TY - JOUR KW - Adult KW - African Americans KW - Battered Women/psychology KW - Boston KW - Case-Control Studies KW - Cognitive Therapy/methods KW - Community Mental Health Services/organization & administration KW - Delivery of Health Care, Integrated KW - Diagnosis, Dual (Psychiatry) KW - European Continental Ancestry Group KW - Female KW - Hispanic Americans KW - Humans KW - Middle Aged KW - Sex Offenses/psychology KW - Stress Disorders, Post-Traumatic/psychology/therapy KW - Substance Abuse Treatment Centers KW - Substance-Related Disorders/complications/ethnology/psychology/therapy KW - Treatment Outcome KW - Urban Population KW - Wounds and Injuries/complications/psychology AU - H. Amaro AU - J. Dai AU - S. Arevalo AU - A. Acevedo AU - A. Matsumoto AU - R. Nieves AU - G. Prado A1 - AB - This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology. BT - Journal of urban health : bulletin of the New York Academy of Medicine C5 - Healthcare Disparities CP - 4 CY - United States DO - 10.1007/s11524-007-9160-z IS - 4 JF - Journal of urban health : bulletin of the New York Academy of Medicine N2 - This study presents findings from a quasiexperimental, nonequivalent, group-design study with repeated measures that explored the effects of integrated trauma-informed services on the severity of substance abuse, mental health, posttraumatic stress disorder (PTSD) symptomatology among women with histories of trauma in urban, community-based substance abuse treatment. The study also explored if the model of integrated services was equally beneficial for women of various racial/ethnic groups. Participants in the study were 342 women receiving substance abuse treatment in intervention and comparison sites. Results indicated that at 6 and 12 month follow-ups, those in the trauma-informed intervention group, in contrast to the comparison group, had significantly better outcomes in drug abstinence rates in the past 30 days as well as in mental health and PTSD symptomatology. Results also showed that, overall, integrated services were beneficial for women across the different racial/ethnic groups in substance abuse treatment, although some differences appear to exist across racial/ethnic groups in improving addiction severity and mental health and PTSD symptomatology. PP - United States PY - 2007 SN - 1099-3460; 1099-3460 SP - 508 EP - 522 EP - T1 - Effects of integrated trauma treatment on outcomes in a racially/ethnically diverse sample of women in urban community-based substance abuse treatment T2 - Journal of urban health : bulletin of the New York Academy of Medicine TI - Effects of integrated trauma treatment on outcomes in a racially/ethnically diverse sample of women in urban community-based substance abuse treatment U1 - Healthcare Disparities U2 - 17356904 U3 - 10.1007/s11524-007-9160-z VL - 84 VO - 1099-3460; 1099-3460 Y1 - 2007 ER -