informed care is a promising organisational wide intervention with the potential to improve outcomes for service users and employees. Implementation can be supported by using the 10 trauma- informed care implementation domains described in this review. However, most of the studies were qualitative and quantitative descriptive meaning drawing causal inferences is difficult. As such, further research should be undertaken.

Aromataris, E., Fernandez, R., Godfrey, C. M., Holly, C., Khalil, H., & Tungpunkom, P. (2015). Summarizing systematic reviews: Methodological development, conduct and reporting of an umbrella review approach. International Journal of Evidence-based Healthcare, 13(3), 132–140. https://doi.org/10.1097/XEB.0000000000000055

Bailey, C., Klas, A., Cox, R., Bergmeier, H., Avery, J., & Skouteris, H. (2019). Systematic review of organisation-wide, trauma‐informed care models in out‐of‐home care (OoHC) settings. Health & Social Care in the Community, 27(3), e10–e22.CrossRef

Barazzone, N., Santos, I., McGowan, J., & Donaghay-Spire, E. (2019). The links between adult attachment and post-traumatic stress: A systematic review. Psychology and Psychotherapy, 92(1), 131–147. https://doi.org/10.1111/papt.12181

Bates, G., Jones, L., Cochrane, M., Pendlebury, M., & Sumnall, H. (2017). The effectiveness of interventions related to the use of illicit drugs: Prevention, harm reduction, treatment and recovery. A ‘review of reviews’ (Vol. 5). Health Research Board. HRB Drug and Alcohol Evidence Review.

Benish, S. G., Imel, Z. E., & Wampold, B. E. (2008). The relative efficacy of bona fide psychotherapies for treating post-traumatic stress disorder: A meta-analysis of direct comparisons. Clinical Psychology Review, 28(5), 746–758. https://doi.org/10.1016/j.cpr.2007.10.005CrossRefPubMed

Benjet, C., Bromet, E., Karam, E. G., Kessler, R. C., McLaughlin, K. A., Ruscio, A. M., Shahly, V., Stein, D. J., Petukhova, M., Hill, E., et al. (2016). The epidemiology of traumatic event exposure worldwide: Results from the World Mental Health Survey Consortium. Psychological Medicine, 46(2), 327–343.

Berger, E. (2019). Multi-tiered approaches to trauma-informed care in schools: A systematic review. School Mental Health, 11(4), 650–664. https://doi.org/10.1007/s12310-019-09326-0CrossRef

Bloom, S. L. (2017). The sanctuary model: Through the lens of moral safety. In S. N. Gold (Ed.), APA handbook of trauma psychology: Trauma practice (pp. 499–513). American Psychological Association. https://doi.org/10.1037/0000020-024

Bonin, M. F., Norton, G. R., Asmundson, G. J., Dicurzio, S., & Pidlubney, S. (2000). Drinking away the hurt: The nature and prevalence of PTSD in substance abuse patients attending a community-based treatment program. Journal of Behavior Therapy and Experimental Psychiatry, 31(1), 55–66. https://doi.org/10.1016/s0005-7916(00)00008-2CrossRefPubMed

Brown, G. S., Simon, A. E., Cameron, J., & Minami, T. (2015). A collaborative outcome resource network (ACORN): Tools for increasing the value of psychotherapy. Psychotherapy, 52(4), 412–421. https://doi.org/10.1037/pst0000033CrossRefPubMed

Brown, G. S. J., Cazauvieilh, C., & Simon, A. (2021). Clinician engagement in feedback informed care and patient outcomes. http://www.societyforpsychotherapy.org/clinician-engagement-in-feedback-informed-care-and-patient-outcomes.

