Measuring Trauma Workshop Summary (2016) / Chapter Skim
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The overall effort is being overseen by the Standing Committee on Integrating New Behavioral Health Measures into the Substance Abuse and Mental Health Services Administration's Data Collection Programs.1 In addition to the topics covered by this workshop, SAMHSA and ASPE are interested in expanding data collection on serious emotional disturbance in children, on specific mental illness diagnoses with functional impairment, and on recovery from substance use or mental disorder. 1 For a description of the overall study, see http://sites.nationalacademies.org/DBASSE/ CNSTAT/Behavioral_Health_Measures_Committee/index.htm [April 2016]
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SAMHSA would like to better understand how these outcomes occur in order to connect people who are impacted with treatments that can facilitate recovery. Russell said that the descriptions of traumatic event exposure first appeared in the third edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-III)
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Determining associations between trauma events and PTSD symptoms, as well as mental health and substance use problems, was also part of this initiative. One of SAMHSA's projects focused on the concept of trauma -- including trauma exposure and trauma or posttraumatic stress response components -- through three "Es": event, experience of event, and effect.
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The type of traumatic event, the intensity of the event, and the setting of the event can all influence the effects of the exposure, and all of them may need to be ascertained as part of the data collection. Russell discussed several approaches and issues that SAMHSA will need to consider for collecting information on trauma exposure.
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Russell said that SAMHSA is looking for input on the issues and challenges described. From the perspective of the Center for Behavioral Health Statistics and Quality, the center at SAMHSA that commissioned the study, the goal for expanding data collections on these topics is to understand the association between outcomes of exposure to trauma, mental health, and substance use.
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Russell said that SAMHSA has conducted some research to identify existing data sources, and none seems suitable for the agency's current goal, but they are looking for further input on potential sources of data. Russell concluded by saying that input from the workshop participants would be particularly useful on several key issues: how to measure exposure to potentially traumatic events and the outcomes of these events; survey and questionnaire design tradeoffs; mechanisms for collecting data; and the impact of potential changes to NSDUH.
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The main goals of the workshop were to discuss options for collecting data and producing estimates on exposure to traumatic events and PTSD, including available measures and associated possible data collection mechanisms. BOX 1-1 STATEMENT OF TASK A steering committee will organize a public workshop that will feature invited presentations and discussions on options for expanding SAMHSA's behavioral health data collections to include measures of trauma.
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8 MEASURING TRAUMA contained in the report are those of individual workshop participants and do not necessarily represent the views of all workshop participants, the steering committee, or the National Academies of Sciences, Engineering, and Medicine.
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