Serving Our Veterans

Christina Catalano, CASAC, CPTM

Deputy Director of National Clinical Training

Phoenix House

In Addiction Treatment

Developed by the National Clinical Training Department @2015

2

70% of Adults

Have experienced at least 1 traumatic event

during their lifetime

3

4 times more likely

to inject drugs

3 times more likely

to misuse antidepressant medication

People who have experienced

trauma

4

The number of diagnosed PTSD cases in

the military increased by 50%

In this past year

Veterans Served

360 Jan – Aug 2015

More than 20 % Veterans with PTSD also

have a SUD

Almost 33 % of Veterans seeking treatment

for SUD also have PTSD

At least 63 % of attempted Army suicides

were associated with drug or alcohol

overdose

PTSD and SUD

70 % of homeless Veterans

have a substance use disorder

Sequential Treatment

First sequence addresses SUD alone

Second sequence targets PTSD

Integrated Treatment

Address SUD and PTSD concurrently

Treatment Models

Why Trauma-Informed?

Trauma Leads to Substance

Use and Abuse

Substance users are more likely to

experience a traumatic event

Mutual Self-Help (NY)

Improve Military Cultural Competence of

staff (NY)

Evidence-Based Practices

Integrated Treatment

Phoenix House

Evidence-Based Practices

Seeking Safety

Helping Men Recover

Cognitive Behavioral Interventions

for Substance Abuse (CBI-SA)

Dialectical Behavior Therapy (DBT)

Acceptance and Commitment Therapy

(ACT)

Peer Support Services “Vet to Vet”

Veterans Recovery Skills

Military Services lounge

Mutual Self-Help

Military Cultural Competence

Veteran EBP Group: Y/N?

39

26

41

33

% Successful Program Completion % Left Against Clinical Advice

Received 1+ Veteran EBP GroupsDid not receive Veteran EBP Groups

Veteran EBP Group: #?

0

10

20

30

40

50

60

70

80

1 Veteran EBPGroup

2 Veteran EBPGroups

3+ VeteranEBP Groups

% Left Against ClinicalAdvice% SuccessfulCompletion

15

THANK YOU FOR ATTENDING Christina Catalano, CASAC, CPTM

Deputy Director of National Clinical Training

Phoenix House

ccatalano@phoenixhouse.org

References

Back, S., Killeen, T., Teer, A., Hartwell, E., Federline, A., Beylotte, F., & Cox, E. (2013). Substance use disorders and PTSD: An

exploratory study of treatment preferences among military veterans. Addictive Behaviors,369-373.

Know The Facts. (2012). Retrieved August 20, 2015, from http://www.vetshealing.org/content/know-facts

PTSD and Substance Abuse in Veterans. (2015, March 24). Retrieved August 20, 2015, from http://www.ptsd.va.gov/public/problems/ptsd_substance_abuse_veterans.asp

Recognize Trauma: Statistics. (n.d.). Retrieved August 21, 2015, from http://www.recognizetrauma.org/statistics.php

Rosenthal, M. (n.d.). PTSD Statistics For the military, civilians and children. Retrieved August 21, 2015, from http://healmyptsd.com/education/post-traumatic-stress-disorder-statistics

Twenty-one Percent of Veterans in Substance Abuse Treatment Were Homeless. (2014, January 7). The TEDS Report: Data Spotlight. Retrieved August 20, 2015, from

http://www.samhsa.gov/data/sites/default/files/spot121-homeless-veterans-2014.pdf

Yu PhD, J., Hussain MPH, S., & Appel PhD, P. (2014). Characteristics of Veterans in Community-Based Treatment Programs for Substance use Disorders: An Analysis of Data from a

State-Wide System. Journal of Addictive Diseases, 34(1), 101-111. Retrieved August 20, 2015, from Taylor & Francis Group.