This article provided a brief overview of the Strategic Trauma and Abuse Recovery System (STARS), including its theoretical foundation, theory of change, and the process of the treatment model. STARS is a spiritually integrated treatment model first developed in a Christian counseling environment. We desired to learn if the clients who had completed this therapy were able to describe the process of therapy and whether those descriptions would align with the treatment model as described. Nine (N = 9) participants who had successfully completed STARS participated in this qualitative study which reviewed the process of therapy. Our findings indicated close fidelity to the treatment model. Participants reported improvement in mental health symptoms, improvement in relationships, and improvement in spiritual well-being.
AkhtarS.BarlowJ. (2018). Forgiveness therapy for the promotion of mental well-being: A systematic review and meta-analysis. Trauma, Violence, & Abuse, 19(1), 107–122. https://doi.org/10.1177/1524838016637079
BentleyJ. A.FeenyN. C.DolezalM. L.KleinA.MarksL. H.GrahamB.ZoellnerL. A. (2020). Islamic trauma healing: Integrating faith and empirically supported principles in a community-based program. Cognitive and Behavioral Practice, 28, 167–192. https://doi.org/10.1016/j.cbpra.2020.10.005
4.
BowlandS.EdmondT.FallotR. D. (2012). Evaluation of a spiritually focused intervention with older trauma survivors. Social Work, 57(1), 73–82. https://doi.org/10.1093/sw/swr001
5.
BowlbyJ. (1969). Attachment and loss (Vol. 1). Basic Books.
6.
BrandtK.PerryB.SeligmanS.TronicE. (2013). Infant and early childhood mental health: Core concepts and clinical practice. American Psychiatric Publishing.
7.
BryantD. J.ComanE. N.DamianA. J. (2020). Association of adverse childhood experiences (ACEs) and substance use disorders (SUDs) in a multi-site safety net healthcare setting. Addictive Behaviors Reports, 12, Article 100293. https://doi.org/10.1016/j.abrep.2020.100293
8.
CaptariL. E.HookJ. N.HoytW.DavisD. E.McElroy-HeltzelS. E.WorthingtonE. L. (2018). Integrating clients’ religion and spirituality within psychotherapy: A comprehensive meta-analysis. Journal of Clinical Psychology, 74(11), 1938–1951. https://doi.org/10.1002/jclp.22681
9.
CashwellC.YoungS. (Eds.) (2020). Integrating spirituality and religion into counseling: A guide to competent practice (3rd ed.). American Counseling Association.
ColsonD. A. (2016). Break every stinking chain! Healing for hidden wounds. TraumaEducation.com.
12.
ColsonD. A. (2017). Break every stinking chain! Healing for hidden wounds workbook. TraumaEducation.com.
13.
ColsonR. D. (2014). The Strategic Trauma and Abuse Recovery System: A comprehensive, Christian-integrated, 3-phase model for individual and group counseling. TraumaEducation.com.
14.
CurrierJ. M.DrescherK. D.JasonN. (Eds.). (2020). Addressing moral injury in clinical practice. American Psychological Association.
15.
DanielB. K. (2019). Using the TACT framework to learn the principles of rigour in qualitative research. Electronic Journal of Business Research Methods, 17(3), 118–129. https://doi.org/10.34190/JBRM.17.3.002
16.
EdwardsK. J. (2015). When word meets flesh: A neuroscience perspective on embodied spiritual formation. Journal of Psychology and Christianity, 34(3), 228–239.
ErgenbrightD.ConradS.CrickmoreM.MonroeP.VarenkampB.WolcottD. (2021). Healing the wounds of trauma: How the church can help. Facilitator guide for healing groups. American Bible Society and SIL International.
19.
FelittiV. J. (2003). [Origins of addictive behavior: Evidence from a study of stressful childhood experiences]. Praxis der Kinderpsychologie und Kinderpsychiatrie, 52(8), 547–559.
20.
FelittiV. J.AndaR. F.NordenbergD.WilliamsonD. F.SpitzA. M.EdwardsV.KossM. P.MarksJ. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) study. American Journal of Preventive Medicine, 14(4), 245–258. https://doi.org/10.1016/S0749-3797(98)00017-8
21.
GardnerJ. R. (2017). Divergence and convergence: An examination of cognitive–behavioral and dynamic therapies, theoretical and clinical perspectives. Journal of Psychotherapy Integration, 27(3), 395–406. https://doi.org/10.1037/int0000052
GingrichH.GingrichF. (Eds.) (2017). Treating trauma in Christian counseling. InterVarsity Press.
24.
GonçalvesJ. P. B.LucchettiG.MenezesP. R.ValladaH. (2015). Religious and spiritual interventions in mental health care: A systematic review and meta-analysis of randomized controlled clinical trials. Psychological Medicine, 45(14), 2937–2949. http://dx.doi.org.ezproxy.regent.edu/10.1017/S0033291715001166
25.
