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Substance Abuse and Mental Health Services Administration
Center for Mental Health Services
National Center on Women, Violence, and Trauma
A Free Web-Based Technical Assistance Teleconference
Adapting Trauma Treatment for African American, Latina and Other Special Populations
November 9, 2005
2:00-3:30 PM (EST)
In listening to the voices of trauma survivors, we have become increasingly aware of the central role that trauma and violence play in the development of substance abuse and mental health problems. A number of integrated group interventions have been developed to build trauma recovery skills, and evidence of their effectiveness is beginning to accumulate. Will these models work in your programs? Are they sensitive to the needs of the people you serve or represent? How can providers partner with trauma survivor/consumers to adapt a trauma intervention to their culture and circumstances? This teleconference will give providers, trauma survivors/consumers, and policymakers an opportunity to learn from those who have been seeking answers to these questions. Discussion will include:
- Questions to consider when adapting a model for a specific cultural group
- A consumer and woman of color’s view of what we should know about working with women of color and their families
- A formal adaptation of the Trauma Recovery Empowerment Model for Latina women: A case study
- Adapting Seeking Safety for African American Women informally: A case study
Who Should Participate?
* Consumer/trauma survivors interested in joining together to make a difference for others like themselves
* Providers who wish to improve their services by developing consumer/survivor partnerships
* Policymakers applying for mental health system transformation grants or other state incentive grants or working toward creating trauma-informed service systems.
Kana Enomoto, M.A.
Special Assistant to the Director
Center for Mental Health Services
Substance Abuse and Mental Health Services Administration
Since coming to Health and Human Services as a Presidential Management Intern in 1998, Kana has played an instrumental role in raising the profile of racial and ethnic minority mental health issues at the federal level. Her current work spans a broad range of programmatic and policy issues, including workforce training to reduce racial and ethnic disparities, moving research into practice, and developing trauma-informed systems of care. Kana co-authored Transforming Mental Health Care in America: The Federal Action Agenda and the President’s New Freedom Commission on Mental Health Final Report. She also served as a Managing Editor for the Surgeon General’s Report Mental Health: Culture, Race and Ethnicity.
Hortensia Amaro, Ph.D.
Bouve College of Health Sciences
In the 23 years since she received her doctoral degree in psychology from the University of California at Los Angeles, Hortensia has produced more than 80 research and scientific publications focused on substance use among adolescent girls, drug abuse treatment for Latina and African American women, HIV/AIDS prevention, mental health treatment issues for women and racial/ethnic health disparities. Hortensia was the Principal Investigator of the Boston site of SAMHSA’s Women, Co-Occurring Disorders and Violence Study- the Boston Consortium for Families in Recovery. As an educator, researcher and administrator, she has played a critical role in training many researchers and clinicians from communities of color in substance abuse prevention and treatment both in the US and in Latin America.
Sharon Cadiz, Ed. D.
Director of Clinical Consultation Program
Office of Child and Family Health
Administration for Children’s Services
New York, NY
Sharon has a twelve year history of guiding the development of innovative treatment models dealing with the co-occurring disorders of chemical dependence and mental illness at the New York City-based not-for-profit human service agency known as Palladia (formerly Project Return Foundation). She was the Principal Investigator of Palladia’s Portal Project; the New York site of SAMHSA’s Women, Co-Occurring Disorders and Violence Study. Sharon has three decades of experience working with special populations such as survivors of domestic violence, those involved with the criminal justice system and those affected by HIV and AIDS. She is currently spearheading a city-wide initiative of the New York City Administration for Children’s Services as the Director of their innovative Clinical Consultation Program that provides expert consultation to child welfare staff in the areas of substance abuse, mental health and domestic violence.
Jacki McKinney, MSW
Trauma Knowledge Utilization Project
Like many trauma survivors, the silence learned in childhood once permeated all aspects of Jacki’s life. In the ten years since she found her public voice, Jacki has helped transform families, communities, and service systems. Jacki served as a consumer consultant to SAMHSA’s Women, Co-Occurring Disorders and Violence Study. Jacki knows from personal experience that the voices of people who have experienced violence and trauma are a powerful force for change and their personal knowledge and expertise are critical in shaping effective services. Jacki works to ensure that the voices of all consumers are heard, and that the specific experiences of women of color are taken into account by the providers who wish to serve them.
For information and registration contact:
Institute for Health and Recovery
617-661-3991 or email@example.com
Deadline: October 5, 2005
Participants will call in by telephone for the audio portion of the program and view the PowerPoint by signing on to a website during the call. Participants without web access can follow along on a printed copy of the PowerPoint.
Sponsored by SAMHSA's Center on Women, Violence and Trauma.
Please visit our website at:
Hurricane Katrina was one of the worst disasters in American history. It has made a tremendous impact throughout the country, especially in Louisiana, Mississippi, and
The U.S. Department of Health and Human Services (DHHS), Substance Abuse
and Mental Health Services Administration (SAMHSA), is responding by
sending teams of mental health professionals into the hurricane-impacted
area. Westover Consultants, Inc., SAMHSA's contractor for this effort,
is assisting SAMHSA by managing the staffing and deployment of mental
health and substance abuse providers to the Gulf Coast region to deliver
behavioral health services. A large proportion of children, youth, and
families affected by Hurricane Katrina are racially and ethnically
diverse (such as African American, Hispanic, Vietnamese, and Honduran
In all, SAMHSA will deploy 40 Katrina Assistance Teams (KATs) comprised
of about 8-10 mental health professionals each to Louisiana over the
next 30-45 days, beginning on September 21. Each KAT will serve in Louisiana
for 2 weeks. For serving, SAMHSA will pay each KAT member a $200-per-day
honorarium. SAMHSA will also pay for lodging, travel, and meals. Once on
the ground in Louisiana, the KATs will provide crisis and supportive
counseling services to mental health clinics, shelters, and other
service delivery locations in Louisiana.
