Trauma Care Research Paper

Improved Essays
Addiction and Trauma Care Concerning the mental health field, treatment of patients with mental disorders throughout history has been of various qualities and varying rates of success. One major challenge since the beginning of psychiatric care has been in substance abuse treatment. The issue of how to properly treat those with substance abuse disorder has been a hot topic within the field of psychiatry since the beginning, but it has become even more so as understandings of mental illness has grown more nuanced over time. More recently, evaluating substance abuse disorders alongside other mental disorders has become commonplace, but with varying methods. This new approach to trauma-informed care opens up potentially successful treatment pathways …show more content…
Amaro et al. (2007) attempts to discern if trauma-informed substance abuse treatment has better long-term results than standard treatment using a group study. Patient retention is a major challenge in substance abuse care, and as a result, many different variations of standard treatment plans have developed to improve retention. One of the groups with the lowest retention rates are women with co-occuring disorders (847). The term co-occuring disorders refers to when a patient has a mental disorder and/or traumatic background along with their substance abuse disorder. Because patients with co-occuring disorders have some of the lowest retention rates, trauma-informed treatment arose as a possible answer to address the reasons for unsuccessful treatment. In the study, Amaro, et al. (2007) found that those that attended integrated trauma retention services had better retention rates than those who attended regular treatment services, though not to any statistical significance (856). However, it was found that women who received mandated integrated trauma services along an extended period of care showed more improvement of symptoms and better retention than those who had shorter periods of care (858). These findings lead Amaro et al. (2007) to support the “growing consensus that for persons with co-occuring …show more content…
and Amaro, et al. approach the same idea concerning trauma-informed care in that they all agree that the best way for psychiatric care to continue treating those with co-occurring traumatic and substance abuse disorders is with some form of integrated trauma treatment. Although not directly stating it, Amaro, et al’s findings support a more long-term model of care for substance abuse treatment, which corresponds directly to McLellan’s criticism of the mental health field’s treatment of substance abuse disorders. McLellan disagrees with the current model of substance abuse treatment and maintains that substance abuse disorders should be treated as chronic conditions and as such implies that substance abuse treatment would be a long-term thing. Longer-term treatment is evidentially more beneficial, as proved by Amaro, et al, which supports McLellan’s argument for a long-term model of

Related Documents

  • Improved Essays

    Nt1310 Unit 4 Assignment

    • 812 Words
    • 4 Pages

    The data collected from Behavioral Treatment Services (BTS) was manually entered to help the researcher analyze the data. The data was organized into columns and described using the following nominal variables as column headings: treatment outcome, trauma cohort, ethnicity, and race. education level, and referral source. The trauma cohort was coded as 0 for no trauma group and 1 for trauma group. Age and education level were entered using the numerical value pulled from BTS archives with U indicating any age or education level which was unspecified.…

    • 812 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    SAMHSA Substance Abuse

    • 1174 Words
    • 5 Pages

    A meta-analysis (Powers, Vedel, & Emmelkamp, 2008) have recognized that behavioral couples therapy (BCT) isn’t only for drug abuse client’s cohabitation, but also it can have a positive effect on alcoholism for individual based treatments client’s as well. Rather it’s a female or male client in treat counseling inclines treatment retention, while declining the use of drugs (heroin) use. In addition for the client to cope with reality they’re likely being slowly weaned off any ATOD with either an opioid detoxification, in addition to methadone, or followed up by rehabilitation maintenance. This demonstrates another form of having a reinforcement based treatment (RBT) which is individually based and the (BCT) is grouped based.…

    • 1174 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    James Mccay, director of the University of Pennsylvania’s Center on the Continuum of Care in the Addictions states that “typically, what people have been told to do is go to a lot of Alcoholics Anonymous or Narcotics meetings… the usual line is 90 meetings in 90 days, and once-a-week group counseling...” which is in fact something that many, if not all, patients are told at one point or another. The only problem with this statement is that without someone acting upon this and guiding the patient on how to find these sort of meetings and counseling groups this becomes just another saying to the patient and not an actual resource. Ray Tamasi, president and chief executive of Gosnold on Cape Cod, another addiction treatment organization, gives her input on people's perspective of how rehabilitation for alcohol addiction and substance abuse is supposed to be some kind of miraculous success, when in reality the transitioning between outpatient and inpatient is abysmal. The reason Tamasi believes that the transitioning is extremely difficult is because patients are not given the tools necessary for their own success. Another reason why patients do not receive the appropriate after care is that “insurance didn’t used to cover anything post-discharge” (Madly Chalk) which led to many unwanted expenses.…

    • 876 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    As explained in The 10 by 10 Campaign, a majority of individuals involved in the mental health system experienced a childhood adversity such as poverty, abuse, neglect, substance abuse/use, exposure to violence, or some form of family dysfunction. Most of the individuals I work with have shared experiences related to these childhood adversities. After reviewing each individual’s intake summary, most reported poor relationships with their parents and negative experiences in school. Approximately half of the individuals reported alcohol or drug use starting while in high school and continuing through their mid-twenties. Three individuals reported being sexual abuse by a family member.…

    • 160 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Substance Abuse by Fisher and Harrison, chapter 6: This chapter began with explaining the definition of use, misuse, abuse, and dependence which is very important to know since it helps mental health professionals in determining the appropriate intervention for each client. I feel this topic must be explained in a chapter alone because I also belong to a religious group and I know how these terms are confused. This chapter also focused on the assessment which is important for all mental health professionals not only to gather information, but also to avoid misdiagnosing client problems. The critical part of the assessment process is the psychosocial history which involves various areas that need to be assessed: AOD use history, family history, social history, legal history, educational history, occupational history, and medical history.…

