Implementation of integrated therapies for comorbid post-traumatic stress disorder and substance use disorders in community substance abuse treatment programs
Open accessAbstract
ISSUES: The high prevalence of trauma and post-traumatic stress disorder (PTSD) in individuals with substance use disorders (SUDs) presents a number of treatment challenges for community treatment providers and programs in the USA. Although several evidence-based, integrated therapies for the treatment of comorbid PTSD/SUD have been developed, rates of utilisation of such practices remain low in community treatment programs. APPROACH: The goal of this article was to review the extant literature on common barriers that prevent adoption and implementation of integrated treatments for PTSD/SUD among substance abuse community treatment programs. KEY FINDINGS: Organisational, provider-level and patient-level factors that drive practice decisions were discussed, including organisational philosophy of care policies, funding and resources, as well as provider and patient knowledge and attitudes related to implementation of new integrated treatments for comorbid PTSD and SUD. IMPLICATIONS AND CONCLUSIONS: Understanding and addressing these community treatment challenges may facilitate use of evidence-based integrated treatments for comorbid PTSD and SUD.
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Cites
Posttraumatic Stress Disorder in the National Comorbidity Survey
Kessler, R. C. (1995) · Archives of General Psychiatry · doi:10.1001/archpsyc.1995.03950240066012 · Cited by 10,379 · see citing works
A Randomized Trial of Methods to Help Clinicians Learn Motivational Interviewing.
Miller, W. R., Yahne, C. E., Moyers, T. B., Martinez, J., & Pirritano, M. (2004) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.72.6.1050 · Cited by 1,075 · see citing works
Therapy for youths with anxiety disorders: A second randomized clincal trial.
Kendall, P. C., Flannery-Schroeder, E. C., Panichelli-Mindel, S. M., Southam‐Gerow, M. A., Henin, A., & Warman, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.3.366 · Cited by 984 · see citing works
Therapy for youths with anxiety disorders: A second randomized clincal trial.
Kendall, P. C., Flannery-Schroeder, E., Panichelli-Mindel, S. M., Southam-Gerow, M., Henin, A., & Warman, M. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.3.366 · Cited by 984 · see citing works
Prevalence of Secondary Traumatic Stress among Social Workers
Bride, B. E. (2007) · Social Work · doi:10.1093/sw/52.1.63 · Cited by 936 · see citing works
Najavits, L. M., Weiss, R. D., Shaw, S. R., & Muenz, L. R. (1998) · Journal of Traumatic Stress · doi:10.1023/a:1024496427434 · Cited by 451 · see citing works
Mills, K. L., Teesson, M., Back, S. E., Brady, K. T., Baker, A. L., Hopwood, S., Sannibale, C., Barrett, E. L., Merz, S., Rosenfeld, J., et al. (2012) · JAMA · doi:10.1001/jama.2012.9071 · Cited by 339 · see citing works
Self-citationBlanco, C., Xu, Y., Brady, K. T., Pérez-Fuentes, G., Okuda, M., & Wang, S. (2013) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.04.016 · Cited by 313 · see citing works
Self-citationHien, D. A., Jiang, H., Campbell, A. N. C., Hu, M.-C., Miele, G. M., Cohen, L. R., Brigham, G. S., Capstick, C., Kulaga, A., Robinson, J., et al. (2010) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2009.09091261 · Cited by 309 · see citing works
Hien, D. A., Wells, E. A., Jiang, H., Suarez‐Morales, L., Campbell, A. N. C., Cohen, L. R., Miele, G. M., Killeen, T. K., Brigham, G. S., Zhang, Y., et al. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0016227 · Cited by 289 · see citing works
