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Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration

✍ Scribed by Bradley E. Karlin; Josef I. Ruzek; Kathleen M. Chard; Afsoon Eftekhari; Candice M. Monson; Elizabeth A. Hembree; Patricia A. Resick; Edna B. Foa


Publisher
Springer
Year
2010
Tongue
English
Weight
123 KB
Volume
23
Category
Article
ISSN
0894-9867

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✦ Synopsis


Abstract

Unlike the post‐Vietnam era, effective, specialized treatments for posttraumatic stress disorder (PTSD) now exist, although these treatments have not been widely available in clinical settings. The U.S. Department of Veterans Affairs (VA) is nationally disseminating 2 evidence‐based psychotherapies for PTSD throughout the VA health care system. The VA has developed national initiatives to train mental health staff in the delivery of Cognitive Processing Therapy (CPT) and Prolonged Exposure therapy (PE) and has implemented a variety of strategies to promote local implementation. In this article, the authors examine VA's national CPT and PE training initiatives and report initial patient, therapist, and system‐level program evaluation results. Key issues, lessons learned, and next steps for maximizing impact and sustainability are also addressed.