GrimB.GrimM. (2019). Belief, behavior, and belonging: How faith is indispensable in preventing and recovering from substance abuse. Journal of Religion and Health, 58, 1713–1750. https://doi.org/10.1007/s10943-019-00898-4
26.
HarrisJ. I.UssetT.VoecksC.ThurasP.CurrierJ.ErbesC. (2018). Spiritually integrated care for PTSD: A randomized controlled trial of “building spiritual strength.” Psychiatry Research, 267, 420–428. https://doi.org/10.1016/j.psychres.2018.06.045
27.
HermanJ. L. (1997). Trauma and recovery: The aftermath of violence—From domestic abuse to political terror. Basic Books.
KoenigH. G. (2018). Religion and mental health: Research and clinical applications. Academic Press.
30.
Kubler-RossE.KesslerD. (2005). On grief and grieving: Finding the meaning of grief through the five stages of loss. Scribner.
31.
LarkinM.WattsS.CliftonE. (2006). Giving voice and making sense in interpretative phenomenological analysis. Qualitative Research in Psychology, 3(2), 102–120. https://doi.org/10.1191/1478088706qp062oa
32.
LevittH.PomervilleA.SuraceF. (2016). A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda. Psychological Bulletin, 142(8), 801–830. https://doi.org/10.1037/bul0000057
33.
MatėG. (2011). In the realm of hungry ghosts: Close encounters with addictions. North Atlantic Books.
34.
MillerW.RollnickS. (2012). Motivational interviewing: Helping people change—Applications of motivational interviewing (3rd ed.). Guilford Press.
35.
Murray-SwankN. A.PargamentK. I. (2005). God, where are you? Evaluating a spiritually-integrated intervention for sexual abuse. Mental Health, Religion & Culture, 8(3), 191–203. https://doi.org/10.1080/13694670500138866
36.
PargamentK. (2013). APA Handbook of psychology, religion, and spirituality (Vol. 1–2). American Psychological Association. https://www.apa.org/pubs/books/4311506
37.
PearceM.HaynesK.RiveraN. R.KoenigH. G. (2018). Spiritually integrated cognitive processing therapy: A new treatment for post-traumatic stress disorder that targets moral injury. Global Advances in Health and Medicine, 7, Article 759939. https://doi.org/10.1177/2164956118759939
38.
PressleyJ.SpinazzolaJ. (2015). Beyond survival: Application of a complex trauma treatment model in the Christian context. Journal of Psychology and Theology, 43(1), 8–22. https://doi.org/10.1177/009164711504300102
39.
SmithJ.FlowersP.LarkinM. (2009). Interpretative phenomenological analysis: Theory, method and research. SAGE.
Substance Abuse and Mental Health Services Administration. (2014). Trauma-informed care in behavioral health services: Treatment improvement protocol (TIP) Series 57 (HHS publication no. SMA 13-4801).
TeetersJ. B.LancasterC. L.BrownD. G.BackS. E. (2017). Substance use disorders in military veterans: Prevalence and treatment challenges. Substance Abuse and Rehabilitation, 8, 69–77. https://doi.org/10.2147/SAR.S116720
44.
TimulakL.KeoghD. (2017). The client’s perspective on (experiences of) psychotherapy: A practice friendly review. Journal Clinical Psychology, 73, 1556–1567. https://doi.org/10.1002/jclp.22532
45.
ToussaintL.WorthingtonE.WilliamsD. (2015). Forgiveness and health: Scientific evidence and theories relating forgiveness to better health. Springer.
46.
TrippJ. C.JonesJ. L.BackS. E.NormanS. B. (2019). Dealing with complexity and comorbidity: Comorbid PTSD and substance use disorders. Current Treatment Options Psychology, 6, 188–197. https://doi.org/10.1007/s40501-019-00176-w
47.
TronickE. (2007). The neurobehavioral and social-emotional development of infants and children. W. W. Norton.
48.
Van der KolkB. A. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. Penguin Books.
49.
WalkerD.QuaglianaH.WilkinsonM.FrederickF. (2013). Christian accommodative trauma-focused cognitive-behavioral therapy for children and adults. In WorthingtonE.JohnsonE.HookJ.AtenJ. (Eds.), Evidenced-based practices for Christian counseling and psychotherapy (pp. 101–121). InterVarsity Press.
50.
WampoldB.ImelZ. (2015). The great psychology debate: The research evidence for what works in psychotherapy (2nd ed.). Routledge.
51.
WampoldB. E. (2015). How important are the common factors in psychotherapy? An update. World Psychiatry, 14(3), 270–277. https://doi.org/10.1002/wps.20238
52.
WorthingtonE. L.JohnsonE. L.HookJ. N.AtenJ. D. (2013). Evidence-based practices for Christian counseling and psychotherapy. InterVarsity Press.
53.
WorthingtonE. L.Jr. (2020). Understanding forgiveness of other people: Definitions, theories, and processes. In WorthingtonE. L.WadeN. G. (Eds.), Handbook of forgiveness (2nd ed., pp. 11–21). Routledge.
