Abstract
ABSTRACT Substance abuse and trauma co-occur at very high rates among women in clinical settings. However, clinical programs that address both problems are rare, due in part to knowledge deficits and attitudinal barriers in both substance abuse and mental health treatment settings. We describe core competencies for clinicians who treat women with co-occurring substance abuse and trauma, and some of the challenges these patients pose to more traditional treatment models. We also outline an integrated approach to treating these women, which incorporates elements of the relational model, motivational interviewing, emotional regulation, and distress tolerance and seeking safety. Finally, we describe the application of this model to group treatment through a pair of clinical vignettes.
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