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SAMHSA Intervention Paper

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As a result of the prevalence of trauma histories in incarcerated individuals, especially women, being widely known, the Substance Abuse Mental Health Services Administration (SAMHSA) provided grants to Maryland’s Department of Mental Hygiene, Maryland Correctional Administrators Association, local detention centers, and core service agencies to implement a trauma-based intervention strictly for women. This intervention is Trauma, Addiction, Mental Health, and Recovery, otherwise known as TAMAR. The TAMAR program targets women during the intake process at detention centers where a trained trauma specialist provides the women with a brief assessment and brochure about the program. Participation in the program is explained to all of the women, …show more content…
The core components of the intervention include 15 modules that “incorporate psychodynamic therapy with expressive art therapy and psycho-educational techniques” (Gillece, 2009, pg. 50). Some of the modules, which are intended to provide participants with techniques to self-soothe and self-regulate, include what is trauma, trauma and addiction, sexual communication and negotiating skills, containment, tolerating distress, boundaries and safety, and trust and intimacy (Gillece, 2009). The supports needed to implement the model and have model fidelity include training all staff, including correctional officers, dietary, administration, and maintenance, on trauma and the TAMAR program. Treatment staff and community providers were cross-trained on trauma, custody, and security issues in detention centers. This basic training included topics such as prevalence of abuse among inmates and probationers, understanding what trauma is and how it affects inmates and staff, what behaviors to look for, avoiding burnout, and vicarious traumatization (Gillece, 2009). In addition to the training of staff, detention facilities must hire a trauma specialist who will oversee the program. Trainers can be sent to facilities nationwide that would like to implement TAMAR free of charge. The closest resources for TAMAR would be the Maryland Department of Public Safety and Correctional Services, as many

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