Innovative Assessment of Childhood Trauma and Its Link to HIV and Substance Abuse in Post-Incarcerated Women

Women who are incarcerated often report unresolved early life traumas, which research has linked to subsequent HIV and substance abuse risks. This article presents an arts-based counseling technique used with women re-entering society after incarceration. Women were assessed for childhood trauma (i.e. sexual, emotional, and/or physical abuse) in relation to age of onset and frequency of events using an interactive pictorial assessment technique, Healing Me Timeline activity. The technique allowed women to use color-coded graphs in identifying points along a timeline during which traumatic events occurred and to process insights to foster healthy coping strategies. The timeline activity was an innovative and gender-appropriate method for uncovering the nature and extent of women’s trauma and counseling needs. Facilitators used the counseling tool to assist women in processing personal insights and to make referrals to mental health counseling, medical services, and substance use programs.