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Prevalence of PTSD and Substance Use Disorders创伤后应激障碍和物质使用障碍的患病率
Treating Trauma and Addiction: The CTN Women and Trauma Study Denise Hien, Ph.D. Research Scholar, Columbia University School of Social Work Executive Director, Women’s Health Project Treatment and Research Center, Dept of Psychiatry, St. Luke’s\ Roosevelt Hospital Center Gloria Miele, Ph.D. Training Director, New York State Psychiatric Institue, Columbia University Greg Brigham, Ph.D. Chief Research Officer, Maryhaven National Conference on Women, Addiction and Recovery: News You Can Use Anaheim, CA, July 14, 2006 Overall Presentation Objectives Participants will gain an overview of specific treatment approaches for women with trauma and substance use disorders based upon our collective work with CTN’s Women and Trauma Study. Participants will learn important descriptive characteristics of women with trauma who attend outpatient substance abuse treatment. Participants will gain knowledge about training and supervision required when using empirical approaches to treating women with trauma. Participants will learn the benefits and challenges to implementing empirical approaches to treating women with trauma in community treatment programs. Historical Context for the Study of Trauma and Addiction Women’s Movement and Grassroots Advocacy for Battered Women in 1970’s. Crack/ Cocaine epidemic; DSM-IIIR broadens criteria for PTSD; PTSD studies in Vets and Non Substance Abusers; Fullilove’s Snowball Sample, Miller’s work with criminal justice population in mid-late 1980’s. Surgeon General Koop declares Violence a Public Health Epidemic in 1991. Judith Herman’s book Trauma and Recovery published in 1992. Historical Context for the Study of Trauma and Addiction (cont’d.) Epidemiology from cross-disciplinary research over the late 80’s and 90’s establishes high rates—surpassing normal population estimates—for childhood abuse, domestic violence, crime victimization and PTSD—especially for women. Chilcoat and Breslau identify support for self-medication mo
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