Substance Use and Mental Disorder Treatment and Trauma

Provides resources, toolkits and publications for substance use and mental disorder treatment professionals on working with trauma-exposed clients.

SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed ApproachSAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach (PDF 789 KB) This publication introduces the concept of trauma and offers a framework for how an organization, system, service sector can become trauma-informed. Includes a definition of trauma (the three "E's"), a definition of a trauma-informed approach (the four "R's"), 6 key principles, and 10 implementation domains.

Models for Developing Trauma-Informed Behavioral Health Systems and Trauma-Specific ServicesModels for Developing Trauma-Informed Behavioral Health Systems and Trauma-Specific Services (PDF 941KB) is a technical report, updated in 2008 and commissioned by the Center for Mental Health Services’ National Center for Trauma-Informed Care, describing trauma-informed and trauma-specific service models identified by state behavioral health service systems and organizations. All models in this report are designed and used specifically to address trauma in the lives of children, their parents or caregivers and adults.

Addressing the Needs of Women and Girls: Core Competencies for Mental Health and Substance Abuse Service ProfessionalsAddressing the Needs of Women and Girls: Core Competencies for Mental Health and Substance Abuse Service Professionals (PDF 2.7MB), published in 2011 by the Substance Abuse & Mental Health Services Administration (SAMHSA), that equips professionals with pertinent information and useful skills to help trauma-impacted women and girls in their treatment and recovery.

Recovery is a Family Affair: The Complex Dynamics in Families Struggling with Mental and Substance Use DisordersRecovery is a Family Affair: The Complex Dynamics in Families Struggling with Mental and Substance Use Disorders is a SAMHSA Recovery Month Webcast presented on July 3, 2013 that discusses the importance of engaging the entire family in the treatment and recovery process for mental illness or substance use disorders (SUDs). The webcast also includes an overview of family issues in specific settings, such as military and nontraditional families.

Engaging Women in Trauma-informed Peer Support: A GuidebookEngaging Women in Trauma-informed Peer Support: A Guidebook (PDF 9.8MB), offered by the Center for Mental Health Services’ National Center for Trauma-Informed Care in 2012, is designed to help increase trauma-informed peer supports available to women who are trauma survivors and recipients of mental health and substance abuse treatment.

Mental Health Screenings and Trauma-Related Counseling in Substance Abuse Treatment FacilitiesMental Health Screenings and Trauma-Related Counseling in Substance Abuse Treatment Facilities is a 2010 SAMHSA report, highlighting the need for mental health screenings and assessments, trauma-related counseling and domestic violence services in substance abuse treatment settings.

Substance Abuse, Trauma, and Domestic ViolenceSubstance Abuse, Trauma, and Domestic Violence is a 2013 recorded, 8-part webinar series offered by the National Center on Domestic Violence, Trauma & Mental Health (NCDVTMH), that provides a practical toolkit for providing trauma-informed services that are responsive to the needs of domestic violence and sexual assault survivors who are also affected by substance abuse.

Trauma, Addictions, Mental Health and Recovery (TAMAR) Treatment Manual and ModalitiesTrauma, Addictions, Mental Health and Recovery (TAMAR) Treatment Manual and Modalities is an intervention program designed for trauma- and violence-exposed women with substance use disorders and other mental illness diagnoses.

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