200522 Experiences with trauma and victimization: The impact on treatment engagement and outcomes for mothers experiencing homelessness

Tuesday, November 10, 2009: 2:50 PM

Terri G. Tobin, PhD , Advocates for Human Potential, Inc., Sudbury, MA
Norma Finkelstein, PhD , Institute for Health and Recovery, Cambridge, MA
Karen Gould , Institute for Health and Recovery, Cambridge, MA
This presentation will examine the impact of experiences with different types of trauma and victimization on treatment engagement and outcomes for homeless mothers with young children living in shelters in greater Boston. Women (n=225) are enrolled in Families Living Together (FLT), a trauma-focused Integrated Clinical Case Management program and are interviewed at intake and 6-months using the Post Traumatic Diagnostic Scale (PDS; Foa et al., 1993) and a range of other measures. Types of victimization (e.g., experiencing the death of a child, experiencing physical violence, being the victim of sexual assault) and related traumagenic factors (e.g., age at time of incident, recency, relationship to perpetrator(s), number of events experienced) will be explored: 1) what characteristics are associated with experiencing any victimizationódo the characteristics differ by type of victimization? 2) what is the impact of cumulative exposure to multiple forms of victimization; 3) what is the impact of early victimization (before age 18)? 4) what is the impact of victimization on outcomes? Outcomes of interest include: substance use; psychological health; suicidal behaviors; physical health; treatment retention; risky behaviors; illegal activities and criminal involvement; vocational activities; and the use of mental health and other services.

Learning Objectives:
1. Discuss the impact of experiences with different types of trauma and victimization on treatment engagement and outcomes for homeless mothers with young children living in shelters in greater Boston.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I currently serve as Associate Director of Research and for the past decade had designed and led numerous research and evaluaiton projects related to homelessness and behavioral health issues. I have a Ph.D. in gerontology with a focus on social research and public policy.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.