Clinician Perspectives on Treating Adolescents with Co-occurring Post-Traumatic Stress Disorder, Substance Use, and Other Problems

被引:21
作者
Adams, Zachary W. [1 ]
McCauley, Jenna L. [1 ]
Back, Sudie E. [1 ,2 ]
Flanagan, Julianne C. [1 ]
Hanson, Rochelle F. [1 ]
Killeen, Therese K. [1 ]
Danielson, Carla Kmett [1 ]
机构
[1] Med Univ South Carolina, Charleston, SC USA
[2] Ralph H Johnson Vet Affairs Med Ctr, Charleston, SC USA
关键词
adolescents; comorbidity; PTSD; substance use; treating adolescents; RANDOMIZED CONTROLLED-TRIAL; MENTAL-HEALTH; NATIONAL-SURVEY; ABUSE; PTSD; TRAUMA; COMORBIDITY; RISK; CHALLENGES; DEPRESSION;
D O I
10.1080/1067828X.2016.1153555
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Clinicians (N = 138) who treat adolescents with co-occurring Post-Traumatic Stress Disorder (PTSD) and substance use disorder (SUD), (PTSD+SUD) were surveyed about their attitudes and practice behaviors. Most providers were trained in PTSD treatment; fewer were trained in SUD or PTSD+SUD treatments. PTSD+SUD treatment was rated more difficult than treatment of other diagnoses. Providers typically addressed symptoms of PTSD and SUD separately and sequentially, rather than with integrated approaches. There was no consensus about which clinical strategies to use with adolescent PTSD+SUD. Continued treatment development, training, and dissemination efforts are needed to equip providers with resources to deliver effective treatments to adolescents with PTSD+SUD.
引用
收藏
页码:575 / 583
页数:9
相关论文
共 38 条
[1]  
[Anonymous], 1993, COGNITIVE PROCESSING
[2]   Treatment Challenges Associated with Comorbid Substance Use and Posttraumatic Stress Disorder: Clinicians' Perspectives [J].
Back, Sudie E. ;
Waldrop, Angela E. ;
Brady, Kathleen T. .
AMERICAN JOURNAL ON ADDICTIONS, 2009, 18 (01) :15-20
[3]   Training Therapists in Evidence-Based Practice: A Critical Review of Studies From a Systems-Contextual Perspective [J].
Beidas, Rinad S. ;
Kendall, Philip C. .
CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE, 2010, 17 (01) :1-30
[4]   Treatment of Co-occurring Posttraumatic Stress Disorder and Substance Use Disorders [J].
Berenz, Erin C. ;
Coffey, Scott F. .
CURRENT PSYCHIATRY REPORTS, 2012, 14 (05) :469-477
[5]   Utilization of Mental Health Services Among Adolescents in Community-Based Substance Abuse Outpatient Clinics [J].
Chan, Ya-Fen ;
Godley, Mark D. ;
Godley, Susan H. ;
Dennis, Michael L. .
JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH, 2009, 36 (01) :35-51
[6]  
Clark D.A., 2011, Cognitive therapy of anxiety disorders: Science and practice
[7]  
Cohen J., 2016, Treating trauma and traumatic grief in children and adolescents, V2nd ed.
[8]   Treating child abuse-related posttraumatic stress and comorbid substance abuse in adolescents [J].
Cohen, JA ;
Mannarino, AP ;
Zhitova, AC ;
Capone, ME .
CHILD ABUSE & NEGLECT, 2003, 27 (12) :1345-1365
[9]   Disseminating and implementing trauma-focused CBT in community settings [J].
Cohen, Judith ;
Mannarino, Anthony P. .
TRAUMA VIOLENCE & ABUSE, 2008, 9 (04) :214-226
[10]   Compassion satisfaction, compassion fatigue, and burnout in a national sample of trauma treatment therapists [J].
Craig, C. D. ;
Sprang, G. .
ANXIETY STRESS AND COPING, 2010, 23 (03) :319-339