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Administration and Policy in Mental Health Vol. 28, No. 2, November 2000 TRAUMA WITHIN THE PSYCHIATRIC SETTING: CONCEPTUAL FRAMEWORK, RESEARCH DIRECTIONS, AND POLICY IMPLICATIONS B. Christopher Frueh, Marc E. Dalton, Michael R. Johnson, Thomas G. Hiers, Paul B. Gold, Kathryn M. Magruder, and Alberto B. Santos People who have experienced traumatic tional functioning (Jordan et al., 1992). events (e.g., sexual/physical assault) fre- Epidemiological estimates put the current quently develop posttraumatic stress disor- prevalence at 14% in the general popula- der (PTSD), a set ofacute anxiety symp- tion (Kaplan, Sadock, & Grebb, 1994), toms that are typically complicated by with even higher rates among certain dis- high rates ofco-occurring Axis I and II advantaged groups. Recent studies show mental health disorders (Keane & Wolfe, that trauma victimization is highly preva- 1990). PTSD is considered to be chronic lent (51–98%) among people with severe and debilitating, with serious adverse ef- mental illness (schizophrenia, bipolar dis- fects upon social, familial, and occupa- order), including individuals seen in the public sector (Mueser et al., 1998; Switzer et al., 1999). Further, evidence indicates that PTSD is associated with nearly the B. Christopher Frueh, Ph.D., Michael Johnson, highest rate ofmedical and mental health M.D., Paul
Administration and Policy in Mental Health and Mental Health Services Research – Springer Journals
Published: Sep 30, 2004
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