Evidence map›Paper›PMID 41082054›Full record

ArticleCommunity mental health journal2026

Treatment Response in a Co-Occurring Disorders Intervention for Adult Drug Treatment Court: The Role of Adverse Childhood Experiences.

Mariam Fatehi, Paige M Shaffer, Michael A Andre, Abigail F Helm, Marinna Kaufman, Sheila C Casey, David A Smelson

Abstract read
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In one paragraph

Article in Community mental health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mariam FatehiDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA. mariam.fatehi@Umassmed.edu.ORCID 0000-0001-5742-0776
Paige M ShafferDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA.ORCID 0000-0002-6520-1044
Michael A AndreDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA.ORCID 0000-0003-2130-0689
Abigail F HelmDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA.ORCID 0000-0001-6966-0179
Marinna KaufmanDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA.ORCID 0009-0001-5663-5457
Sheila C CaseyExecutive Office of the Massachusetts Trial Court, Boston, MA, USA.
David A SmelsonDivision of Health Systems Science, Department of Medicine, University of Massachusetts Chan Medical School, 55 N Lake Ave, Worcester, MA, 01655, USA.ORCID 0000-0001-9161-9818

Funding

Supporting Treatment Access and Recovery for Co-Occurring Opioid Use and Mental Health Disorders (STAR-COD)R01MH128904 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GONZALEZ, GERARDO, LI, WENJUN · 2021 to 2024
$12.7M
University of Michigan (UM) HEAL Initiative National K12 Clinical Pain Career Development Program (UM-HCPDP)K12NS130673 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Daniel J Clauw, Steven Edward Harte · 2022 to 2026
$12.5M
NIMH NIH HHS R01MH128904NINDS NIH HHS K12NS130673SAMHSA HHS 5H79TI081069
6 · The paper itself

Abstract

Drug Treatment Courts (DTCs) serve as alternative to incarceration, addressing substance use and legal challenges of offenders. Many individuals enrolled in DTCs have co-occurring mental health and substance use disorders (CODs). Although multicomponent treatment like MISSION-CJ can improve outcomes for DTC clients with CODs, the impact of Adverse Childhood Experiences (ACEs) on outcomes remains unclear. This pilot study examined how criminal legal involvement, substance use and mental health functioning outcomes changed over time and differed based on ACEs levels. Sixty-two DTC clients with CODs received one-year of MISSION-CJ services. Generalized linear mixed models (GLMMs) assessed 6-month and 12-month outcomes, comparing low and high ACEs groups. Results showed significant overall improvement in outcomes, with greater mental health functioning improvements among clients with high ACEs. Although MISSION-CJ was not designed to address the needs of individuals with ACEs, these data suggest it might improve clinical outcomes for this vulnerable group.

Indexed as

Adverse Childhood ExperiencesMental DisordersSubstance-Related DisordersAdultDiagnosis, Dual (Psychiatry)FemaleHumansMaleMiddle AgedPilot ProjectsTreatment OutcomeAdult drug treatment courtsAdverse childhood experiencesCo-occurring disordersMISSION-CJ program

Identifiers

PMID41082054

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.