Implementing Trauma Screening, Brief Intervention, and Referral to Treatment (T-SBIRT) within Employment Services: A Feasibility Trial

American Journal of Community Psychology
James TopitzesConor Williams

Abstract

Research suggests that low-income adults accessing employment services have experienced high levels of trauma exposure and associated consequences. Moreover, the health-related effects of trauma undermine employment and employability. A trauma-informed protocol-trauma screening, brief intervention, and referral to treatment or T-SBIRT-was therefore implemented within employment service programs serving low-income urban residents. To assess the feasibility of integrating T-SBIRT within employment services, five domains were explored as follows: suitability, acceptability, client adherence, provider adherence or fidelity, and intended outcomes. With a sample of low-income adults (N = 83), the study revealed that T-SBIRT is suitable for employment service participants given high rates of trauma exposure (90.4% experienced two or more lifetime traumas), along with high rates of positive screening results for post-traumatic stress disorder (48.8%), major depression (35.4%), and generalized anxiety (47.6%). Study participants appeared to find T-SBIRT acceptable as evidenced by an 83% acceptance rate. All participants accepting T-SBIRT services completed them, revealing strong client adherence. Provider adherence or model fidelity was...Continue Reading

References

Sep 15, 2001·Journal of General Internal Medicine·K KroenkeJ B Williams
Nov 17, 2005·Journal of Consulting and Clinical Psychology·Belinda BorrelliDenise Orwig
Dec 27, 2005·General Hospital Psychiatry·Alexandra MartinElmar Braehler
May 24, 2006·Archives of Internal Medicine·Robert L SpitzerBernd Löwe
Sep 6, 2008·Journal of the American Board of Family Medicine : JABFM·Jennifer E DeVoeGeorge E Fryer
Nov 4, 2008·Journal of Community Health Nursing·Kay T RobertsChristopher Stewart
May 13, 2009·Research in Nursing & Health·Souraya SidaniJoyal Miranda
Jun 23, 2009·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Ron D HaysDavid Cella
Jul 11, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·H BoufettalN Samouh
Jul 20, 2010·BMC Medical Research Methodology·Mubashir ArainGillian A Lancaster
Dec 21, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Laura ManeaDean McMillan
Aug 7, 2012·International Journal of Methods in Psychiatric Research·Ronald C KesslerHans-Ullrich Wittchen
Aug 8, 2012·Social Psychiatry and Psychiatric Epidemiology·Yong LiuValerie J Edwards
Jan 3, 2013·Journal of Clinical Psychology·Catherine DeCarlo SantiagoJeanne Miranda
Feb 6, 2013·European Child & Adolescent Psychiatry·Elien De CaluwéBarbara De Clercq
Oct 24, 2013·Journal of Traumatic Stress·Dean G KilpatrickMatthew J Friedman
Nov 20, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·Tina MarshallMiriam E Delphin-Rittmon
Aug 13, 2015·Social Work in Public Health·Christopher CambronMary Beth Vogel-Ferguson
Nov 26, 2015·Journal of Traumatic Stress·Christy A BlevinsJessica L Domino
Apr 23, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Matthew ModiniSamuel B Harvey
May 14, 2016·Journal of General Internal Medicine·Annabel PrinsQuyen Q Tiet
Oct 4, 2016·Child Abuse & Neglect·James TopitzesChristopher Medina-Kirchner
Mar 1, 2018·JAMA Psychiatry·Lori L DavisUNKNOWN VA CSP #589 Veterans Individual Placement and Support Toward Advancing Recovery Investigators
Apr 17, 2018·Journal of Child and Family Studies·Layla G BooshehriMariana Chilton

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