Interventions for the prevention of Posttraumatic Stress Disorder (PTSD) in adults after exposure to psychological trauma

This review compares the efficacy, effectiveness, and harms of psychological, pharmacological, and emerging interventions to prevent PTSD in adults. It includes studies of both universal and targeted prevention and addresses the clinical importance of effect modifiers or subgroup status that may affect the impact of traumatic exposure on specific outcomes; these include sex, comorbidities, refugee status, and military or civilian status.
The report is limited to adults who had been exposed to a traumatic event and who received an early intervention designed to prevent progression to PTSD within the first 3 months after the trauma.

National expenditures for mental health services and substance abuse treatment, 1986-2009

This report presents estimates and analyses from 1986 through 2009 on expenditures from mental health and substance abuse treatment services, sources of financing, and changes in spending over time and includes a comparison of these expenditures with those for all health care spending.
The report also provides a comprehensive breakdown on how much of this spending comes from private, federal, state and other sources. For example, 66 percent of mental health treatment and 42 percent of substance use disorder treatment spending in 2009 came from Medicare, Medicaid, and private insurance.

Measuring associations between symptoms of depression and suicide in adolescence and unhealthy romantic relationships in young adulthood

Child Trends analyzed data from 6,763 heterosexual adults who completed all three waves of the National Longitudinal Study of Adolescent Health (Add Health).  They found that young, heterosexual adults who reported depressive or suicidal symptoms during adolescence are significantly more likely to report violence in their adult romantic relationships and sexual infidelity—their own or a partner’s—in their relationships. The study points out long-term importance of helping adolescents dealing with depression or suicidal symptoms, as well as identifying and helping adolescents at risk for these problems and the need for research exploring specific factors (such as poor problem-solving or communications skills, or past victimization) that impact relationship outcomes for this population, and for translating the results of that research for practitioners.

Asian American and Pacific Islander Initiatives by Garrett Lee Smith Memorial Act Grantees

The Substance Abuse and Mental Health Services Administration (SAMHSA) supports campuses, states, and tribal communities to support suicide prevention work, as authorized by the Garrett Lee Smith Memorial Act. This publications provides eight examples of suicide prevention initiatives by Garrett Lee Smith (GLS) grantees that emphasize preventing suicide among Asian Americans and Pacific Islanders (AA/PI).

Trauma-informed approaches: Federal activities and initiatives

This report documents the projects, programs, and initiatives of more than three dozen federal agencies, departments, and offices. With agencies’ commitment to implementing gender-responsive, trauma-informed approaches, it addresses the growing national interest in this issue, the work of the Federal Partners Committee, and the specific progress that participating agencies have made over the past  three years (2010-2013), since the Committee’s publication of its first report in 2011. This new report, developed with support from SAMHSA’s National Center for Trauma-Informed Care, clearly demonstrates the application of trauma-informed approaches across a wide range of settings and systems and encourages other governmental and nongovernmental agencies to implement a cross-sector, interagency, inter-systems’ realization, recognition, and response to trauma. Other works of the Federal Partners Committee on Women and Trauma can be found at http://nicic.gov/library/025082

The academic opportunity costs of substance use during college

This report sheds light on the research linking excessive alcohol and drug use during college to academic performance. By interfering with the achievement of educational goals, substance use can be viewed as having “academic opportunity costs”, which ultimately can undermine a student’s ability to fulfill his/her individual potential.

Comprehensive Community Mental Health Services for Children and Their Families Program, Evaluation findings, Annual report to Congress, 2011

The Comprehensive Community Mental Health Services for Children and Their Families Program, also known as the Children’s Mental Health Initiative (CMHI) was created to promote the coordination of the multiple and often fragmented systems that serve children and youth from birth to age 21 diagnosed with a serious emotional disturbance and their families. This report presents program evaluation findings on the program for the year 2011 that supports systems of care for community-based mental health services for children, youth and their families.

The report shows that there were reductions in suicide ideation and attempts among youth after entering the program.

Self-harm and suicide prevention, intervention & postvention: Lessons from North America

This fellowship project involved site visits to programs in North America located at hospitals, universities, organizations and in communities. Based on these observations, key findings on promising practices such as integration of health and mental health care, treatment of mental illness, engaging the media, and supporting survivors were generated. These were summarized into recommended practices.