Brown, T., Ashworth, H., Bass, M., Rittenberg, E., Levy-Carrick, N., Grossman, S., Lewis-O’Connor, A., & Stoklosa, H. (2022). Trauma-informed care interventions in Emergency Medicine: A systematic review. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 23(3), 334–344.CrossRef

Bryson, S. A., Gauvin, E., Jamieson, A., Rathgeber, M., Faulkner-Gibson, L., Bell, S., Davidson, J., Russel, J., & Burke, S. (2017). What are effective strategies for implementing trauma-informed care in youth inpatient psychiatric and residential treatment settings? A realist systematic review. International Journal of Mental Health Systems, 11, 1–16.CrossRef

Campodonico, C., Berry, K., Haddock, G., & Varese, F. (2021). Protective factors associated with post-traumatic outcomes in individuals with experiences of psychosis. Frontiers in Psychiatry, 12, 735870. https://doi.org/10.3389/fpsyt.2021.735870

Chung, S., Domino, M. E., & Morrissey, J. P. (2009). Changes in Treatment Content of Services during Trauma-Informed Integrated Services for women with Co-occurring disorders. Community Mental Health Journal, 45(5), 375–384.CrossRefPubMedPubMedCentral

Davis, D. E., DeBlaere, C., Owen, J., Hook, J. N., Rivera, D. P., Choe, E., Van Tongeren, D. R., Worthington, E. L., & Placeres, V. (2018). The multicultural orientation framework: A narrative review. Psychotherapy, 55(1), 89–100. https://doi.org/10.1037/pst0000160

Delgadillo, J., Overend, K., Lucock, M., Groom, M., Kirby, N., McMillan, D., Gilbody, S., Lutz, W., Rubel, J. A., & de Jong, K. (2017). Improving the efficiency of psychological treatment using outcome feedback technology. Behaviour Research and Therapy, 99, 89–97. https://doi.org/10.1016/j.brat.2017.09.011CrossRefPubMed

Devries, K. M., Child, J. C., Bacchus, L. J., Mak, J., Falder, G., Graham, K., Watts, C., & Heise, L. (2014). Intimate partner violence victimization and alcohol consumption in women: A systematic review and meta-analysis. Addiction (Abingdon England), 109(3), 379–391. https://doi.org/10.1111/add.12393CrossRefPubMed

Domino, M., Morrissey, J. P., Nadlicki-Patterson, T., & Chung, S. (2005). Service costs for women with co-occurring disorders and trauma. Journal of Substance Abuse Treatment, 28(2), 135–143. https://doi.org/10.1016/j.jsat.2004.08.011CrossRefPubMed

Drabble, L. A., Jones, S., & Brown, V. (2013). Advancing trauma-informed systems change in a family drug treatment court context. Journal of Social Work Practice in the Addictions, 13(1), 91–113. https://doi.org/10.1080/1533256X.2012.756341

Driessen, M., Schulte, S., Luedecke, C., Schaefer, I., Sutmann, F., Ohlmeier, M., Kemper, U., Koesters, G., Chodzinski, C., Schneider, U., Broese, T., Dette, C., Havemann-Reinecke, U., & TRAUMAB-Study Group. (2008). Trauma and PTSD in patients with alcohol, drug, or dual dependence: A multi-center study. Alcoholism Clinical and Experimental Research, 32(3), 481–488. https://doi.org/10.1111/j.1530-0277.2007.00591.xCrossRefPubMed

Edwards, K. M., Wheeler, L., Siller, L., Murphy, S. B., Ullman, S. E., Harvey, R., Palmer, K., Lee, K., & Marshall, J. (2023). Outcomes associated with participation in a sober living home for women with histories of domestic and sexual violence victimization and substance use disorders. Traumatology, 29(2), 191–201. https://doi.org/10.1037/trm0000394CrossRef

Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8CrossRefPubMed

Ferentz, L. (2018). Trauma informed assessments. A clinician’s guide to safely identifying and exploring connections between clients’ current struggles and prior histories of trauma, abuse, and neglect. The Ferentz Institute, Advanced Psychotherapy Training and Education.

Fernández, V., Gausereide-Corral, M., Valiente, C., & Sánchez-Iglesias, I. (2023). Effectiveness of trauma-informed care interventions at the organizational level: A systematic review. Psychological Services, 20(4), 849–862. https://doi.org/10.1037/ser0000737CrossRefPubMed

Fritz, J., Fried, E. I., Goodyer, I. M., Wilkinson, P. O., & Van Harmelen, A. L. (2018). A network model of resilience factors for adolescents with and without exposure to childhood adversity. Scientific Reports, 8(1), 15774. https://doi.org/10.1038/s41598-018-34130-2

Finkeistein, N., & Markoff, L. S. (2004). The women embracing life and living (WELL) project: Using the Relational Model to Develop Integrated Systems of Care for women with Alcohol/Drug Use and Mental Health Disorders with histories of Violence. Alcoholism Treatment Quarterly, 22(3/4), 63–80.