Self-citationKarlin, B. E., & Cross, G. (2014) · American Psychologist · doi:10.1037/a0033888 · Cited by 283 · see citing works
Foa, E. B., Yusko, D. A., McLean, C. P., Suvak, M. K., Bux, D. A., Oslin, D., O’Brien, C. P., Imms, P., Riggs, D. S., & Volpicelli, J. (2013) · JAMA · doi:10.1001/jama.2013.8268 · Cited by 267 · see citing works
Course and treatment of patients with both substance use and posttraumatic stress disorders
Ouimette, P. C., Brown, P. J., & Najavits, L. M. (1998) · Addictive Behaviors · doi:10.1016/s0306-4603(98)00064-1 · Cited by 245 · see citing works
Co-morbid post-traumatic stress disorder in a substance misusing clinical population
Reynolds, M., Mezey, G., Chapman, M., Wheeler, M., Drummond, C., & Baldacchino, A. (2004) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2004.08.017 · Cited by 242 · see citing works
Symptom Improvement in Co-Occurring PTSD and Alcohol Dependence
Back, S. E., Brady, K. T., Sonne, S. C., & Verduin, M. L. (2006) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000235794.12794.8a · Cited by 206 · see citing works
Self-citationBack, S. E., Dansky, B. S., Coffey, S. F., Saladin, M. E., Sonne, S. C., & Brady, K. T. (2000) · American Journal on Addictions · doi:10.1080/10550490050172227 · Cited by 181 · see citing works
Self-citationSubstance Dependence Posttraumatic Stress Disorder Therapy
Triffleman, E., Carroll, K. M., & Kellogg, S. H. (1999) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(98)00067-1 · Cited by 179 · see citing works
Torchalla, I., Nosen, L., Rostam, H., & Allen, P. (2012) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.09.001 · Cited by 174 · see citing works
van Dam, D., Vedel, E., Ehring, T. W., & Emmelkamp, P. M. G. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.01.004 · Cited by 169 · see citing works
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse
Heffernan, K. (2003) · Psychotherapy Research · doi:10.1080/713869629 · Cited by 167 · see citing works
Seeking Safety: A Treatment Manual for PTSD and Substance Abuse
Sigmund, J. A. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.11.1482 · Cited by 166 · see citing works
Knudsen, H. K., Ducharme, L. J., & Roman, P. M. (2008) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2008.02.003 · Cited by 163 · see citing works
Gielen, N., Havermans, R. C., Tekelenburg, M., & Jansen, A. T. M. (2012) · European Journal of Psychotraumatology · doi:10.3402/ejpt.v3i0.17734 · Cited by 145 · see citing works
Measuring Use of Evidence Based Psychotherapy for Posttraumatic Stress Disorder
Shiner, B. R., DʼAvolio, L., Nguyen, T. M., Zayed, M. H., Young‐Xu, Y., Desai, R. A., Schnurr, P. P., Fiore, L. D., & Watts, B. V. (2012) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-012-0421-0 · Cited by 140 · see citing works
Becker, C. B., Darius, E., & Schaumberg, K. (2007) · Behaviour Research and Therapy · doi:10.1016/j.brat.2007.05.006 · Cited by 133 · see citing works
Psychotherapy for military-related posttraumatic stress disorder: Review of the evidence
Steenkamp, M. M., & Litz, B. T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.10.002 · Cited by 133 · see citing works
“Transcend” Initial Outcomes from a Posttraumatic Stress Disorder/Substance Abuse Treatment Program
Donovan, B. S., Padin-Rivera, E., & Kowaliw, S. (2001) · Journal of Traumatic Stress · doi:10.1023/a:1013094206154 · Cited by 129 · see citing works
Back, S. E., Waldrop, A. E., & Brady, K. T. (2009) · The American Journal on Addictions · doi:10.1080/10550490802545141 · Cited by 129 · see citing works
Self-citationMartino, S., Ball, S. A., Nich, C., Canning‐Ball, M., Rounsaville, B. J., & Carroll, K. M. (2010) · Addiction · doi:10.1111/j.1360-0443.2010.03135.x · Cited by 125 · see citing works
