Adverse events in an integrated trauma-focused intervention for women in community substance abuse treatment
Adult, Community Mental Health Services, Integrated Delivery of Health Care, Dual Diagnosis, Post-Traumatic Stress Disorders, Substance Abuse Treatment Centers, Treatment Outcome
Journal of Substance Abuse Treatment
A substantial number of women who enter substance abuse treatment have a history of trauma and meet criteria for posttraumatic stress disorder (PTSD). Fear regarding the extent to which PTSD treatment can evoke negative consequences remains a research question. This study explored adverse events related to the implementation of an integrated treatment for women with trauma and substance use disorder (Seeking Safety) compared with a non trauma-focused intervention (Women's Health Education). Three hundred fifty-three women enrolled in community substanceabuse treatment were randomized to 1 of the 2 study groups and monitored weekly for adverse events. There were no differences between the two intervention groups in the number of women reporting study-related adverse events (28 [9.6%] for the Seeking Safety group and 21[7.2%] for the Women's Health Education group). Implementing PTSD treatment in substance abuse treatment programs appears to be safe, with minimal impact on intervention-related adverse psychiatric and substance abuse symptoms. More research is needed on the efficacy of such interventions to improve outcomes of PTSD and substance use.
Hien, D. A.,
Campbell, A. N.,
Rocz-de la Luz, N.,
Wells, E. A.,
Nunes, E. V.
(2008). Adverse events in an integrated trauma-focused intervention for women in community substance abuse treatment. Journal of Substance Abuse Treatment, 35(3), 304-311.
Available at: http://nsuworks.nova.edu/cps_facarticles/442