Brief Screening for Co-Occurring Disorders among Women Entering Substance Abuse Treatment


Show simple item record Lincoln, Alisa K en_US Liebschutz, Jane M en_US Chernoff, Miriam en_US Nguyen, Dana en_US Amaro, Hortensia en_US 2012-01-09T21:04:10Z 2012-01-09T21:04:10Z 2006 en_US 2006-9-7 en_US
dc.identifier.citation Lincoln, Alisa K, Jane M Liebschutz, Miriam Chernoff, Dana Nguyen, Hortensia Amaro. "Brief screening for co-occurring disorders among women entering substance abuse treatment" Substance Abuse Treatment, Prevention, and Policy 1:26. (2006) en_US
dc.identifier.issn 1747-597X en_US
dc.description.abstract BACKGROUND. Despite the importance of identifying co-occurring psychiatric disorders in substance abuse treatment programs, there are few appropriate and validated instruments available to substance abuse treatment staff to conduct brief screen for these conditions. This paper describes the development, implementation and validation of a brief screening instrument for mental health diagnoses and trauma among a diverse sample of Black, Hispanic and White women in substance abuse treatment. With input from clinicians and consumers, we adapted longer existing validated instruments into a 14 question screen covering demographics, mental health symptoms and physical and sexual violence exposure. All women entering treatment (methadone, residential and out-patient) at five treatment sites were screened at intake (N = 374). RESULTS. Eighty nine percent reported a history of interpersonal violence, and 70% reported a history of sexual assault. Eighty-eight percent reported mental health symptoms in the last 30 days. The screening questions administered to 88 female clients were validated against in-depth psychiatric diagnostic assessments by trained mental health clinicians. We estimated measures of predictive validity, including sensitivity, specificity and predictive values positive and negative. Screening items were examined multiple ways to assess utility. The screen is a useful and valid proxy for PTSD but not for other mental illness. CONCLUSION. Substance abuse treatment programs should incorporate violence exposure questions into clinical use as a matter of policy. More work is needed to develop brief screening tools measures for front-line treatment staff to accurately assess other mental health needs of women entering substance abuse treatment en_US
dc.description.sponsorship Guidance for Applicants (No. TI 00-003); Department of Health and Human Services (UD1 TI11397); Public Health Service; Substance Abuse and Mental Health Services Administration en_US
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.rights Copyright 2006 Lincoln et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.rights.uri en_US
dc.title Brief Screening for Co-Occurring Disorders among Women Entering Substance Abuse Treatment en_US
dc.type article en_US
dc.identifier.doi 10.1186/1747-597X-1-26 en_US
dc.identifier.pubmedid 16959041 en_US
dc.identifier.pmcid 1570455 en_US

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