Sannibale, C., Teesson, M., Creamer, M. C., Sitharthan, T., Bryant, R. A., Sutherland, K., Taylor, K., matusko, D. B., Visser, A., & Peek-O’Leary, M. (2013) · Addiction · doi:10.1111/add.12167 · Cited by 119 · see citing works
Substance Abuse With Mental Disorders: Specialized Public Systems And Integrated Care
Burnam, M. A., & Watkins, K. E. (2006) · Health Affairs · doi:10.1377/hlthaff.25.3.648 · Cited by 108 · see citing works
Back, S. E., Killeen, T. K., Teer, A. P., Hartwell, E. E., Federline, A., Beylotte, F., & Cox, E. (2013) · Addictive Behaviors · doi:10.1016/j.addbeh.2013.09.017 · Cited by 107 · see citing works
Self-citationNajavits, L., Harned, M., Gallop, R., Butler, S., Barber, J., Thase, M., & Crits-Christoph, P. (2007) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2007.68.353 · Cited by 106 · see citing works
Trauma Training, Trauma Practices, and Secondary Traumatic Stress Among Substance Abuse Counselors
Bride, B. E., Hatcher, S. S., & Humble, M. N. (2009) · Traumatology An International Journal · doi:10.1177/1534765609336362 · Cited by 101 · see citing works
Bride, B. E., & Kintzle, S. (2011) · Traumatology An International Journal · doi:10.1177/1534765610395617 · Cited by 97 · see citing works
The Nature of Technology Transfer
Rogers, E. M. (2002) · Science Communication · doi:10.1177/107554700202300307 · Cited by 97 · see citing works
Outcomes of prolonged exposure therapy for veterans with posttraumatic stress disorder
Goodson, J. T., Lefkowitz, C. M., Helstrom, A. W., & Gawrysiak, M. J. (2013) · Journal of Traumatic Stress · doi:10.1002/jts.21830 · Cited by 88 · see citing works
Practice Makes Progress? Homework Assignments and Outcome in Treatment of Cocaine Dependence.
Carroll, K. M., Nich, C., & Ball, S. A. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.4.749 · Cited by 75 · see citing works
Le, Q. A., Doctor, J. N., Zoellner, L. A., & Feeny, N. C. (2014) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.13m08719 · Cited by 69 · see citing works
Sofuoglu, M., Gonzalez, G. M., Poling, J. C., & Kosten, T. R. (2003) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120026256 · Cited by 63 · see citing works
Perron, B. E., & Bright, C. L. (2007) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2007.07.011 · Cited by 61 · see citing works
Olmstead, T. A., Abraham, A., Martino, S., & Roman, P. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.07.017 · Cited by 56 · see citing works
Ouimette, P. C., Read, J. P., & Brown, P. J. (2005) · Journal of Traumatic Stress · doi:10.1002/jts.20009 · Cited by 56 · see citing works
Back, S. E., Killeen, T. K., Foa, E. B., Ana, E. J. S., Grös, D. F., & Brady, K. T. (2012) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2011.11091433 · Cited by 51 · see citing works
Self-citationSchumacher, J. A., Coffey, S. F., & Stasiewicz, P. R. (2006) · American Journal on Addictions · doi:10.1080/10550490600996355 · Cited by 50 · see citing works
Availability of Integrated Care for Co-occurring Substance Abuse and Psychiatric Conditions
Ducharme, L. J., Knudsen, H. K., & Roman, P. M. (2006) · Community Mental Health Journal · doi:10.1007/s10597-005-9030-7 · Cited by 48 · see citing works
Addictions and Trauma Recovery : Healing the Body, Mind, and Spirit
Miller, D., & Guidry, L. L. (2001) · Cited by 42 · see citing works
Eby, L. T. D. T., & Laschober, T. C. (2011) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2011.10.008 · Cited by 39 · see citing works
Improving PTSD/Substance Abuse Treatment in the VA: A Survey of Providers
Najavits, L. M., Norman, S. B., Kivlahan, D. R., & Kosten, T. R. (2010) · American Journal on Addictions · doi:10.1111/j.1521-0391.2010.00039.x · Cited by 39 · see citing works