Gielen, N., Remco, C., Havermans, & Mignon Tekelenburg & Anita Jansen. (2012). Prevalence of post-traumatic stress disorder among patients with substance use disorder: It is higher than clinicians think it is. European Journal of Psychotraumatology, 3(1). https://doi.org/10.3402/ejpt.v3i0.17734

Greenleaf, R. K. (1970). The servant as leader. Robert K. Greenleaf Publishing Center.

Grunhaus, C. M., Ward, T. J., Tuazon, V. E., & James, K. (2023). The impact of supervisor servant leadership on counselor supervisee burnout and secondary traumatic stress. Teaching and Supervision in Counseling, 5(1), 1. https://doi.org/10.7290/tsc05csj9

Hales, T. W., Nochajski, T. H., Green, S. A., Hitzel, H. K., & Woike-Ganga, E. (2017). An Association between Implementing Trauma-Informed Care and staff satisfaction. Advances in Social Work, 18(1), 300–312. https://doi.org/10.18060/21299CrossRef

Hales, T. W., Green, S. A., Bissonette, S., Warden, A., Diebold, J., Koury, S. P., & Nochajski, T. H. (2019). Trauma-informed Care Outcome Study. Research on Social Work Practice, 29(5), 529–539. https://doi.org/10.1177/1049731518766618CrossRef

Harris, M., & Fallot, R. D. (Eds.). (2001). Using trauma theory to design service systems. Jossey-Bass/Wiley.

Hong, Q. N., Gonzalez-Reyes, A., & Pluye, P. (2018). Improving the usefulness of a tool for appraising the quality of qualitative, quantitative and mixed methods studies, the mixed methods appraisal tool (MMAT). Journal of Evaluation in Clinical Practice, 24(3), 459–467. https://doi.org/10.1111/jep.12884

Hopper, E. K., Bassuk, E. L., & Olivet, J. (2010). Shelter from the storm: Trauma-informed care in Homelessness services Settings. The Open Health Services and Policy Journal.

Hughes, K., Bellis, M. A., Hardcastle, K. A., Sethi, D., Butchart, A., Mikton, C., Jones, L., & Dunne, M. P. (2017). The effect of multiple adverse childhood experiences on health: A systematic review and meta-analysis. The Lancet Public Health, 2(8), e356–e366. https://doi.org/10.1016/S2468-2667(17)30118-4

Huo, Y., Couzner, L., Windsor, T., et al. (2023). Barriers and enablers for the implementation of trauma-informed care in healthcare settings: A systematic review. ImplementationScience Communications, 4(1), 49. https://doi.org/10.1186/s43058-023-00428-0

Jericho, B., Luo, A., & Berle, D. (2022). Trauma-focused psychotherapies for post-traumatic stress disorder: A systematic review and network meta-analysis. Acta Psychiatrica Scandinavica, 145(2), 132–155. https://doi.org/10.1111/acps.13366CrossRefPubMed

Jirikowic, T., Graham, J. C., & Grant, T. (2023). A trauma-informed parenting intervention model for mothers parenting Young Children during Residential Treatment for Substance Use Disorder. Occupational Therapy in Mental Health, 39(2), 156–183.CrossRef

Kelly, P., Saab, M. M., Hurley, E. J., Heffernan, S., Goodwin, J., Mulud, Z. A., O Malley, M., O Mahony, J., Curtin, M., Groen, G., Ivanova, S., Jörns-Presentati, A., Korhonen, J., Kostadinov, K., Lahti, M., Lalova, V., Petrova, G., O Donovan, A. (2023). Trauma informed interventions to reduce seclusion, restraint and restrictive practices amongst staff caring for children and adolescents with challenging behaviours: A systematic review. Journal of Child & Adolescent Trauma, 16(3), 629–647. https://doi.org/10.1007/s40653-023-00524-2

Khoury, L., Tang, Y. L., Bradley, B., Cubells, J. F., & Ressler, K. J. (2010). Substance use, childhood traumatic experience, and posttraumatic stress disorder in an urban civilian population. Depression and Anxiety, 27(12), 1077–1086. https://doi.org/10.1002/da.20751CrossRefPubMedPubMedCentral