HOW YOU CAN HELP
If you are or know of a licensed mental health professional who is
African American, Hispanic, or Vietnamese (or someone who has
substantial experience providing mental health services to culturally
diverse populations) who may be interested in serving on a KAT, please inform us
immediately. Also, please ask others whom you would recommend to contact
us directly. Feel free to forward this email. You can reach us by
calling the 24-hour, toll-free Katrina Assistance Hotline at
1-866-587-5908 or our corporate line at 301-495-7405 (ask for Project
Director Edna Davis-Brown, ext. 108), or by sending an email to
firstname.lastname@example.org. Mental health professionals who are interested
in joining a KAT should carefully review information found on the
Here is a list of the types of mental health professionals that are
- Licensed drug and alcohol substance abuse counselors;
- Licensed socialworkers with child, family, and adolescent expertise;
- Registered nurses with geriatric and psychiatric expertise;
- Licensed psychiatrists;
- Licensed psychologists; and
- Pastoral counselors.
Sana will be hosting a national gathering of professionals and grassroots
leaders in Latina/o victim advocacy and outreach.
The "NUESTRAS VOCES / OUR VOICES: Empowerment and
Healing in la Comunidad" Training Institute, is scheduled
for Nov. 3 & 4, 2005 on the St. Edward's University campus in Austin,
Arte Sana is pleased to announce the call for proposals for, "NUESTRAS
VOCES / OUR VOICES: Empowerment and Healing in la Comunidad," a two-day
capacity-building institute for improving outreach with marginalized Latina/o
victims of sexual and intimate partner violence. This event will focus
on the goals of eliminating victim service barriers and engaging our communities
as active partners in risk reduction and advocacy efforts. We encourage
Spanish language workshops as well and multi regional collaborative workshops.
Nuestras Voces Institute Areas of Focus Arte y Cultura (art & culture):
Increase knowledge and competency in utilizing elements of art and culture
in direct and outreach services.
La Comunidad (community): Enhance skills, and competency in serving,
recruiting, and engaging diverse Latina/o population groups.
La Frontera (the border): Increase knowledge and competency in addressing
the unique set of issues which affect border region victim advocates and
Empowerment & Healing: Enhance knowledge and competency in addressing
issues such as tokenism and internalized oppression which marginalize
and impact on the effectiveness of Latina/o advocates.
Preliminary list of confirmed speakers:
Marisa Bava Ugarte
Executive Director of the Bilateral Safety Corridor Coalition, an alliance
of over 40 government and non-government agencies in Mexico and the US,
convened in San
Diego, to combat the issue of slavery and human trafficking
Olga R. Trujillo, J.D.
A consultant and an attorney, who after nearly 13 years with the United
Department of Justice created O.R.T. Solutions
Executive Director of the East Los Angeles Women's Center and Board President
California Coalition Against Sexual Assault
Nora de Hoyos Comstock, Ph.D.
Creator of Las Comadres International Network: "Las comadres para
Connecting Latinas all over the world!"
Adelita Michelle Medina
Executive Director of the National Latino Alliance for the Elimination
of Domestic Violence
| Physical illness 'a heavy burden
for PTSD women'
Researchers have found that women with post-traumatic
stress disorder (PTSD) suffer a greater burden of medical illness
than is seen with depression alone.
While depression is known to be associated with poor physical health,
the relationship received less attention, observes Susan Frayne
(Veterans Affairs Palo Alto Health Care System, California, USA)
and colleagues. To address this issue, the team surveyed a random
sample of Veterans Health Administrations enrolees. Among the 30,865
women who responded, 4348 had been diagnosed with PTSD (89% also
had depression), 7580 had depression without PTSD, and 18,937 had
neither PTSD nor depression.
The results, published in the Archives Internal Medicine, showed
that, across all age groups, women with PTSD, with or without depression,
had more medical conditions and worse physical health status, including
poor physical functioning, role limitations due to physical problems,
pain, and low energy, than the other two groups of women.
Frayne and team report that the presence of a reported history
of PTSD was associated with an average 6.3-point decrement in Physical
Component Summary (PCS) scores, compared with a reduction of just
3.4 points among women with depression alone. PTSD with comorbid
depression was associated with a 6.6-point decrease in PCS score
They note that a 6.3-point decrement is clinically important, with
decreases smaller than this associated with conditions such as diabetes,
angina, and osteoarthritis. In addition, this decrease is comparable
to the 3.4-point decline seen with aging an average of 16 years,
the researchers comment.
"PTSD may account for an important component of the excess
medical morbidity and functional status limitations seen in women
with depression." Frayne et al conclude.
"When projecting budgets and allocating staff, health care
systems and funding agencies should anticipate the potential need
to apply more resources to the care of women with depression who
have comorbid PTSD given their increased burden of medical illness."