201547 Program Design and Outcome Results of Providing Substance Use/ Co-Occurring Disorder Services to Women Affected by Domestic Violence

Tuesday, November 10, 2009

Norma Finkelstein, Ph D , Institute for Health and Recovery, Cambridge, MA
Kath Schilling, MEd, CAS, LADC , Institute for Health and Recovery, Cambridge, MA
Amy Salomon, Ph D , Advocates for Human Potential, Inc., Sudbury, MA
This presentation demonstrates the efficacy of embedding on-site integrated trauma-informed substance use/ co-occurring disorder screening, outreach, engagement, education and treatment for women (n=252) and their children seeking domestic violence services in rural Barnstable County (Cape Cod) Massachusetts. As was demonstrated by the Women, Co-Occurring Disorders and Violence Study, women who have experienced interpersonal violence often turn to alcohol and other drugs as a means to cope with the powerlessness, helplessness, hopelessness and fear of living with violence.

Project WAVE (Women Achieving Vital Empowerment) created a unique collaboration between a county government, a community-based domestic violence/ sexual assault agency, a TANF-supported shelter for women and their children fleeing interpersonal violence, and the primary substance use treatment provider. The Institute for Health and Recovery, a nationally recognized leader in promoting integrated, trauma-informed service delivery provided oversight and Advocates for Human Potential, Inc. compiled and analyzed the data.. This presentation will meet the following goals: 1) Implementation of WAVE will be described at the organizational, individual and group levels. 2) Data collected at intake and 6 months through the Government Performance and Results Act (GPRA) and the local evaluation utilizing the Foa trauma symptom severity scale and the BSI Global Severity Index (GSI) will demonstrate improvement at the client level in substance use, trauma symptoms, income, employment and housing stability. 3) The strengths, challenges and lessons learned from this innovative partnership will be presented and 4) policy implications will be discussed.

Learning Objectives:
1. Describe embedding integrated, trauma-informed substance use/ co-occurring disorder treatment for women and their children into domestic violence agencies. 2. Demonstrate the efficacy of such an intervention by providing outcome data from a federally-funded targeted capacity expansion grant. 3. Identify barriers encountered and lessons learned from this initiative. 4. Discuss policy implications.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently the Executive Director of the Institute for Health and Recovery, have served as the principal investigator for several SAMHSA grants dealing with the affects of substance use/ co-occurring disorders and trauma/ violence on women.
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.