Changes in Treatment Content of Services During Trauma-informed Integrated Services for Women with Co-occurring Disorders

The experience of trauma is highly prevalent in the lives of women with mental health and substance abuse problems. We examined how an intervention targeted to provide trauma-informed integrated services in the treatment of co-occurring disorders has changed the content of services reported by clients. We found that the intervention led to an increased provision of integrated services as well as services addressing each content area: trauma, mental health and substance abuse. There was no increase in service quantity from the intervention. Incorporation of trauma-specific element in the treatment of mental health and substance abuse may have been successfully implemented at the service level thereby better serve women with complex behavioral health histories

Bem-estar espiritual e transtornos psiquiátricos menores em estudantes de psicologia: estudo transversal Bienestar espiritual y trastornos psiquiátricos menores en estudiantes de psicología: estudio transversal Spiritual well-being and minor psychiatric disorders in psychology students: a cross-sectional study

INTRODUÇÃO: Religiosidade/espiritualidade e saúde mental parecem positivamente associadas. O estudo examina associações entre bem-estar espiritual e distúrbios psiquiátricos menores em estudantes de Psicologia. MÉTODOS: Uma escala de bem-estar espiritual, o Self-Reporting Questionnaire (SRQ-20) e informações sociodemográficas foram utilizadas na totalidade (n = 351) dos alunos de Psicologia da Universidade Católica de Pelotas (RS), no ano de 2002. Foram comparados os escores atuais com os dos alunos de Direito e Medicina da mesma universidade em 2001 (n = 464). RESULTADOS: 84,6% dos alunos de Psicologia apresentaram espiritualidade negativa, comparados a 68,8% dos acadêmicos de Medicina e 68,5% de Direito (p DISCUSSÃO: Os achados coincidem com a experiência internacional. É preocupante que estudantes de Psicologia se mostrem mais distantes de questões espirituais/religiosas, levando em conta a associação espiritualidade/saúde-enfermidade. CONCLUSÃO: A religiosidade/espiritualidade se mostrou como fator inversamente associado a transtornos psiquiátricos menores em estudantes de Psicologia.<br>INTRODUCCIÓN: Religiosidad/espiritualidad y salud mental parecen positivamente asociadas. El estudio examina asociaciones entre bienestar espiritual y trastornos psiquiátricos menores en estudiantes de Psicología. MÉTODOS: Una escala de bienestar espiritual (SWBS), el SRQ-20 y datos demográficos han sido utilizados en la totalidad (n = 351) de alumnos de Psicología de la Universidad Católica de Pelotas, RS, Brasil, en el año 2002. Se han comparado los rangos actuales con aquellos de los alumnos de Derecho y Medicina de la misma universidad, en 2001 (n = 464). RESULTADOS: 84,6% de los estudiantes de Psicología presentaron espiritualidad negativa, comparados con 68,8% en Medicina y 68,5% en Derecho (p < 0,001). Análogas diferencias se han encontrado en las subescalas de bienestar existencial y religioso. El SRQ fue similar en los tres cursos. La razón de chances ha mostrado asociación de 3,71 (IC 95% 1,29-10,68) entre bienestar espiritual y el rango del SRQ en los alumnos de Psicología. DISCUSIÓN: Los hallazgos coinciden con la experiencia internacional. Es preocupante que estudiantes de Psicología se muestren más distantes de cuestiones espirituales/religiosas, teniendo en cuenta la asociación espiritualidad - salud/enfermedad. CONCLUSIÓN: La religiosidad-espiritualidad se mostró como factor inversamente asociado a trastornos psiquiátricos menores en estudiantes de Psicología.<br>INTRODUCTION: Religiosity/spirituality and mental health seem to be positively associated. This study examines associations between spiritual well-being and psychiatric disorders in psychology students. METHODS: A spiritual well-being scale - the self-reporting questionnaire (SRQ-20) - and sociodemographic information were used to all psychology students (n = 351) from Universidade Católica de Pelotas, RS, Brazil, during the year of 2002. Current scores were compared to those obtained from medical and law students of the same university in 2001 (n = 464). RESULTS: 84.6% of psychology students presented negative spirituality, compared to 68.8% of medical and 68.5% of law students (p DISCUSSION: The findings coincide with the international experience. It is a matter of concern that psychology students define themselves more distant from spiritual/religious issues, considering the association spirituality/health-illness. CONCLUSION: Spirituality-religiosity appeared as a factor inversely associated to minor psychiatric disorders among psychology students