Addressing Trauma in Mental Health and Substance Use Treatment

2011 ◽  
Vol 38 (4) ◽  
pp. 428-431 ◽  
Author(s):  
Linda Rosenberg
Author(s):  
Bruce G Taylor ◽  
Weiwei Liu ◽  
Elizabeth A. Mumford

The purpose of this study is to understand the availability of employee wellness programs within law enforcement agencies (LEAs) across the United States, including physical fitness, resilience/wellness, coping skills, nutrition, mental health treatment, and substance use treatment. The research team investigated whether patterns of LEA wellness programming are identifiable and, if so, what characteristics describe these patterns. We assess using latent class analysis whether there are distinct profiles of agencies with similar patterns offering different types of wellness programs and explore what characteristics distinguish agencies with certain profiles of wellness programming. Data were from a nationally representative sample of 1135 LEAs: 80.1% municipal, 18.6% county and 1.3% other agencies (state-level and Bureau of Indian Affairs LEAs). We found that many agencies (62%) offer no wellness programming. We also found that 23% have comprehensive wellness programming, and that another group of agencies specialize in specific wellness programming. About 14% of the agencies have a high probability of providing resilience coping skill education, mental health and/or substance use treatment services programming. About 1% of the agencies in the United States limit their programming to fitness and nutrition, indicating that fitness and nutrition programs are more likely to be offered in concert with other types of wellness programs. The analyses revealed that agencies offering broad program support are more likely to be large, municipal LEAs located in either the West, Midwest or Northeast (compared with the southern United States), and not experiencing a recent budget cut that impacted wellness programming.


2019 ◽  
Vol 15 (4) ◽  
pp. 270-280 ◽  
Author(s):  
Laura D. Robinson ◽  
Peter J. Kelly ◽  
Frank P. Deane ◽  
Samantha L. Reis

Author(s):  
Taghreed N. Salameh ◽  
Lynne A. Hall ◽  
Timothy N. Crawford ◽  
Ruth R. Staten ◽  
Martin T. Hall

2013 ◽  
Vol 6 (4) ◽  
pp. 287-302 ◽  
Author(s):  
Emma L. Barrett ◽  
Katherine L. Mills ◽  
Maree Teesson ◽  
Philippa Ewer

2021 ◽  
Author(s):  
Daniel McFadden ◽  
Katrina Prior ◽  
Helen Miles ◽  
Sunny Hemraj ◽  
Emma L. Barrett

2014 ◽  
Vol 49 (5) ◽  
pp. 595-600 ◽  
Author(s):  
Ryan C. Shorey ◽  
Hope Brasfield ◽  
Scott Anderson ◽  
Gregory L. Stuart

2017 ◽  
Vol 4 ◽  
pp. 233339281773452 ◽  
Author(s):  
Praise O. Iyiewuare ◽  
Colleen McCullough ◽  
Allison Ober ◽  
Kirsten Becker ◽  
Karen Osilla ◽  
...  

Introduction: Community health clinics (CHCs) are an opportune setting to identify and treat substance misuse. This study assessed the characteristics of patients who presented to a CHC with substance misuse. Methods: Personnel at a large CHC administered a 5-question screener to patients between June 3, 2014, and January 15, 2016, to assess past 3-month alcohol use, prescription opioid misuse, or illicit drug use. We stratified screen-positive patients into 4 diagnostic groups: (1) probable alcohol use disorder (AUD) and no comorbid opioid use disorder (OUD); (2) probable heroin use disorder; (3) probable prescription OUD, with or without comorbid AUD; and (4) no probable substance use disorder. We describe substance use and mental health characteristics of screen-positive patients and compare the characteristics of patients in the diagnostic groups. Results: Compared to the clinic population, screen-positive patients (N = 733) included more males ( P < .0001) and had a higher prevalence of probable bipolar disorder ( P < .0001) and schizophrenia ( P < .0001). Eighty-seven percent of screen-positive patients had probable AUD or OUD; only 7% were currently receiving substance use treatment. The prescription opioid and heroin groups had higher rates of past bipolar disorder and consequences of mental health conditions than the alcohol only or no diagnosis groups ( P < .0001). Conclusions: Patients presenting to CHCs who screen positive for alcohol or opioid misuse have a high likelihood of having an AUD or OUD, with or without a comorbid serious mental illness. Community health clinics offering substance use treatment may be an important resource for addressing unmet need for substance use treatment and comorbid mental illness.


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