A Comprehensive Approach in Dissemination of Evidence-Based Care for PTSD

Abstract

The purpose of this study is to pilot test practice improvement approaches for management of PTSD in military behavioral health treatment settings. This project also targets depression, which is highly comorbid with PTSD. Key evidence-based recommendations from the US Departments of Veterans Affairs and Defense (VA/DoD) Clinical Practice Guideline for the Management of PTSD and 3 other major practice guidelines were identified by a team of PTSD experts convened by APIRE. The PTSD Checklist-Civilian Version (PCL-C) and 9-item Patient Health Questionnaire (PHQ-9) were selected as screening, diagnosis and severity monitoring instruments for PTSD and depression, respectively. Performance Improvement in Practice (PIP) tools to inform evidence-based assessment and management of PTSD and depression have been developed and published. APIRE will recruit 20 mental health providers and their key clinical staff from selected MTFs for three interactive CME sessions, modeled after the Institute for Healthcare Improvement Breakthrough Series collaborative methodology. Participants will use the PIP tools to evaluate their practices? capacity to provide evidence-based care and identify potential gaps in the assessment and treatment of PTSD and depression, and explore strategies to implement the PCL-C and PHQ-9 for routine screening and management of PTSD and depression. We are currently compiling required documentation for MEDCOM authorization for brief site visits of potential demonstration sites.

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Document Details

Document Type
Technical Report
Publication Date
Sep 01, 2009
Accession Number
ADA517347

Entities

People

  • Farifteh Duffy

Tags

DTIC Thesaurus Topics

  • Antidepressants
  • Anxiety Disorders
  • Brain Injuries
  • Depression
  • Health Services
  • Medical Personnel
  • Patient Care
  • Personality Disorders
  • Psychiatry
  • Tranquilizing Agents
  • Traumatic Stress Disorder

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
  • Mental Health of Military Veterans with Posttraumatic Stress Disorder (PTSD): Risk Factors, Prevalence, Symptoms, and Treatment.
  • Organizational Process Management (OPM).