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
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.