Kirst, M., Aery, A., Matheson, F., & Stergiopoulos, V. (2017). Provider and Consumer Perceptions of Trauma Informed Practices and Services for Substance Use and Mental Health problems. International Journal of Mental Health & Addiction, 15(3), 514–528.CrossRef

Konkolÿ Thege, B., Horwood, L., Slater, L., et al. (2017). Relationship between interpersonal trauma exposure and addictive behaviors: A systematic review. Bmc Psychiatry, 17, 164. https://doi.org/10.1186/s12888-017-1323-1CrossRefPubMedPubMedCentral

Kornhaber, R., Walsh, K., Duff, J., & Walker, K. (2016). Enhancing adult therapeutic interpersonal relationships in the acute health care setting: An integrative review. Journal of Multidisciplinary Healthcare, 9, 537–546. https://doi.org/10.2147/JMDH.S116957

Kuksis, M., Di Prospero, M. S., Hawken, C. M. S., & Finch, E. R. P. D., Susan MD (2017). The correlation between trauma, PTSD, and substance abuse in a community sample seeking outpatient treatment for addiction. The Canadian Journal of Addiction, 8(1), 18–24.CrossRef

Lawson, K. M., Back, S. E., Hartwell, K. J., Maria, M. M. S., & Brady, K. T. (2013). A comparison of trauma profiles among individuals with prescription opioid, nicotine, or Cocaine Dependence. The American Journal on Addictions/American Academy of Psychiatrists in Alcoholism and Addictions, 22, 127–131. https://doi.org/10.1111/j.1521-0391.2013.00319.xCrossRefPubMedCentral

Lewis, N. V., Bierce, A., Feder, G. S., Macleod, J., Turner, K. M., Zammit, S., & Dawson, S. (2023). Trauma-informed approaches in primary healthcare and community mental healthcare: A mixed methods systematic review of organisational change interventions. Health & Social Care in the Community, 1–18.

Madigan, S., Deneault, A. A., Racine, N., Park, J., Thiemann, R., Zhu, J., Dimitropoulos, G., Williamson, T., Fearon, P., Cénat, J. M., McDonald, S., Devereux, C., & Neville, R. D. (2023). Adverse childhood experiences: A meta-analysis of prevalence and moderators among half a million adults in 206 studies. World Psychiatry, 22(3), 463–471. https://doi.org/10.1002/wps.21122

Mahon, D. (2022a). Trauma-RespoorganisationsatThes: The Trauma Ecology Model, Emerald Publishing Limited, Leeds.CrossRef

Mahon, D. (2022b). A systematic scoping review of interventions delivered by peers to support the resettlement of refugees and asylum seekers. Mental Health and Social Inclusion, 26 No(3), 206–229. https://doi.org/10.1108/MHSI-12-2021-0085CrossRef

Mahon, D. (2024a). Beyond multicultural competency: a scoping review of multicultural orientation in psychotherapy and clinical supervision, Mental Health and Social Inclusion, Vol. ahead-of-print No. ahead-of-print. https://doi.org/10.1108/MHSI-01-2024-0012

Mahon, D. (2024b). A systematic review of servant leadership and burnout. Mental Health and Social Inclusion. https://doi.org/10.1108/MHSI-02-2024-0027CrossRef

Mahon, D., Minami, T., & Brown, G. S.). J (2023a). The variability of client, therapist and clinic in psychotherapy outcomes: A three-level hierarchical model. Counselling and Psychotherapy Research, 23, 761–769. https://doi.org/10.1002/capr.12652CrossRef

Mahon, D., Minami, T., & Brown, G. S. J. (2023b). The psychometric properties and treatment outcomes associated with two measures of the adult therapeutic alliance using naturalistic data. Counselling and Psychotherapy Research, 00, 1–13. https://doi.org/10.1002/capr.12734CrossRef

Mahon, D., Minami, T., & Brown, G. S.) J (2024b). The psychometric properties and treatment outcomes associated with two measures of youth therapeutic alliance using naturalistic data. Counselling and Psychotherapy Research, 00, 1–11. https://doi.org/10.1002/capr.12738CrossRef

