Using secondary data analysis of 3 separate trauma-informed treatment programs for women offenders, we examine outcomes between those who received both prison and community-based substance abuse treatment (i.e., continuing care; n = 85) and those who received either prison or community aftercare treatment (n = 108). We further account for differences in trauma exposure to examine whether continuing care moderates this effect on substance use, psychiatric severity, and self-efficacy outcomes at follow-up. The main effect models of continuing care showed a significant association with high psychiatric status and did not yield significant associations with substance use or self-efficacy. However, the interaction between trauma history and continuing care showed significant effects on all 3 outcomes. Findings support the importance of a continuing care treatment model for women offenders exposed to multiple forms of traumatic events, and provide evidence of the effectiveness of integrating trauma-informed treatment into women's substance abuse treatment.

中文翻译：

---

女犯的物质使用，精神状态和自我效能结果方面的持续护理和创伤。

使用针对女性罪犯的3种不同的针对创伤的治疗方案的辅助数据分析，我们研究了接受监狱和社区药物滥用治疗（即持续护理； n = 85）与接受监狱或社区药物治疗者之间的结局善后治疗（n = 108）。我们进一步考虑了创伤暴露的差异，以检查持续护理是否在随访中减轻了这种对药物使用，精神病严重程度和自我效能结果的影响。持续护理的主要效果模型显示出与高精神状态显着相关，并且与药物使用或自我效能没有显着相关性。但是，创伤史和持续护理之间的相互作用对所有三个结局均显示出显着影响。