Training community providers in evidence-based treatment for PTSD: Outcomes of a novel consultation program
| Autor: | David S. Riggs, Rafaella J. Jakubovic, Jennifer Phillips, Meredith E. Charney, Louis K. Chow, Lydia E. Federico, Elizabeth M. Goetter, Naomi M. Simon, Eric Bui, Allison L. Baier |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male 050103 clinical psychology medicine.medical_specialty Evidence-based practice Social Psychology medicine.medical_treatment Health Personnel education Exposure therapy Implosive Therapy PsycINFO Stress Disorders Post-Traumatic 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans 0501 psychology and cognitive sciences Community Health Services Program Development Veterans Affairs Referral and Consultation Aged Cognitive Behavioral Therapy business.industry 05 social sciences Gold standard Middle Aged 030227 psychiatry Clinical Psychology Outcome and Process Assessment Health Care Evidence-Based Practice Cognitive therapy Cognitive processing therapy Physical therapy Female business Follow-Up Studies |
| Zdroj: | Psychological trauma : theory, research, practice and policy. 11(7) |
| ISSN: | 1942-969X |
| Popis: | OBJECTIVE Extensive research supports the use of prolonged exposure (PE) and cognitive processing therapy (CPT), for posttraumatic stress disorder (PTSD) in veterans and service members. PE and CPT have been disseminated nationally across the Department of Veterans Affairs (VA) facilities. Many service members and veterans receive care outside the VA where access to these gold standard psychotherapies can be limited. This paper presents a novel program developed to train community providers in the use of PE and CPT and their application to veterans with PTSD through the use of a medium-touch approach to consultation. METHOD Four 2-day trainings (2 in PE, 2 in CPT) were delivered to a total of 170 participants over an 8-month period. A subset of approximately 10 providers per training (n = 42) received 6 months of weekly, group phone consultation following the 2-day training. All providers were assessed pre- and posttraining, as well as 3 and 6 months after their training. Outcomes for the training workshop alone and the training plus 6 months of consultation were compared. RESULTS While participant knowledge, t = -22.57, p < .001 and comfort (χ² = 74.00, p < .001) with PE and CPT significantly increased immediately following the 2-day training, those who received consultation were more likely to implement (χ² = 20.88, p < .001) and either complete or be close to completing PE or CPT with patients (χ² = 20.57, p < .001) 6 months following training. CONCLUSIONS Despite some limitations, these preliminary data support that consultation is an important component to include in PTSD therapy training and implementation in the community. (PsycINFO Database Record (c) 2019 APA, all rights reserved). |
| Databáze: | OpenAIRE |
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