Previous studies indicate that 60% to 99% of women who have been diagnosed with co-occurring disorders have undergone a traumatic experience at a certain point in their life. It has been established that most communities put those women in different programs separating the disorder treatment programs and mental health programs. However, recent research shows that the integration of trauma-informed programs and gender-responsive programs is more effective than when separated. Trauma-informed programs are designed to create an understanding of the damaging nature of the actions committed by the women. The actions are related to the traumatic experiences suffered by the victim and which affect them physically, mentally, emotionally, or even socially. Gender-responsive programs, on the other hand, create an ideal environment to effectively respond and reflect on the strengths and challenges being faced by the women. For this program to be effective, several factors such as its location, the staff, and program materials need to be taken into consideration to ensure its success.
Different philosophies regarding both programs have been brought to light. First, most psychologists have argued that even though the integration of both programs is more effective, there are still some obvious obstacles that need to be dealt with. In trauma-informed programs, for example, should implement security measures that take into account the traumatic experiences of the woman and at the same time protect her personal boundaries. Another philosophy that has been acknowledged is the fact that to ensure the effectiveness of both integrated programs. It is important for the community to design an ideal environment that can help to control all the destructive behaviors that might be self-harming and at the same time uphold a sense of personal safety.