Physical health burdens of women with trauma histories and co-occurring substance abuse and mental disorders |
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Authors: | Mary Jo Larson PhD Lisa Miller PhD Marion Becker PhD Erin Richardson MS Nina Kammerer PhD Jennifer Thom Joanne Gampel MA Andrea Savage PhD |
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Affiliation: | (1) Principal Research Scientist, New England Research Institutes Inc, 9 Galen St, 02472 Watertown, MA;(2) the Mental Health Institute at the University of South Florida, Tampa, Fla.;(3) the Department of Anthropology at Brandeis University, Waltham, Mass.;(4) ETR Associates, Stockton, Calif.;(5) the Center for Substance Abuse Treatment/SAMHSA, Rockville, Md.;(6) Program in Social Welfare at City University of New York Graduate Center, Hunter College, New York, NY. |
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Abstract: | This article documents the physical health burdens of participants in a large, federally funded cross-site study of specialized services for women with histories of trauma (physical or sexual abuse) and co-occurring substance abuse and mental health disorders. Nearly half of the 2729 women in the study (48%) reported serious physical illnesses that frequently limited their daily life activities or required them to use special equipment. Nearly half (46%) rated their health status as only fair or poor. Given the prevalence of physical illnesses in this population, behavioral service providers should discuss with clients their overall health and how it might hinder their participation in treatment for trauma, substance abuse, and mental illness, and policymakers should consider this need when designing behavioral health requirements, setting reimbursement rates, and allocating funds.The interpretations and conclusions contained in this publication do not necessarily represent the position of the WCDVS Coordinating Center, participating study sites, participating consumer/survivor/recovering persons, or the Substance Abuse and Mental Health Services Administration and its 3 centers (Center for Substance Abuse Treatment, Center for Mental Health Services, and Center for Substance Abuse Prevention). |
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