Dissemination of Evidence-Based Psychological Treatments for Posttraumatic Stress Disorder in the Veterans Health Administration
Dissemination of Evidence-Based Psychological Treatments for Posttraumatic Stress Disorder in the Veterans Health Administration
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DOI：
10.1002/jts.20588
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发表时间：
2010-12-01
影响因子：
3.3
通讯作者：
Foa, Edna B.
中科院分区：
文献类型：
--
作者：
Karlin, Bradley E.;Ruzek, Josef I.;Foa, Edna B.
与后越南时代不同，现在存在有效的创伤后应激障碍（PTSD）专门治疗方法，尽管这些治疗方法尚未在临床环境中广泛使用。联合S.退伍军人事务部（VA）正在全国范围内传播2种基于证据的创伤后应激障碍心理疗法。弗吉尼亚州制定了国家举措，培训心理健康工作人员提供认知加工疗法和长期接触疗法，并实施了各种战略，以促进地方实施。在这篇文章中，作者研究了VA的国家CPT和PE培训计划，并报告了最初的患者，治疗师和系统级计划的评估结果。还讨论了关键问题、吸取的经验教训以及最大限度地扩大影响和可持续性的下一步措施。
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.