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Erschienen in: International Journal of Mental Health and Addiction 3/2017

07.07.2016

Provider and Consumer Perceptions of Trauma Informed Practices and Services for Substance Use and Mental Health Problems

verfasst von: Maritt Kirst, Anjana Aery, Flora I. Matheson, Vicky Stergiopoulos

Erschienen in: International Journal of Mental Health and Addiction | Ausgabe 3/2017

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Abstract

Both trauma-informed practices and trauma-specific services have been developed to meet the needs of individuals seeking services for mental health and substance use disorders. These approaches involve an acknowledgement of an individual’s inter-related experiences of trauma, mental health, and substance use problems in all aspects of service delivery, and focus on enhancing consumer safety and control. Although trauma-informed practices and trauma-specific interventions have been repeatedly identified as critical to service provision in this area, there is little understanding of how these practices and interventions are delivered and experienced from the perspectives of service users and providers. The purpose of this study was to explore facilitators and barriers in implementing trauma-informed practices and delivering trauma-specific services in mental health and addiction service settings through qualitative interviews with service providers, consumers and research experts. Based on thematic analysis of in-depth interviews with 19 participants (including service providers, research experts and consumers), a number of key facilitators and challenges to implementation of trauma-informed practices and services emerged. Key facilitators included: organizational support, community partnerships, staff awareness of trauma, a safe environment, peer support, the quality of consumer-provider relationships, consumer and provider readiness to change, and staff supports. Challenges included: provider reluctance to address trauma, lack of accessible services, limited funding for programs/services, and staff burnout. Key areas of change identified in the study point to the need for increased intersectoral collaboration and support, greater system-wide trauma awareness and provider training in order to enhance the ability of trauma-informed practices and -specific services to meet the complex needs of this population.
Literatur
Zurück zum Zitat Amaro, H., McGraw, S., & Larson, M. J. (2004). Boston consortium of Services for Families in recovery: a trauma-informed intervention model for women’s alcohol and drug addiction treatment. Alcoholism Treatment Quarterly, 22(3), 95–119. Amaro, H., McGraw, S., & Larson, M. J. (2004). Boston consortium of Services for Families in recovery: a trauma-informed intervention model for women’s alcohol and drug addiction treatment. Alcoholism Treatment Quarterly, 22(3), 95–119.
Zurück zum Zitat Amaro, H., Chernoff, M., Brown, V., Arevalo, S., & Gatz, M. (2007). Does integrated trauma-informed substance abuse treatment increase treatment retention? Journal of Community Psychology, 35(7), 845–862. doi:10.1002/jcop.20185.CrossRef Amaro, H., Chernoff, M., Brown, V., Arevalo, S., & Gatz, M. (2007). Does integrated trauma-informed substance abuse treatment increase treatment retention? Journal of Community Psychology, 35(7), 845–862. doi:10.​1002/​jcop.​20185.CrossRef
Zurück zum Zitat BC Centre for Excellence for Women’s Health. (2013). Trauma-informed practice guide. Vancouver, BC. BC Centre for Excellence for Women’s Health. (2013). Trauma-informed practice guide. Vancouver, BC.
Zurück zum Zitat Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77–101.CrossRef
Zurück zum Zitat Browne, A. J., Varcoe, C. M., Wong, S. t., Smye, V. L., Lavoie, J., Littlejohn, D...Lennox, S. (2012). Closing the health equity gap: evidence-based strategies for primary health care organizations. International Journal for Equity in Health, 11(59). doi:10.1186/1475-9276-11-59. Browne, A. J., Varcoe, C. M., Wong, S. t., Smye, V. L., Lavoie, J., Littlejohn, D...Lennox, S. (2012). Closing the health equity gap: evidence-based strategies for primary health care organizations. International Journal for Equity in Health, 11(59). doi:10.​1186/​1475-9276-11-59.
