Factors associated with the receipt of documented evidence-based psychotherapy for PTSD in VA

General Hospital Psychiatry
Rebecca K SripadaKipling M Bohnert

Abstract

The VA has mandated that evidence-based psychotherapies (EBPs) be offered to patients with PTSD, but only a small minority of the psychotherapy delivered to VA patients with PTSD is a documented EBP. It is unknown what factors are associated with receiving a documented EBP. Patients who received an EBP in FY2015 that was documented using a templated progress note (N = 21,808) were compared with patients who received psychotherapy for PTSD that was not documented using a template (N = 251,886). Among psychotherapy recipients, VA patients with markers of clinical complexity such as service connection for PTSD, comorbid bipolar or psychotic disorder, longer duration of PTSD diagnosis, and a benzodiazepine prescription for PTSD had lower odds of receiving a documented EBP. Recipients of documented EBPs differed from those who did not receive documented EBPs on several sociodemographic characteristics and indicators of treatment need. A limitation of our study is that some individuals in the group without EBP documentation may still have received an EBP, but did not receive EBP documentation in the electronic health record. Nevertheless, our results suggest that high-need or complex VA patients with PTSD may be less likely to receiv...Continue Reading

References

Feb 1, 2002·Psychiatric Services : a Journal of the American Psychiatric Association·Nina A Sayer, Paul Thuras
Nov 11, 2005·Journal of Traumatic Stress·Joseph SpinazzolaBessel A van der Kolk
Oct 16, 2010·BMJ : British Medical Journal·Glyn ElwynRichard Thomson
Jan 26, 2012·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Steven R ThorpJulie Loebach Wetherell
Aug 28, 2013·International Journal of Psychiatry in Medicine·Matthew S YoderPeter W Tuerk
Oct 26, 2013·The Journal of Behavioral Health Services & Research·Mary W LuSteven K Dobscha
Jan 17, 2014·Psychiatric Services : a Journal of the American Psychiatric Association·Bradley V WattsCraig M Coldwell
Oct 14, 2014·Professional Psychology, Research and Practice·Joan M CookPaula P Schnurr
Oct 17, 2014·Psychiatric Services : a Journal of the American Psychiatric Association·Bradley V WattsHilary Llewellyn-Thomas
Mar 5, 2015·Administration and Policy in Mental Health·Lisa ZubkoffBradley V Watts
Jun 30, 2015·Psychological Trauma : Theory, Research, Practice and Policy·Shannon M Kehle-ForbesMelissa A Polusny
Jul 15, 2015·Clinical Psychology Review·Joris F G HaagenRolf J Kleber
Jan 9, 2016·The Journal of Behavioral Health Services & Research·Princess E Osei-BonsuMaura E Pellowe
Jan 23, 2016·Behaviour Research and Therapy·Anouk L GrubaughLeonard E Egede
Jun 28, 2016·Psychological Trauma : Theory, Research, Practice and Policy·Joan M CookPaula P Schnurr
Oct 2, 2017·Administration and Policy in Mental Health·Rebecca K SripadaPaul N Pfeiffer

❮ Previous
Next ❯

Citations

Apr 24, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Carissa van den Berk ClarkJeffrey F Scherrer
Jun 13, 2019·Administration and Policy in Mental Health·Cassidy A GutnerShannon Wiltsey Stirman

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anxiety Disorders

Discover the latest research on anxiety disorders including agoraphobia, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder here.

Bipolar Disorder

Bipolar disorder is characterized by manic and/or depressive episodes and associated with uncommon shifts in mood, activity levels, and energy. Discover the latest research this illness here.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Michele R SpoontDavid B Nelson
Duodecim; lääketieteellinen aikakauskirja
M O Huttunen
Psychiatric Services : a Journal of the American Psychiatric Association
John W ThatcherCody Jensen
Psychiatric Services : a Journal of the American Psychiatric Association
Sarah L KreinMarcia Valenstein
© 2022 Meta ULC. All rights reserved