Abstract
Women with co-occurring mental health and substance use disorders and trauma histories vary greatly in symptom severity and
use of support services. This study estimated differential effects of an integrated treatment intervention (IT) across sub-groups
of women in this population on services utilization outcomes. Data from a national study were used to cluster participants
by symptoms and service utilization, and then estimate the effect of IT versus usual care on 12-month service utilization
for each sub-group. The intervention effect varied significantly across groups, in particular indicating relative increases
in residential treatment utilization associated with IT among women with predominating trauma and substance abuse symptoms.
Understanding how IT influences service utilization for different groups of women in this population with complex needs is
an important step toward achieving an optimal balance between need for treatment and service utilization, which can ultimately
improve outcomes and conserve resources.
use of support services. This study estimated differential effects of an integrated treatment intervention (IT) across sub-groups
of women in this population on services utilization outcomes. Data from a national study were used to cluster participants
by symptoms and service utilization, and then estimate the effect of IT versus usual care on 12-month service utilization
for each sub-group. The intervention effect varied significantly across groups, in particular indicating relative increases
in residential treatment utilization associated with IT among women with predominating trauma and substance abuse symptoms.
Understanding how IT influences service utilization for different groups of women in this population with complex needs is
an important step toward achieving an optimal balance between need for treatment and service utilization, which can ultimately
improve outcomes and conserve resources.
- Content Type Journal Article
- Pages 1-14
- DOI 10.1007/s10488-011-0362-z
- Authors
- Allison R. Gilbert, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3071, Durham, NC 27710, USA
- Marisa E. Domino, Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Joseph P. Morrissey, Departments of Health Policy and Management and Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Bradley N. Gaynes, Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Journal Administration and Policy in Mental Health and Mental Health Services Research
- Online ISSN 1573-3289
- Print ISSN 0894-587X