By Cavalcade Productions
Clinical studies of patients in substance abuse treatment programs have shown a high correlation with a client history of trauma. The schism between the trauma and substance abuse treatment fields has meant that patients have been forced to bounce back and forth between PTSD and substance abuse treatment programs, and often are viewed as poor-prognosis. Now, however, model programs are being developed that seek to treat these problems in an integrated fashion. This video series describes the special trauma and substance abuse treatment issues that this dual diagnosis presents. Four survivors of child abuse and/or combat relate how trauma and substance abuse have impacted their lives. Released 1998.
Trauma and Substance Abuse II: Special Treatment Issues
- The Therapeutic Relationship
- Codependency and Therapist Self-Care
- Crises and Relapses
- Twelve-Step Programs
- Therapist Characteristics and Training
- Positive Effects of Treatment
Number of Minutes: 40
About the Presenters
Lisa M. Najavits, PhD is Assistant Professor of Psychology at Harvard Medical School, and is Principal Investigator for two National Institute on Drug Abuse studies on women with PTSD and substance abuse. In 1997 she received the Chaim Danieli Young Professional Award from the International Society for Traumatic Stress Studies.
Francis Abueg, PhD, is Director of the Trauma and Addictions Clinic in Los Altos, CA, teaches at Stanford Medical School, and was formerly staff psychologist and clinical researcher at the National Center for PTSD at the VA Hospital in Palo Alto. In 1989, he founded the nation’s first inpatient program devoted to PTSD and substance abuse in war veterans.
Pamela Jean Brown, PhD, is Assistant Professor in the Department of Psychiatry and Human Behavior at Brown University, and a clinical psychologist in private practice.
Bonnie S. Dansky, PhD, is Assistant Professor in the Department of Psychiatry and Behavioral Sciences at the Medical University of South Carolina, where she is Director of the Evening Recovery Program.
Terence M. Keane, PhD, is Professor and Vice Chairman of Psychiatry at the Boston University School of Medicine, and Director of the National Center for PTSD at the Boston VA Medical Center.
John Lovern, PhD, is a clinical psychologist in private practice in Orange, CA. He has worked in the chemical dependency field since 1975, and has actively treated dissociative disorders since 1988.
Colin A. Ross, MD, provides treatment for dissociative identity disorder and related trauma disorders at Timberlawn Mental Health System in Dallas, TX. He is past president of the International Society for the Study of Dissociation.
The Trainer's Guide
The 28-page trainer's guide includes objectives, reproducible outlines for note-taking, review and discussion questions, a resource list, and a journal article, described below.
Lisa Najavits' article, "Group Cognitive-Behavioral Therapy for Women with PTSD and Substance Use Disorder," appears in Journal of Substance Abuse Treatment, Vol. 13, No. 1, 1996, 13-22, and is abstracted as follows:
This paper describes a model of group cognitive-behavioral therapy (CBT) for women with posttraumatic stress disorder (PTSD) and substance use disorder (SUD). The need for specialized treatment derives from the high incidence of these comorbid disorders among women as well as from their particular clinical presentation and treatment needs. The treatment educates patients about the two disorders, promotes self-control skills to manage overwhelming affects, teaches functional behaviors that may have deteriorated as a result of the disorders, and provides relapse prevention training. The program draws on educational principles to make it accessible for this population: visual aids, education for the patient role, teaching for generalization, emphasis on structured treatment, testing of acquired knowledge of CBT, affectively engaging themes and materials, and memory enhancement devices.