|Titre :||Guidance Paper: Psychosocial support to tackle trauma-related symptoms and related substance use disorders|
|Auteurs :||I. SCHAFER ; A. LOTZIN|
|Type de document :||Rapport|
|Mention d'édition :||P-PG(2018)3|
|Editeur :||Strasbourg : Groupe Pompidou, 2018|
|Autre Editeur :||Strasbourg : Conseil de l'Europe|
|Format :||52 p.|
|Discipline :||PSY (Psychopathologie / Psychopathology)|
Thésaurus TOXIBASEETAT DE STRESS POST-TRAUMATIQUE ; ADDICTION ; INTERVENTION ; PREVENTION PRIMAIRE ; PREVENTION SECONDAIRE ; MIGRATION ; GUERRE ; COMORBIDITE ; TRAITEMENT ; PSYCHOTHERAPIE ; PRISE EN CHARGE ; TRAUMATISME ; RECOMMANDATION
Approximately 60%-70% of the general population will experience a traumatic event at some point in their lifetime, which can include forms of violence, abuse, neglect and war. Post-traumatic Stress Disorder (PTSD) and Substance Use Disorders (SUD) are often concurrent and develop as a result of a person being exposed to a traumatic event. In clinical populations (focusing on either disorder), about 25-50% have a lifetime dual diagnosis of PTSD and SUD. Patients with this dual diagnosis have a more severe clinical profile and are more difficult to treat than patients with solely one of the conditions.
Part of providing adequate health service is addressing and responding correctly to the effects of trauma. Given that the dual diagnosis of PTSD and SUD is frequent and causes significant social disabilities, special measures to prevent and treat these disorders need to be taken. There are programs in place to help prevent primary and secondary versions of these disorders, however, more research needs to be conducted on the effectiveness of these programs. Patients with PTSD and SUD should be encouraged to attend interventions that deal with their diagnoses. Further research is needed to evaluate the existing treatment models and to assess patient and clinical acceptability of the various approaches in European countries.
The systematic assessment of trauma exposure, PTSD and SUD is highly recommended in both settings. Health care professionals should have knowledge and skills in the field of trauma inquiry, however, there is a lack of training methods. At present, the limited training available to practitioners is the main barrier to adopting evidence-based treatments for co-occurring PTSD and SUD. [...]
The purpose of this report is to provide guidance for services dealing with the prevention and treatment of PTSD and SUD in Europe, through:
- identifying existing interventions and policies and analysing their effectiveness;
- proposing essential interventions and early intervention strategies;
- providing specific information for special groups of individuals with PTSD and SUD, especially refugees and veterans from armed conflict.
|Domaine :||Drogues illicites / Illicit drugs|
|Affiliation :||Zentrum für Interdisziplinäre Suchtforschung (ZIS) der Universität Hamburg; Klinik für Psychiatrie und Psychotherapie, Universitätsklinikum Hamburg-Eppendorf, Germany|