The Triad Women's Project: A Cooperative Agreement Network

The Triad Women's Project was developed in 1998 with funds from a SAMHSA collaborative grant on Women, Co-Occurring Disorders, and Violence. The project was designed to provide integrated services for women with histories of trauma and abuse who have COD. Clients were frequent users of mental health and substance abuse treatment services in a semirural area of Florida that spans three counties. Services in the area previously had been delivered by different agencies in a nonintegrated system.
The program served up to 175 women, many of whom were mandated to treatment by the court.
The three main service components were
Triad Specialists. The Triad Specialists who provided case management services were located in and funded by their respective mental health or substance abuse treatment programs. They were cross-trained in mental health, substance abuse, and trauma/violence/abuse issues. (A cross-training package was developed on a video that features 16 hours of instruction.) The Triad Specialists met regularly to share information and resources. Caseloads were restricted to 25 clients, all of whom had histories of abuse and were diagnosed with COD. The Triad Specialist became a woman's case manager at the client's entrance into the “gateway” agency. The specialist continued to work with her even if she used other services.
Triad Women's Group. This component was developed to assist triply diagnosed women with their substance abuse, mental health, and trauma issues. This integrated intervention was designed as a 16-week therapy group, employing a manualized skill development curriculum that could be used in outpatient or residential settings.
Peer Support Group. The peer support group, called Women of Wisdom, was run by consumers/survivors and served both as a support group for women in treatment and as a continuing support group for those who had left. The groups were based on a 12-Step model for trauma survivors, but addressed substance abuse and mental health recovery issues. They met in community settings and were open to all women in the community.
Preliminary Empirical Evidence
A formal evaluation of the project began in October 2000. Data have shown reductions in mental disorder symptoms, reductions in symptoms related to child sexual abuse, and improvements in “approach or active” coping responses related to substance abuse recovery (as measured by the Coping Responses Inventory [Moos 1993]) as a result of the group intervention.

From: 7 Special Settings and Specific Populations

Cover of Substance Abuse Treatment for Persons With Co-Occurring Disorders
Substance Abuse Treatment for Persons With Co-Occurring Disorders.
Treatment Improvement Protocol (TIP) Series, No. 42.
Center for Substance Abuse Treatment.

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