Najavits, L. M. (2006) · Brief Treatment and Crisis Intervention · doi:10.1093/brief-treatment/mhl005 · Cited by 25 · see citing works
A national survey of clinicians’ views of evidence-based therapies for PTSD and substance abuse
Najavits, L. M., Kivlahan, D. R., & Kosten, T. R. (2010) · Addiction Research & Theory · doi:10.3109/16066350903560176 · Cited by 21 · see citing works
Bride, B. E., Kintzle, S. M., Abraham, A. J., & Roman, P. M. (2012) · Health & Social Work · doi:10.1093/hsw/hls022 · Cited by 19 · see citing works
Gielen, N., Havermans, R. C., Tekelenburg, M., et al. (2012) · Appetite · doi:10.1016/j.appet.2012.05.067 · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 5
- [13]Back SE Foa EB Killeen TK Mills K Teesson M Carroll K Dansky B Brady KT Concurrent treatment of PTSD and substance use disorders using prolonged exposure (COPE): Therapist Manual 2014 Oxford New York
- [26]Harris M The trauma recovery and empowerment model (TREM): A clinician’s guide for working with women in groups 1998 The Free Press New York
- [28]Substance Abuse and Mental Health Services Administration Trauma—informed care in behavioral health services Treatment Improvement Protocol (TIP) Series 57 2014 Substance Abuse and Mental health Service Administration Rockville Md HHS publication No. (SMA) 14-4816 24901203
- [29]Institute of Medicine (US) Committee on Treatment of Posttraumatic Stress Disorder Treatment of posttraumatic stress disorder: An assessment of the evidence 2008 National Academies Press Washington, DC
- [61]Institute of Medicine Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations: Final Assessment 2014 The National Academies Press Washington, DC 25077185
Cited by
Sorted by citations
Trauma-focused treatment for comorbid post-traumatic stress and substance use disorder
Kline, A. C., Panza, K. E., Lyons, R., Kehle-Forbes, S. M., Hien, D. A., & Norman, S. B. (2022) · Nature Reviews Psychology · doi:10.1038/s44159-022-00129-w · Cited by 24 · see citing works
Hill, M. L., Kline, A. C., Saraiya, T. C., Gette, J., Ruglass, L. M., Norman, S. B., Back, S. E., Saavedra, L. M., Hien, D. A., & Morgan-López, A. A. (2024) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2024.102827 · Cited by 11 · see citing works
Self-citationBarrett, E. L., Adams, Z. W., Kelly, E. V., Peach, N., Hopkins, R., Milne, B., Back, S. E., & Mills, K. L. (2019) · Advances in Dual Diagnosis · doi:10.1108/add-07-2019-0005 · Cited by 10 · see citing works
Self-citation
- Authors
- Killeen, T. K., Back, S. E., & Brady, K. T.
- Affiliations
- Medical University of South Carolina (US)
- Venue
- Drug and Alcohol Review
- Publisher
- Wiley
- Published
- 2015-03-04
- Volume
- 34
- Issue
- 3
- Pages
- 234-241
- ISSN
- 0959-5236 (ISSN-L)
- 1465-3362
- PMC
- PMC4737595
- OpenAlex
- W1514770536
- Cited by
- 52
- References
- 53
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 9 · 2023: 3 · 2022: 4 · 2021: 8 · 2020: 4 · 2019: 6 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 2
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Review (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (U10DA013727, R01DA030143)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- post-traumatic stress disorder, substance use disorders, comorbidities, integrated treatment, implementation barriers, evidence-based practice adoption, organizational factors, provider attitudes, patient attitudes, trauma prevalence
- MeSH terms
- Community Mental Health Services, Humans, Stress Disorders, Post-Traumatic, Substance Abuse Treatment Centers, Substance-Related Disorders
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