Comorbid Trauma and Substance Use Disorders

Abstract

The treatment of substance use disorders (SUDs) goes hand in hand with understanding the health and mental health histories of our clients. Trauma histories and post-traumatic stress disorder diagnoses are often found to exist comorbidly with substance use disorders, but are not always treated simultaneously. Treatment must consider the whole person, inclusive of physical and mental health symptoms and diagnoses. Treatment and professional training for SUDs does not always focus on the integration of trauma-informed care into the recovery process. This chapter focuses on and defines trauma in the context of a medical model of substance use disorders to understand best practices for treatment of comorbid substance use and trauma reactions/symptoms. It discusses issues and skills related to cultural competence in this area, as well as suggestions for evidence-based practices and screening protocols. Cultural competence and responsiveness is of utmost importance in the context of comorbid trauma and SUDs. Understanding the dynamics and prevalence of comorbid trauma and SUDs in diverse communities is essential in order to be appropriately responsive. Research must also focus on new ways that SUD interventions can successfully integrate trauma care and screening into the work. (PsycInfo Database Record (c) 2023 APA, all rights reserved) (Source: chapter)