Zurück zum Zitat Couineau, A.-L., & Forbes, D. (2011). Using predictive models of behavior change to promote evidence-based treatment for PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 3(3), 266–275. doi:10.1037/a0024980.CrossRef Couineau, A.-L., & Forbes, D. (2011). Using predictive models of behavior change to promote evidence-based treatment for PTSD. Psychological Trauma: Theory, Research, Practice, and Policy, 3(3), 266–275. doi:10.​1037/​a0024980.CrossRef
Zurück zum Zitat Cusack, K. J., Morrissey, J. P., & Ellis, A. R. (2008). Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders. Administration and Policy in Mental Health, 35(3), 147–158. doi:10.1007/s10488-007-0150-y.CrossRefPubMed Cusack, K. J., Morrissey, J. P., & Ellis, A. R. (2008). Targeting trauma-related interventions and improving outcomes for women with co-occurring disorders. Administration and Policy in Mental Health, 35(3), 147–158. doi:10.​1007/​s10488-007-0150-y.CrossRefPubMed
Zurück zum Zitat Elliott, D. E., Bjelajac, P., Fallot, R. D., Markoff, L. S., & Reed, B. G. (2005). Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. Journal of Community Psychology, 33(4), 461–477. doi:10.1002/jcop.20063.CrossRef Elliott, D. E., Bjelajac, P., Fallot, R. D., Markoff, L. S., & Reed, B. G. (2005). Trauma-informed or trauma-denied: principles and implementation of trauma-informed services for women. Journal of Community Psychology, 33(4), 461–477. doi:10.​1002/​jcop.​20063.CrossRef
Zurück zum Zitat Fallot, R. D., & Harris, M. (2002). The trauma recovery and empowerment model (TREM): conceptual and practical issues in a group intervention for women. Community Mental Health Journal, 38(6), 475–485.CrossRefPubMed Fallot, R. D., & Harris, M. (2002). The trauma recovery and empowerment model (TREM): conceptual and practical issues in a group intervention for women. Community Mental Health Journal, 38(6), 475–485.CrossRefPubMed
Zurück zum Zitat Fallot, R. D., & Harris, M. (2005). Integrated trauma services teams for women survivors with alcohol and other drug problems and Co-occurring mental disorders. Alcoholism Treatment Quarterly, 22(3–4), 181–199.CrossRef Fallot, R. D., & Harris, M. (2005). Integrated trauma services teams for women survivors with alcohol and other drug problems and Co-occurring mental disorders. Alcoholism Treatment Quarterly, 22(3–4), 181–199.CrossRef
Zurück zum Zitat Farro, S. A., Clark, C., & Hopkins Eyles, C. (2011). Assessing trauma-informed care readiness in behavioral health: an organizational case study. Journal of Dual Diagnosis, 7(4), 228–241.CrossRef Farro, S. A., Clark, C., & Hopkins Eyles, C. (2011). Assessing trauma-informed care readiness in behavioral health: an organizational case study. Journal of Dual Diagnosis, 7(4), 228–241.CrossRef
Zurück zum Zitat Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: a hybrid approach of using inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 1–11. Fereday, J., & Muir-Cochrane, E. (2006). Demonstrating rigor using thematic analysis: a hybrid approach of using inductive and deductive coding and theme development. International Journal of Qualitative Methods, 5(1), 1–11.
Zurück zum Zitat Ford, J., & Russo, E. (2006). Trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction: trauma adaptive recovery group. American Journal of Psychotherapy, 60(4), 335–355.PubMed Ford, J., & Russo, E. (2006). Trauma-focused, present-centered, emotional self-regulation approach to integrated treatment for posttraumatic stress and addiction: trauma adaptive recovery group. American Journal of Psychotherapy, 60(4), 335–355.PubMed
Zurück zum Zitat Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: strategies for qualitative research. Chicago: Aldine DeGruyter Publishing. Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: strategies for qualitative research. Chicago: Aldine DeGruyter Publishing.
Zurück zum Zitat Klinic Community Health Centre (2013). Trauma-informed: the trauma toolkit. Winnipeg, MB: Klinic Community Health Centre. Klinic Community Health Centre (2013). Trauma-informed: the trauma toolkit. Winnipeg, MB: Klinic Community Health Centre.
