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Delivering clinical practice guideline-concordant care for PTSD and major depression in military treatment facilities / Kimberly A. Hepner [et al.]
- Format:
- Book
- Author/Creator:
- Hepner, Kimberly A., author.
- Language:
- English
- Subjects (All):
- Post-traumatic stress disorder--Treatment--United States--Evaluation.
- Post-traumatic stress disorder.
- Soldiers--Medical care--United States--Evaluation.
- Soldiers.
- Soldiers--Mental health services--United States--Evaluation.
- Depression, Mental--Treatment--United States--Evaluation.
- Depression, Mental.
- Stress Disorders, Post-Traumatic--therapy.
- Major Depressive Disorder--therapy.
- Mental Health Services--standards.
- Military Personnel--psychology.
- Military Psychiatry--statistics & numerical data.
- United States--Armed Forces--Medical care--Evaluation.
- United States.
- Medical Subjects:
- Stress Disorders, Post-Traumatic--therapy.
- Major Depressive Disorder--therapy.
- Mental Health Services--standards.
- Military Personnel--psychology.
- Military Psychiatry--statistics & numerical data.
- Physical Description:
- 1 online resource (xxvi, 138 pages) : color illustrations, forms.
- Place of Publication:
- Santa Monica, CA : RAND Corporation, 2017.
- Summary:
- Providing accessible, high-quality care for psychological health (PH) conditions, such as posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), is important to maintaining a healthy, mission-ready force. It is unclear whether the current system of care meets the needs of service members with PTSD or MDD, and little is known about the barriers to delivering guideline-concordant care. RAND used existing provider workforce data, a provider survey, and key informant interviews to (1) provide an overview of the PH workforce at military treatment facilities (MTFs), (2) examine the extent to which care for PTSD and MDD in military treatment facilities is consistent with Department of Veterans Affairs/Department of Defense clinical practice guidelines, and (3) identify facilitators and barriers to providing this care. This report provides a comprehensive assessment of providers' perspectives on their capacity to deliver PH care within MTFs and presents detailed results by provider type and service branch. Findings suggest that most providers report using guideline-concordant psychotherapies, but use varied by provider type. The majority of providers reported receiving at least minimal training and supervision in at least one recommended psychotherapy for PTSD and for MDD. Still, more than one-quarter of providers reported that limits on travel and lack of protected time in their schedule affected their ability to access additional professional training. Finally, most providers reported routinely screening patients for PTSD and MDD with a validated screening instrument, but fewer providers reported using a validated screening instrument to monitor treatment progress.-- Source other than Library of Congress.
- Contents:
- Chapter One Introduction.
- Providing effective care for PTSD and MDD for service members.
- Research objectives.
- Organization of this report.
- Chapter Two Methods.
- Provider data.
- Survey of MTF psychological health providers.
- Key informant discussions.
- Chapter Three Characteristics of the psychological health workforce across the MHS.
- Service branch differences in the size and composition of the psychological health workforce.
- Individual and practice characteristics of surveyed MTF PH providers.
- Summary.
- Chapter Four Delivery of guideline-concordant case for PTSD and MDD.
- Approaches to monitoring provider performance and use of guideline-concordant care.
- Delivery of guideline-concordant psychotherapy.
- Medication management within MTFs.
- Use of measureent-based care.
- Chapter Five Facilitators and barriers to provision of guideline-concordant care for PTSD and MDD.
- Training and supervision in guideline-concordant psychotherapies.
- Perceived barriers to delivering guideline-concordant treatment.
- Chapter Six Summary and recommendations.
- Overview.
- Strengths and limitations.
- Delivering guideline-concordant care for PTSD and MDD in MTFs: key findings.
- Recommendations to guide improvements in PH care across the MHS.
- Directions for future research.
- Appendix.
- References.
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