McGovern, R., Addison, M. T., Newham, J. J., Hickman, M., & Kaner, E. F. S. (2017). Effectiveness of psychosocial interventions for reducing parental substance misuse. The Cochrane Database of Systematic Reviews, (10), CD012823. https://doi.org/10.1002/14651858.CD012823

Mefodeva, V., Carlyle, M., Walter, Z., & Hides, L. (2023). Client and staff perceptions of the integration of trauma informed care and specialist posttraumatic stress disorder treatment in residential treatment facilities for substance use: A qualitative study. Drug and Alcohol Review, 42(1), 181–192. https://doi.org/10.1111/dar.13535CrossRefPubMed

Morrissey, J. P., Ellis, A. R., Gatz, M., Amaro, H., Reed, B. G., Savage, A., Finkelstein, N., Mazelis, R., Brown, V., Jackson, E. W., & Banks, S. (2005). Outcomes for women with co-occurring disorders and trauma: Program and person-level effects. Journal of Substance Abuse Treatment, 28(2), 121–133. https://doi.org/10.1016/j.jsat.2004.08.012

Newton, L., Keane, C. A., & Byrne, M. K. (2024). Trauma-informed programs in Australian schools: A systematic review of design, implementation and efficacy. Children and Youth Services Review, 156, 1–11.

Oral, R., Coohey, C., Zarei, K., Conrad, A., Nielsen, A., Wibbenmeyer, L., Segal, R., Wojciak, A. S., Jennissen, C., & Peek-Asa, C. (2020). Nationwide efforts for trauma-informed care implementation and workforce development in healthcare and related fields: A systematic review. The Turkish Journal of Pediatrics, 62(6), 906–920. https://doi.org/10.24953/turkjped.2020.06.002

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ (Clinical Research ed), 372, n71. https://doi.org/10.1136/bmj.n71CrossRefPubMed

Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES-20-00167

Pollock, D., Peters, M. D. J., Khalil, H., McInerney, P., Alexander, L., Tricco, A. C., Evans, C., de Moraes, É. B., Godfrey, C. M., Pieper, D., Saran, A., Stern, C., & Munn, Z. (2023). Recommendations for the extraction, analysis, and presentation of results in scoping reviews. JBI Evidence Synthesis, 21(3), 520–532. https://doi.org/10.11124/JBIES-22-00123CrossRefPubMed

Popay, J., Roberts, H., Sowden, A., Petticrew, M., Britten, N., Arai, L., Roen, K., & Rodgers, M. (2005). Developing guidance on the conduct of narrative synthesis in systematic reviews. Journal of Epidemiology and Community Health, 59(Suppl 1), A7. http://jech.bmj.com/content/vol59/suppl_1/

Purtle, J. (2020). Systematic review of evaluations of trauma-informed organizational interventions that Include Staff trainings. Trauma Violence & Abuse, 21(4), 725–740.CrossRef

Raja, S., Hasnain, M., Hoersch, M., Gove-Yin, S., & Rajagopalan, C. (2015). Trauma informed care in medicine: Current knowledge and future research directions. Family & Community Health, 38(3), 216–226. https://doi.org/10.1097/FCH.0000000000000071

Read, J., Hammersley, P., & Rudegeair, T. (2007). Why, when and how to ask about childhood abuse. Advances in Psychiatric Treatment, 13, 101–110.CrossRef

Robinson, T., Tarzi, C., Zhou, X. G., & Bailey, K. (2020). Screening for alcohol and substance use in pediatric trauma patients: A retrospective review. Journal of Pediatric Surgery, 55(5), 921–925. https://doi.org/10.1016/j.jpedsurg.2020.01.042

Roseby, S., & Gascoigne, M. (2021). A systematic review on the impact of trauma-informed education programs on academic and academic-related functioning for students who have experienced childhood adversity. Traumatology, 27(2), 149–167. https://doi.org/10.1037/trm0000276CrossRef

Rutman, D., & Hubberstey, C. (2020). Cross-sectoral collaboration working with perinatal women who use substances: Outcomes and lessons from HerWay Home. Journal of Social Work Practice in the Addictions, 20(3), 179–193.CrossRef