    • 730 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Our process of connecting an individual with our program is through a referral. The referral is a single-page form document that is completed, then faxed, mailed or emailed to BRC by someone who has identified the defendant as possibly having a mental illness. Referrals can originate from a number of sources such as an arresting officer, family member, judge, jail personnel, prosecuting attorney, public defender or past participants. BRC Diversion Team gathered information during screening and assessment which plays an important role in identifying offender needs and making appropriate referrals for services. Our basic assessment consists of gathering key information and engaging in a process with the client that enables the counselor to…

    • 713 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Reviewing key assumptions of trauma-informed approaches One must review the key assumptions of trauma-informed approaches to achieve the goal of this literature review, which is to explore the extent to which trauma-informed approaches have improved children’s experiences within learning contexts. The Substance Abuse and Mental Health Services Administration (SAMHSA) of U.S. Department of Health and Human Services suggested four key assumptions in a trauma-informed approach (Substance Abuse and Mental Health Services Administration, 2014). To start, it is assumed that every person working within an organization has a basic realization about trauma (SAMHSA, 2014). Trauma-informed practice is based on an essential understanding of how trauma impacts people’s lives, and as an extension, their service needs and frequency of use…

    • 1165 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Cbt Research Paper

    • 3334 Words
    • 14 Pages

    Significant Other Enhanced Cognitive-Behavioral Therapy for PTSD and Alcohol Misuse in OEF/OIF Veterans. Professional Psychology: Research and Practice. American Psychological Association 2011, Vol. 42, No. 1,…

    • 3334 Words
    • 14 Pages
    Great Essays
  • Great Essays

    Diagnosis The client, Gwen Cummings, comes to the inpatient substance use treatment facility presenting with apparent symptoms of severe substance use disorder and potentially childhood trauma. According to the criteria from the DSM-5 on Substance Use Disorder, the “substance is often taken in larger amounts or over a longer period than was intended” (American Psychiatric Association, 2013). Gwen shared that she and her boyfriend recently woke up late prior to their attendance at their friend’s wedding, unable to remember the details leading up to the end of the night. This, and other shared accounts from the client indicate that she met the first criteria for substance use disorder.…

    • 2254 Words
    • 10 Pages
    Great Essays
  • Improved Essays

    PTSD In Veterans Essay

    • 6069 Words
    • 25 Pages

    Treatment of co-morbid alcoholism and PTSD in veterans ? comparison with other drug dependencies 11-15-16 Loggins, K., Gutierrez, C.A., PharmD, Wilcox, R.E., PhD.* Target: Journal of Addiction and Preventive Medicine ABSTRACT Combat instigated PTSD is one of the more complicated psychological conditions that occur in the modern world. To add to the complications of treatment, PTSD is often accompanied by other psychological comorbidities and substance use disorders; of which the most frequent is alcoholism.…

    • 6069 Words
    • 25 Pages
    Improved Essays
  • Improved Essays

    Since substance abuse can mask PTSD symptoms, some practitioners support offering substance abuse treatment before or in conjunction with trauma-focused therapy (Ford and Russo, 2006; Brown, Read and Kahler., 2003; Hyer, McCranie and Peralme,…

    • 1429 Words
    • 6 Pages
    Improved Essays
  • Superior Essays

    Some components in place for those who define themself as “in recovery” include sober living options, management checkups, and job opportunities. Like other chronic health conditions, substance use disorders can go into remission. To avoid relapse, those treated for addiction require a personalized recovery program. The HHS addiction report offers their additional expertise on recovery oriented care. They delve further into the many aspects of recovery, and how the process differs for every person.…

    • 1687 Words
    • 7 Pages
    Superior Essays
  • Improved Essays

    Trauma Adaptive Recovery Group Education and Therapy TARGET combines the use of recovery groups and individual treatment focusing on the client’s core values and hopes that are the basis for her ever evolving identity and relationships (Ford & Russo, 2006). TARGET provides psychoeducation about the impact of trauma and PTSD on the body’s stress system which causes the brain to have an “alarm reaction” (Frisman, Ford, Lin, Mallon, & Chang ,2008 , p.289) after a traumatic exposure. This program helps a client to “recalibrate” (Frisman et al., 2008, p.289) the alarm reaction through the use of seven core self-regulation skills that correspond to the acronym FREEDOM. FREEDOM stands for focus, recognize, emotions, evaluate, define, option, and…

    • 927 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The Importance Of Trauma

    • 466 Words
    • 2 Pages

    • If there are remaining unresolved issues from past traumas, this could increase the likelihood of the onset of…

    • 466 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Juvenile Trauma

    • 1211 Words
    • 5 Pages

    The researcher conducted a review of various studies found in the current literature which focused on trauma among adolescents in juvenile detention settings. “A traumatic event can involve interpersonal events such as physical or sexual abuse, war, community violence, neglect, maltreatment, loss of a caregiver, witnessing violence or experiencing trauma vicariously, it can also result from severe or life-threatening injuries, illness and accidents” (Adams,2010, p.1). Many adolescents entering the juvenile detention facilities are oftentimes, faced with a number of problems prior to detention. Some have experienced their share of traumatic events in their lives, which have shaped or pre-determined what the future may hold for many. “Youth…

    • 1211 Words
    • 5 Pages
    Improved Essays