This study was a qualitative assessment of the effectiveness of therapeutic interventions used in the treatment of co-occurring disorders, Posttraumatic Stress Disorder (PTSD) and substance abuse. The qualitative assessment was an interview with a number of open ended questions and scales for the respondents to report preference. Interviews were conducted through the Wounded Warriors Project. Participants were males between the ages of 18 and 40, and were of multiple ethnicities. The interview questions primarily addressed whether or not the respondents received services and which services they felt were most beneficial. The interviews were anonymous and confidential, in the interest of preserving the privacy of the respondents. The results yielded by the data revealed that a small minority received services through the Veterans’ Association (VA), and were happy with the services they received. The majority of participants did not receive services through the VA for a variety of reasons which included long wait times, complicated administrative procedures, lack of transportation and lack of knowledge about which services were available. Veterans who did not receive services through the VA, received services through other venues, such as the Wounded Warrior Project (WWP). These services included medication, individual therapy, peer support groups and twelve step meetings. Data collected revealed that a combination of these services, used simultaneously, was more effective than one service or no services at all.

No description available.

In view of the vast numbers of individuals with co-occurring mental health and substance use disorders within the offender population, the scarcity of research on the potential exacerbating effects of co-occurring disorders on prisoner misconduct is surprising. With a sample of 1,470 incarcerated women offenders in Pennsylvania, this study examined prisoner misconduct among four distinct groups: 1) inmates with co-occurring disorders, 2) those with mental illness only, 3) inmates with substance use disorders only, and 4) prisoners with no mental health or substance use disorders net the effects of other factors demonstrated in prior studies to influence institutional misconduct. Results suggested that female prisoners with mental health and co-occurring disorders were significantly more likely than those with no disorders to be charged with prison misconduct . Co-occurring disorder inmates were also more likely to be charged with both minor and serious misconduct compared to inmates with no disorders. The results of this study suggest that menttal health and co-occurring disorders may hinder the ability of some female offenders to successfully assimilate to the prison environment as evidenced by higher rates of institutional misbehavior. Practice and policy implications are discussed / Criminal Justice

This exploratory, quantitative study investigated the prevalence rate of people with cooccurring substance-related and psychiatric disorders (CODs). A treatment-seeking sample from Houghton House Addiction Recovery Centre in Johannesburg, South Africa was used. Details of the case histories of the clients were collected, coded and analysed using Statistical Analysis System (SAS). The results indicated that 57.1% of 419 clients had one or more co-occurring psychiatric disorder, along with a substance-related disorder. Of the 239 with a COD, 155 had a mood disorder, 40 had an anxiety disorder, 39 had ADHD, 35 had an eating disorder, 8 had a conduct disorder and 5 had schizophrenia. Statistically significant relationships were found for ADHD with cannabis-related disorders and polysubstance dependence; anxiety-related disorders with alcohol-related disorders; and mood disorders with cocaine-related disorders, possibly substance-induced disorders and substance-induced disorders. These results showed that there was large group of people who presented for substance abuse treatment who have one or more COD. Having a COD made the nature of their problems particularly complex. There is a need for greater awareness of this vulnerable group. This would serve to improve the treatment that people with CODs receive.

Purpose. The purpose of this study was to evaluate whether severe victimization experiences, and psychological and social resources were shared risk factors for internalizing only, externalizing only, and co-occurring internalizing and externalizing disorders among victimized substance-using adolescents. Method. Data for this cross-sectional study were obtained from a multisite research project. Adolescents, ages 11-18, participated in a comprehensive screening program for substance abuse at 106 Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Substance Abuse Treatment (CSAT)-funded grantee sites throughout the United States. Results. Longer duration/frequent victimization, more than one type of victimization, recent victimization, low self-efficacy beliefs and available sources of emotional support were related to co-occurring internalizing and externalizing disorders. Victimization by a trusted person, however, was only related to internalizing disorders. Conclusion. The findings show that some indicators of severe victimization experiences, psychological and social resources are shared risk factors for internalizing, for externalizing, and for co-occurring internalizing and externalizing problems, thus providing support for the common factors model of co-morbidity. These findings suggest that practitioners in substance abuse treatment must thoroughly assess for severe victimization experiences among adolescents presenting with co-occurring mental health issues. Treatment planning and interventions may focus on helping adolescents cope effectively with their victimization experiences and addressing their MH needs. Particular emphasis may be placed on enhancing self-efficacy and social skills, so that adolescents may benefit from their available sources of support.

