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Trauma Informed Care interventions for populations experiencing addiction and/or homelessness: A scoping review of outcomes

Author/s

Sophia Dobischo, Léonie Archambault, Marie-Ève Goyer

Abstract

Trauma-informed care (TIC) is an expansive healthcare approach that recognizes and responds to a person’s trauma exposure. Many people experiencing a substance use disorder (SUD) and/or homelessness have trauma histories. There has not been a review of TIC intervention outcomes among these populations.

Methods: A scoping review of literature (2008 to October 2023) on TIC intervention outcomes among populations experiencing SUD and/or homelessness was conducted. The search yielded 1139 texts, of which 58 met full-text extraction criteria. The final review included 32 texts that were systematically analysed.

Results: TIC interventions show generally positive results for eight outcomes categories: 1) Psychological Well-being; 2) Substance Use; 3) Parenting; 4) Victimization; 5); Health; 6) Social Stability; 7) Criminal Justice; 8) and Retention/Adherence. However, these results do not consider study quality.

Conclusions: TIC care approaches for populations experiencing SUD and/or homelessness have promising outcomes. Further outcome research with rigorous methodologies is needed.

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