This repeated measures quasi-experimental study evaluated the effectiveness of 2 interventions, Seeking Safety and canine-assisted therapy, with female prisoners with trauma histories on a mental health unit. Results indicate both are effective at reducing anxiety, depression, and posttraumatic stress disorder.
Substance use disorder counselors are at risk of experiencing burnout, vicarious trauma, and secondary traumatic stress. These phenomena can lead to counselor impairment. The authors describe how trauma-informed supervision can mitigate the risks of impairment for substance use disorder counselors.
Little is understood about distinct traumatic exposures and their relationship to later coping strategies. Adults receiving treatment for substance use were assessed for experiential avoidance and a range of traumatic exposures. Only childhood emotional abuse significantly predicted experiential avoidance.
Regardless of preexisting trauma history, offenders regularly experience traumatic events while incarcerated. Current therapeutic approaches focus on coping skills and behavioral responses. The authors recommend integrating the use of trauma-informed care to address the deeper emotional responses tied to trauma.
This meta-analysis detected low effects in reducing substance use (Hedges's g = –0.11) in favor of using integrated primary and behavioral health care (IPBH) compared with treatment-as-usual approaches for adult patients with substance use. The impact of IPBH was limited.
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