Street-involved women with co-occurring disorders experience distinct and overwhelming health and social issues, while facing considerable barriers to appropriate and helpful services. Street Connections, a Population and Public Health program, provides services to this and other street-involved aggregates using Harm Reduction and mobile outreach to prevent sexually transmitted infections and blood borne pathogens. Three conceptual frameworks, Gender-based Analysis, the Comprehensive, Continuous, Integrated System of Care, and Harm Reduction guided the practicum. The purpose of the practicum was to develop policy/practice recommendations for Street Connections regarding service enhancement for this aggregate. Literature-based best-practices were compared to three agency case studies of programs providing services to this aggregate including Street Connections, the Program of Assertive Community Treatment, and Dream Catchers. Data, consisting of agency documents and person-centered interviews with nine staff, were analyzed using open coding to identify themes. Recommendations incorporate gender-based analysis, recovery, access, engagement, screening, integrated services, and staff development/support. / October 2007

Past research has highlighted the importance of better understanding the high rate of smoking among individuals exposed to trauma. However, few studies have investigated the cognitive mechanisms that may contribute to the smoking-trauma relationship. The primary goal of the present study was to examine the associative relationship between smoking and trauma at a cognitive level, by examining the extent to which trauma-relevant pictures primed attentional biases to smoking-related words on a modified Stroop task. Eighty trauma-exposed smokers (classified as having low, medium, or high levels of post trauma symptomatology) ink-named smoking-related and neutral words after being primed with trauma-related, positive, or neutral picture cues. Although participants did not display an overall significant difference in reaction time between smoking words and neutral words, we found a significant prime x word type interaction, with slower reaction time to smoking words after being primed by trauma-related pictures. In addition, we found a significant 3-way interaction between symptom severity level, prime category, and target type. Further analyses revealed that the prime x word type interaction was significant only among individuals with the lowest and highest levels of PTSD symptomatology. A secondary aim of the study was to evaluate the relationship between smoking-related variables and posttraumatic stress disorder symptoms on a dimensional range. We found that participants who were more severely impaired at the time of the study were more likely to report strong cravings to smoke. Overall, findings suggest that smokers who have experienced trauma exhibit an attentional bias to smoking words when primed with trauma-related picture, and that post-trauma symptoms are related to smoking motivation. Implications for treatment are discussed.

Street-involved women with co-occurring disorders experience distinct and overwhelming health and social issues, while facing considerable barriers to appropriate and helpful services. Street Connections, a Population and Public Health program, provides services to this and other street-involved aggregates using Harm Reduction and mobile outreach to prevent sexually transmitted infections and blood borne pathogens. Three conceptual frameworks, Gender-based Analysis, the Comprehensive, Continuous, Integrated System of Care, and Harm Reduction guided the practicum. The purpose of the practicum was to develop policy/practice recommendations for Street Connections regarding service enhancement for this aggregate. Literature-based best-practices were compared to three agency case studies of programs providing services to this aggregate including Street Connections, the Program of Assertive Community Treatment, and Dream Catchers. Data, consisting of agency documents and person-centered interviews with nine staff, were analyzed using open coding to identify themes. Recommendations incorporate gender-based analysis, recovery, access, engagement, screening, integrated services, and staff development/support.

Street-involved women with co-occurring disorders experience distinct and overwhelming health and social issues, while facing considerable barriers to appropriate and helpful services. Street Connections, a Population and Public Health program, provides services to this and other street-involved aggregates using Harm Reduction and mobile outreach to prevent sexually transmitted infections and blood borne pathogens. Three conceptual frameworks, Gender-based Analysis, the Comprehensive, Continuous, Integrated System of Care, and Harm Reduction guided the practicum. The purpose of the practicum was to develop policy/practice recommendations for Street Connections regarding service enhancement for this aggregate. Literature-based best-practices were compared to three agency case studies of programs providing services to this aggregate including Street Connections, the Program of Assertive Community Treatment, and Dream Catchers. Data, consisting of agency documents and person-centered interviews with nine staff, were analyzed using open coding to identify themes. Recommendations incorporate gender-based analysis, recovery, access, engagement, screening, integrated services, and staff development/support.

No description available.