Shevlin, M., Houston, J. E., Dorahy, M. J., & Adamson, G. (2008). Cumulative traumas and psychosis: An analysis of the national comorbidity survey and the British Psychiatric Morbidity Survey. Schizophrenia Bulletin, 34(1), 193–199. https://doi.org/10.1093/schbul/sbm069CrossRefPubMed

Sternberger, L., Sorensen-Alawad, A., Prescott, T., Sakai, H., Brown, K., Finkelstein, N., Salomon, A., & Schiff, D. M. (2023). Lessons learned serving pregnant, Postpartum, and Parenting people with Substance Use disorders in Massachusetts: The moms do Care Program. Maternal and Child Health Journal, 27, 67–74. https://doi.org/10.1007/s10995-023-03775-5CrossRefPubMedPubMedCentral

Substance Abuse and Mental Health Services Administration. (2014). Trauma-Informed Care in Behavioral Health Services. Treatment Improvement Protocol (TIP) Series 57. HHS Publication No. (SMA) 13-4801. Rockville, MD: Substance Abuse and Mental Health Services Administration.

Sweeney, A., White, S., Kelly, K., Faulkner, A., Papoulias, S., & Gillard, S. (2021). Survivor-led guidelines for conducting trauma-informed psychological therapy assessments: development and modified Delphi study. Health Expect, 25, 2818–2827. https://doi.org/10.1111/hex.13585

Thielemann, J. F. B., Kasparik, B., König, J., Unterhitzenberger, J., & Rosner, R. (2022). A systematic review and meta-analysis of trauma-focused cognitive behavioral therapy for children and adolescents. Child Abuse & Neglect, 134, 105899. https://doi.org/10.1016/j.chiabu.2022.105899CrossRef

Tompkins, C. N. E., & Neale, J. (2018). Delivering trauma-informed treatment in a women-only residential rehabilitation service: Qualitative study. Drugs: Education Prevention & Policy, 25(1), 47–55.

Zoorob, R., Gonzalez, S. J., Kowalchuk, A., Mosqueda, M., & MacMaster, S. (2022). Evaluation of an evidence-based substance use disorder treatment program for urban high-risk females (pp. 1–12). International Journal of Mental Health & Addiction.

Titel: A Systematic Review of Trauma Informed Care in Substance Use Settings
verfasst von: Daryl Mahon
Publikationsdatum: 06.12.2024
Verlag: Springer US
Erschienen in: Community Mental Health Journal
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-024-01395-z

Neu im Fachgebiet Psychiatrie

„Wir wollen die Bedeutung von Gen- und Umwelteinflüssen besser verstehen“

Bipolare Störung
Interview

Eine Mutation in einem einzelnen Gen kann bei Mäusen eine Art Bipolarstörung auslösen. PD Dr. Jan Deussing vom Max-Planck-Institut für Psychiatrie in München sieht in solchen Tiermodellen eine Möglichkeit, den Ursachen der Erkrankung auf den Grund zu gehen.

Suizidassistenz erhöht Suizidzahlen: Aktuelle Ergebnisse der geplanten S3-Leitlinie

DGPPN 2024
Kongressbericht

Erstmals wird in Deutschland eine S3-Leitlinie zum Thema Suizidalität erarbeitet. Ziel ist es, die Versorgung in suizidalen Krisen durch einheitliche Standards zu verbessern. Erste Ergebnisse der bisherigen Leitlinienarbeit wurden auf dem DGPPN-Kongress vorgestellt.

Einer von sieben Frauen macht die Menopause sehr zu schaffen

15.01.2025
Menopause
Nachrichten

Von mäßigen bis schweren vasomotorischen Beschwerden sind 14,7% der Frauen in der Postmenopause betroffen. Das haben kanadische Forscherinnen in einer Subgruppenanalyse der WARM-Studie herausgefunden.

Depressive Senioren fahren besonders riskant

14.01.2025
Altersdepression
Nachrichten

Beim Autofahren machen ältere Depressive häufiger eine Vollbremsung, gehen öfter zu schnell in Kurven und halten sich seltener an Tempolimits als Senioren ohne Depression. Offenbar scheint eine Depression eine riskante Fahrweise im Alter zu verstärken.

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen