Use of Guideline-Recommended Treatments for PTSD Among Community-Based Providers in Texas and Vermont: Implications for the Veterans Choice Program

The Journal of Behavioral Health Services & Research
Erin P FinleyMary Jo Pugh

Abstract

Implementation of the Veterans Choice Program (VCP) allows Veterans to receive care paid for by the Department of Veterans Affairs (VA) in community settings. However, the quality of that care is unknown, particularly for complex conditions such as posttraumatic stress disorder (PTSD). A cross-sectional survey was conducted of 668 community primary care and mental health providers in Texas and Vermont to describe use of guideline-recommended treatments (GRTs) for PTSD. Relatively, few providers reported using guideline-recommended psychotherapy or prescribing practices. More than half of psychotherapists reported the use of at least one guideline-recommended psychotherapy for PTSD, but fewer reported the use of core treatment components, prior training in the GRT(s) they use, or adherence to a treatment manual. Suboptimal prescribing for PTSD patients was reported more commonly than optimal prescribing. Findings raise critical questions regarding how to ensure veterans seeking PTSD care in community settings receive psychotherapy and/or prescribing consistent with clinical practice guidelines.

References

Feb 21, 2004·Behaviour Research and Therapy·Carolyn Black BeckerEmily Anderson
Jul 16, 2004·Journal of Traumatic Stress·Craig S RosenJerome A Yesavage
Dec 2, 2004·Psychiatric Services : a Journal of the American Psychiatric Association·Susan H BuschRobert A Rosenheck
Jan 20, 2006·Journal of the American Geriatrics Society·Miriam RodinUNKNOWN Department of Veterans Affairs/Department of Defense
May 8, 2009·Administration and Policy in Mental Health·Kristin M HawleyAmanda Jensen-Doss
Apr 12, 2012·The Journal of Clinical Psychiatry·Nancy C BernardyMatthew J Friedman
Jun 2, 2012·Professional Psychology, Research and Practice·Rebecca E StewartDianne L Chambless
Sep 28, 2012·Journal of Rehabilitation Research and Development·Oded SusskindMatthew J Friedman
Jul 15, 2015·Behaviour Research and Therapy·Kate Wolitzky-TaylorIsabel Lagomasino
Nov 17, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Katherine E WatkinsHarold Alan Pincus
Mar 5, 2016·International Journal of Clinical Pharmacy·Amany K HassanBarbara R Neas
May 9, 2016·Community Mental Health Journal·Lauren K RichardsNaomi M Simon
Mar 17, 2017·Psychological Services·Erin P FinleyJacqueline A Pugh
Mar 23, 2017·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Cara C LewisDavid Ayer

❮ Previous
Next ❯

Citations

Mar 17, 2019·The Journal of Behavioral Health Services & Research·Linda Rosenberg
Aug 20, 2018·Culture, Medicine and Psychiatry·Elizabeth CooperJosée G Lavoie
Jan 24, 2021·Community Mental Health Journal·Shannon E McCaslinCraig S Rosen
Apr 7, 2021·American Journal of Preventive Medicine·Sri Lekha TummalapalliSalomeh Keyhani

❮ 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.