Intensive Treatment Models to Address Posttraumatic Stress Among Post-9/11 Warriors: The Warrior Care Network.
Intensive Treatment Models to Address Posttraumatic Stress Among Post-9/11 Warriors: The Warrior Care Network.
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DOI：
10.1176/appi.focus.20170022
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发表时间：
2017-10-01
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影响因子：
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通讯作者：
Simon, Naomi M
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作者：
Harvey, Margaret M;Rauch, Sheila A M;Simon, Naomi M
自2001年9月11日以来，有200多万美国军人被派往伊拉克或阿富汗，许多人回国时患有创伤后应激障碍（PTSD）和其他心理和一般医疗疾病。尽管如此，许多人不寻求护理或可能对传统的门诊方法没有反应，因此需要创新的多学科治疗方法。为了帮助解决这些复杂的需求，受伤勇士项目已经资助了四个学术医疗中心，以发展一个遍布全国的护理网络。作为勇士护理网络的一部分，亚特兰大的埃默里医疗退伍军人计划；马萨诸塞州总医院与波士顿红袜基金会合作的本垒方案；芝加哥拉什医疗中心的回家之路；和加州大学洛杉矶分校的Operation Mend，各自开发了创新的、强化的项目来治疗9/11后退伍军人和服役人员的创伤后应激障碍。该项目提供两到三周的创伤后应激障碍强化治疗项目，以证据为基础的方法嵌入到更广泛的项目中。迄今为止，328名9/11后退伍军人和现役军人在这些密集的门诊项目中接受了治疗。平均完成率约为95%，这表明这种简短但重症监护模式对复杂人群的可接受性，这些人群可能难以参与或保留护理。
Since September 11, 2001, more than two million U.S. service members have deployed to Iraq or Afghanistan, many returning home with posttraumatic stress disorder (PTSD) and additional psychological and general medical complaints. Nonetheless, many do not seek care or may not respond to traditional outpatient approaches, warranting innovative, multidisciplinary treatment approaches. To help address these complex needs, the Wounded Warrior Project has funded four academic medical centers to develop a care network across the nation. As part of this Warrior Care Network, the Emory Healthcare Veterans Program in Atlanta; the Home Base Program at Massachusetts General Hospital, in collaboration with the Red Sox Foundation, in Boston; Road Home at Rush Medical Center in Chicago; and Operation Mend at the University of California, Los Angeles, have each developed innovative, intensive programs to treat PTSD among post-9/11 veterans and service members. The programs offer two- to three-week intensive PTSD treatment programs with evidence-based approaches embedded in a broader program. To date, 328 post-9/11 veterans and active-duty service members have received care in these intensive outpatient programs. The average completion rate is approximately 95%, which demonstrates the acceptability of this brief but intensive care model for a complex population who can be challenging to engage or retain in care.