
Contents
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Introduction Introduction
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Epidemiology of Trauma and PTSD in Special Populations Epidemiology of Trauma and PTSD in Special Populations
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Severe Mental Illness Severe Mental Illness
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Substance Use Disorders Substance Use Disorders
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Incarceration Incarceration
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Developmental Disabilities Developmental Disabilities
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Barriers to Acquiring Accurate Data on Trauma and PTSD in Special Populations Barriers to Acquiring Accurate Data on Trauma and PTSD in Special Populations
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Failure of Professionals to Assess Trauma History and PTSD Failure of Professionals to Assess Trauma History and PTSD
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Lack of Follow-through by Professionals on Client Reports of Trauma Lack of Follow-through by Professionals on Client Reports of Trauma
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Underreporting of Trauma and PTSD in Special Populations Underreporting of Trauma and PTSD in Special Populations
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Illustration of These Issues in Persons with Severe Mental Illness Illustration of These Issues in Persons with Severe Mental Illness
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A Heuristic Model for the Interactions between PTSD and Severe Mental Illness A Heuristic Model for the Interactions between PTSD and Severe Mental Illness
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Treatment of PTSD in Severe Mental Illness Treatment of PTSD in Severe Mental Illness
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Future Directions Future Directions
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References References
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10 Traumatic Stress in Special Populations
Get accessKim T. Mueser, Departments of Psychiatry and Community and Family Medicine, Dartmouth Medical School, Hanover, NH.
Weili Lu, Department of Psychiatric Rehabilitation and Counseling Professions, University of Medicine and Dentistry of New Jersey, Newark, NJ
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Published:21 November 2012
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Abstract
Special populations are individuals who by virtue of psychiatric, behavioral, cognitive, or physical disabilities are more likely to be exposed to psychological trauma. Individuals with severe psychiatric disorders, substance use disorders, developmental disabilities, and persons who are incarcerated are more likely to experience trauma throughout their lives, especially interpersonal victimization, and are more likely to develop posttraumatic stress disorder (PTSD). Trauma and PTSD have a negative impact on special populations, often exacerbating psychiatric symptoms and substance abuse, and interfering with community functioning. Despite the high rates of trauma and PTSD in special populations, these problems are often not identified, and when they are, they are rarely treated. Recent progress has been made in adapting treatments developed for PTSD in the general population to special populations, including persons with severe mental illness and individuals with substance use disorders.
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