Perspectives on trauma and the design of a technology-based trauma-informed intervention for women receiving medications for addiction treatment in community-based settings
| Autor: | Denise A. Hien, Aimee N.C. Campbell, Liza Franklin, Margaret Swarbrick, Tanya Saraiya, Sara Kass |
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| Rok vydání: | 2020 |
| Předmět: |
Technology
medicine.medical_specialty media_common.quotation_subject Population Psychological intervention Medicine (miscellaneous) Grounded theory Stress Disorders Post-Traumatic Intervention (counseling) Opiate Substitution Treatment medicine Humans Prospective Studies Child education media_common education.field_of_study Modalities business.industry Addiction Opioid use disorder Opioid-Related Disorders medicine.disease Psychiatry and Mental health Clinical Psychology Polysubstance dependence Family medicine Female Pshychiatric Mental Health business |
| Zdroj: | Journal of Substance Abuse Treatment. 112:92-101 |
| ISSN: | 0740-5472 |
| DOI: | 10.1016/j.jsat.2020.01.011 |
| Popis: | Background Despite national calls to develop gender-specific interventions for women with opioid use disorder (OUD) with co-occurring trauma and post-traumatic stress disorder (PTSD) symptoms, there remains a dearth of research on what modalities or treatment components would be most feasible for this population. This study interviewed women with OUD receiving medication assisted treatment and addiction treatment providers to explore (a) experiences of barriers to receiving trauma treatment, and (b) both the perceptions and desired design of a prospective technology-delivered, trauma-informed treatment for women with OUD. Methods Women with lifetime OUD (n = 11) and providers (n = 5) at two community substance use clinics completed semi-structured interviews. Interviews were transcribed, coded, and analyzed in NVivo v11 using a grounded theory approach. Women also completed a demographic form and clinical measures. Results Clients were primarily women with children reporting histories of multiple trauma exposures, high PTSD symptoms, and polysubstance use. Two themes emerged among clients and one among providers regarding barriers to trauma treatment. Regarding the feasibility and desired attributes of a technology-based intervention, six themes emerged among clients and providers, respectively. Conclusions Themes suggest a high interest by clients and providers for a technology-delivered, trauma informed treatment available by smartphone. Utilizing technology as an adjunct to care, without reducing face-to-face therapy, was important to both clients and providers. |
| Databáze: | OpenAIRE |
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