Zurück zum Zitat Lynch, S. M., Heath, N. M., Mathews, K. C., & Cepeda, G. J. (2012). Seeking safety: an intervention for trauma-exposed incarcerated women? Journal of Trauma & Dissociation, 13, 88–101.CrossRef Lynch, S. M., Heath, N. M., Mathews, K. C., & Cepeda, G. J. (2012). Seeking safety: an intervention for trauma-exposed incarcerated women? Journal of Trauma & Dissociation, 13, 88–101.CrossRef
Zurück zum Zitat Markoff, L. S., Finkelstein, N., & Kammerer, N. (2005a). Implementing a model of change in integrating services fo women with sbustance abuse and mental health disorders and histories of trauma. Journal of Behavioral Health Services and Research, 32(2), 227–240.CrossRefPubMed Markoff, L. S., Finkelstein, N., & Kammerer, N. (2005a). Implementing a model of change in integrating services fo women with sbustance abuse and mental health disorders and histories of trauma. Journal of Behavioral Health Services and Research, 32(2), 227–240.CrossRefPubMed
Zurück zum Zitat Markoff, L. Reed, G. B., Fallot, R. & Eliott, D. (2005b). Implementing a trauma-informed alcohol and other drug and mental health services for women: lessons learned in a multi-site demonstration project. American Journal of Orthopsychiatry, 75(5), 525–539. Markoff, L. Reed, G. B., Fallot, R. & Eliott, D. (2005b). Implementing a trauma-informed alcohol and other drug and mental health services for women: lessons learned in a multi-site demonstration project. American Journal of Orthopsychiatry, 75(5), 525–539.
Zurück zum Zitat Moses, D. J., Reed, B. G., & Ambrosio, B. D. (2003). Creating trauma Services for Women with Co-occurring disorders: experiences from the SAMHSA women with alcohol, drug abuse and mental health. Substance Abuse and Mental Health Services Administration (SAMHSA): Disorders. Moses, D. J., Reed, B. G., & Ambrosio, B. D. (2003). Creating trauma Services for Women with Co-occurring disorders: experiences from the SAMHSA women with alcohol, drug abuse and mental health. Substance Abuse and Mental Health Services Administration (SAMHSA): Disorders.
Zurück zum Zitat Najavits, L. (2009). Seeking safety: an implementation guide. In A. Rubin & D. W. Springer (Eds.), The Clinician’s Guide to Evidence-Based Practice. Hoboken, NJ: John Wiley. Najavits, L. (2009). Seeking safety: an implementation guide. In A. Rubin & D. W. Springer (Eds.), The Clinician’s Guide to Evidence-Based Practice. Hoboken, NJ: John Wiley.
Zurück zum Zitat Najavits, L. M., & Hien, D. (2013). Helping vulnerable populations: a comprehensive review of the treatment outcome literature on substance use disorder and PTSD. Journal of Clinical Psychology, 69(5), 433–479. doi:10.1002/jclp.21980.CrossRefPubMed Najavits, L. M., & Hien, D. (2013). Helping vulnerable populations: a comprehensive review of the treatment outcome literature on substance use disorder and PTSD. Journal of Clinical Psychology, 69(5), 433–479. doi:10.​1002/​jclp.​21980.CrossRefPubMed
Zurück zum Zitat The Jean Tweed, C. (2013). Trauma matters: guidelines for trauma-informed practices in women’s substance use services. Toronto. The Jean Tweed, C. (2013). Trauma matters: guidelines for trauma-informed practices in women’s substance use services. Toronto.
Zurück zum Zitat Twaddle, I. K. B., Setpaul, R., Guerrero, V. E. L., Manibusan, A. I., & Riddle, J. A. (2006). Countering correctional discourse: development of a feminist support group for women prisoners in Guam. Women & Therapy, 29(3–4), 215–237. Twaddle, I. K. B., Setpaul, R., Guerrero, V. E. L., Manibusan, A. I., & Riddle, J. A. (2006). Countering correctional discourse: development of a feminist support group for women prisoners in Guam. Women & Therapy, 29(3–4), 215–237.
Metadaten
Titel
Provider and Consumer Perceptions of Trauma Informed Practices and Services for Substance Use and Mental Health Problems
verfasst von
Maritt Kirst
Anjana Aery
Flora I. Matheson
Vicky Stergiopoulos
Publikationsdatum
07.07.2016
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction / Ausgabe 3/2017
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-016-9693-z

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