@article{ref1,
title="Outcomes of mandated treatment for women with histories of abuse and co-occurring disorders",
journal="Journal of substance abuse treatment",
year="2009",
author="Clark, Colleen and Young, M. Scott",
volume="37",
number="4",
pages="346-352",
abstract="Although there is much momentum for behavioral health policies supporting mandated treatment, there is little evidence supporting its safety and effectiveness for individuals with complex issues. The authors used a national study of women with co-occurring psychiatric, substance use disorders and histories of trauma to compare mandated and voluntary treatment by examining psychiatric, substance use, and trauma-related outcomes following treatment. This quasi-experimental study included 2,726 women, with measures completed at baseline, 6-month, and 12-month follow-up. Two-way analyses of covariance examined the main and interactive effects of coercive status (mandated vs. voluntary) and condition (integrated treatment vs. services as usual) on psychiatric distress, trauma-related symptoms, and substance use outcomes. Women did better with integrated treatment and with mandated treatment regardless of treatment condition for psychiatric, trauma, and substance use outcomes at both follow-ups. Further research clarifying unintended side effects and change mechanisms of mandated treatment is needed to inform policy decisions.<p /><p>Language: en</p>",
language="en",
issn="0740-5472",
doi="10.1016/j.jsat.2009.03.011",
url="http://dx.doi.org/10.1016/j.jsat.2009.03.011"
}