Date of Graduation
Doctor of Nursing Practice (DNP)
School of Nursing and Health Professions
Psychiatric Mental Health Nurse Practitioner
Dr. Trinette Radasa, DNP, ACNS-BC, FNP-BC, PMHNP-BC
Dr. Alexa Curtis, PhD, MPH, FNP-BC, PMHNP-BC, FAANP
Background: This DNP project aimed to assess the feasibility of implementing trauma-informed care to Ria Health's telehealth AUD MAT recovery treatment model for patients with co-occurring PTSD, targeting high relapse rates due to cravings. Trauma-informed care addresses traumatic histories that can potentiate emotional dysregulation leading to maladaptive coping responses manifesting as cravings with addiction memory.
Methods: An integrated review assessed the prevalence of co-occurrence of AUD and PTSD, assessed interest in Ria Health patients, patients recruited from Ria Health if they mentioned cravings, offered concurrent trauma-informed care with medicated assisted treatment for 16-20 sessions, trauma-informed care used Polyvagal Theory techniques and EMDR to address addiction memory in the craving cycle manifesting as a craving. The OCDS and NPSS were used pre/post to assess cravings and patients' perceptions of internal safety.
Outcome: Trauma-informed care pre/post-participant self-reporting data showed statistically significant improvements in all scales and subscales post-treatment, including total cravings (55%) and compulsion on the OCDS, NPSS showed statistically significant changes in total score (79%), social engagement (85%), compassion demonstrating trauma-informed care interventions effective and warrants more research.
Conclusion: Concurrent trauma-informed care effectively improved the felt sense of safety and capability, helped control cravings, prevented relapse, and enabled the ability for trauma reprocessing.
Bales, Aline M., "Trauma-Informed Treatment for Alcohol Use Disorder: Improving Long-Term Recovery" (2023). Doctor of Nursing Practice (DNP) Projects. 334.