Skip to main content

An Integrated Mental Healthcare Model for the Patient with Sexual Trauma

  • Chapter
  • First Online:
Sexual and Gender-Based Violence
  • 818 Accesses

Abstract

Sexual violence survivors are at risk of a number of mental and physical health problems. Integrated care, which describes a spectrum of models of care to combine mental health and physical health provision into a single holistic model, can reduce obstacles to care and improve outcomes. This chapter discusses the benefits and challenges of integrated care and different options for integrated care models, known as “levels.” The chapter discusses one specific model in detail, the EMPOWER Clinic for Survivors of Sex Trafficking and Sexual Violence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rossler W, Koch U, Lauber C, Hass AK, Altwegg M, Ajdacic-Gross V, Landolt K. The mental health of female sex workers. Acta Psychiatr Scand. 2010;122:143–52.

    Article  CAS  Google Scholar 

  2. Perkonigg A, Kessler RC, Storz S, Wittchen HU. Traumatic events and post-traumatic stress disorder in the community: prevalence, risk factors and comorbidity. Acta Psychiatr Scand. 2000;101:46–59.

    Article  CAS  Google Scholar 

  3. Dworkin ER, Mota NP, Schumacher JA, Vinci C, Coffey SF. The unique associations of sexual assault and intimate partner violence with PTSD symptom clusters in a traumatized substance-abusing sample. Psychol Trauma. 2017;9(4):500–8.

    Article  Google Scholar 

  4. Black MC, Basile KC, Breiding MJ, Smith SG, Walters ML, Merrick MT, et al. National intimate partner and sexual violence survey (NISVS): 2010 summary report. Atlanta: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention; 2010.

    Google Scholar 

  5. Leserman J. Sexual abuse history: prevalence, health effects, mediators, and psychological treatment. Psychosom Med. 2005;67(6):906–15.

    Article  Google Scholar 

  6. Mark H, Bitzker K, Klapp BF, Rauchfuss M. Gynaecological symptoms associated with physical and sexual violence. J Psychosom Obstet Gynaecol. 2008;29(3):164–72.

    Article  CAS  Google Scholar 

  7. Letourneau EJ, Holmes M, Chasedunn-Roark J. Gynecologic health consequences to victims of interpersonal violence. Womens Health Issues. 1999;9(2):115–20.

    Article  CAS  Google Scholar 

  8. Ades V, Wu SX, Rabinowitz E, Chemouni Bach S, Goddard B, Pearson Ayala S, et al. An integrated, trauma-informed care model for female survivors of sexual violence: the engage, motivate, protect, organize, self-worth, educate, respect (EMPOWER) clinic. Obstet Gynecol. 2019;133(4):803–9.

    Article  Google Scholar 

  9. Heath B, Wise Romero P, Reynolds K. A review and proposed standard framework for levels of integrated healthcare. Washington DC: SAMHSA-HRSA Center for Integrated Health Solutions; 2013. p. 2013.

    Google Scholar 

  10. Collins C, Hewson DL, Munger R, Wade T. Evolving models of behavioral health integration in primary care. New York: Milbank Memorial Fund; 2010.

    Book  Google Scholar 

  11. Funk M, Ivbijaro G. Integrating mental health into primary care: a global perspective. World Health Association and World Organization of Family Doctors: Singapore; 2008.

    Google Scholar 

  12. Butler M, Kane RL, McAlpine D, Kathol RG, Fu SS, Hildi H, et al. Integration of mental health/substance abuse and primary care. Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services: Rockville; 2008.

    Google Scholar 

  13. Mauer BJ, Jarvis D. The business case for bidirectional integrated care: mental health and substance use services in primary care settings and primary care services in specialty mental health and substance use settings. Sacramento: California Institute for Mental Health; 2010.

    Google Scholar 

  14. Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. Am J Prev Med. 1998;14(4):245–58.

    Article  CAS  Google Scholar 

  15. Stein DJ, Ipser JC, Seedat S, Sager C, Amos T. Pharmacotherapy for post traumatic stress disorder (PTSD). Cochrane Database Syst Rev. 2006;1:CD002795.

    Google Scholar 

  16. Shalev A, Liberzon I, Marmar C. Post-traumatic stress disorder. N Engl J Med. 2017;376(25):2459–69.

    Article  Google Scholar 

  17. Khachatryan D, Groll D, Booij L, Sepehry AA, Schutz CG. Prazosin for treating sleep disturbances in adults with posttraumatic stress disorder: a systematic review and meta-analysis of randomized controlled trials. Gen Hosp Psychiatry. 2016;39:46–52.

    Article  Google Scholar 

  18. Raskind MA, Peskind ER, Chow B, Harris C, Davis-Karim A, Hart KL. Trial of prazosin for post-traumatic stress disorder in military veterans. N Engl J Med. 2018;378(6):507–17.

    Article  CAS  Google Scholar 

  19. Rothbaum BO, Price M, Jovanovic T, Norrholm SD, Gerardi M, Dunlop B. A randomized, double-blind evaluation of D-cycloserine or alprazolam combined with virtual reality exposure therapy for posttraumatic stress disorder in Iraq and Afghanistan War veterans. Am J Psychiatry. 2014;171(6):640–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Judy A. Greene .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Greene, J.A. (2020). An Integrated Mental Healthcare Model for the Patient with Sexual Trauma. In: Ades, V. (eds) Sexual and Gender-Based Violence. Springer, Cham. https://doi.org/10.1007/978-3-030-38345-9_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-38345-9_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-38344-2

  • Online ISBN: 978-3-030-38345-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics