This book is a hands-on guide for clinicians seeking to treat women who suffer from both a history of trauma and the effects of substance abuse. The intertwined nature of trauma and addiction is explored through a review of recent research, with a focus on treatment options for PTSD and addiction that together form the basis for many of the recently developed treatments for trauma and addiction co-morbidity. Vital background material is included that describes the effects of trauma on emotion regulation, interpersonal functioning, parenting, and physical health. Finally, the book addresses the many real-world challenges clinicians will face in implementing trauma-focused therapeutic approaches in community-based substance abuse treatment.
The authors have written an essential resource for substance abuse program directors who want to broaden their services to better assist their clients. It will also be helpful for clinicians and social workers who want to better understand the complicated nature of their clients' problems, as well as for researchers seeking to expand on the current understanding of addiction and trauma co-morbidity, and for all who seek to further develop integrated treatments to help lead victims to recovery.
Preface
Introduction
I. The Relationship Between Trauma and Substance Abuse
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Perspectives on Traumatic Stress, Posttraumatic Stress Disorder, and Chronic Posttraumatic Stress Disorder
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Psychotherapy Models and Treatment Considerations
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Other Co-Occurring Psychiatric Disorders
II. The Impact of Trauma on Functioning
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Emotion Regulation
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Interpersonal Functioning
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Parenting
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Physical Health
III. Strategies for Implementation
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Preparing, Training, and Supervising Staff in Providing Integrated Treatment
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Special Considerations in Approaching Trauma Work
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Ethnocultural Considerations in the Treatment of Trauma and Addictions
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Moving Research to Practice: Three Community-Based Examples of Concurrent Trauma and Substance Abuse Treatmen
Appendixes
- Treatments for Posttraumatic Stress Disorder and Substance Use Disorders
- Assessment tools
- Training Considerations and Materials
References
Author Index
Subject Index
About the Authors
Denise Hien, PhD, is a clinical psychologist and professor in clinical psychology at City University of New York. She is also a senior research scientist at Columbia University College of Physicians and Surgeons, and she has been a principal investigator on numerous grants from the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Alcoholism, and the Office of Research on Women's Health. Dr. Hien also maintains a private practice in New York City and was the founding executive director of The Women's Health Project Treatment and Research Center.
Lisa Caren Litt, PhD, is a clinical psychologist and clinical director of The Women's Health Project Treatment and Research Center. She is an assistant clinical professor of medical psychology in psychiatry at Columbia University College of Physicians and Surgeons. Her private practice is in New York City.
Lisa R. Cohen, PhD, is a clinical psychologist and research scientist at the New York State Psychiatric Institute, Columbia University Medical Center. She is also the trauma research program director in the clinical psychology department at the City University of New York. Her private practice is in New York City.
Gloria M. Miele, PhD, is an instructor of clinical psychology in psychiatry at Columbia University College of Physicians and Surgeons, training director for the Long Island Node of the National Institute on Drug Abuse's Clinical Trials Network, and former program director of The Women's Health Project Treatment and Research Center. She is a personal and executive coach, trainer, and consultant in Southern California.
Aimee Campbell, MSW, is a social worker and project director at The Women's Health Project Treatment and Research Center. She is also a senior research associate at the Social Intervention Group, Columbia University School of Social Work. She is completing her doctorate in social work.
This book is very well written and empirically informed. Students and trained clinicians alike can all benefit from the well-organized information provided. It should be considered an essential resource for anyone working with women struggling with substance use and a history of trauma
The Journal of Trauma and Dissociation
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