Title |
Mental Health Providers’ Decision-Making Around the Implementation of Evidence-Based Treatment for PTSD
|
---|---|
Published in |
The Journal of Behavioral Health Services & Research, January 2016
|
DOI | 10.1007/s11414-015-9489-0 |
Pubmed ID | |
Authors |
Princess E. Osei-Bonsu, Rendelle E. Bolton, Shannon Wiltsey Stirman, Susan V. Eisen, Lawrence Herz, Maura E. Pellowe |
Abstract |
It is estimated that <15% of veterans with posttraumatic stress disorder (PTSD) have engaged in two evidence-based psychotherapies highly recommended by VA-cognitive processing therapy (CPT) and prolonged exposure (PE). CPT and PE guidelines specify which patients are appropriate, but research suggests that providers may be more selective than the guidelines. In addition, PTSD clinical guidelines encourage "shared decision-making," but there is little research on what processes providers use to make decisions about CPT/PE. Sixteen licensed psychologists and social workers from two VA medical centers working with ≥1 patient with PTSD were interviewed about patient factors considered and decision-making processes for CPT/PE use. Qualitative analyses revealed that patient readiness and comorbid conditions influenced decisions to use or refer patients with PTSD for CPT/PE. Providers reported mentally derived and instances of patient-involved decision-making around CPT/PE use. Continued efforts to assist providers in making informed and collaborative decisions about CPT/PE use are discussed. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 25% |
Netherlands | 1 | 25% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 104 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 16 | 15% |
Student > Ph. D. Student | 16 | 15% |
Student > Bachelor | 15 | 14% |
Student > Doctoral Student | 11 | 11% |
Researcher | 6 | 6% |
Other | 11 | 11% |
Unknown | 29 | 28% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 37 | 36% |
Nursing and Health Professions | 13 | 13% |
Medicine and Dentistry | 9 | 9% |
Social Sciences | 8 | 8% |
Arts and Humanities | 2 | 2% |
Other | 4 | 4% |
Unknown | 31 | 30% |